Vanesa Maturana-Ibáñez, Marta Bellón-López, Manuel Ferrer-Márquez, José A Zamora-Soler
{"title":"Laparoscopic repair of iliac hernia after obtaining autologous bone graft from iliac crest.","authors":"Vanesa Maturana-Ibáñez, Marta Bellón-López, Manuel Ferrer-Márquez, José A Zamora-Soler","doi":"10.24875/CIRU.22000411","DOIUrl":"https://doi.org/10.24875/CIRU.22000411","url":null,"abstract":"<p><p>The iliac crest graft is the ideal source of autologous bone graft. It is a procedure that is associated with few complications. Iliac hernia is a rare complication that appears especially when full-thickness grafts are taken. It is more common in females and the main symptom is pain in the graft area. Surgical treatment is recommended due to the risk of incarceration as these hernias may contain abdominal viscera. There is no standard treatment for these hernias.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"117-119"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055560","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}
Francisco J Padilla-Pérez, María J Raphael-Garza, Jorge Chirino-Romo, Claudia A Aceves-Quintero, Eugenio Martínez-Ceballos, Óscar Mendoza-Valencia
{"title":"Intestinal malrotation in adults, cause of intestinal obstruction. Case report.","authors":"Francisco J Padilla-Pérez, María J Raphael-Garza, Jorge Chirino-Romo, Claudia A Aceves-Quintero, Eugenio Martínez-Ceballos, Óscar Mendoza-Valencia","doi":"10.24875/CIRU.22000366","DOIUrl":"https://doi.org/10.24875/CIRU.22000366","url":null,"abstract":"<p><p>Intestinal malrotation refers to the incomplete rotation of the primitive intestine around the vitelline sac or superior mesenteric artery. It is frequently found on the first days of extrauterine life or in adult life, as an incidental finding or with obstructive symptoms. We present a case of intestinal obstruction due to intestinal malrotation in a male adult, who underwent urgent surgical abdominal exploration.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"120-123"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059733","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}
Laura Rubio-López, Silvia Benito-Barbero, Paloma Guillamot-Ruano, Javier Páramo-Zunzunegui
{"title":"Pilonidal sinus of perianal location. Difficult differential diagnosis with perianal fistula.","authors":"Laura Rubio-López, Silvia Benito-Barbero, Paloma Guillamot-Ruano, Javier Páramo-Zunzunegui","doi":"10.24875/CIRU.22000314","DOIUrl":"https://doi.org/10.24875/CIRU.22000314","url":null,"abstract":"<p><p>Pilonidal disease usually arises in the sacrococcygeal area in young men. We present a case of a 39-year-old male with an initial diagnosis of perianal fistula. Despite clinical examination and pelvic magnetic resonance image, only during surgery was revealed that the origin of the fistula was in perianal pilonidal disease. Perianal pilonidal sinus are very rare in the literature. It is often confused with other perianal diseases such as anal fistula. Thus, perianal pilonidal disease should be considered in the differential diagnosis of perianal fistula.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 2","pages":"231-233"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813162","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}
{"title":"Hemoglobin glycation index and triglyceride-glucose index are related to diabetic nephropathy.","authors":"Emel Tatli","doi":"10.24875/CIRU.23000213","DOIUrl":"https://doi.org/10.24875/CIRU.23000213","url":null,"abstract":"<p><strong>Objective: </strong>Diabetic nephropathy (DN) is a significant complication of diabetes. Despite strict management of fasting plasma glucose (FPG), DN may progress to end-stage renal disease. HbA1c, the best biomarker for glycemic management, may differ in similar FPG. Hemoglobin glycation index (HGI) = HbA1c as determined minus HbA1c as predicted. The triglyceride-glucose index (TGI) is found to detect insulin resistance and correlates with DN. The aim of this study is to see the association of TGI and HGI with diabetic nephropathy in type 2 diabetes patients.</p><p><strong>Method: </strong>234 patients with type 2 diabetes were analyzed retrospectively.</p><p><strong>Results: </strong>87 (37.2%) of 234 patients were male, and the mean age was 57.2 ± 11.1 years. 76 of the patients had DN. HGI and TGI were significantly higher in the DN group (2.59 ± 1.7 vs. 1.18 ± 0.34; p = 0.00 and 9.9 ± 0.7 vs. 9.7 ± 0.7; p = 0.024). In logistic regression analysis, microalbuminuria was associated with TGI (OR = 3.35, 95% CI, 1.778- 6.32, p = 0.01) and HGI (OR = 2.579, 95% CI, 1.89-3.516, p = 0.00).</p><p><strong>Conclusions: </strong>In conclusion, TGI and HGI were independently associated with diabetic nephropathy. These markers may be useful in DN, especially in anemic individuals, since anemia might affect HbA1c levels.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045832","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}
Guilver K Castillo-Ortiz, Rogger A Cervantes-Jorge, Andrea E Salvador-Carrillo
{"title":"Associated factors with poor quality of life in patients with type 2 diabetes.","authors":"Guilver K Castillo-Ortiz, Rogger A Cervantes-Jorge, Andrea E Salvador-Carrillo","doi":"10.24875/CIRU.23000353","DOIUrl":"https://doi.org/10.24875/CIRU.23000353","url":null,"abstract":"","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"128"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046395","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}
{"title":"Results of global actors that influence and converge in the hospital sector.","authors":"Martha K Torres-Salgado","doi":"10.24875/CIRU.24000212","DOIUrl":"https://doi.org/10.24875/CIRU.24000212","url":null,"abstract":"<p><strong>Objective: </strong>Put into practice the MACTOR (Method, Actors, Objectives, Strength Results) method to identify and analyze convergence of objectives in actors with influence maps of strategic health power.</p><p><strong>Method: </strong>It is an analytical study, sampled for convenience in time and for accessibility to experts in three high specialty hospitals with deductive reasoning, of explanatory scope in correlation of strategic objectives convergent to health processes through MACTOR.</p><p><strong>Results: </strong>Understand the importance, analyze and understand the prospective in the decision making of the actors that impact this research with global leaders from the World Health Organization, the Pan American Health Organization, the CONACEM committee and the president of the Council of Health in its strategic deployment to hospital medical care.</p><p><strong>Conclusions: </strong>The prospective analysis of actors makes it easier to evaluate health leaders according to their influence due to the convergence or not of institutional objectives. MACTOR is relevant in order to visualize the contribution in favor or against the scope of effort with strategic alignment in institutions until reaching hospitals and continuing specific achievements for the benefit of medical care.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"76-85"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048181","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}
Ángel J Lara-Valdés, Arcenio L Vargas-Ávila, Ana L Sánchez-Baltazar, Jesús M Pérez, Israel de Alba-Cruz, Natalia T Vargas-Gómez, Jorge A Domínguez-Rodríguez
{"title":"Anatomical identification of the bile duct by intrinsic illumination in difficult cholecystectomies: Prometheus device.","authors":"Ángel J Lara-Valdés, Arcenio L Vargas-Ávila, Ana L Sánchez-Baltazar, Jesús M Pérez, Israel de Alba-Cruz, Natalia T Vargas-Gómez, Jorge A Domínguez-Rodríguez","doi":"10.24875/CIRU.22000451","DOIUrl":"https://doi.org/10.24875/CIRU.22000451","url":null,"abstract":"<p><p>Bile duct injury remains one of the most feared complications after cholecystectomy. The Prometheus device, through intrinsic illumination, facilitates intraoperative anatomical identification of biliary structures. In a case of cholecystitis, it was used during a conventional cholecystectomy, advancing it through Hartmann's pouch to the confluence with the common hepatic duct, illuminating the biliary structures and enhancing critical view of safety. This device proved to be a safe and accessible method, with potential for use in most healthcare centers.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048718","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}
Erik D Álvarez-Sores, Leonardo Barba-Valadez, César A Martínez-Ortiz, Adolfo Cuendis-Velázquez
{"title":"Complicated appendicitis with bladder perforation treated with laparoscopic surgery: case report.","authors":"Erik D Álvarez-Sores, Leonardo Barba-Valadez, César A Martínez-Ortiz, Adolfo Cuendis-Velázquez","doi":"10.24875/CIRU.22000135","DOIUrl":"https://doi.org/10.24875/CIRU.22000135","url":null,"abstract":"<p><p>Misdiagnosis and delay in the treatment of acute appendicitis increases the risk of complications secondary to visceral perforation. Appendicular rupture into the bladder is an uncommon complication, but possibly to happen; treatment generally consists of a laparotomy with appendectomy and repair of the bladder wall. The laparoscopic approach is a viable option in cases of complicated appendicitis, even in complex and infrequent clinical scenarios. The aim of this paper is to describe a case of complicated appendicitis with bladder perforation, treated with a laparoscopic right hemicolectomy, terminal ileostomy and closure of the urinary bladder wall.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045394","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}
{"title":"Decreased plasma visfatin concentrations in pediatric aneurysmal bone cyst: a pilot study.","authors":"Sait A Ulus, Emin Özkul","doi":"10.24875/CIRU.23000122","DOIUrl":"https://doi.org/10.24875/CIRU.23000122","url":null,"abstract":"<p><strong>Objective: </strong>This is a prospective study and visfatin values of patients with aneurysmal bone cysts (ABC) were compared with those of healthy individuals.</p><p><strong>Method: </strong>This study consists of 20 patients diagnosed with ABC (Group 1) and 30 healthy patients (Group 2). Age, gender, cyst sizes, and visfatin values of all patients were recorded and evaluated.</p><p><strong>Results: </strong>A total of 50 patients, 20 from Group 1 and 30 from Group 2, were included in our study. The mean age was 13.80 ± 3.98 years in Group 1 and 14.67 ± 4.24 years in Group 2, and no statistically significant difference was found between the groups (p > 0.05). While 60% of the patients in Group 1 were male, in Group 2, 53% of the patients were male. Cyst area was recorded as 1171 (512-2310) mm<sup>2</sup>. The visfatin value was 10.70 ± 5.91 ng/mL in Group 1 and 15.23 ± 5.86 ng/mL in Group 2. The visfatin value in the ABC group was found to be statistically significantly lower than the control group (p < 0.05). No correlation was found between cyst area and visfatin (p > 0.05).</p><p><strong>Conclusion: </strong>Our study found that visfatin levels are significantly lower in patients with ABC s compared to healthy controls, suggesting its potential as a diagnostic biomarker. The ROC analysis showed a good diagnostic ability.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058242","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}
Salih Bayram, Bahattin Aydoğdu, Mehmet H Okur, Abdurrahman Önen, Salim Bilici, Erol Basuguy, Serkan Arslan
{"title":"Evaluation of management of ureteroceles in our clinic: 8 years of experience.","authors":"Salih Bayram, Bahattin Aydoğdu, Mehmet H Okur, Abdurrahman Önen, Salim Bilici, Erol Basuguy, Serkan Arslan","doi":"10.24875/CIRU.23000152","DOIUrl":"https://doi.org/10.24875/CIRU.23000152","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to investigate patients who were managed and followed up in our clinic for ureteroceles.</p><p><strong>Method: </strong>We retrospectively analyzed 52 patients' records with ureterocele diagnoses who were treated at the Pediatric Surgery Clinic of the Medical School of Dicle University between January 2009 and December 2017.</p><p><strong>Results: </strong>Of the patients 29 were female and 23 were male. Thirty-six patients had left-sided ureteroceles, 12 had right-sided ureteroceles, and four had bilateral ureteroceles. Thirty-three were intravesical and 19 were ectopically located. Twenty-seven were on a duplex system. Ureterocele was diagnosed antenatally in 12 patients and 21 in the first 6 months of the post-natal period. Ultrasonography was the most common diagnostic method. Urinary infection was the most frequent symptom (38.4%). Except for a patient who received conservative follow-up, all ureteroceles were decompressed. Vesicoureteral reflux (VUR), urinary tract infection (UTI), and renal scarring were all significantly higher in patients with the duplex system. Significantly decreased UTI rates were observed in early-diagnosed patients (p = 0.04).</p><p><strong>Conclusion: </strong>Ureterocele is still a challenging problem due to the high risk of UTI, VUR, and renal scarring. Endoscopic decompression is the most preferable intervention for ureteroceles. UTI and renal scarring could be decreased with early detection and treatment.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"93 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031407","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}