Cirugia y cirujanos最新文献_第5页

Zidovudine, a brief history before the first antirretroviral in Mexico. 齐多夫定，墨西哥第一种抗逆转录病毒药物问世前的简史。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000250

Hans Malagón-Tejeida

引用次数: 0

Endoscopic submucosal dissection for the treatment of gastrointestinal neoplasia in a tertiary-care center in Mexico. 墨西哥一家三级医疗中心采用内镜粘膜下剥离术治疗胃肠道肿瘤。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000052

Óscar V Hernández-Mondragón, Luis F García-Contreras

{"title":"Endoscopic submucosal dissection for the treatment of gastrointestinal neoplasia in a tertiary-care center in Mexico.","authors":"Óscar V Hernández-Mondragón, Luis F García-Contreras","doi":"10.24875/CIRU.23000052","DOIUrl":"https://doi.org/10.24875/CIRU.23000052","url":null,"abstract":"Objective: The aim of this study was to evaluate the experience of using endoscopic submucosal dissection (ESD), a technique considered as first-line of treatment, for the management of early neoplastic lesions (ENL), and subepithelial lesions (SEL) < 4 cms in size, in a tertiary-care, high-volume medical center in Mexico.Method: Patients > 18 years-old, candidates to ESD with ENL and SMT, between January 2008 and October 2022 were included.Results: ESD was performed in 246 patients (137 ENL and 109 SMT), 52.2% gastric, 23.1% colonic, 19.5% esophageal and 5.2% in duodenum. Benign/premalignant were 74.4%, and 25.6% malignant, being the SMT the most frequent (44.3%) and gastrointestinal stromal tumor. En-bloc resection, R0, and curative resection rates were 97.2%, 94.5%, and 85.8%, respectively. The most common adverse event was transprocedural bleeding (18.3%) followed by perforation (6.9%), both endoscopically treated without mortality. Recurrence was presented in 9.44% at 177 months of follow-up.Conclusions: ESD is a safe and effective endoscopic surgical option of treatment for ENL and SMT in Mexican population when performed in experienced centers.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"776-787"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735242","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

Comparing costs and timing of ankle sprain care in two first-tier care systems. 比较两个一级护理系统中踝关节扭伤护理的成本和时间。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000024

Arlette R Ordóñez-Flores, José J Rivera-Sánchez, M Valeria Jiménez-Baez, David Rojano-Mejía, Macedonia G Moreno-Tovar, Alma I Guerrero-Martínez

{"title":"Comparing costs and timing of ankle sprain care in two first-tier care systems.","authors":"Arlette R Ordóñez-Flores, José J Rivera-Sánchez, M Valeria Jiménez-Baez, David Rojano-Mejía, Macedonia G Moreno-Tovar, Alma I Guerrero-Martínez","doi":"10.24875/CIRU.23000024","DOIUrl":"10.24875/CIRU.23000024","url":null,"abstract":"Objective: To compare the costs of care and the opportunity of care for the management of grade I-II ankle sprain in two Family Medicine Units, one with rehabilitation service (FMU 13) and one without rehabilitation service (FMU 41).Method: Observational analytical study, records with diagnosis of grade I-II ankle sprain attended at the FMU were included January-November 2021. Consultations were recorded in the emergency department, family medicine, rehabilitation, cabinet studies and time to grant the appointment in the rehabilitation service (opportunity of care), the Mann-Whitney U test was used to compare costs of care and timeliness of care.Results: In FMU 41, care costs were higher compared to FMU 13 ($13,990 vs $8,063); however, this difference was not significant, as was the cost of care in family medicine, rehabilitation, and opportunity of care.Conclusions: The costs of care and the opportunity of care were similar in both models of care (FMU 13-FMU 41) of grade I-II ankle sprain.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"751-757"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735234","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

Comparison of clinical efficacy of different colon anastomosis methods in laparoscopic radical resection of colorectal cancer. 腹腔镜大肠癌根治术中不同结肠吻合方法的临床疗效比较

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000602

Weimin Sun, Jie Zhang

{"title":"Comparison of clinical efficacy of different colon anastomosis methods in laparoscopic radical resection of colorectal cancer.","authors":"Weimin Sun, Jie Zhang","doi":"10.24875/CIRU.23000602","DOIUrl":"https://doi.org/10.24875/CIRU.23000602","url":null,"abstract":"Objective: The objective of this study was to investigate the clinical effect of overlap anastomosis and functional end-to-end anastomosis (FEEA) in laparoscopic radical resection of colorectal cancer (CRC).Methods: The clinical data of 180 patients who underwent laparoscopic radical resection of CRC and side-to-side anastomosis were retrospectively collected; the patients were divided into the Overlap group and FEEA group, according to the anastomosis method that was used to treat them.Results: The Overlap group had a shorter operation time, anastomosis time, post-operative hospital stay, post-operative feeding time, and post-operative exhaust time than the FEEA group (p < 0.05). The total incidence of post-operative complications was 14.4% (13/90) in the FEEA group and 0.7% (6/90) in the Overlap group, and there was no significant difference between the two groups (p > 0.05).Conclusions: Overlapping anastomosis can shorten the operation time and accelerate the recovery of intestinal function without increasing the incidence of post-operative complications, and it will not affect the quality of life and survival of patients in the short term after surgery.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 3","pages":"314-323"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307601","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

Nationwide reduction in COVID-19 mortality among patients with asthma and other chronic diseases in Mexican adults according to epidemic wave. 根据流行病浪潮，在全国范围内降低墨西哥成人哮喘和其他慢性病患者的 COVID-19 死亡率。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000576

Martín Bedolla-Barajas, Jaime Morales-Romero

引用次数: 0

Pneumopericardium caused by gastric ulcer perforation into the pericardium. An inusual complication. 胃溃疡穿孔进入心包引起的气胸。一种罕见的并发症。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000269

Luis J García-Vega, Guillermo I Rivas-Santana, Raymundo García-González

引用次数: 0

Littoral cell angioma of the spleen in a 70-year-old male patient with myelodysplastic syndrome: a case report. 一名患有骨髓增生异常综合征的 70 岁男性患者的脾脏沿岸细胞血管瘤：病例报告。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000284

Ioannidis Orestis, Symeonidis Savvas, Aggeliki Koltsida, Papadopoulou Stauroula, Malliora Anastasia, Christidis Panagiotis, Ouzounidis Nikolaos, Kotidis Efstathios, Pramateftakis Manousos George, Mantzoros Ioannis, Angelopoulos Stamatios

引用次数: 0

Hemorrhagic shock secondary to ruptured hypogastric artery pseudoaneurysm. A rare complication of colorectal anastomotic leakage. 胃下动脉假性动脉瘤破裂继发失血性休克。结肠直肠吻合口漏的罕见并发症。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000395

Cristina de la Cruz-Cuadrado, Dácil Montesdeoca-Cabrera, Daniel Cubillo-Prieto, Esteban Pérez-Alonso, Juan R Hernández-Hernández

引用次数: 0

Clinical and urodynamics outcomes in pediatric primary bladder diverticula: a comparative study. 小儿原发性膀胱憩室的临床和尿动力学结果：一项比较研究。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000294

Birgül Karaaslan, Mehmet O Kuzdan

{"title":"Clinical and urodynamics outcomes in pediatric primary bladder diverticula: a comparative study.","authors":"Birgül Karaaslan, Mehmet O Kuzdan","doi":"10.24875/CIRU.23000294","DOIUrl":"10.24875/CIRU.23000294","url":null,"abstract":"Objective: This study aimed to compare the effects of bladder diverticula smaller than 30 (SD) mm and larger than 30 mm (LD) on bladder functions and urodynamics.Materials and methods: Our retrospective analysis involved a cohort of 40 pediatric patients diagnosed with primary bladder diverticula.Results: The predicted mean bladder capacity (MBC) was 197.7 ± 95.8 mL, whereas the observed MBC was lower at an average of 170.1 ± 79.6 mL. This indicates that the observed MBC was 88.2 ± 12.9% of the predicted value (percentage). The mean diverticula diameter recorded was 33 ± 19.5 mm, and the diverticula to MBC ratio were calculated to be 0.25 ± 0.18. The distribution of urinary tract infections (UTIs) differed significantly between the groups (p < 0.001). Upper UT dilatation was significantly more common in the LD group (60%, n = 12) than in the SD group (15%, n = 3) (p = 0.003). The mean detrusor pressure (P[detrusor]) was significantly higher in the LD group (137.2 ± 24.1 cm H2O) than in the SD group (63.9 ± 5.8 cm H2O) (p = 0.001). In addition, the mean peak flow rate (Qmax) was significantly higher in the SD group (20.7 ± 7.9 mL/s) compared to the LD group (12.7 ± 3.8 mL/s) (p < 0.001).Conclusion: Bladder diverticula size is a significant factor in the clinical presentation and management of primary bladder diverticula in pediatric patients.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 1","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308283","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 COVID-19 on pre-existing liver disease. COVID-19 对原有肝病的影响。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000409

Juan M Abdo-Francis, Rosalba Moreno-Alcantar, José L Pérez-Hernández, José M Remes-Troche, Antonio Velarde-Ruiz Velasco, Eira Cerda-Reyes, Fátima Higuera-de la Tijera, Graciela Castro-Narro

引用次数: 0