Cirugia y cirujanos最新文献_第2页

The left ventricular dyssynchrony in patients with diastolic dysfunction. 舒张功能不全患者的左室非同步化。

Cirugia y cirujanos Pub Date : 2026-09-30 DOI: 10.24875/CIRU.24000064

引用次数: 0

Peripheral multilayer flow modulator stents: short-term outcomes. 外周多层血流调节剂支架：短期效果。

Cirugia y cirujanos Pub Date : 2026-09-30 DOI: 10.24875/CIRU.24000346

Metin Onur-Beyaz, Sefer Kaya, Ibrahim Demir, Ahmet Kırbaş, Iyad Fansa

{"title":"Peripheral multilayer flow modulator stents: short-term outcomes.","authors":"Metin Onur-Beyaz, Sefer Kaya, Ibrahim Demir, Ahmet Kırbaş, Iyad Fansa","doi":"10.24875/CIRU.24000346","DOIUrl":"https://doi.org/10.24875/CIRU.24000346","url":null,"abstract":"Objectives: Peripheral artery pathologies continue to be a significant public health problem worldwide. Endovascular techniques have rapidly become the main treatment option in recent times. Multilayer flow modulator (MFM) stents, a newer technology, have three important properties that provide them the potential to overcome these problems: porosity, flexibility, and low-profile structure. This article aims to present the short-term follow-up results of stents (MFM) used in peripheral artery pathologies.Methods: Three-month follow-up outcomes were evaluated in 67 patients (41 men and 22 females; mean age 66.7 years, range 53-84 years) who underwent aneurysm repair with Stena Peripheral MFM Stent® (Invamed, Turkey) between January and December 2023.Results: Sixty-three peripheral vascular stents were applied, including 37 iliac artery and 26 superficial femoral arteries. No occlusion, fracture, or displacement of the MFM was observed. It should be 63 instead of 67. There were no findings associated with compression or stent kinking.Conclusions: The short- and medium-term results of MFM stents in peripheral artery pathologies may be considered satisfactory for both technical success and collateral patency. MFM stents may be a viable and safe alternative to traditional endovascular surgery or endovascular.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120292","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

Congenital diaphragmatic hernia: a comprehensive review of pathogenesis, genetics, clinical features, and risk stratification. 先天性膈疝：发病机制、遗传学、临床特征和风险分层的综合综述。

Cirugia y cirujanos Pub Date : 2026-08-12 DOI: 10.24875/CIRU.26000144

Esma Karadeniz-Gungormez, İbrahim Baytar, Betul B Ozbal, Namik E Akcan, Mustafa Azizoglu

{"title":"Congenital diaphragmatic hernia: a comprehensive review of pathogenesis, genetics, clinical features, and risk stratification.","authors":"Esma Karadeniz-Gungormez, İbrahim Baytar, Betul B Ozbal, Namik E Akcan, Mustafa Azizoglu","doi":"10.24875/CIRU.26000144","DOIUrl":"10.24875/CIRU.26000144","url":null,"abstract":"Congenital diaphragmatic hernia (CDH) is a rare and complex developmental disorder characterized by diaphragmatic defects, pulmonary hypoplasia, and persistent pulmonary hypertension, leading to significant neonatal morbidity and mortality. This review summarizes current knowledge on the pathogenesis, genetic background, clinical features, and risk stratification of CDH. The etiology is multifactorial, involving genetic mutations, chromosomal abnormalities, and environmental influences, with key molecular pathways including the retinoic acid and Sonic Hedgehog signaling pathways. Advances in pre-natal diagnosis, particularly the ultrasound-based lung-to-head ratio and magnetic resonance imaging-derived total fetal lung volume, have improved prognostic assessment. Post-natal risk stratification using clinical parameters and scoring systems further guides management and predicts outcomes. Despite improvements in neonatal intensive care and surgical techniques, long-term morbidity remains a major concern. A comprehensive understanding of CDH pathophysiology and the integration of pre-natal and post-natal risk assessment are essential for optimizing individualized management strategies and improving survival and long-term outcomes.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727555","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

Oral cavity cancer: retrospective analysis of a tertiary level hospital. 某三级医院口腔癌的回顾性分析。

Cirugia y cirujanos Pub Date : 2026-07-03 DOI: 10.24875/CIRU.25000099

Hector Gurrola-Machuca, Gabriela Nuñez-Guardado, Patricia E Sánchez-Valencia, Hector Gurrola-Luna, Eduardo Cardenas-Cardenas

{"title":"Oral cavity cancer: retrospective analysis of a tertiary level hospital.","authors":"Hector Gurrola-Machuca, Gabriela Nuñez-Guardado, Patricia E Sánchez-Valencia, Hector Gurrola-Luna, Eduardo Cardenas-Cardenas","doi":"10.24875/CIRU.25000099","DOIUrl":"10.24875/CIRU.25000099","url":null,"abstract":"Objective: To describe the clinical characteristics, treatment patterns, and survival outcomes of patients with oral cavity cancer treated at a tertiary care center.Methods: A retrospective study was conducted on 224 patients with oral cavity cancer treated between 1988 and 2023. Clinical, pathological, and therapeutic data were collected, evaluating survival through Kaplan-Meier curves and Cox regression models.Results: The median overall survival was 92.3 months, with a better prognosis in early stages (111.6 months in stage I) and in patients treated surgically. Non-SCC tumors showed significantly greater survival. The use of induction chemotherapy followed by radiotherapy notably improved survival in advanced disease (203.9 months). Surgery was confirmed as the most effective strategy in the early stages.Conclusions: Age, functional status, histology, and clinical stage at diagnosis are relevant prognostic factors. Surgery remains the cornerstone of treatment, and in locally advanced disease, induction chemotherapy is an option.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"452-456"},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378680","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

Volumetric computed tomography Hounsfield unit analysis: a superior method for opportunistic osteoporosis screening and assessment. 容积计算机断层扫描Hounsfield单位分析：一种机会性骨质疏松筛查和评估的优越方法。

Cirugia y cirujanos Pub Date : 2026-06-17 DOI: 10.24875/CIRU.25000101

Fatih Erdem, Bahar Yanık, Taha Yasin-Arslan, Emrah Akay, Erdoğan Bülbül, Gülen Demirpolat

{"title":"Volumetric computed tomography Hounsfield unit analysis: a superior method for opportunistic osteoporosis screening and assessment.","authors":"Fatih Erdem, Bahar Yanık, Taha Yasin-Arslan, Emrah Akay, Erdoğan Bülbül, Gülen Demirpolat","doi":"10.24875/CIRU.25000101","DOIUrl":"10.24875/CIRU.25000101","url":null,"abstract":"Objectives: This study investigated the correlation between two-dimensional and volumetric Hounsfield unit (HU) measurements from computed tomography (CT) and T-scores from dual-energy X-ray absorptiometry (DXA), assessing their interchangeability for opportunistic osteoporosis (OP) screening.Methods: A retrospective analysis included 97 patients (15 males, 82 females; mean age 66.48 ± 9.97 years) who underwent lumbar CT and DXA within 7 months. Two-dimensional HU values were measured from axial images (L1-L4), whereas volumetric HU values were obtained using 3D segmentation. Correlations with DXA T-scores were analyzed, and agreement between methods was assessed using Bland-Altman analysis and intraclass correlation coefficients (ICC).Results: Both HU methods significantly correlated with DXA T-scores (p < 0.001), with volumetric HU showing stronger correlations (r = 0.572 vs. r = 0.532). Osteoporotic patients had lower HU values, with volumetric HU offering better differentiation. Bland-Altman analysis revealed a systematic bias, with two-dimensional HU underestimating values. ICC showed excellent agreement, with volumetric HU achieving higher reliability (ICC = 0.963 vs. ICC = 0.918).Conclusions: Volumetric HU measurements provide a more reliable and sensitive assessment of trabecular bone density, making them a superior method for opportunistic OP screening and treatment monitoring.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"353-361"},"PeriodicalIF":0.0,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274136","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

Pre-operative differentiation of atypical parathyroid tumors and parathyroid adenomas: Is it possible? 非典型甲状旁腺瘤和甲状旁腺瘤的术前鉴别：可能吗？

Cirugia y cirujanos Pub Date : 2026-05-28 DOI: 10.24875/CIRU.25000243

İbrahim Kılınç, Serap Ulusoy, Mustafa Oruç, Alparslan Ertenlice, Aydan Kılıçarslan, Tolga Dinç

{"title":"Pre-operative differentiation of atypical parathyroid tumors and parathyroid adenomas: Is it possible?","authors":"İbrahim Kılınç, Serap Ulusoy, Mustafa Oruç, Alparslan Ertenlice, Aydan Kılıçarslan, Tolga Dinç","doi":"10.24875/CIRU.25000243","DOIUrl":"10.24875/CIRU.25000243","url":null,"abstract":"Objectives: This study aimed to determine whether atypical parathyroid tumors (APTs) can be differentiated from benign parathyroid adenomas (PAs) preoperatively and to compare their biochemical characteristics, post-operative complications, and long-term outcomes.Methods: A retrospective analysis was conducted on patients who underwent parathyroidectomy between 2010 and 2022. Fifty patients with APT and one hundred with PA (control group) were included. Demographic data, biochemical parameters, complications, and follow-up outcomes were compared.Results: Pre--operative serum calcium and parathyroid hormone (PTH) levels were significantly higher in APT patients. Receiver operating characteristic analysis identified Ca > 11.5 mg/dL and PTH > 180 pg/mL as thresholds for distinguishing APTs. Multivariate analysis confirmed these as independent predictors. APT patients had a higher rate of concurrent thyroid surgery and more frequent complications such as transient nerve injury and hungry bone syndrome. No significant difference was found in persistent disease or recurrence after an average follow-up of 4.8 years.Conclusions: Pre-operative Ca and PTH levels may help distinguish APTs from PAs. Patients with APT should be informed about the increased risk of complications and concurrent thyroid surgery, and appropriate preventive strategies should be considered.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"422-430"},"PeriodicalIF":0.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058933","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

Relationship between lipid profile and liver enzymes in cholelithiasis, cholesterolosis, and cholesterol polyp cases. 胆石症、胆固醇沉着症和胆固醇息肉患者的脂质谱与肝酶的关系

Cirugia y cirujanos Pub Date : 2026-05-22 DOI: 10.24875/CIRU.25000450

Havva H Keser-Şahin, Mustafa Şahin, Orhan Aslan, İsmail Sezikli, Muhammed Kaya, Okan Dikker

{"title":"Relationship between lipid profile and liver enzymes in cholelithiasis, cholesterolosis, and cholesterol polyp cases.","authors":"Havva H Keser-Şahin, Mustafa Şahin, Orhan Aslan, İsmail Sezikli, Muhammed Kaya, Okan Dikker","doi":"10.24875/CIRU.25000450","DOIUrl":"https://doi.org/10.24875/CIRU.25000450","url":null,"abstract":"Objective: The aim of this study is to investigate the relationship between liver enzymes and lipid profiles in cholecystectomy cases with cholecystitis, cholesterolosis, and cholesterol polyps.Methods: The cholecystectomy cases were divided into 3 groups according to their pathological diagnosis; cholesterolosis and cholelithiasis (Group 1), cholesterolosis (Group 2), and cholesterolosis and cholesterol polyp (Group 3). The groups were subjected to statistical analysis based on age, gender, cholesterol, triglyceride, low-density lipoprotein, high-density lipoprotein (HDL), alkaline phosphatase, gamma-glutamyl transferase (GGT), and C-reactive protein values.Results: Of the 227 cases included, 39 (17.2%) were male, and 188 (82.8%) were female. HDL value was significantly lower in men than in women (p = 0.00), while GGT (p = 0.00), aspartate aminotransferase (p = 0.01), and alanine aminotransferase (p = 0.00) values were significantly higher in men. No significant differences were detected in comparisons between pathological diagnostic groups (all p > 0.05).Conclusions: No statistically significant findings were found regarding lipid profile and liver enzyme levels in cases of cholesterolosis, cholelithiasis, and cholesterol polyps. Although it is predicted that the HDL level being significantly lower in men than in women will increase the risk of polyp, no significant difference was detected between the pathological diagnosis groups in terms of gender. Studies containing larger case series are needed to reveal this relationship more clearly.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007858","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

Impact of prolonged surgical mask versus KN95 respirator use on tear film stability in healthcare workers. 长期使用外科口罩与KN95呼吸器对医护人员泪膜稳定性的影响

Cirugia y cirujanos Pub Date : 2026-05-22 DOI: 10.24875/CIRU.26000056

Wenwen Wei, Yanli Shi, Qingjun Hu

{"title":"Impact of prolonged surgical mask versus KN95 respirator use on tear film stability in healthcare workers.","authors":"Wenwen Wei, Yanli Shi, Qingjun Hu","doi":"10.24875/CIRU.26000056","DOIUrl":"https://doi.org/10.24875/CIRU.26000056","url":null,"abstract":"Objectives: This study aimed to evaluate and compare the effects of prolonged daily wear of a surgical mask (SM) versus a KN95 respirator on tear film stability in healthcare workers.Methods: Forty-eight healthcare workers (96 eyes) were randomly assigned to wear either an SM or a KN95 respirator. Corneal fluorescein staining (FS), tear film break-up time (BUT), Schirmer I test (SIt), and the ocular surface disease index (OSDI) questionnaire were assessed at baseline without a mask (T0), after 8 h of continuous wear (T1), and after 1 week of daily wear (≥ 8 h/day, T2).Results: In the SM group, the FS score at T2 was significantly higher than at T0 and T1 (both p < 0.05). In the KN95 group, the FS score at T2 was significantly higher than at T0 (p < 0.05). BUT decreased significantly and progressively from T0 to T2 in both groups (all p < 0.0167). No significant changes in SIt or OSDI scores were observed over time within either group. Furthermore, no significant differences in FS, BUT, SIt, or OSDI scores were found between the two mask groups at any time point.Conclusions: Prolonged daily use of both SM and KN95 respirators over 1 week negatively affected tear film stability in healthcare workers, as indicated by a significant reduction in BUT and altered FS scores. The similar magnitude of effect for both mask types suggests that the impact is related to mask wear in general rather than to a specific design. These preliminary findings warrant confirmation in larger, controlled studies with longer follow-up periods.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007861","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

Evaluation of dentists' knowledge and attitudes regarding ankyloglossia in children. 牙医对儿童强直性咬合的知识和态度评价。

Cirugia y cirujanos Pub Date : 2026-05-18 DOI: 10.24875/CIRU.24000394

Gizem Karagoz-Dogan, Yelda Polat-Yavuz

{"title":"Evaluation of dentists' knowledge and attitudes regarding ankyloglossia in children.","authors":"Gizem Karagoz-Dogan, Yelda Polat-Yavuz","doi":"10.24875/CIRU.24000394","DOIUrl":"10.24875/CIRU.24000394","url":null,"abstract":"Objective: Ankyloglossia, known as tongue-tie, is a common congenital malformation that restricts the movement of the tongue. It is seen in 4.8% of newborns and is more prevalent in males compared to females. This study aims to evaluate the knowledge and attitudes of dentists in Turkey regarding ankyloglossia.Methods: Our survey was conducted online with dentists in Turkey who examine and treat patients. The data were analyzed using IBM Statistical Package for the Social Sciences V.21 software. Frequency distributions and percentages were examined, and relationships between nominal variables were assessed using the χ2 test. A significance level of p < 0.05 was accepted.Results: The results showed that 76.14% of the participants could recognize ankyloglossia in children, and 87.14% believed it to be a congenital anomaly. In addition, 91.49% of the participants thought that ankyloglossia negatively affects breastfeeding, and 98.34% believed that it could cause speech disorders.Conclusions: Our study emphasizes the importance of increasing awareness of ankyloglossia and the significance of early diagnosis and treatment.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"431-437"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977578","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

[Sensitivity and validity of sentinel node biopsy in early-stage cervical cancer at an oncology institution]. [某肿瘤机构早期宫颈癌前哨淋巴结活检的敏感性和有效性]。

Cirugia y cirujanos Pub Date : 2026-05-13 DOI: 10.24875/CIRU.24000532

Sarish Del Real-Ordóñez, Nancy Reynoso-Noverón, María D Pérez-Montiel, Rosa A Salcedo-Hernández, Salim A Barquet-Muñoz, David Isla-Ortiz

{"title":"[Sensitivity and validity of sentinel node biopsy in early-stage cervical cancer at an oncology institution].","authors":"Sarish Del Real-Ordóñez, Nancy Reynoso-Noverón, María D Pérez-Montiel, Rosa A Salcedo-Hernández, Salim A Barquet-Muñoz, David Isla-Ortiz","doi":"10.24875/CIRU.24000532","DOIUrl":"10.24875/CIRU.24000532","url":null,"abstract":"Objective: To determine the validity of sentinel lymph node biopsy (SNB) in women with early-stage cervical cancer (CeCa).Methods: We carried out a study of 46 patients with CeCa of FIGO stages IA1c-IB2 treated with radical uterine surgery. The technique for the identification of BGC was performed with patent blue dye and technetium-99m. For its validation, a bilateral pelvic lymphadenectomy (BPL) was performed, and all sentinel lymph nodes underwent pathological ultra-staging. We determined the detection rates of SNB, bilaterality, sensitivity, specificity, and negative and positive predictive values.Results: The sensitivity of the SNB was 100%, specificity was 95%, positive predictive value was 75%, negative predictive value was 100%, diagnostic accuracy was 93%, and the false negative rate was 0%.Conclusions: The BGC technique in patients with CeCa in the early stages who undergo radical hysterectomy is a feasible and safe method at Instituto Nacional de Cancerología. The importance of this method is that BPL can be avoided when it migrates bilaterally, reducing the morbidity of the procedure.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"445-451"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936318","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