Cirugia y cirujanos最新文献_第9页

Transoperative intravitreal dexamethasone implantation in patients with proliferative vitreoretinopathy. 增殖性玻璃体视网膜病变患者的玻璃体内地塞米松植入术。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000111

Jeniffer Trenado-Luna, Gerardo Rivera-Arroyo, Elizabeth Baqués-Guillén, César Ramos-Roldán, José Ma Arroyo-González, Lucila García-Chávez, José F Valdez-López, Pedro Escalera-Arroyo

{"title":"Transoperative intravitreal dexamethasone implantation in patients with proliferative vitreoretinopathy.","authors":"Jeniffer Trenado-Luna, Gerardo Rivera-Arroyo, Elizabeth Baqués-Guillén, César Ramos-Roldán, José Ma Arroyo-González, Lucila García-Chávez, José F Valdez-López, Pedro Escalera-Arroyo","doi":"10.24875/CIRU.22000111","DOIUrl":"10.24875/CIRU.22000111","url":null,"abstract":"Objective: To compare the anatomical results in patients with rhegmatogenous retinal detachment, at least grade B of proliferative vitreoretinopathy, and with a trans-surgical dexamethasone implant vs the control group. We also assessed the diminution of proliferative vitreoretinopathy and the final visual acuity (VA).Method: The patients were evaluated clinically and with optical coherence tomography for 10 months. Logistic regression analyses were performed to evaluate the effect of the dexamethasone implant on retinal detachment. Correlational analyses were explored depending on the variables' distribution, and an independent samples t-test was used to compare the VA in both groups.Results: The study included 38 eyes of patients with proliferative vitreoretinopathy: 18 with the implant and 20 for the control group. The evaluation of the main objective showed significant differences (p < 0.05) in the anatomical success between the two groups (61.1% vs. 20%, treatment vs. control); odds ratio of 6.29; 95% confidence interval: 1.5- 26.8; p = 0.013; Nagelkerke's R2 = 0.225. The t-test showed a significant difference in the final VA of the patients (t = 2.047; df = 36; p = 0.048; Cohen's d = 0.66).Conclusions: Retinal redetachment was less frequent, and better VA was observed, in patients with the dexamethasone implant in comparison with the control group.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242136","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

Effectiveness of extracorporeal shock wave lithotripsy in urolithiasis patients under 2 years of age. 体外冲击波碎石术治疗2岁以下尿路结石患者的疗效。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000548

Erol Basuguy, Abdurrahman Önen, Mustafa Azizoğlu, Mehmet H Okur, Bahattin Aydoğdu, Serkan Arslan

{"title":"Effectiveness of extracorporeal shock wave lithotripsy in urolithiasis patients under 2 years of age.","authors":"Erol Basuguy, Abdurrahman Önen, Mustafa Azizoğlu, Mehmet H Okur, Bahattin Aydoğdu, Serkan Arslan","doi":"10.24875/CIRU.22000548","DOIUrl":"10.24875/CIRU.22000548","url":null,"abstract":"Objective: In this study, we present our extracorporeal shock wave lithotripsy (ESWL) outcomes in urolithiasis patients under the age of two.Materials and methods: The procedure was performed with patients < 2 years of age sedated, under anesthesia using ketamine and Dormicum (midazolam), in the supine position. Fragmentation was evaluated by fluoroscopy after the procedure.Results: A total of 74 procedures were performed on 65 kidneys. One patient with bilateral stones had two sessions of ESWL on the right side; three sessions of ESWL were performed in one patient with a unilateral stone, and two sessions were performed in seven patients with unilateral stones. All other patients underwent one session of ESWL. As post-procedural complications, hematuria was observed in 14 patients (12 mild and 2 significant), and vomiting occurred in 1 patient. Ureterorenoscopy was performed in 5 patients, and percutaneous nephrolithotomy in 6 patients due to a failed procedure.Conclusion: As a result, ESWL treatment is effective and has advantages such as a short hospitalization time, good reproducibility, cost-effectiveness, and a low rate of complications. Therefore, we recommend ESWL as the first-line treatment for renal and proximal ureteral stones in infants < 2 years of age.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242203","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

Importance and use of corneal biomechanics and its diagnostic utility. 角膜生物力学的重要性和用途及其诊断作用。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000260

Arturo Ramirez-Miranda, Simran Mangwani-Mordani, José Y Arteaga-Rivera, Renato Ambrosio, Alejandro Navas, Enrique O Graue-Hernandez, Jorge E Valdez-Garcia

{"title":"Importance and use of corneal biomechanics and its diagnostic utility.","authors":"Arturo Ramirez-Miranda, Simran Mangwani-Mordani, José Y Arteaga-Rivera, Renato Ambrosio, Alejandro Navas, Enrique O Graue-Hernandez, Jorge E Valdez-Garcia","doi":"10.24875/CIRU.23000260","DOIUrl":"https://doi.org/10.24875/CIRU.23000260","url":null,"abstract":"The study of corneal biomechanics has become relevant in recent years due to its possible applications in the diagnosis, management, and treatment of various diseases such as glaucoma, keratorefractive surgery and different corneal diseases. The clinical biomechanical investigation has become of great importance in the setting of refractive surgery to identify patients at higher risk of developing iatrogenic ectasia. This review focuses on two of the technologies available for clinical use, the Ocular Response Analyzer (Reichert Ophthalmic Instruments, Buffalo, NY, USA) and the Corvis ST (Oculus Optikgergäte GmbH, Wetzlar, Germany). Both are non-contact tonometers that provided a clinical evaluation of corneal biomechanics. The fundamentals and main parameters of each device are described, as well as their use in eye surgery and the corneal biomechanical behavior in eye diseases. Finally, we will discuss the more recent Brillouin microscopy biomechanical analysis, and the integration Scheimpflug-based corneal tomography and biomechanical data with artificial intelligence to increase accuracy to detect risk of ectasia.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812830","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

Roux-en-Y partial volvulus in biliary-digestive reconstruction in children. 儿童胆道消化道重建中的Roux-en-Y部分排气术。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000346

Carlos García-Hernández, Joel Cazares-Rangel, Lourdes Carvajal-Figueroa, Christian Archivaldo-García, Ramiro A Ramirez-Martinez, Sergio Landa-Juarez, Gerardo Izundegui-Ordoñez

引用次数: 0

Protective effect of nitroglycerin ointment and dimethyl sulfoxide on necrosis of skin flaps in rats. 硝酸甘油软膏和二甲基亚砜对大鼠皮瓣坏死的保护作用。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000203

Miguel L De la Parra-Marquez, Abril Peralta-Enriquez, Victor G Peña, Sergio Charles-Lozoya

{"title":"Protective effect of nitroglycerin ointment and dimethyl sulfoxide on necrosis of skin flaps in rats.","authors":"Miguel L De la Parra-Marquez, Abril Peralta-Enriquez, Victor G Peña, Sergio Charles-Lozoya","doi":"10.24875/CIRU.22000203","DOIUrl":"10.24875/CIRU.22000203","url":null,"abstract":"Objective: To compare the protective effect of nitroglycerin ointment 2% and Dimethylsulfoxide (DMSO) in dorsal flaps of the rat.Methods: A blind, experimental study was conducted in 24 male Wistar rats, with a mean weight of 320 (286-376) grams. Group 1: Control. Petrolatum jelly (Vaseline), n = 8, Group 2: Nitroglycerin (NTG) ointment 2% (Nitro-Bid, Altana Co.) n = 8, and Group 3: DMSO gel 90% (Neogen corp. Lexington KY, 40611), n = 8.Results: A total of 24 rats were operated on in the 6-month period of this study. Using a non-parametric Mann-Whitney U-test analysis, a statistically significant p was obtained between the control group and 2% NTG ointment, both in the area of necrosis and in the healthy area (p = 0.026). In contrast, the comparison between DMSO [CH3) 2SO] and the control group (p = 0.180) and between both study groups, with a p = 0.18, was not significant.Conclusions: Our study concluded that there is a protective effect of 2% NTG ointment for flap survival in relation to the control group (petrolatum). DMSO administered topically did not show a protective effect, compared to the control group.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242133","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 ultrasound guidance and palpation technique for femoral artery catheterization in children undergoing cardiac surgery. 超声引导和触诊技术在儿童心脏手术股动脉插管中的比较。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000112

Esra Aktiz-Bıçak, Yiğit Kılıç, Deniz Elmastaş, Mustafa Bıçak, Bedri Aldudak, Fikret Salık

{"title":"Comparison of ultrasound guidance and palpation technique for femoral artery catheterization in children undergoing cardiac surgery.","authors":"Esra Aktiz-Bıçak, Yiğit Kılıç, Deniz Elmastaş, Mustafa Bıçak, Bedri Aldudak, Fikret Salık","doi":"10.24875/CIRU.23000112","DOIUrl":"10.24875/CIRU.23000112","url":null,"abstract":"Objective: The aim of this study was compare the palpation technique and ultrasound-guidance for femoral artery catheterization in pediatric patients undergoing surgery for congenital heart disease.Materials and methods: This prospective and randomized controlled study included American Society of Anesthesiologists III-IV 40 children who underwent congenital heart surgery. The patients were divided into two groups; ultrasound-guided catheterization group and palpation-guided catheterization group. Demographic and clinical characteristics of the patients, access time, success rate, number of attempts, first-attempt success, number of trials, and failed cannulations were recorded.Results: The diameter of the femoral artery was significantly shorter, access time and numbers of trials were significantly lower, and first-attempt success rate was significantly higher in the US group. The complication rate was significantly higher in the P group. The number of failed catheterization was higher in the P group. Total cost required for the procedure was significantly lower in the US group.Conclusion: We found that ultrasound-guided arterial catheterization increases the success rate and the number of successful catheterizations, while reducing the overall procedure time, incidence of complications, and cost. Therefore, we believe that the use of ultrasound guidance in arterial catheterization in pediatric cardiac surgery would be a better choice.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242202","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

Eosinophilic enteritis presenting as intestinal obstruction: case report and review of the literature. 以肠梗阻为表现的嗜酸性粒细胞性肠炎：病例报告和文献复习。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000723

Beatriz de Rienzo-Madero, Daniel Kajomovitz-Bialostozky, Ángel Martinez-Munive, Mario Pelaez-Luna, Ana Rivera-García-Granados, Fernando Quijano-Orvañanos

引用次数: 0

Abdominal aortic aneurysm characteristics and outcomes: a single-center retrospective cross-sectional study. 腹主动脉瘤特征和预后：一项单中心回顾性横断面研究。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000474

Gregorio Arellano-Gutiérrez, Alan Y Rodríguez-Andrade, Iván E Murillo-Barrios

{"title":"Abdominal aortic aneurysm characteristics and outcomes: a single-center retrospective cross-sectional study.","authors":"Gregorio Arellano-Gutiérrez, Alan Y Rodríguez-Andrade, Iván E Murillo-Barrios","doi":"10.24875/CIRU.22000474","DOIUrl":"https://doi.org/10.24875/CIRU.22000474","url":null,"abstract":"Objective: The objective of the study is to evaluate the characteristics and outcomes of patients with abdominal aortic aneurysm (AAA) and its correlation with mortality in the first 30 days after the procedure was performed.Methods: Demographic information, clinical and radiological characteristics, as well as outcomes 30 days after the procedure was performed were assessed and compared. Continuous variables were analyzed with Student's t-test and categorical with Chi-square and Fisher's exact test.Results: Duration of the procedure (p = 0.001), blood loss (p < 0.001), age > 75 years (p = 0.027), aneurysm size > 65 mm (p = 0.01), open surgery (p = 0.001), presence of pain (p = 0.005), chronic kidney disease (p = 0.03), and rupture of the aneurysm (p < 0.001) were the factors significantly associated with mortality.Conclusion: It is essential that patient characteristics and comorbidities are assessed, as well as factors that may affect the outcomes to predict the prognosis in patients with AAA. At present, no mortality predictive model is universally applicable and highly variable performance across different populations might need a model that adapts to the population of interest.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811791","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

Case report: Buschke-Lowenstein tumor, a giant anal condyloma acuminata. 病例报告：布施克-洛温斯坦瘤，巨大的肛门尖锐湿疣。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000302

Daniel A Saldivar-Reyes, Gerardo E Muñoz-Maldonado, José R Fernández-Treviño, Óscar Vidal-Torres, Darío E Medina-Muñoz

引用次数: 0

Sigmoid volvulus and descending colon adenocarcinoma, a double cause of intestinal obstruction: a case report. 乙状结肠空卷和降结肠腺癌--肠梗阻的双重病因：病例报告。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000179

Nairo Senejoa, Paola S González-Ausique, Nicolle Enamorado-Enciso

引用次数: 0