Cirugia y cirujanos最新文献_第9页

Effect of laparoscopic gastric sleeve vs. laparoscopic gastric bypass in Roux-Y on long-term weight loss in obese mexican population. 腹腔镜胃袖状手术与 Roux-Y 腹腔镜胃旁路术对墨西哥肥胖人群长期减肥的影响。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000545

David Lomeli-Reyes, Gonzalo M Torres-Villalobos, José M Correa-Rovelo, Alejandro Díaz Girón-Gidi, Amado J Athié-Athié, Perla X López-Almanza

{"title":"Effect of laparoscopic gastric sleeve vs. laparoscopic gastric bypass in Roux-Y on long-term weight loss in obese mexican population.","authors":"David Lomeli-Reyes, Gonzalo M Torres-Villalobos, José M Correa-Rovelo, Alejandro Díaz Girón-Gidi, Amado J Athié-Athié, Perla X López-Almanza","doi":"10.24875/CIRU.23000545","DOIUrl":"10.24875/CIRU.23000545","url":null,"abstract":"Objective: Compare the weight loss results between long-term procedures up to 5 years, after undergoing MGL and RYGB in Mexican patients with obesity and associated comorbidity. The most common bariatric surgical procedures worldwide are, laparoscopic gastric sleeve (MGL) and laparoscopic Roux-en-Y gastric bypass (RYGB), as a treatment for weight loss and remission of comorbidity associated with obesity; however, they are the long-term weight loss results in the Mexican population are unknown.Method: Retrospective, observational cohort of patients with obesity undergoing MGL or RYGB in a private hospital Medica Sur, in Mexico City, in the period from 2013 to 2021. Instrumental variables analysis and standardized mean differences were used to calculate outcomes up to 5 years at 5 follow-up visits (S1-S5), at 7 days, 2 months, 6 months, 10 months and 2-5 years after surgery, to compare results of the groups.Results: 104 patients were included in two groups: 31 (30.09%) with MG and 73 (70.87%) with RYGB. The last follow-up (S5), the MG group recorded a mean EW 9.61 kg, EW% 12.72% and EWL% 73.50%, and the RYGB group EW 10.1 kg, EW% 14.72% and EWL% 70.41%.Conclusions: No significant difference was found between groups for long-term EW loss (p = 0.082); however, there is a greater decrease in weight loss in RYGB at 6-12 months compared to MGL.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 5","pages":"581-587"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483168","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

Relation between neutrophil-to-lymphocyte ratio with epidural analgesia timing and thoracotomy pain. 中性粒细胞与淋巴细胞比率与硬膜外镇痛时间和开胸手术疼痛的关系

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000161

Taha Semerci, Ersagun Tugcugil, Ahmet Besir

{"title":"Relation between neutrophil-to-lymphocyte ratio with epidural analgesia timing and thoracotomy pain.","authors":"Taha Semerci, Ersagun Tugcugil, Ahmet Besir","doi":"10.24875/CIRU.23000161","DOIUrl":"10.24875/CIRU.23000161","url":null,"abstract":"Objective: This study investigated the relationship of the pre-operative neutrophil/lymphocyte ratio (NLR) to the timing of epidural analgesia administration and post-operative acute and chronic pain in thoracotomy.Materials and methods: The study was conducted on 60 patients, with NLR ≥ 2 (Group A) and NLR < 2 (Group B). Each group was divided into subgroups pre-emptive analgesia (Group P) and control group (Group C). Epidural analgesic solution was administered as a bolus before the surgical incision in Group P and at the end of the operation in Group C. NRS was questioned postoperatively at the 2nd, 4th, 8th, 12th, 24th h, 1st, and 3rd months and also additional analgesic needs were recorded.Results: In Group A, the pain scores of the patients who received pre-emptive epidural analgesia were lower at the post-operative 2nd, 4th, and 8th h and analgesic consumption was less in the post-operative first 24 h.Conclusion: It was observed that pre-emptive epidural analgesia reduced pain levels and additional analgesic consumption in the acute post-operative period in patients with pre-operative NLR ≥ 2.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 1","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308250","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

Can the screw number in volar locking plate fixation for distal radius fractures predict the Patient-Rated Wrist Evaluation outcome? 桡骨远端骨折外侧锁定钢板固定术中的螺钉数量能否预测患者评定的腕部评估结果？

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000604

Miodrag Vranješ, Milan Majkić, Nikola Vukosav, Branko Baljak

{"title":"Can the screw number in volar locking plate fixation for distal radius fractures predict the Patient-Rated Wrist Evaluation outcome?","authors":"Miodrag Vranješ, Milan Majkić, Nikola Vukosav, Branko Baljak","doi":"10.24875/CIRU.23000604","DOIUrl":"https://doi.org/10.24875/CIRU.23000604","url":null,"abstract":"Objective: The optimum number of screws in a volar locking plate (VLP) for distal radial fractures (DRF) fixation has not been established. We conducted a retrospective observational study aimed to evaluate the relationship between the number of used screws and the post-operative results provided by the patient-rated wrist evaluation (PRWE) questionnaire.Method: A total number of 62 surgically treated participants for DRF were included in the study between July 2019 and September 2022. Information was gathered regarding the number and arrangement of screws by examining X-ray images and using health records. We were looking at five variables: the total number of screws, the number of proximal fragment screws, the number of distal fragment screws, the number of locking screws, and finally number of cortical screws.Results: Our data suggests that the number of screws in VLP for DRF fixation is a weak predictor of post-operative results and is therefore unlikely to influence the PRWE score.Conclusions: The ability to predict outcome by knowing the number of screws turned out to be an unreliable prognostic sign.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"697-701"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734995","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

Gastric perforation secondary to mucormycosis infection in a kidney-pancreas transplant patient. A fatal complication. 肾胰移植患者继发粘孢子菌感染导致胃穿孔。致命的并发症。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000109

Franco R Pascual, Rodrigo Figueroa, Julieta Zanatta-Scattolini, Maximiliano Yance, Carlos Valenzuela, Rogelio Traverso, Octavio Gil

引用次数: 0

Interobserver variation in the Parkland scale. Are we seeing the same thing? 帕克兰量表的观察者间差异。我们看到的是同样的东西吗？

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000362

José L Maldonado-Calderón, Lydia E Nava-Rivera, Antonio Urbina-Zeglen, Marco V Herrera-Santos, Pilar Carranza-Rosales, Javier Morán-Martínez, Nadia D Betancourt-Martínez

{"title":"Interobserver variation in the Parkland scale. Are we seeing the same thing?","authors":"José L Maldonado-Calderón, Lydia E Nava-Rivera, Antonio Urbina-Zeglen, Marco V Herrera-Santos, Pilar Carranza-Rosales, Javier Morán-Martínez, Nadia D Betancourt-Martínez","doi":"10.24875/CIRU.23000362","DOIUrl":"https://doi.org/10.24875/CIRU.23000362","url":null,"abstract":"Objective: The aim of this study was to analyze the reliability of agreement between surgeons when using the Parkland Grading Scale for Acute Cholecystitis (PGS-AC).Methods: A total of 43 images taken out of videos of laparoscopic cholecystectomies (LCs) were collected, they were used to frame an online questionnaire that was sent to 18 surgeons and resident doctors who classified the images according to the Parkland scale criteria, followed by the evaluation of concordance between observers applying the Fleiss κ test.Results: A global Fleiss' κ value of 0.213 was obtained, which corresponds to a low interobserver concordance. Factors such as being a surgical resident, having more than 10 years of experience performing this type of procedure, or performing more than 2 LCs per week, were related to greater concordance in diagnosis.Conclusions: The low concordance found when using the Parkland grading scale, translates into a high interobserver variation related to multiple variables, which is why, we are not seeing the same.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"709-714"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735268","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

Comparative analysis of operative treatment of fractures of the proximal humerus using two different surgical techniques. 使用两种不同手术技术对肱骨近端骨折进行手术治疗的比较分析。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000414

Srđan Ninković, Nataša Janjić, Nikola Vukosav, Milan Milinkov, Oliver Dulić, Predrag Rašović

{"title":"Comparative analysis of operative treatment of fractures of the proximal humerus using two different surgical techniques.","authors":"Srđan Ninković, Nataša Janjić, Nikola Vukosav, Milan Milinkov, Oliver Dulić, Predrag Rašović","doi":"10.24875/CIRU.23000414","DOIUrl":"https://doi.org/10.24875/CIRU.23000414","url":null,"abstract":"Objective: The purpose of this study was to examine the surgical treatment of two-part and three-part proximal humerus fractures utilizing two approaches.Method: Study involved a total of 40 individuals. Twenty patients were treated with plates and screws and 20 with intramedullary locking nail osteosynthesis. We created 10 pairs of patients that were matched in age, gender, and fracture type, with the sole difference being the osteosynthetic material used. The mean follow-up was 4 years (1-9 years). We evaluated the results of treatment using Constant's scoring scale.Results: The mean value of Constant's scoring scale was 78.05 for patients treated with plates and screws and 67.55 for those treated with intramedullary stabilization. There was no statistically significant difference between the groups nor were there statistically significant differences in post-operative range of motion (ROM).Conclusions: The results of Constant's scoring scale were higher for patients whose fractures were stabilized with a plate and screws. The same group of patients had a higher degree of mobility and better ROM. Even while there was a general tendency toward better outcomes when using plates and screws for fixation, there was no indication as to which surgical technique offers the best results.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"702-708"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735232","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

The value of endoscopic duodenal papilloplasty with titanium clip in improving post-operative complications of choledocholithiasis. 钛夹内镜十二指肠乳头成形术对改善胆总管结石术后并发症的价值。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000195

Xuan Zhao, Lihong Shi, Jinchen Wang, Siming Guo, Sumin Zhu

{"title":"The value of endoscopic duodenal papilloplasty with titanium clip in improving post-operative complications of choledocholithiasis.","authors":"Xuan Zhao, Lihong Shi, Jinchen Wang, Siming Guo, Sumin Zhu","doi":"10.24875/CIRU.23000195","DOIUrl":"10.24875/CIRU.23000195","url":null,"abstract":"Objective: To investigate the value of endoscopic duodenal papillary sphincterotomy combined with balloon dilatation in the treatment of duodenal papilloplasty with titanium clip after choledocholithiasis in post-operative complications.Materials and methods: One hundred and twenty-five patients (69 males and 56 females) with a median age of 65 (32-81) years were included. The treatment plan was randomly divided into Group A (n = 59) and Group B (n = 66) according to the random number table. Patients in Group A were treated with endoscopic sphincterotomy (EST) combined with endoscopic papillary large balloon dilation (EPLBD), followed by a titanium clip for duodenal papilloplasty and then indwelling nasobiliary drainage, whereas those in Group B were treated with EST combined EPLBD to remove stones and then indwelling nasobiliary drainage.Results: In patients with choledocholithiasis or with anatomical changes that make stone extraction difficult, this prospective study attempted to perform duodenal papilloplasty with titanium clips after EST and EPLBD lithotripsy to compare and observe post-operative papillary healing, biliary reflux, and complication rates.Conclusions: The use of endoscopic duodenal papilloplasty with a titanium clip can improve biliary reflux after lithotripsy and reduce the incidence of post-operative cholangitis complications.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 1","pages":"88-95"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308255","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

Review and analysis of the results of kidney transplantation programs in Mexico. 墨西哥肾移植计划成果回顾与分析。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000147

Marco A Ayala-García, Gilberto Flores-Vargas, Gerardo A Ornelas-Guerrero

{"title":"Review and analysis of the results of kidney transplantation programs in Mexico.","authors":"Marco A Ayala-García, Gilberto Flores-Vargas, Gerardo A Ornelas-Guerrero","doi":"10.24875/CIRU.23000147","DOIUrl":"10.24875/CIRU.23000147","url":null,"abstract":"Objective: To know, analyze and compare kidney transplant programs; considering the survival of recipients at 1 and 5 years, from hospitals in Mexico.Method: A systematic review was carried out whose search focused on the survival of kidney transplant recipients. All publications found in PubMed and Google from 1963 to 2021 were included. The expectation-maximization algorithm was applied, proposing a mixture of normals, and hierarchical grouping to establish if there is any type of pattern and determine if there is a difference between the percentages. of survival at 1 and 5 years between the groups formed.Results: Eight hospitals that published the survival of kidney transplant recipients were found. Survival rates ranged, at 1 year, from 94.7% to 100%, and at 5 years, from 85% to 96.2%. The methods used for their comparison indicated that there is a difference between survival at 1 and 5 years.Conclusions: In Mexico there is little information on the results of kidney transplant programs, and the information found shows great heterogeneity in said programs. Some strategies and actions are proposed to improve survival underreporting.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 1","pages":"96-103"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308251","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

The mediating role of physician trust in the relationship between medical mistrust and health-care system distrust. 医生信任在医疗不信任与医疗系统不信任关系中的中介作用。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000102

Selman Kizilkaya

{"title":"The mediating role of physician trust in the relationship between medical mistrust and health-care system distrust.","authors":"Selman Kizilkaya","doi":"10.24875/CIRU.23000102","DOIUrl":"10.24875/CIRU.23000102","url":null,"abstract":"Objective: This study was carried out to determine the mediating role of physician trust in the relationship between medical mistrust and health-care system distrust.Materials and methods: The \"Health Care Systems Distrust Scale\", which consists of 10 questions, the \"Medical Mistrust Scale\", which consists of 17 questions, the \"Physician Trust Scale\", which consists of 11 questions. The statistical analysis was performed using the SPSS 26.0 program.Results: Health-care system distrust was positively correlated with medical mistrust and negatively correlated with physician trust. There was a negative relationship between medical mistrust and physician trust. Physician trust mediates the effect of medical mistrust on health-care system distrust. In other words, it was determined that the mediating effect of physician trust was significant.Conclusion: Addition of physician trust to medical mistrust decreases the negative effects of health-care system distrust. Medical mistrust must be addressed at multiple levels of society, including government, policy, and health-care systems.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 1","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308254","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

Extranodal Rosai-Dorfman disease in the breast: a literature review from 1969 to 2023. 乳腺结节外罗赛-多夫曼病：1969年至2023年文献综述。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.24000184

Jorge S Haro-Cruz, Laura M Rodríguez-Barrios, Ana C Díaz-Degollado, Guillermo Álvarez-Sánchez, Marisol Guitián-González, Claudio D Rojas-Gutiérrez, Erick Zuñiga-Garza, Israel Salgado-Adame, Ruddy F Canaan-Figueroa, Allan F Delcid-Morazán, Sara I Rodríguez-Barrios, Daniel Chacón-Galvis

{"title":"Extranodal Rosai-Dorfman disease in the breast: a literature review from 1969 to 2023.","authors":"Jorge S Haro-Cruz, Laura M Rodríguez-Barrios, Ana C Díaz-Degollado, Guillermo Álvarez-Sánchez, Marisol Guitián-González, Claudio D Rojas-Gutiérrez, Erick Zuñiga-Garza, Israel Salgado-Adame, Ruddy F Canaan-Figueroa, Allan F Delcid-Morazán, Sara I Rodríguez-Barrios, Daniel Chacón-Galvis","doi":"10.24875/CIRU.24000184","DOIUrl":"10.24875/CIRU.24000184","url":null,"abstract":"Objective: Reviewing available literature regarding extranodal Rosai-Dorfman disease in the breast to explore the clinical characteristics of this disease, the described therapeutic options, and their outcomes.Method: In January 2024, the PubMed, SpringerOpen, and Scopus databases were searched with the keywords \"Rosai,\" \"Dorfman,\" and \"Breast.\" Forty-two studies were included in the final analysis, obtaining a total of 70 reported cases of extranodal Rosai-Dorfman disease affecting the breast. Patient characteristics, mammogram descriptions, therapeutic management, and outcomes were reviewed for statistical analysis.Results: The main population consisted of females in their sixth decade of life (93%), presenting with a firm, non-tender nodule (65.7%), generally localized to one breast (72%). About 18.6% of patients had nodal or extranodal disease in other areas. Excisional biopsy was the main treatment strategy (63%) and surgical excision showed a lesser association with recurrence than incisional biopsy (p = 0.049). Most instances of disease recurrence or progression were diagnosed within the first 2 years.Conclusions: This study revealed that surgical excision showed less association with disease recurrence or progression than expectant management. Follow-up can be conducted with a mammogram and physical examination since recurrence tends to occur locally within 2 years.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"741-750"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735264","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