Cirugia y cirujanos最新文献_第10页

Post-COVID-19 sequelae: an imbricate network between neuroinflammation and dysbiosis. COVID-19后遗症：神经炎症和菌群失调之间错综复杂的网络。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000511

Graciela A Cárdenas-Hernández

引用次数: 0

Acute purulent diverticulitis in the cecum: case report. 盲肠急性化脓性憩室炎1例报告。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000794

Iván Ramos-Cruz, Carlos Sanjuan-Sánchez, Selene Castillo, Paulina Leyva-Bohórquez, Claudia F Cruz-Lucas

引用次数: 0

Clinical and social importance of stool RT-PCR: a follow-up test for COVID-19 and long COVID-19. 粪便RT-PCR的临床和社会重要性：新冠肺炎和长期新冠肺炎的后续检测。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000353

Carlos E Cabrera-Pivaral

引用次数: 0

The effect of pre-operative sleep quality on post-operative pain and emergence agitation: prospective and cohort study. 术前睡眠质量对术后疼痛和出现躁动的影响：前瞻性队列研究。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000012

Nagihan Yıldız, Ahmet Besir, Ersagun Tugcugil, Davut Dohman

{"title":"The effect of pre-operative sleep quality on post-operative pain and emergence agitation: prospective and cohort study.","authors":"Nagihan Yıldız, Ahmet Besir, Ersagun Tugcugil, Davut Dohman","doi":"10.24875/CIRU.23000012","DOIUrl":"https://doi.org/10.24875/CIRU.23000012","url":null,"abstract":"Objective: Our study aimed to investigate the effect of pre-operative sleep quality on post-operative pain and emergence agitation.Materials and methods: Our study was performed 80 patients with American Society of Anesthesiologists I-II and 18-65 years of age. The patients were divided into poor (Group A, n = 40) and good sleep quality (Group B, n = 40). All patients were operated on under standard general anesthesia. The emergence agitation and pain status of all groups were evaluated in the recovery room and post-operative period.Results: There was no significant difference between the groups regarding demographic data. Post-operative numeric rating scale scores and analgesic consumption were significantly higher in Group A than in Group B (p < 0.05). There was no significant difference between the groups regarding post-operative emergence agitation and extubation quality (p > 0.05).Conclusion: In our study, poor pre-operative sleep quality increases post-operative pain and analgesic consumption; however, emergence agitation is not associated with sleep quality in the pre-operative period.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilizing the lymphocyte-monocyte ratio in predicting the recurrence of spontaneous pneumothorax. 利用淋巴细胞-单核细胞比值预测自发性气胸的复发。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000523

Murat Saricam, Oya Guven, Berker Ozkan

{"title":"Utilizing the lymphocyte-monocyte ratio in predicting the recurrence of spontaneous pneumothorax.","authors":"Murat Saricam, Oya Guven, Berker Ozkan","doi":"10.24875/CIRU.22000523","DOIUrl":"https://doi.org/10.24875/CIRU.22000523","url":null,"abstract":"Objective: Lymphocyte-to-monocyte ratio (LMR) has been introduced as a predictor and a prognostic factor for multiple diseases. This study aimed to determine the efficiency of LMR in predicting the recurrence of spontaneous pneumothorax.Materials and methods: A total of 374 patients who had received chest tubes at the first episode of primary spontaneous pneumothorax were examined in terms of age, gender, side of the pneumothorax, status of recurrence, LMRs at the time of admittance and recurrence, and the interval until the recurrence.Results: Recurrence was diagnosed in 106 (28.3%) patients, whereas the mean time until the recurrence was 15.32 ± 5.57 months. Significantly, the recurrence rate was higher, while the time until the relapse was shorter for patients with elevated levels of LMR. Moreover, LMR counting over 1.25 demonstrated a 70.8% sensitivity and a 94.4% specificity in predicting a potential recurrence.Conclusions: Calculation of LMR at the first episode of spontaneous pneumothorax contributes to predict a potential recurrence when combined with traditional risk factors.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is spleen-preserving surgery safe for abdominal trauma? 腹部外伤保脾手术安全吗？

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000301

Javier Gómez-Sánchez, Alejandro J Pérez-Alonso, Marisol Zurita-Saavedra, Benito Mirón-Pozo

{"title":"Is spleen-preserving surgery safe for abdominal trauma?","authors":"Javier Gómez-Sánchez, Alejandro J Pérez-Alonso, Marisol Zurita-Saavedra, Benito Mirón-Pozo","doi":"10.24875/CIRU.22000301","DOIUrl":"10.24875/CIRU.22000301","url":null,"abstract":"Background: Treatment of splenic trauma is currently based on non-surgical treatment or the use of interventional radiology. The conservative surgery of the spleen in splenic trauma remains marginal.Objective: To analyze the safety and efficacy of conservative surgical treatment in splenic trauma.Method: A retrospective study was performed over a 16-year period with the intention of recording the diagnostic and therapeutic attitude in a second level hospital, focusing on patients who received conservative splenic surgical treatment for splenic trauma, excluding splenectomies and non-surgical treatment.Results: 110 patients presented splenic trauma. Spleen-sparing surgery was performed in 15 patients. The grades of splenic lesions were: 1 patient with grade I, 1 patient with grade II, 7 patients with grade III and 6 patients with grade IV. Surgical treatment was splenorrhaphy in 5 patients (33%), hemostatic agents and polyglycolic acid mesh in 4 (26%), partial splenectomy with placement of polyglycolic acid mesh in 3 (20%), partial splenectomy in 2 (13%), and electrocautery in 1 (6%). None of the patients initially treated with conservative surgery required posterior splenectomy and no patient died.Conclusion: We provide evidence supporting the usefulness and safety of conservative splenic surgery in splenic trauma, which would have its place in grades II, III and IV trauma in health centers that do not have urgent interventional radiology.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transoperative intravitreal dexamethasone implantation in patients with proliferative vitreoretinopathy. 增殖性玻璃体视网膜病变患者的玻璃体内地塞米松植入术。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000111

Jeniffer Trenado-Luna, Gerardo Rivera-Arroyo, Elizabeth Baqués-Guillén, César Ramos-Roldán, José Ma Arroyo-González, Lucila García-Chávez, José F Valdez-López, Pedro Escalera-Arroyo

{"title":"Transoperative intravitreal dexamethasone implantation in patients with proliferative vitreoretinopathy.","authors":"Jeniffer Trenado-Luna, Gerardo Rivera-Arroyo, Elizabeth Baqués-Guillén, César Ramos-Roldán, José Ma Arroyo-González, Lucila García-Chávez, José F Valdez-López, Pedro Escalera-Arroyo","doi":"10.24875/CIRU.22000111","DOIUrl":"10.24875/CIRU.22000111","url":null,"abstract":"Objective: To compare the anatomical results in patients with rhegmatogenous retinal detachment, at least grade B of proliferative vitreoretinopathy, and with a trans-surgical dexamethasone implant vs the control group. We also assessed the diminution of proliferative vitreoretinopathy and the final visual acuity (VA).Method: The patients were evaluated clinically and with optical coherence tomography for 10 months. Logistic regression analyses were performed to evaluate the effect of the dexamethasone implant on retinal detachment. Correlational analyses were explored depending on the variables' distribution, and an independent samples t-test was used to compare the VA in both groups.Results: The study included 38 eyes of patients with proliferative vitreoretinopathy: 18 with the implant and 20 for the control group. The evaluation of the main objective showed significant differences (p < 0.05) in the anatomical success between the two groups (61.1% vs. 20%, treatment vs. control); odds ratio of 6.29; 95% confidence interval: 1.5- 26.8; p = 0.013; Nagelkerke's R2 = 0.225. The t-test showed a significant difference in the final VA of the patients (t = 2.047; df = 36; p = 0.048; Cohen's d = 0.66).Conclusions: Retinal redetachment was less frequent, and better VA was observed, in patients with the dexamethasone implant in comparison with the control group.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of extracorporeal shock wave lithotripsy in urolithiasis patients under 2 years of age. 体外冲击波碎石术治疗2岁以下尿路结石患者的疗效。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000548

Erol Basuguy, Abdurrahman Önen, Mustafa Azizoğlu, Mehmet H Okur, Bahattin Aydoğdu, Serkan Arslan

{"title":"Effectiveness of extracorporeal shock wave lithotripsy in urolithiasis patients under 2 years of age.","authors":"Erol Basuguy, Abdurrahman Önen, Mustafa Azizoğlu, Mehmet H Okur, Bahattin Aydoğdu, Serkan Arslan","doi":"10.24875/CIRU.22000548","DOIUrl":"10.24875/CIRU.22000548","url":null,"abstract":"Objective: In this study, we present our extracorporeal shock wave lithotripsy (ESWL) outcomes in urolithiasis patients under the age of two.Materials and methods: The procedure was performed with patients < 2 years of age sedated, under anesthesia using ketamine and Dormicum (midazolam), in the supine position. Fragmentation was evaluated by fluoroscopy after the procedure.Results: A total of 74 procedures were performed on 65 kidneys. One patient with bilateral stones had two sessions of ESWL on the right side; three sessions of ESWL were performed in one patient with a unilateral stone, and two sessions were performed in seven patients with unilateral stones. All other patients underwent one session of ESWL. As post-procedural complications, hematuria was observed in 14 patients (12 mild and 2 significant), and vomiting occurred in 1 patient. Ureterorenoscopy was performed in 5 patients, and percutaneous nephrolithotomy in 6 patients due to a failed procedure.Conclusion: As a result, ESWL treatment is effective and has advantages such as a short hospitalization time, good reproducibility, cost-effectiveness, and a low rate of complications. Therefore, we recommend ESWL as the first-line treatment for renal and proximal ureteral stones in infants < 2 years of age.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Importance and use of corneal biomechanics and its diagnostic utility. 角膜生物力学的重要性和用途及其诊断作用。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000260

Arturo Ramirez-Miranda, Simran Mangwani-Mordani, José Y Arteaga-Rivera, Renato Ambrosio, Alejandro Navas, Enrique O Graue-Hernandez, Jorge E Valdez-Garcia

{"title":"Importance and use of corneal biomechanics and its diagnostic utility.","authors":"Arturo Ramirez-Miranda, Simran Mangwani-Mordani, José Y Arteaga-Rivera, Renato Ambrosio, Alejandro Navas, Enrique O Graue-Hernandez, Jorge E Valdez-Garcia","doi":"10.24875/CIRU.23000260","DOIUrl":"https://doi.org/10.24875/CIRU.23000260","url":null,"abstract":"The study of corneal biomechanics has become relevant in recent years due to its possible applications in the diagnosis, management, and treatment of various diseases such as glaucoma, keratorefractive surgery and different corneal diseases. The clinical biomechanical investigation has become of great importance in the setting of refractive surgery to identify patients at higher risk of developing iatrogenic ectasia. This review focuses on two of the technologies available for clinical use, the Ocular Response Analyzer (Reichert Ophthalmic Instruments, Buffalo, NY, USA) and the Corvis ST (Oculus Optikgergäte GmbH, Wetzlar, Germany). Both are non-contact tonometers that provided a clinical evaluation of corneal biomechanics. The fundamentals and main parameters of each device are described, as well as their use in eye surgery and the corneal biomechanical behavior in eye diseases. Finally, we will discuss the more recent Brillouin microscopy biomechanical analysis, and the integration Scheimpflug-based corneal tomography and biomechanical data with artificial intelligence to increase accuracy to detect risk of ectasia.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Roux-en-Y partial volvulus in biliary-digestive reconstruction in children. 儿童胆道消化道重建中的Roux-en-Y部分排气术。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000346

Carlos García-Hernández, Joel Cazares-Rangel, Lourdes Carvajal-Figueroa, Christian Archivaldo-García, Ramiro A Ramirez-Martinez, Sergio Landa-Juarez, Gerardo Izundegui-Ordoñez

引用次数: 0