Cirugia y cirujanos最新文献_第9页

Timely radiographic detection of developmental dysplasia of the hip in family medicine residents. Educative intervention. 家庭医学住院患者髋关节发育异常的及时影像学检查。教育干预。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000797

Suemmy Gaytán-Fernández, Rodolfo G Barragán-Hervella, Jorge Quiroz-Williams, Evelyn M Del Valle-Cortés, Isabel O Castillo-Ramírez, Álvaro J Montiel-Jarquín

{"title":"Timely radiographic detection of developmental dysplasia of the hip in family medicine residents. Educative intervention.","authors":"Suemmy Gaytán-Fernández, Rodolfo G Barragán-Hervella, Jorge Quiroz-Williams, Evelyn M Del Valle-Cortés, Isabel O Castillo-Ramírez, Álvaro J Montiel-Jarquín","doi":"10.24875/CIRU.21000797","DOIUrl":"10.24875/CIRU.21000797","url":null,"abstract":"Background: Developmental dysplasia of the hip (DDH) is a complex clinical entity that is usually underdiagnosed, if not detected and managed early, will turn the affected individual into a disabled being, with negative social, economic and emotional effects.Objective: To determine the capacity for the timely radiographic detection of DDH before and after an educational intervention.Method: An educational intervention is carried out in family medicine resident, where they are given training on detection in DDH radiographic projections. Pre- and post-training evaluation is carried out. Statistical analysis is performed using Student's t and χ2, taking p ≤ 0.05 as significant.Results: 94 residents participated. In the pre-intervention evaluation, 87.2% had no knowledge of the early detection protocol (p = 0.525). It was observed that 98.9% incorrectly drew the Perkins line (p = 0.427), 96.8% the Hilgenreiner line (p = 0.177) and 87.2% did not consider the data of bilateral dysplasia (p = 0.956). After the educational intervention, 87.2% correctly drew the Perkins line (p = 0.926), 97.8% the Hilgenreiner line (p = 0.325) and 78.7% if they considered the data of bilateral dysplasia (p = 0.826).Conclusions: After this training, 80% of family medicine residents were able to detect DDH in a timely manner.","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":"41242135","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

Ambulatory surgery for chronic venous insufficiency using radiofrequency thermoablation: quality and satisfaction. 射频热消融治疗慢性静脉功能不全的门诊手术：质量和满意度。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000187

Renato Jiménez-Román, Andrés E Salazar-Álvarez, Luis F Riera-Del Moral

{"title":"Ambulatory surgery for chronic venous insufficiency using radiofrequency thermoablation: quality and satisfaction.","authors":"Renato Jiménez-Román, Andrés E Salazar-Álvarez, Luis F Riera-Del Moral","doi":"10.24875/CIRU.22000187","DOIUrl":"10.24875/CIRU.22000187","url":null,"abstract":"Background: Chronic venous disease is a frequent and prevalent pathology. Its surgical treatment has been shown to be cost-effective. Thermal endoablation performed as major outpatient surgery (MAS) is the technique of choice.Objective: To know the satisfaction of patients after MAS and the quality of care provided.Method: Observational, descriptive, cross-sectional study, carried out between January 2019 and March 2020. A survey was carried out on patients who underwent endovascular radiofrequency thermoablation in two hospitals in Spain, consisting of two questionnaires: one ad hoc and one another of satisfaction (SERCAL). Quality indices for MAS were measured.Results: We analyzed 156 episodes. 145 interventions were carried out. We found 4 (2.8%) unscheduled admissions. 3 patients (2.1%) attended the emergency department. There was a 99.3% success rate. 100% of the patients had pre-surgical recommendations and informed consent. We obtained 48 surveys (response rate: 33.1%). All the patients gave a rating greater ≥ 8 in quality of care (x = 9.83) and would recommend this procedure to their relatives (x = 9.71).Conclusions: Endovascular radiofrequency thermoablation performed in MAS has a high success rate and a very low rate of admission and visit to the emergency room. Patient satisfaction is high.","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":"41242195","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

Assessing cell chimerism in an acute graft-versus-host disease model established in TLR4 knockout mice. 在TLR4敲除小鼠中建立的急性移植物抗宿主病模型中评估细胞嵌合。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000414

Yi Zhao, Xi Huang, Yujie Zhang, Donghua He, Jingsong He, Enfan Zhang, Miao Chen, Qiuyan Liu, Jing Chen, Zhen Cai

{"title":"Assessing cell chimerism in an acute graft-versus-host disease model established in TLR4 knockout mice.","authors":"Yi Zhao, Xi Huang, Yujie Zhang, Donghua He, Jingsong He, Enfan Zhang, Miao Chen, Qiuyan Liu, Jing Chen, Zhen Cai","doi":"10.24875/CIRU.22000414","DOIUrl":"10.24875/CIRU.22000414","url":null,"abstract":"Background: Graft-versus-host disease (GVHD) is a major complication after allogeneic hematopoietic stem cell transplantation.Objective: To elucidate the role of Toll-like receptor 4 (TLR4), the major receptor for bacterial lipopolysaccharide, in the development of GVHD, we constructed a GVHD model in TLR4 knockout (TLR4-/-) mice and monitored the cell chimerism.Methods: In this study, we used polymerase chain reaction to identify whether TLR4 knockout (TLR4-/-) mice were established. Before transplantation, we pretreated mice with irradiation so as to obtain an appropriate irradiation dose. Flow cytometry was applied to measure the chimerism status, the distributions of antigen-presenting cells (APCs), and T-cells in TLR4+/+ and TLR4-/- recipient mice.Results: The general condition of TLR4-/- recipients was better than that of TLR4+/+ recipients, and the TLR4-/- recipient mice showed less severe GVHD manifestations than the TLR4+/+ recipient mice. Most of the APCs and T-cells in the host mouse spleen were derived from donor cells, and CD4+ T-cells, including memory T-cells, were in the majority in host mice.Conclusion: In general, our data show that TLR4 deletion attenuated GVHD development, which suggests that TLR4 could be used as a novel target and therapeutic paradigm in GVHD therapies.","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":"41242197","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

Determining surgical course limitations for students during COVID-19 pandemic. 确定 COVID-19 大流行期间学生外科课程的限制。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000638

Ricardo Tello-Mendoza, Cristina Maldonado-Garza, Javier H Martínez-Garza, Rodrigo E Elizondo-Omaña, Alejandro Quiroga-Garza

引用次数: 0

Comparison of bipolar radiofrequency thermotherapy and transurethral prostate resection in treatment of benign prostate hyperplasia. 双极射频热疗与经尿道前列腺切除术治疗良性前列腺增生的比较。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000020

Turgay Kacan, Berat C Ozgur, Omer G Doluoglu, Kadir T Akgul, Mete Kucukaslan

{"title":"Comparison of bipolar radiofrequency thermotherapy and transurethral prostate resection in treatment of benign prostate hyperplasia.","authors":"Turgay Kacan, Berat C Ozgur, Omer G Doluoglu, Kadir T Akgul, Mete Kucukaslan","doi":"10.24875/CIRU.23000020","DOIUrl":"https://doi.org/10.24875/CIRU.23000020","url":null,"abstract":"Objectives: Lower urinary tract symptoms due to benign prostatic hyperplasia in men increase with aging. Risks related to anesthesia and surgery have led a search for alternative treatments. Bipolar radiofrequency (RF) thermotherapy is one of the methods adopted in patients with high surgical risks. The aim of this study is to compare the effect of bipolar RF thermotherapy and transurethral resection of the prostate (TURP) methods on voiding symptoms and on post-operative complication rates especially in patients carrying high surgical risks.Methods: Pre-operative, post-operative 1st and 6th month International Prostate Symptom Score (IPSS), Qmax, quality of life, prostate volumes, and postoperative complications of the patients underwent TURP and RF for benign prostatic hyperplasia (BPH) were compared.Results: In the RF group, the pre-operative median IPSS was 30, prostate volume 41.5 cc, post-void residual (PVR) 80 ml, and Qmax is 5.85 ml/s.; In the TURP group, these were 29, 40 cc, 85 ml, and 5.3 ml/sec, respectively. In the Bipolar RF group, post-operative 1st- and 6th-month median values were IPSS 18, 21; prostate volume 40, 40; PVR 40, 35; Qmax 10.9, 9.15 and in the TURP group IPSS 9, 8; prostate volume 20, 20; PVR 30, 10; Qmax 17.25, 19.1, respectively.Conclusion: Bipolar RF thermotherapy is an applicable treatment method for BPH patients with high surgical risks.","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":"138812685","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

Gallbladder stones during pregnancy: are we doing the right thing in Mexico? 孕期胆囊结石：墨西哥的做法对吗？

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000633

Gerardo Chávez-Saavedra, Elia Lara-Lona, Daniel Díaz-Martínez, Laura Villaseñor-López-Velarde, Angélica Espinosa-Hinojosa, Manuel Rivera-Sahagún

引用次数: 0

The effect of platelet-rich plasma on intra-abdominal adhesions in rabbit uterine horn model. 富血小板血浆对兔子宫角模型腹腔内粘连的影响

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000070

Begum Kurt, Caglar Yildiz, Tulay Koc, Nese Kurt-Ozkaya, Serkan Celikgun

{"title":"The effect of platelet-rich plasma on intra-abdominal adhesions in rabbit uterine horn model.","authors":"Begum Kurt, Caglar Yildiz, Tulay Koc, Nese Kurt-Ozkaya, Serkan Celikgun","doi":"10.24875/CIRU.23000070","DOIUrl":"https://doi.org/10.24875/CIRU.23000070","url":null,"abstract":"Objective: This study was carried out to investigate the effect of autologous platelet-rich plasma (PRP) on intra-abdominal adhesion at the cesarean section incision line in the uterus.Material and methods: As experimental animals 16 white New Zealand rabbits, 5-months-old, unmated, were used. Animals were divided into two groups the control group and PRP application group. In each group, a transverse incision was made to the uterus to mimic the cesarean section and sutured. Relaparotomy was performed 21 days after the first operation.Results: When the groups were evaluated in terms of inflammation, there was a significant difference between the two groups. When the groups were evaluated in terms of Mason's Trichrome staining and fibrosis, There was a significant difference between groups. When the groups were evaluated in terms of vascular endothelial growth factor-1, there was also a significant difference between the groups. In an experimental rabbit uterine horn adhesion model, PRP is effective in preventing post-operative adhesion formation.Conclusions: This result may guide clinical studies using autologous PRP to prevent post-operative adhesion formation after gynecological operations.","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":"138812999","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

Vertical musculocutaneous trapezius flap for the closure of postpneumonectomy empyema. 垂直斜方肌皮瓣治疗肺切除术后脓胸。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000210

Mónica Francés-Monasterio, Fernández-Palacios Fernández-Palacios, Orlando García-Duque, Laura Cano-Contreras, Jorge Freixinet-Gilart

{"title":"Vertical musculocutaneous trapezius flap for the closure of postpneumonectomy empyema.","authors":"Mónica Francés-Monasterio, Fernández-Palacios Fernández-Palacios, Orlando García-Duque, Laura Cano-Contreras, Jorge Freixinet-Gilart","doi":"10.24875/CIRU.22000210","DOIUrl":"10.24875/CIRU.22000210","url":null,"abstract":"Objective: The aim of the study was to present our experience with the vertical musculocutaneous trapezius (VMCT) flap and highlight its utility in the thoracic wall reconstruction in patients with bronchopleural fistula (BPF).Materials and methods: We present a five case series of patients with long-standing cavities and BPF. The VMCT flap was used, and a direct pathway into the defect was made through a separate posterior thoracotomy shortening the distance between the flap and the defect.Results: In 80% of the cases, the flap succeeded in solving the fistula and filling the defect, quality of life improved, and the need for oxygen decreased.Conclusions: Management of open window thoracostomy is challenging. Debridement, thoracoplasty, and flap coverage are the mainstream of their treatment, but these patients have scarce available muscle. The VMCT flap represents the major non-affected musculocutaneous unit in the thoracic area after lung surgery. Its dermal component offers a rigid matrix to form a seal over the bronchial stump. Its muscular component adds a good amount of vascularized tissue. No functional impairment has been described after its use.","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":"41242137","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

Clinical and ultrasonographic findings associated with testicular infiltration in pediatric patients with leukemia. 白血病患儿睾丸浸润的临床和超声表现。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000004

José L González-Chávez, Edgar Melo-Camacho, Edgar G Lazcano-Rojas

{"title":"Clinical and ultrasonographic findings associated with testicular infiltration in pediatric patients with leukemia.","authors":"José L González-Chávez, Edgar Melo-Camacho, Edgar G Lazcano-Rojas","doi":"10.24875/CIRU.22000004","DOIUrl":"10.24875/CIRU.22000004","url":null,"abstract":"Background: Testicular infiltration is infrequent in pediatric patients with leukemia and can be confused with other testicular conditions.Objective: To analyze the presence of clinical and radiological features suggestive of testicular disease and its histological association with leukemia infiltration.Method: Retrospective and analytical observational study that included patients with diagnosis of leukemia who underwent biopsy for suspected testicular infiltration. The relationship with the variables analyzed were diagnosis, reason for taking the biopsy, ultrasound findings, stage of treatment, induration, increased volume and pain, with testicular infiltration.Results: Eighteen patients were included; 11 of them with microlithiasis, of which one 1 reported infiltration (odds ratio: 0.075; p = 0.026), no association was found between ultrasound findings and the presence of infiltration. Clinical findings were significantly associated with positive biopsies.Conclusions: No risk association was found with the ultrasound findings such as microlithiasis and hypoechoic imaging. The clinically evident testicular disease (testicular enlargement and testicular induration) has a significant statistic association with the presence of leukemia infiltration.","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":"41242200","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

Intense craving for eat: standardization of the Food Cravings Questionnaire-State in Mexico. 强烈的进食欲望：墨西哥国家食物欲望问卷标准化。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000359

María D Marín-Soto, Gerardo Leija-Alva, Deyarek Campuzano-Reyes, Margarita Castillo-Ramírez, Itzihuari I Montufar-Burgos, Víctor R Aguilera-Sosa

{"title":"Intense craving for eat: standardization of the Food Cravings Questionnaire-State in Mexico.","authors":"María D Marín-Soto, Gerardo Leija-Alva, Deyarek Campuzano-Reyes, Margarita Castillo-Ramírez, Itzihuari I Montufar-Burgos, Víctor R Aguilera-Sosa","doi":"10.24875/CIRU.22000359","DOIUrl":"https://doi.org/10.24875/CIRU.22000359","url":null,"abstract":"Background: Food craving is an intense-compulsive response to eating highly appetizing foods. The Food Cravings Questionnaire-State (FCQ-S) is the most used instrument for its diagnosis. It is a multidimensional instrument, sensitive and adaptable to contextual and cultural changes.Objective: To standardize the FCQ-S in the adult population of Mexico City.Method: Non-experimental, cross-sectional, at convenience design, with 1059 adults of both sexes, aged 18-84 years. It is highlighted that 71.9% of the participants were women.Results: A reliability coefficient of 0.95 was obtained, the correlations between the items were from r = 0.598 to r = 0.793. With the exploratory factorial analysis, an MKO of sampling adequacy of 0.943 was obtained, and with the Bartlett sphericity test a p = 0.000. The factors explain 78.61% of the total variation of the data. The RMSEA was 0.068, which indicates an acceptable fit. The CFI was 0.974, considered good, and NNFI was 0.969, good fit. The correlations ranged from p < 0.05 to p < 0.01, showing a connection between the different dimensions.Conclusions: The FCQ-S is valid and adaptable in the Mexican population.","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":"138812832","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