Cirugia y cirujanos最新文献_第7页

Assessment of inflammatory parameters as predictive markers for malignancy in thyroid nodules: a study on the correlation with Bethesda classification. 作为甲状腺结节恶性肿瘤预测标志物的炎症参数评估：与贝塞斯达分类的相关性研究。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000370

Mustafa C Şenoymak, Süleyman Baş, Murat Yeniçeri, Kadem Arslan, Erdinç Yaman, Hasan H Çoban, Dilek Yavuzer, Alpaslan Tanoğlu

{"title":"Assessment of inflammatory parameters as predictive markers for malignancy in thyroid nodules: a study on the correlation with Bethesda classification.","authors":"Mustafa C Şenoymak, Süleyman Baş, Murat Yeniçeri, Kadem Arslan, Erdinç Yaman, Hasan H Çoban, Dilek Yavuzer, Alpaslan Tanoğlu","doi":"10.24875/CIRU.23000370","DOIUrl":"https://doi.org/10.24875/CIRU.23000370","url":null,"abstract":"Objective: The study aimed to assess the predictive significance of inflammatory parameters as potential markers for malignancy in individuals with thyroid nodules.Method: Nine hundred and ninety-one patients with thyroid nodules who had undergone thyroid fine-needle aspiration biopsy were included and classified according to the Bethesda system. Neutrophil lymphocyte ratio (NLR) and systemic immune-inflammation index (SII) values obtained from hemogram parameters were determined for each patient. The study examined the correlation between the Bethesda classification and NLR/SII levels. In addition, a comparison was made between the inflammatory parameters of the benign and malignant Bethesda groups.Results: Five hundred and seventy-three patients were classified as Bethesda 2 (benign), 34 as Bethesda 6 (malignant). A correlation was observed between the Bethesda classification and NLR and SII levels (r: 0.230, p < 0.001; r: 0.207 p < 0.001, respectively). NLR and SII values were significantly higher in the malignant group (p < 0.001). The cutoff value for SII in predicting benign and malignant thyroid nodules was 489.86 × 103/mm3 with a sensitivity of 88.2% and a specificity of 63.7%. The cutoff value for NLR for the same prediction was 2.06 with a sensitivity of 82.4% and a specificity of 83.4%.Conclusions: The findings of this study indicate that SII and NLR may be valuable prognostic markers for predicting the malignancy of thyroid nodules.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 3","pages":"347-353"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307634","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

Malnutrition: muscle wasting, inflammation, RDW, and their relation with adverse outcomes. 营养不良：肌肉萎缩、炎症、RDW 及其与不良后果的关系。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000634

Carlos A Galindo-Martín, Paola A Chong-Aviña, Vilma Godinez-Breacher, Verónica A Aportela-Vázquez, Gabriela Bueno-Hernández, Ma Fernanda De Gante-García, Karen Y Pimentel-Luna, Marisol Sánchez-Abrego

{"title":"Malnutrition: muscle wasting, inflammation, RDW, and their relation with adverse outcomes.","authors":"Carlos A Galindo-Martín, Paola A Chong-Aviña, Vilma Godinez-Breacher, Verónica A Aportela-Vázquez, Gabriela Bueno-Hernández, Ma Fernanda De Gante-García, Karen Y Pimentel-Luna, Marisol Sánchez-Abrego","doi":"10.24875/CIRU.22000634","DOIUrl":"10.24875/CIRU.22000634","url":null,"abstract":"Objective: The objective of the study was to explore red cell distribution width (RDW) as a surrogate marker of inflammation, alone and in conjunction with muscle wasting to predict malnutrition-related adverse outcomes.Methods: This was a single-center observational study including adult hospitalized patients. Demographic variables, malnutrition criteria, and RDW were captured within 24 hours of hospital admission. Correlation tests and regression models were performed between these variables (RDW and muscle wasting) and adverse outcomes (in-hospital mortality and unplanned transfer to critical care areas (CCA).Results: Five hundred and forty-five patients were included in the final analysis. Muscle wasting showed an independent association with adverse outcomes in every regression model tested. RDW alone showed fair predictive performance for both outcomes' significance and the adjusted model with muscle wasting showed association only for unplanned transfer to CCA.Conclusion: RDW did not improve the prediction of adverse outcomes compared to muscle wasting assessed by physical examination and simple indexes for acute and chronic inflammation. Malnourished patients presented higher RDW values showing a possible metabolic profile (higher inflammation and lower muscle). It is still unknown whether nutrition support can influence RDW value over time as a response marker or if RDW can predict who may benefit the most from nutritional support.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 2","pages":"150-158"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089491","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 posterior lumbar stabilization with dynamic rod system and rigid rod system for lumbar degenerative disease. 使用动态杆系统和刚性杆系统治疗腰椎退行性疾病的腰椎后部稳定效果比较。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000634

Alp Karaaslan, Necat Biber, Burak Özdemir, Kadir Altaş, Ercan Kaya, Ece Sağlam Çifci, Recep Başaran

{"title":"Comparison posterior lumbar stabilization with dynamic rod system and rigid rod system for lumbar degenerative disease.","authors":"Alp Karaaslan, Necat Biber, Burak Özdemir, Kadir Altaş, Ercan Kaya, Ece Sağlam Çifci, Recep Başaran","doi":"10.24875/CIRU.23000634","DOIUrl":"https://doi.org/10.24875/CIRU.23000634","url":null,"abstract":"Objective: This research aims to assess the clinical and radiological outcomes of both dynamic rod system (PLSDR) and rigid rod system (PLSRR) when treating lumbar degenerative disease (LDD).Method: A retrospective review of 98 patients who underwent posterior stabilization surgery with a posterior approach in our clinic between 2018 and 2023 was conducted. The patients were divided into two groups based on the type of implant used: Those with PLSRR (Group 1) and those with PLSDR (Group 2).Results: In a comparative study, Group 1 had a higher prevalence of discopathy (49% vs. 24.5%, p = 0.012). Differences in surgical operation levels existed, and notably, only Group 1 had five-level surgeries (8.2%, p = 0.033). Pfirrmann disk degeneration grades differed significantly (p < 0.001), with Group 2 mainly in Grade I (77.6% vs. 36.7% in Group 1). Stenosis (57.1% vs. 28.6%, p = 0.004) and facet hypertrophy (71.4% vs. 47%, p = 0.014) were higher in Group 1. Group 1 also showed a greater adjacent segment degeneration (ASD) incidence (81.6% vs. 51%, p = 0.001). Both groups had primarily proximal ASD degeneration (p = 0.202). Compression fractures were absent. Follow-up durations were similar (p = 0.183).Conclusions: In treating LDD, the PLSDR shows potential advantages over PLSRR, including preservation of degeneration in adjacent segments.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"788-794"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735237","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

Association of Vitamin D and magnesium levels with severity and mortality in patients with COVID-19. 维生素 D 和镁水平与 COVID-19 患者病情严重程度和死亡率的关系。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000514

Mariela M García-Zendejas, Edgar A Cano-Torres, Luis E Simental-Mendía

{"title":"Association of Vitamin D and magnesium levels with severity and mortality in patients with COVID-19.","authors":"Mariela M García-Zendejas, Edgar A Cano-Torres, Luis E Simental-Mendía","doi":"10.24875/CIRU.23000514","DOIUrl":"https://doi.org/10.24875/CIRU.23000514","url":null,"abstract":"Objective: The study aimed to determine the association between serum magnesium and Vitamin D levels with the severity and mortality by coronavirus disease 19 (COVID-19) in hospitalized patients.Method: Men and women over 18 years of age with probable COVID-19 were enrolled in a case-control study. Patients with a positive or negative test for Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were allocated into case or control groups, respectively. Vitamin D deficiency was defined by concentrations < 20 ng/mL and hypomagnesemia by serum levels < 1.8 mg/dL.Results: A total of 54 patients, 30 women and 24 men, were enrolled and allocated into the groups with (n = 27) and without (n = 27) COVID-19. The logistic regression analysis showed that Vitamin D deficiency (odds ratio [OR] = 6.13; 95% confidence intervals [CI]: 1.32-28.34) and insufficiency (OR = 0.12; 95% CI: 0.02-0.60) are significantly associated with hospitalization. However, Vitamin D disorders and hypomagnesemia were not associated with mortality.Conclusions: The results of the present study revealed that Vitamin D disturbances, but not hypomagnesemia, are associated with the severity of SARS-CoV-2.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 5","pages":"603-607"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483166","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 trident technique for surgical approach to facial lipoma. 改良三叉戟面部脂肪瘤手术方法。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000254

Nancy Trujillo-García, Irma Y Castillo-López, Carmen A Carrillo-López, Diana P Mariscal-Arellano

引用次数: 0

Visual and refractive outcomes after SMILE versus FS-LASIK: a paired-eye study. SMILE与FS-LASIK手术后的视觉和屈光效果：一项配对眼研究。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000261

Arturo Ramirez-Miranda, Angie De-la Mota, Guillermo García-De la Rosa, Juan C Serna-Ojeda, Jorge E Valdez-García, Daniela Fábregas-Sánchez-Woodworth, Alejandro Navas, Aida Jiménez-Corona, Enrique O Graue-Hernandez

{"title":"Visual and refractive outcomes after SMILE versus FS-LASIK: a paired-eye study.","authors":"Arturo Ramirez-Miranda, Angie De-la Mota, Guillermo García-De la Rosa, Juan C Serna-Ojeda, Jorge E Valdez-García, Daniela Fábregas-Sánchez-Woodworth, Alejandro Navas, Aida Jiménez-Corona, Enrique O Graue-Hernandez","doi":"10.24875/CIRU.23000261","DOIUrl":"10.24875/CIRU.23000261","url":null,"abstract":"Objective: To compare visual acuity, refraction, Schirmer test, tear break-up time (TBUT), esthesiometry, optical quality, higher order aberrations and posterior corneal elevation measurements before and after small-incision lenticule extraction (SMILE) and femtosecond laser-assisted in situ keratomileusis (FS-LASIK).Method: Paired eye, randomized, cohort study. Follow-up was performed at days 1 and 7, and at months 1, 3, 6 and 12.Results: Forty-two eyes were enrolled in the study. Over time, a difference in posterior corneal elevation was statistically significant (p < 0.01) with a greater change in patients treated with SMILE. There was no difference in corrected distance visual acuity and uncorrected distance visual acuity and cylinder between the two techniques; however, there was a statistical significant difference in spherical error and spherical equivalent (p < 0.01). There was no difference between the eyes with FS-LASIK and SMILE in the assessment regarding the TBUT, the Schirmer test and esthesiometry.Conclusions: SMILE showed more changes in the posterior elevation with a progressive backward shift throughout time during follow-up. SMILE and FS-LASIK provides similar results in myopic patients regarding visual acuity, refraction, Schirmer test, TBUT and esthesiometry.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"758-768"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735256","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

Animal experimental study of 3D-printed titanium implants based on magnesium-zinc ion surface modification to promote oral soft-tissue closure. 基于镁锌离子表面改性的三维打印钛植入物促进口腔软组织闭合的动物实验研究。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000646

Shuo Huang, Fang Guo, Ning Liu, Kaijin Hu, Changkui Liu

{"title":"Animal experimental study of 3D-printed titanium implants based on magnesium-zinc ion surface modification to promote oral soft-tissue closure.","authors":"Shuo Huang, Fang Guo, Ning Liu, Kaijin Hu, Changkui Liu","doi":"10.24875/CIRU.23000646","DOIUrl":"https://doi.org/10.24875/CIRU.23000646","url":null,"abstract":"Objective: The study aimed to investigate whether 3D-printed titanium implants modified with magnesium and zinc ion surfaces can promote oral soft-tissue closure.Method: New Zealand Great White rabbits were selected as experimental animals, and the left and right side mandibular teeth of each animal were randomly divided into an experimental group and control group, each with 18 cases, and the bilateral first premolar teeth were extracted after general anesthesia, and implants were implanted into the magnesium/zinc ionized surface-treated and the surface-untreated groups, respectively.Results: Under naked-eye observation, the combination of implant material and surrounding soft tissue in the experimental group was significantly better than that in the control group; fluorescence staining showed that the fluorescence density value of the experimental group was significantly higher than that of the control group (p < 0.05).Conclusions: 3D-printed titanium implants based on magnesium-zinc ion surface modification promote oral soft-tissue closure with significant results.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"734-740"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735042","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

Finite element analysis evaluation of hypothetical alternative treatment scenarios for neglected developmental dysplasia of the hip. 对被忽视的髋关节发育不良的假定替代治疗方案进行有限元分析评估。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000137

Victor M Araujo-Monsalvo, Marcos Martínez-Cruz, Lázaro Morales-Acosta, Víctor M Domínguez-Hernández, Ramiro Cuevas-Olivo, Jesus A Carrillo-Pelaes, Javier Perez-Orive, Elisa Martinez-Coria

{"title":"Finite element analysis evaluation of hypothetical alternative treatment scenarios for neglected developmental dysplasia of the hip.","authors":"Victor M Araujo-Monsalvo, Marcos Martínez-Cruz, Lázaro Morales-Acosta, Víctor M Domínguez-Hernández, Ramiro Cuevas-Olivo, Jesus A Carrillo-Pelaes, Javier Perez-Orive, Elisa Martinez-Coria","doi":"10.24875/CIRU.23000137","DOIUrl":"https://doi.org/10.24875/CIRU.23000137","url":null,"abstract":"Objective: The study aimed to evaluate three different degrees of correction in the surgical treatment of neglected developmental dysplasia of the hip (DDH) using finite element models based on computed tomography.Method: Three tridimensional FEA models of hypothetical post-operative (PO) outcomes were developed, based on three tridimensional CT of a pediatric patient diagnosed with luxated neglected DDH: One with the acetabular index of the contralateral hip (CLAT); another based on a theoretical Bombelli biomechanical model (BMB); and another recreating the patient's actual PO.Results: The stresses in the affected hip were greater than those in the unaffected hip. CLAT showed the greatest stress and the smallest loading zone (LZ). In contrast, BMB showed the smallest stress and the biggest LZs.Conclusions: The approach based on the BMB gave the best results in terms of the distribution of the stresses over the hip, whereas the worst was CLAT. Qualitatively, estimating the stability and range of movement of the hip, the PO case was considered the best.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 5","pages":"588-593"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483170","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

Variant ELMO1 rs1345365 is associated with pseudoperniosis in patients with COVID-19. 变异体 ELMO1 rs1345365 与 COVID-19 患者的假疝有关。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000470

Carlos E Cabrera-Pivaral, Sergio A Ramírez-García, Judan Orozco-Sánchez, Víctor Castañeda-Salazar, José Domínguez-Rodas

引用次数: 0

Colorectal endometriosis. A proposal of complementary classification and surgical management in stages. 结肠直肠子宫内膜异位症。关于补充分类和分阶段手术治疗的建议。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000251

Armando Cepeda-Silva, Harald Krentel, Oliver P Cruz-Orozco, Jorge L Vela-Cantorán, Edgar González-Macedo, Alejandro Rendón-Molina, José R Silvestri-Tomassoni

{"title":"Colorectal endometriosis. A proposal of complementary classification and surgical management in stages.","authors":"Armando Cepeda-Silva, Harald Krentel, Oliver P Cruz-Orozco, Jorge L Vela-Cantorán, Edgar González-Macedo, Alejandro Rendón-Molina, José R Silvestri-Tomassoni","doi":"10.24875/CIRU.23000251","DOIUrl":"10.24875/CIRU.23000251","url":null,"abstract":"Objective: To organize the experience and international knowledge in the surgical management and staging of colorectal endometriosis, with a management proposal in stages.Method: An extensive non-systematic review of the literature was carried to organize the disease in stages (limited, intermediate and advanced) according to a scoring system, which considers the characteristics of the endometrioma, the personal history and surgical findings. We tested the proposed staging in a retrospective group of patients.Results: From January 2017 to April 2023, we collected 19 patients with a confirmed diagnosis of colorectal endometriosis, treated laparoscopically, by the same group of surgeons, in whom we found a strong correlation between the stage of the disease and the presence of complications that required reinterventions.Conclusions: We suggest a sequence of colorectal surgical management in stages according to the staging of the disease and we hope that this work will be followed by joint efforts to test it prospectively in order to compare results between hospital centers and make planned decisions.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 1","pages":"104-111"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308284","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