Cirugia y cirujanos最新文献_第8页

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

Pentafecta evaluation in robot-assisted radical prostatectomy by risk group. 按风险组别对机器人辅助前列腺癌根治术中的 Pentafecta 进行评估。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000583

Víctor E Corona-Montes, Juan E Sánchez-Núñez, Rocío N Gómez-López, Gerardo Fernández-Noyola

引用次数: 0

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