What to Do With an Intraductal Papillary Mucinous Pancreatic Neoplasm? Our Experience
Conclusions Surgical indication of intraductal mucinous pancreatic neoplasms depends on the associated symptoms, size, location, risk and suspicion of malignancy. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 29, 2016 Category: Surgery Source Type: research

Paraganglioma of Zuckerkandl's Organ
Publication date: Available online 28 September 2016 Source:Cirugía Española (English Edition) Author(s): Elisa María Evangelista Sánchez, Esther Doiz Artázcoz, Manuel Rodríguez Piñero, Antonella Craven-Bartle Coll, Rosario Conejero Gómez (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 29, 2016 Category: Surgery Source Type: research

Effect of Hospital Caseload on Long-term Outcome After Standardization of Rectal Cancer Surgery in the Spanish Rectal Cancer Project
Conclusions Overall survival was higher for patients treated at hospitals with an annual caseload of 36 or more patients. However, local recurrence was not influenced by caseload. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 29, 2016 Category: Surgery Source Type: research

Response to Treatment and Interval to Surgery After Preoperative Short-Course Radiotherapy in Rectal Cancer
Conclusions After preoperative short-course radiotherapy, an interval >20 days enhances the likelihood of achieving a free circumferential resection margin in patients with mesorectal fascia involvement. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 28, 2016 Category: Surgery Source Type: research

Recommendations of “Not-to-Do”: Proposals of the Spanish Association of Surgeons to the Project “Commitment to quality of scientific societies”
Conclusion The Spanish Association of Surgeons's participation in this campaign has allowed a reflection on those activities that do not add value in the field of surgery and it is expected that the spread of this process serves to reduce its performance. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 28, 2016 Category: Surgery Source Type: research

Risk Factors for Positive Margins in Conservative Surgery for Breast Cancer After Neoadjuvant Chemotherapy
Conclusions A baseline tumor size >5cm, low tumor grade and hormone receptor-positive status increase the risk for surgical margin involvement in breast conservative surgery after neoadjuvant chemotherapy. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 4, 2016 Category: Surgery Source Type: research

Impact of Preoperative Platelet Count on Perioperative Outcome After Laparoscopic Splenectomy for Idiopathic Thrombocytopenic Purpura
Conclusion Conducting a LS in ITP patients with low platelet counts is effective and safe. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 4, 2016 Category: Surgery Source Type: research

Rotational Flaps in Oncologic Breast Surgery. Anatomical and Technical Considerations
This article describes the anatomical basis for the planning of thoracic and abdominal local flaps. Also, the application of these local flaps for closing large defects in the chest and selective flaps for skin coverage by necrosis in breast conserving surgery. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 4, 2016 Category: Surgery Source Type: research

Is Pancreaticoduodenectomy a Safe Procedure in the Cirrhotic Patient?
Conclusions PD is a safe procedure in cirrhotic patients with good liver function although it presents high morbidity. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 4, 2016 Category: Surgery Source Type: research

Thyroid Surgery at a Volunteer Program in Sub-Saharan Africa
Conclusions Thyroid surgery is safe in developing countries adopting protocols and techniques we use in our environment (avoiding total thyroidectomy). Bilateral thyroidectomies should not be performed unless functional studies are available in the follow-up and a thyroid hormone supplement stock guaranteed whenever necessary. (Source: Cirugia Espanola)
Source: Cirugia Espanola - September 4, 2016 Category: Surgery Source Type: research

Surgical Alternatives in the Treatment of Portal Vein Thrombosis in Liver Transplantation
Publication date: Available online 29 August 2016 Source:Cirugía Española (English Edition) Author(s): Alejandra García Novoa, Nicolasa Fernández Soria, Sergio Builes Ramírez, Namibia Sanluis Verdes, Manuel Gómez Gutiérrez (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 30, 2016 Category: Surgery Source Type: research

Efficacy of a Hyperglycemia Treatment Program in a Vascular Surgery Department Supervised by Endocrinology
Conclusions The hyperglycemia treatment protocol applied by an endocrinologist in the hospital, allows the identification of the appropriate therapy and the improvement of the glycemic control during hospitalization and discharge, supporting its efficacy in clinical practice. (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 22, 2016 Category: Surgery Source Type: research

Autoimmune Pancreatitis or Pancreatic Cancer?
Publication date: Available online 16 August 2016 Source:Cirugía Española (English Edition) Author(s): Antonio Serafín Valero Liñán, Juan Luis Rueda Martínez, José Antonio González Masiá, José Ignacio Miota de Llama, Pascual González Masegosa (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 17, 2016 Category: Surgery Source Type: research

Intravenous Fluids: Concepts and Rationality of Use
Publication date: Available online 16 August 2016 Source:Cirugía Española (English Edition) Author(s): Antoni Sabate, Maylin Koo (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 17, 2016 Category: Surgery Source Type: research

Oesophageal Leiomyoma With Intense Uptake in Positron Tomography With 18Fluorodeoxyglucose and Computed Tomography
Publication date: Available online 16 August 2016 Source:Cirugía Española (English Edition) Author(s): María Jesús Álvarez Martín, Ana María Garcia Navarro, Antonio Rodriguez Fernandez, Jose Antonio Jimenez Rios (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 17, 2016 Category: Surgery Source Type: research

Abdominal Cocoon: A Rare Cause of Intestinal Obstruction
Publication date: Available online 3 August 2016 Source:Cirugía Española (English Edition) Author(s): Azahara Illán Riquelme, Julio Camacho Lozano, Hama Abdalahi, Carlos Calado Leal, Juana Huertas Riquelme (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 4, 2016 Category: Surgery Source Type: research

Massive Colonic Ischemia Secondary to Sigmoid Volvulus
Publication date: Available online 3 August 2016 Source:Cirugía Española (English Edition) Author(s): Natalia Orozco Gil, Úrsula Ponce Villar, María Teresa Lloret Martí, Federico Caro Pérez (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 4, 2016 Category: Surgery Source Type: research

Conservative Treatment of Hepatic Inflammatory Pseudotumor
Publication date: Available online 3 August 2016 Source:Cirugía Española (English Edition) Author(s): Neus Ballester-Pla, Rafael García-Domínguez, Alexandre Pérez-Girbes, Juan Francisco Orbis-Castellanos, Eugenia Pareja (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 4, 2016 Category: Surgery Source Type: research

Giant Retroperitoneal Liposarcoma: The Silent Tumour
Publication date: Available online 3 August 2016 Source:Cirugía Española (English Edition) Author(s): Jorge Galván Fernández, María Isabel Jiménez Cuenca, Susana González Fuentes, Fernanda Benavides de la Rosa (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 4, 2016 Category: Surgery Source Type: research

CIE-10 and the Surgical Protocol
Publication date: Available online 4 August 2016 Source:Cirugía Española (English Edition) Author(s): Victor Soria-Aledo (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 4, 2016 Category: Surgery Source Type: research

Primary Retroperitoneal Mucinous Cystadenoma
Publication date: June–July 2016 Source:Cirugía Española (English Edition), Volume 94, Issue 6 Author(s): Julio César Zevallos Quiroz, Francisco Javier Toran Monserrat, Fernando Jesús de Santiago Urquijo, Enrique Pedro Cormenzana Lizarribar, José María Arrinda Yeregui (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 1, 2016 Category: Surgery Source Type: research

Training in Breast Surgery in Spain
This article analyses the current status of breast surgery training in Spain and schematically proposes potential targets of the different training programs, to improve access and training for surgeons and residents in this area, taking into account the RD 639/2014 and European regulation. The priority is to specify the level of training that should be achieved, in relation to the group of professionals involved, considering their area of competency: surgery resident, educational programs, and surgeons with special dedication to this area. (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 23, 2016 Category: Surgery Source Type: research

Endovascular Radiofrequency Ablation. Effect on the Vein Diameter Using the ClosureFast ® Catheter
Conclusions A significant reduction in venous diameter after endovascular treatment with the new ClosureFast® catheters was checked, even in veins with diameters greater than 12mm. (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 22, 2016 Category: Surgery Source Type: research

Axillary Radiotherapy in Conservative Surgery for Early-Stage Breast Cancer (Stage I and II)
Conclusion The incidence of axillary relapse on stage I and II breast cancer is rare. In these patients axillary radiotherapy does not improve overall survival, but contributes to regional control in those patients with risk factors. (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 22, 2016 Category: Surgery Source Type: research

Aggressive Angiomyxoma. A Rare Mesenchymal Pelvic Tumor
Publication date: Available online 21 July 2016 Source:Cirugía Española (English Edition) Author(s): Vicente Artigas Raventós, Diego Rivero Cruces, José González López, Manuel Rodríguez Blanco, Isidre Boguña (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 22, 2016 Category: Surgery Source Type: research

Clarifications to Questions on an Incisional Hernia Cost –Benefit Study
Publication date: Available online 9 July 2016 Source:Cirugía Española (English Edition) Author(s): Rosa Fernández Lobato, Juan Carlos Ruiz de Adana Belbel (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 21, 2016 Category: Surgery Source Type: research

Treatment of Complex Perineal Trauma. A Review of the Literature
Publication date: Available online 19 July 2016 Source:Cirugía Española (English Edition) Author(s): Patrizio Petrone, Wilson Rodríguez Velandia, Jana Dziaková, Corrado P. Marini Perineal injuries are uncommon, but not rare. They may present a wide variety of injury patterns which demand an accurate diagnostic assessment and treatment. Perineal injuries may occur as isolated injuries to the soft tissues or may be associated with pelvic organ, abdominal or even lower extremity injury. Hence the importance to know in depth not only the anatomy of the perineum and its organs, but also the imp...
Source: Cirugia Espanola - July 21, 2016 Category: Surgery Source Type: research

Groove Pancreatitis Vs Pancreatic Adenocarcinoma: A Review of 8 Cases
Conclusions PS must be included in the differential diagnosis of pancreatic lesions, which may include carcinoma of the periampullary area and other causes of chronic pancreatitis. (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 21, 2016 Category: Surgery Source Type: research

Radioguided Intraoperative Detection of Ectopic Adrenocorticotropic Hormone-Producing Carcinoid Tumor
Publication date: Available online 19 July 2016 Source:Cirugía Española (English Edition) Author(s): Carlos A. Rombolá, Marta Genovés-Crespo, Luz López-Jiménez, Francisco Martín-Ordoñez, Pablo León-Atance (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 20, 2016 Category: Surgery Source Type: research

New Scale for Predicting Mortality in Ruptured Abdominal Aortic Aneurysms
Conclusions Age, systolic pressure and heart rate, are predictors of hospital mortality of patients treated with endovascular repair of ruptured abdominal aortic aneurysms. Applying the scale proposed in this study, in combination with GAS, Vancouver, and ERAS scales, allows the detection of patients who would not benefit from endovascular treatment. (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 20, 2016 Category: Surgery Source Type: research

Non-Surgical Treatment of Localized Rectal Cancer Is an Experimental Option
Publication date: Available online 13 July 2016 Source:Cirugía Española (English Edition) Author(s): Susana Roselló, Andrés Cervantes (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 15, 2016 Category: Surgery Source Type: research

Right Hepatectomy for Giant Hepatic Hemangioma With Progressive Growth in a Case of Relative Hyperestrogenism
Publication date: Available online 14 July 2016 Source:Cirugía Española (English Edition) Author(s): Ana Gálvez Saldaña, Marina Vila, Laura Lladó, Inmaculada Camprubi, Emilio Ramos (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 15, 2016 Category: Surgery Source Type: research

Portal Anatomic Variant as an Incidental Finding During Cholecystectomy
Publication date: Available online 4 July 2016 Source:Cirugía Española (English Edition) Author(s): Maite Domínguez-Ayala, Inmaculada Cruz González, Pilar Gómez García, Iñaki Iturburu Belmonte (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 10, 2016 Category: Surgery Source Type: research

Clarifications to Questions on an Incisional Hernia Cost–Benefit Study
Publication date: Available online 9 July 2016 Source:Cirugía Española (English Edition) Author(s): Rosa Fernández Lobato, Juan Carlos Ruiz de Adana Belbel (Source: Cirugia Espanola)
Source: Cirugia Espanola - July 10, 2016 Category: Surgery Source Type: research

Circular Mucosal Anopexy: Experience and Technical Considerations
Conclusions Recurrence rate is higher in CMA than in resective techniques. CMA is a useful technique for the treatment of hemorrhoids in MAS. Pain and the rate of complications are both low. (Source: Cirugia Espanola)
Source: Cirugia Espanola - June 2, 2016 Category: Surgery Source Type: research

The Impact of Peripheral Arterial Disease: A Proposal for a New Classification
Publication date: Available online 24 May 2016 Source:Cirugía Española (English Edition) Author(s): Fernando Vaquero Morillo Classically, intermittent claudication, an intermediate stage in peripheral arterial disease, has been considered as a benign condition when considering only the muscular pain on walking. In this paper our aim is to attract attention about the effects linked to ischaemic pain and the oxidative injury resulting from episodes of ischaemia/reperfusion. Throughout this process alterations in calcium homeostasis as well as uncontrolled generation of reactive oxygen species, in association...
Source: Cirugia Espanola - May 25, 2016 Category: Surgery Source Type: research

EURECCA Oesophago-Gastric Cancer Project
Publication date: Available online 24 May 2016 Source:Cirugía Española (English Edition) Author(s): William Allum, Javier Osorio (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 25, 2016 Category: Surgery Source Type: research

Spontaneous Haematoma of the Anterior Rectus Abdominis Muscle
Conclusion Spontaneous haematoma of the rectus abdominis muscle is more frequent in elderly women under oral anticoagulant treatment. Non-operative treatment is successful in most cases. Computed tomography angiography is useful to determine which patients could benefit from selective arterial embolisation. (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 24, 2016 Category: Surgery Source Type: research

Locally Advanced Rectal Cancer: Preliminary Results of Rectal Preservation After Neoadjuvant Chemoradiotherapy
Conclusion The strategy of organ preservation in locally advanced rectal cancer is feasible in cases with good response to neoadjuvant therapy. When implemented in a highly selected group of patients this strategy is associated with satisfactory oncologic results. (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 22, 2016 Category: Surgery Source Type: research

Economic Impact of Clinical Variability in Preoperative Testing for Major Outpatient Surgery
Conclusions Clinical variability should be reduced and the creation of synergies between the different departments should be enhanced in order to adjust the request for unnecessary complementary tests to decrease health care and to improve the quality of patient care. (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 22, 2016 Category: Surgery Source Type: research

Update on the Management of Non-obstetric Acute Abdomen in Pregnant Patients
Publication date: Available online 18 May 2016 Source:Cirugía Española (English Edition) Author(s): Sebastián Barber-Millet, José Bueno Lledó, Pablo Granero Castro, Immaculada Gómez Gavara, Neus Ballester Pla, Rafael García Domínguez Acute abdomen is a rare entity in the pregnant patient, with an incidence of one in 500–635 patients. Its appearance requires a quick response and an early diagnosis to treat the underlying disease and prevent maternal and foetal morbidity. Imaging tests are essential, due to clinical and laboratory masking in this subgroup....
Source: Cirugia Espanola - May 19, 2016 Category: Surgery Source Type: research

Treatment of Presacral Bleeding After Colorectal Surgery With Bakri Balloon
Publication date: Available online 9 May 2016 Source:Cirugía Española (English Edition) Author(s): Victor Lopez-Lopez, Jesús Abrisqueta, Juan Lujan, David Ferreras, Pascual Parrilla (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 10, 2016 Category: Surgery Source Type: research

Torsion of Riedel's Hepatic Lobe Simulating Acute Appendicitis
Publication date: Available online 9 May 2016 Source:Cirugía Española (English Edition) Author(s): María Pilar Iskra Marco, Ángel Gallego Vila, Claudio Silva Vergara, Joan Sancho Insenser (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 10, 2016 Category: Surgery Source Type: research

Intravascular Leiomyomatosis With Cardiac Extension: Simultaneous Abdominal and Cardiac Surgery
Publication date: Available online 9 May 2016 Source:Cirugía Española (English Edition) Author(s): Dania Calvo-Rodríguez, Adrián Narváez Muñoz, Aquilino Fernández Pérez, Darío Durán, Evaristo Varo Pérez (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 10, 2016 Category: Surgery Source Type: research

Breast Abscess and Sepsis Arising From Oral Infection
Publication date: Available online 9 May 2016 Source:Cirugía Española (English Edition) Author(s): Juan José Segura-Sampedro, Rosa Jiménez-Rodríguez, Violeta Camacho-Marente, Felipe Pareja-Ciuró, Javier Padillo-Ruiz (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 10, 2016 Category: Surgery Source Type: research

Chronic Recurrent Abdominal Pain as a Result of Arcuate Ligament Syndrome
Publication date: Available online 9 May 2016 Source:Cirugía Española (English Edition) Author(s): Gloria María Novo Martínez, Alejandro Rodríguez Morata, Gonzalo Alonso Argüeso, Juan Pedro Reyes Ortega, Rafael Gómez Medialdea (Source: Cirugia Espanola)
Source: Cirugia Espanola - May 10, 2016 Category: Surgery Source Type: research

Evaluation and Improvement of the Comprehension of Informed Consent Documents
Conclusions The introduction of improvement dynamics in the design of ICFs is possible and necessary because it produces more effective and easily readable ICFs. (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 26, 2016 Category: Surgery Source Type: research

Results of Conservative Treatment in Patients With Occult Pneumothorax
Conclusion Observation is a safe treatment in occult pneumothorax, even in pressure positive ventilated patients. (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 24, 2016 Category: Surgery Source Type: research

Innovation in Surgery
Publication date: Available online 24 March 2016 Source:Cirugía Española (English Edition) Author(s): Julio Mayol Martinez (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 24, 2016 Category: Surgery Source Type: research

Hepatic Bruceloma: Therapeutic Approach
Publication date: Available online 24 March 2016 Source:Cirugía Española (English Edition) Author(s): Antonio Serafín Valero Liñán, José Ignacio Miota de Llama, José Antonio González Masiá, Juan Luis Rueda Martínez, Pascual González Masegosa (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 24, 2016 Category: Surgery Source Type: research