Cirugia y cirujanos最新文献_第6页

Application of hip capsule peripheral nerve block in early analgesia in elderly patients with hip fracture. 髋关节囊周围神经阻滞在老年髋部骨折患者早期镇痛中的应用。

Cirugia y cirujanos Pub Date : 2024-03-11 DOI: 10.24875/CIRU.22000645

Jiangbo Zheng, Zhaoming Feng, Junfeng Zhu, Yuqing Kang

{"title":"Application of hip capsule peripheral nerve block in early analgesia in elderly patients with hip fracture.","authors":"Jiangbo Zheng, Zhaoming Feng, Junfeng Zhu, Yuqing Kang","doi":"10.24875/CIRU.22000645","DOIUrl":"10.24875/CIRU.22000645","url":null,"abstract":"Objective: The objective of the study is to investigate the effect of pericapsular nerve group (PENG) block in early analgesia in elderly patients with hip fracture.Methods: A total of 44 elderly patients with hip fracture admitted to our hospital from August 2021 to December 2022 were selected and divided into 2 groups according to different analgesia programs.Results: At T1~T4, the resting and active visual analog scale (VAS) scores in group P were lower than group F (p < 0.05). The resting and active VAS scores at T5 in both groups were no visible differences (p > 0.05). After 30 min of block, systolic blood pressure, diastolic blood pressure, and heart rate were decreased in both groups (p < 0.05), but no obvious difference was found in the two groups (p > 0.05). Before surgery, Pittsburgh Sleep Quality Index (PSQI) and mini-mental state scale (MMSE) scores in both groups were reduced, and PSQI score in group P was lower than that in group F and MMSE score was higher than group F (p < 0.05).Conclusion: PENG technology is safe and effective in the early analgesia of elderly hip fractures. It can effectively block physiological stress response caused by acute trauma, improve pre-operative sleep quality, and reduce the incidence of cognitive dysfunction.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"419-425"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102983","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

[Construct validity of the TECS questionnaire for the quality of teamwork in surgery]. [外科团队合作质量 TECS 问卷的结构效度]。

Cirugia y cirujanos Pub Date : 2024-03-06 DOI: 10.24875/CIRU.23000297

Luis C Domínguez, Neil Valentín-Vega, Eduardo Tuta-Quintero, Diego Sierra, Álvaro Sanabria

引用次数: 0

[Mixed adenoneuroendocrine carcinoma: case report]. [混合性腺内分泌癌：病例报告]

Cirugia y cirujanos Pub Date : 2024-02-12 DOI: 10.24875/CIRU.21000713

Ángel A Hernández-Moreno, Carlos E Durón-Gutiérrez, Sheyla P Serrano-González, Grettel León-Martínez, José G Arroyo-Del-Castillo

引用次数: 0

[Clinical evolution of patients with infection associated with orthopedic devices in treatment with continuous negative pressure]. [持续负压治疗骨科设备相关感染患者的临床演变]。

Cirugia y cirujanos Pub Date : 2024-02-12 DOI: 10.24875/CIRU.23000248

Jorge Quiroz-Williams, José R Viveros-Encarnación, Suemmy Gaytán-Fernández, Rodolfo G Barragán-Hervella, Carlos R Rueda-Alvarado, América Ramírez-Polanco, M Paloma Martínez-Senda, Andrea M Palma-Jaimes

{"title":"[Clinical evolution of patients with infection associated with orthopedic devices in treatment with continuous negative pressure].","authors":"Jorge Quiroz-Williams, José R Viveros-Encarnación, Suemmy Gaytán-Fernández, Rodolfo G Barragán-Hervella, Carlos R Rueda-Alvarado, América Ramírez-Polanco, M Paloma Martínez-Senda, Andrea M Palma-Jaimes","doi":"10.24875/CIRU.23000248","DOIUrl":"https://doi.org/10.24875/CIRU.23000248","url":null,"abstract":"Objective: To describe the use of negative pressure therapy with (TPNi) and without instillation (TPNs) as adjuvant treatment in the management of orthopedic device-associated infections (IADO).Method: Analytic observational study of records of patients with IADO managed with TPNi and TPNs with 0.9% saline solution, in patients > 18 years, operated on in 2018-2021. Clinical characteristics of infection, infectious agent as well as sociodemographic variables were evaluated. TPN was performed with the V.A.C. VERAFLO™ system. Analysis with χ2, Fisher and t-Student. Statistically accepted value p < 0.05.Results: Sample 40 patients. 75% male. Fractures 42.5% exposed and 57.5% closed. 92.5% applied prophylactic antibiotic (30-120 min). 35% plate implants, 12.5% centromedullary nail, 10% knee prosthesis and 12.5% hip. 47.5% bleeding < 500 ml. 72.5% surgical time of 2-4 hours. Previous hospitalization time, TPNs 3 weeks 55.9% and 4 weeks 26.5%; TPNi, 3 weeks 50% and 4 weeks 33.3%. Conservation of the implant 73.5% TPNs and 50% TPNi (p = 0.341). Wound closure 91.2% with TPNs and 100% with TPNi (p = 1.000).Conclusions: The use of TPNs and TPNi were useful as adjuvant treatments in the management of IADO, in addition they allowed to preserve the implant and wound closure in a large part of the patients.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725329","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

Modified extensile calcaneal exposure is safe. 改良的伸展式钙楔暴露是安全的。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000580

Chuansheng Fu, Baofu Wei, Hongjian Pei, Cunyin Xue, Jijuan Zhou, Guodong Zhong

{"title":"Modified extensile calcaneal exposure is safe.","authors":"Chuansheng Fu, Baofu Wei, Hongjian Pei, Cunyin Xue, Jijuan Zhou, Guodong Zhong","doi":"10.24875/CIRU.23000580","DOIUrl":"https://doi.org/10.24875/CIRU.23000580","url":null,"abstract":"Objective: The objective of this study was to evaluate the effect of open reduction and internal fixation for displaced intra-articular calcaneal fractures through a modified tarsal sinus incision.Methods: A retrospective review over 3 years of the clinical data of patients with intra-articular calcaneal fractures treated with open reduction and internal fixation through lateral hook curvy incisions. The efficacy of the 25 lateral hook curvy incisions was analyzed.Results: According to the AOFAS hindfoot function scoring criteria, there were 20 excellent (80%), 2 good (8%), 2 fair (8%), and 1 poor patient outcome. The average pre-operative Bohler's angle was 6.8 ± 8.9°, and the average angle at follow-up was 33.6 ± 5.7°. The average pre-operative Gissane angle was 89.2 ± 20.0°, and the average angle at follow-up was 115.5 ± 5.5°.Conclusions: A lateral hook curvy incision can expose the posterior articular surface of the calcaneus and the calcaneocuboid joint, reduce stripping and pulling of the soft tissue, and avoid calcaneus valgus caused by the pulling of the peroneus tendon.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 5","pages":"608-617"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483172","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

Management guidelines in triplidemia due to respiratory viruses and the social importance of the clinical-genetic diagnosis algorithm of SARS-COV2. 呼吸道病毒引起的三联症管理指南和 SARS-COV2 临床基因诊断算法的社会意义。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000584

Sergio A Ramírez-García, Carlos E Cabrera-Pivaral, José Domínguez-Rodas, David A López-de la Mora, Sabina López-Toledo, Felicitas Ortiz-García, Reyna M Hernández-Vásquez, Diego A Cáceres-Gutiérrez

引用次数: 0

Comparison of US elastography and chemical shift magnetic resonance imaging in multifidus muscle fatty degeneration. 多裂肌脂肪变性的 US 弹性成像与化学位移磁共振成像的比较。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.24000048

Fatıh Kırcın, Bahar Yanık, Erdogan Bulbul, Emrah Akay, Gulen Demırpolat

{"title":"Comparison of US elastography and chemical shift magnetic resonance imaging in multifidus muscle fatty degeneration.","authors":"Fatıh Kırcın, Bahar Yanık, Erdogan Bulbul, Emrah Akay, Gulen Demırpolat","doi":"10.24875/CIRU.24000048","DOIUrl":"https://doi.org/10.24875/CIRU.24000048","url":null,"abstract":"Objective: The purpose of this study was to investigate the feasibility of the use of shear wave elastography (SWE) in comparison to chemical shift encoding (CSE) magnetic resonance imaging (MRI) for the evaluation of multifidus muscle fatty degeneration in patients with chronic low back pain.Method: Multifidus muscles were evaluated with the CSE-MRI and SWE examinations in control and patient groups. With the in-phase and out-phase sequences in CSE-MRI, signal intensity index (SII), and signal intensity suppression ratio (SISR) values; with the SWE method, shear wave velocity values were determined. Differences in the mean values of these parameters per level and study group were analyzed by Student's t-test.Results: SWE revealed significantly lower stiffness at the L2-3 level, consistent with the signal index values (SII-SISR) showing increased fatty infiltration on MRI in the patient group. No such relationship was found at the L4-5 level or in control group.Conclusions: SWE may be a promising method to show muscle fatty infiltration at L2-3 level in patients with chronic low back pain.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 5","pages":"633-640"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483167","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

Acute kidney injury and mortality in patients with critical COVID-19 in Mexico: case-control study. 墨西哥 COVID-19 重症患者的急性肾损伤和死亡率：病例对照研究。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000207

Ivette Mata-Maqueda, Juan C Solís-Sáinz, Guadalupe Zaldivar-Lelo de Larrea, Ernesto Deloya-Tomas, Jorge López-Fermín, Mª Guadalupe Olvera-Ramos, Gabriela Castillo-Gutiérrez, Jorge D Carrión-Moya, Orlando R Pérez-Nieto

{"title":"Acute kidney injury and mortality in patients with critical COVID-19 in Mexico: case-control study.","authors":"Ivette Mata-Maqueda, Juan C Solís-Sáinz, Guadalupe Zaldivar-Lelo de Larrea, Ernesto Deloya-Tomas, Jorge López-Fermín, Mª Guadalupe Olvera-Ramos, Gabriela Castillo-Gutiérrez, Jorge D Carrión-Moya, Orlando R Pérez-Nieto","doi":"10.24875/CIRU.23000207","DOIUrl":"https://doi.org/10.24875/CIRU.23000207","url":null,"abstract":"Objective: We aimed to test the association between acute kidney injury (AKI) and mortality in critically ill patients with Coronavirus disease 2019 (COVID-19).Method: We conducted a single-center case-control study at the intensive care unit (ICU) of a second-level hospital in Mexico. We included 100 patients with critical COVID-19 from January to December 2021, and collected demographic characteristics, comorbidities, APACHE II, SOFA, NEWS2, and CO-RADS scores at admission, incidence of intrahospital complications, length of hospital and ICU stay, and duration of mechanical ventilation, among others.Results: The median survival of deceased patients was 20 days. After multivariable logistic regression, the following variables were significantly associated to mortality: AKI (adjusted odds ratio [AOR] 6.64, 95% confidence intervals [CI] = 2.1-20.6, p = 0.001), age > 55 years (AOR 5.3, 95% CI = 1.5-18.1, p = 0.007), and arrhythmias (AOR 5.15, 95% CI = 1.3-19.2, p = 0.015). Median survival was shorter in patients with AKI (15 vs. 22 days, p = 0.043), as well as in patients with overweight/obesity (15 vs. 25 days, p = 0.026).Conclusion: Our findings show that the development of AKI was the main risk factor associated with mortality in critical COVID-19 patients, while other factors such as older age and cardiac arrhythmias were also associated with this outcome. The management of patients with COVID-19 should include renal function screening and staging on admission to the Emergency Department.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 5","pages":"626-632"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483165","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

Nutritional care of the patient after metabolic surgery: a misunderstood discipline. 代谢手术后患者的营养护理：一门被误解的学科。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000515

Emily S Valadez-Méndez, Sol Ramírez-Ochoa, Leonardo Perales-Guerrero, Shaúl A Navarro-Lara, Liliana B Alcázar-García, Carlos J Moreno-Bernardino, Javier Solís-Estrada, Silvia G Esquivel-Razo, Miguel A Buenrostro-Ahued, Enrique Cervantes-Pérez

引用次数: 0

The effect of antiangiogenic agent aflibercept on surgically induced endometriosis in a rat model. 抗血管生成剂 aflibercept 对手术诱发的大鼠子宫内膜异位症的影响。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000072

Caglayan Ates, Berna Dilbaz, Seval Yılmaz Ergani, Fuad Atabay

{"title":"The effect of antiangiogenic agent aflibercept on surgically induced endometriosis in a rat model.","authors":"Caglayan Ates, Berna Dilbaz, Seval Yılmaz Ergani, Fuad Atabay","doi":"10.24875/CIRU.23000072","DOIUrl":"10.24875/CIRU.23000072","url":null,"abstract":"Objective: The aim of the study is to show for the first time how aflibercept affects endometriosis lesions.Material and methods: Surgically induced endometriosis in Wistar albino female rats. Rats with endometriosis were randomly divided into three groups: control (Co), aflibercept (Af), and leuprolide acetate (Le). Then, Af, aflibercept, and Le received leuprolide acetate. The control group was not treated. The weights and changes in intra-abdominal adhesions of the rats before and after treatment were recorded according to the Blauer adhesion score. Blood extracted for sacrifice was analyzed. Endometriotic lesions were evaluated for size, volume, histology, and immunohistochemistry (vascular endothelial growth factor [VEGF] and CD31). Significance level was accepted as p < 0.05.Results: Aflibercept significantly reduced endometrial implant volume (p = 0.002). The explant epithelial histological score showed a significant difference between aflibercept and leuprolide acetate (p = 0.006) and between aflibercept and control groups (p = 0.002). Aflibercept decreased VEGF-H and CD31 expression (p = 0.001) more than leuprolide acetate. Aflibercept improved adhesions (p = 0.006).Conclusion: Aflibercept is more successful than leuprolide acetate in the treatment of endometriosis.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 1","pages":"10-19"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308253","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