Prevention of Surgical Site Infection: Analysis and Narrative Review of Clinical Practice Guidelines
Publication date: Available online 22 November 2017 Source:Cirugía Española (English Edition) Author(s): Francisco Javier Gómez-Romero, Maria Fernández-Prada, Juan Francisco Navarro-Gracia Surgical site infection is one of the most prevalent healthcare-associated infections and presents a considerable morbidity. The aim of this comprehensive narrative review is to describe the evidence and grade of recommendation of the preventive measures developed in the three phases of the surgical process (preoperative, perioperative and postoperative phases), as well as coincidences and divergences between...
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

C Reactive Protein as a Predictor of Anastomotic Leakage in Colorectal Surgery. Comparison Between Open and Laparoscopic Surgery
Conclusion CRP on day 4 is useful to diagnose AL. Different cut-off values should be taken into account depending on the approach used. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

Giant Adrenal Cortical Carcinoma
Publication date: Available online 22 November 2017 Source:Cirugía Española (English Edition) Author(s): Sergio Estévez Fernández, María Artime Rial, Elías Domínguez Comesaña, Raquel Sánchez Santos (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

Secondary Node Analysis as an Indicator for Axillary Lymphadenectomy in Breast Cancer Patients
Conclusion The study of the SN together with the technique of the SLN allows a more precise staging of the axillary involvement, in patients with breast cancer, than just the SLN technique. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

Juxtarenal Aortoiliac Occlusive Disease in a Patient With Left Sided Inferior Vena Cava
Publication date: Available online 22 November 2017 Source:Cirugía Española (English Edition) Author(s): Delfina Fletcher Sanfeliu, Cristina Rueda Muñoz, Iván Martín-González, José Ángel Bahamonde Romano (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

Giant Primary Extra Gastrointestinal Stromal Tumor of the Liver
Publication date: Available online 23 November 2017 Source:Cirugía Española (English Edition) Author(s): Ana María Carrillo Colmenero, Mario Serradilla Martín, Manuel de Dios Redondo Olmedilla, Francisco Manuel Ramos Pleguezuelos, Pedro López Leiva (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

The Dream of Surgery Without Complications: A Great Step, Much to Do
Publication date: Available online 23 November 2017 Source:Cirugía Española (English Edition) Author(s): Xavier Guirao (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

Lemmel's Syndrome: Obstructive Jaundice Secondary to a Duodenal Diverticulum
Publication date: Available online 23 November 2017 Source:Cirugía Española (English Edition) Author(s): María Carmona Agúndez, Diego López Guerra, Juana Fernández Pérez, Gerardo Blanco Fernández (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 23, 2017 Category: Surgery Source Type: research

Sexual Satisfaction Following Bariatric Surgery: A Prospective Exploratory Study
Conclusions A relatively large percentage of severely/morbidly obese women and men present clinically significant sexual satisfaction problems before undergoing bariatric surgery. Sexual satisfaction improves significantly 12 months following bariatric surgery, particularly in women. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 22, 2017 Category: Surgery Source Type: research

American vs. European Trauma Centers: A Comparison of Preventable Deaths
Conclusions The use of a common language of errors among centers is key in establishing benchmarking standards. Comparing the quality of care of an American trauma center and a Spanish referral center, we have detected remarkably similar avoidable errors. More diagnostic and ‘ruled-based’ errors have been found in the Spanish center. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 11, 2017 Category: Surgery Source Type: research

Initial Experience in the Treatment of “Borderline Resectable” Pancreatic Adenocarcinoma
Conclusion The neoadjuvant treatment of APBR allows us to select a group of patients in whom resection achieves a longer survival to the group in which progression is observed. Post-adjuvant pancreatic resection requires vascular resection in most cases. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 11, 2017 Category: Surgery Source Type: research

Evolution of the Treatment of Splenic Injuries: From Surgery to Non-Operative Management
Publication date: Available online 10 November 2017 Source:Cirugía Española (English Edition) Author(s): Patrizio Petrone, María Fernanda Anduaga Peña, María José Servide Staffolani, Collin Brathwaite, Alexander Axelrad, José Ceballos Esparragón The spleen is one of the most frequently injured organs in blunt abdominal trauma. In the past decades, the treatment of patients with blunt splenic injury has shifted from operative to non-operative management. The knowledge of physiology and immunology of the spleen have been the main reasons to develop techniques for splen...
Source: Cirugia Espanola - November 11, 2017 Category: Surgery Source Type: research

Initial Results of the Oesophageal and Gastric Cancer Registry From the Comunidad Valenciana
Conclusions This registry revealed that half patients with oesophageal cancer were operated in hospitals with less than 10 cases per year at the Comunidad Valenciana. Also, it detected capacity improvement for some clinical outcomes of oesophageal and gastric carcinomas. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 11, 2017 Category: Surgery Source Type: research

Laparoscopic Subtotal Cholecystectomy: A Surgical Alternative to Reduce Complications in Complex Cases
Conclusions Laparoscopic subtotal cholecystectomy is a safe and effective procedure. It should be considered as an option in complex cases. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Meckel's Diverticulitis Caused by an Enterolith: A Rare Presentation of an Acute Abdomen in an Adult
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): José Jacob Motos Micó, Teresa Abad Aguilar, Enrique Javier Grau Talens, Luis Fernando Fernández García (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Cocoon Syndrome With Hepatic Involvement. Incidental Finding During Orthotopic Liver Transplantation
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): Isabel Casal Beloy, María Alejandra García Novoa, Jose Ignacio Rivas Polo, Manuel Gómez Gutiérrez (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Pneumomediastinum and Pneumoperitoneum Secondary to Cystic Intestinal Pneumatosis After Percutaneous Endoscopic Gastrostomy Placement
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): Esther Barbon Remis, M. Paz Garcia Pravia, Rosa María del Campo Ugidos, Carmen Garcia Álvarez, María Concepción Fernández Fernández (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Herniation of the Esophageal Mucosa After Epiphrenic Diverticulectomy
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): Raquel Escalera Pérez, Carlos Medina Achirica, Francisco Mateo Vallejo, Francisco José García Molina (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Gastric Necrosis Secondary to Prolapse of a Percutaneous Gastrostomy
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): David Fernández-SanMillán, Eudaldo López-Tomassetti Fernández, Juan Ramón Hernández Hernández (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Hepatic Resection: A Safe and Effective Surgery
Conclusions Liver surgery has increased significantly in recent years. Surgical management of the liver now allows safe and effective surgery, with a very low complication rate. The limit of resectability depends on the residual hepatic volume. (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Autoimmune Pancreatitis: Differential Diagnosis With Pancreatic Adenocarcinoma
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): Diego Tristán Enjuto Martínez, Norberto Herrera Merino, Marta Pérez González, Rosa Llorente Lázaro, Pilar Castro Carbajo (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Laparoscopically Assisted Resection of a Primary Hepatic Leiomyosarcoma: A Safe Approach in a Rare Malignancy
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): Víctor López-López, Ricardo Robles, Belén Ferri, Roberto Brusadin, Pascual Parrilla (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Where Is Haemorrhoidal Surgery Heading?
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): Anicet Puigdollers (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Omenal Torsion and Infarction: An Unusual Complication After Roux-en-Y Gastric Bypass
Publication date: Available online 9 November 2017 Source:Cirugía Española (English Edition) Author(s): Jesús Abrisqueta, Noelia Ibañez, Juan Luján, David Ferreras, Pascual Parrilla (Source: Cirugia Espanola)
Source: Cirugia Espanola - November 9, 2017 Category: Surgery Source Type: research

Fluorescence-guided Surgery Applied to the Digestive System: The Cybernetic Eye to See the Invisible
Publication date: Available online 26 October 2017 Source:Cirugía Española (English Edition) Author(s): Michele Diana (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 27, 2017 Category: Surgery Source Type: research

Wandering Spleen
Publication date: Available online 26 October 2017 Source:Cirugía Española (English Edition) Author(s): Veysel Ayyildiz, Bulent Guvendi, Hayri Ogul, Mecit Kantarci (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 27, 2017 Category: Surgery Source Type: research

Exploratory Laparoscopy in Polytrauma: Knife Extraction
Publication date: Available online 21 October 2017 Source:Cirugía Española (English Edition) Author(s): José David Romero Gallego, José Miguel Ramos Durán, Manuel Jesús Saavedra Chacón, Antonia Sonia Salas Díaz (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

Nutrition Management in Enhanced Recovery After Abdominal Pancreatic Surgery
Publication date: Available online 21 October 2017 Source:Cirugía Española (English Edition) Author(s): Elena Márquez Mesa, Caleb Baz Figueroa, José Pablo Suárez Llanos, Pablo Sanz Pereda, Manuel Ángel Barrera Gómez Multimodal rehabilitation programs are perioperative standardized strategies with the objective of improving patient recovery, and decreasing morbidity, hospital stay and health cost. The nutritional aspect is an essential component of multimodal rehabilitation programs and therefore nutritional screening is recommended prior to hospital admission, avoiding pre-...
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

Clinical and Pathological Features of Gastrointestinal Stromal Tumors (GIST) in a Single Institution: A Descriptive Study and Review of the Literature
Conclusion There is a large clinical variability among GIST cases. The first choice of treatment is surgery, which is feasible in most cases and should be as conservative as possible. The prognosis varies depending on the size and proliferation index, thus close follow-up should be performed. No tumor marker is clearly associated with a poor prognosis. New molecular biology studies are needed in order to find therapeutic targets. (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

Influence of Psychological Variables in Morbidly Obese Patients Undergoing Bariatric Surgery After 24 Months of Evolution
Conclusions High self-esteem and social support does not guarantee successful treatment. The groups differed in how they coped with obesity but the data obtained do not justify the weight evolution. In the absence of psychopathology, personality trait variability between patients is insufficient to predict the results. (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

To drain or not to drain the infraperitoneal anastomosis after rectal excision for cancer
Publication date: Available online 21 October 2017 Source:Cirugía Española (English Edition) Author(s): Javier Escrig-Sos, Antonio Llueca-Abella (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

Patterns of Recurrence/Persistence of Cryptoglandular Anal Fistula After the LIFT Procedure. Long-Term Observational Study
Conclusion In our experience, the LIFT technique is a safe and reproducible procedure with low morbidity, no repercussion on continence and a success rate over 70%. There are 3 types of recurrence: the intersphincteric fistula, the original fistulatula (trans- or supra-sphincteric) and the residual external tract. Considering the types of recurrence, only 12.7% of patients need more complex surgery to solve their pathology. The rest of the recurrences/persistence was solved by simple procedures (fistulotomy in intersphincteric forms and legrado in residual tracts). (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

Laparoscopic Choledochoduodenostomy
Conclusions Laparoscopic choledochoduodenostomy with intraoperative cholangioscopy seems to be safe and effective treatment for patients with difficult common bile duct stones no resolved by endoscopic procedures. This procedure is a good option for patients with advanced age and multiple comorbidities. We offer all the advantages of minimally invasive surgery to these patients. (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

Should We Assume the New Definition of Sepsis in the Surgical Field?
Publication date: Available online 21 October 2017 Source:Cirugía Española (English Edition) Author(s): Juan José Segura-Sampedro, Rafael Morales-Soriano, Xavier González-Argente, Marcio Borges (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 23, 2017 Category: Surgery Source Type: research

Left Upper Lobar Torsion After Video-Assisted Thoracoscopic Lower Lobectomy
Publication date: Available online 14 October 2017 Source:Cirugía Española (English Edition) Author(s): María Teresa Moreno Asencio, Eduardo Rivo Vázquez, Jorge Quiroga Martínez, Milagros Moldes Rodriguez, Jose María García Prim (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 14, 2017 Category: Surgery Source Type: research

Complicated Diverticular Disease: Position Statement on Outpatient Management, Hartmann's Procedure, Laparoscopic Peritoneal Lavage and Laparoscopic Approach. Consensus Document of the Spanish Association of Coloproctology and the Coloproctology Section of the Spanish Association of Surgeons
Publication date: Available online 12 October 2017 Source:Cirugía Española (English Edition) Author(s): Rafael Rosado-Cobián, Teresa Blasco-Segura, Manuel Ferrer-Márquez, Héctor Marín-Ortega, Lucinda Pérez-Domínguez, Sebastiano Biondo, José Vicente Roig-Vila The Spanish Association of Coloproctology (AECP) and the Coloproctology Section of the Spanish Association of Surgeons (AEC), propose this consensus document about complicated diverticular disease that could be used for decision-making. Outpatient management, Hartmann's procedure, laparoscopic peritoneal l...
Source: Cirugia Espanola - October 13, 2017 Category: Surgery Source Type: research

Abdominal Pain in an Elderly Man Secondary to Giant Sigmoid Diverticula
Publication date: Available online 12 October 2017 Source:Cirugía Española (English Edition) Author(s): Rocío Ruiz Guardiola, Juana Luisa Huertas Riquelme, Julio Sánchez Corral, Beatriz Garrido Benito (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 13, 2017 Category: Surgery Source Type: research

Hepatobronchial Fistula: A Rare Complication of Liver Abscess
Publication date: Available online 12 October 2017 Source:Cirugía Española (English Edition) Author(s): Martín Varela Vega, Federico Durán, Nicolás Geribaldi, Gonzalo San Martín, Alejandro Ettlin (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 13, 2017 Category: Surgery Source Type: research

Evaluation of a Telemedicine Program in Severe Trauma. Preliminary Results
Publication date: Available online 12 October 2017 Source:Cirugía Española (English Edition) Author(s): Antonia Sonia Salas Díaz, Manuel Jesús Saavedra Chacón, José Miguel Ramos Durán, José David Romero Gallego (Source: Cirugia Espanola)
Source: Cirugia Espanola - October 13, 2017 Category: Surgery Source Type: research

Transanal Endoscopic Microsurgery for the Treatment of Uncommon Rectal Lesions
Conclusions TEM could be a useful tool for the treatment of rectal lesions different from adenomas or adenocarcinomas, potentially decreasing the morbidity associated with more aggressive surgical techniques. (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 11, 2017 Category: Surgery Source Type: research

Breast Filariasis
Publication date: Available online 10 August 2017 Source:Cirugía Española (English Edition) Author(s): Ángel Pareja López, Sara M. López Saro, Víctor J. López Molero, María del Mar Rico Morales, Miguel A. Lorenzo Campos (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 11, 2017 Category: Surgery Source Type: research

Conversion to Segment 4-1 ALPPS Associated With Right Bile Duct Section and External Tube for the Control of Progression Through the Bile Duct of Colorectal Metastases
Publication date: Available online 10 August 2017 Source:Cirugía Española (English Edition) Author(s): Oscar Alonso Casado, Gloria Ortega Pérez, Sara Encinas García, Raquel Saiz Martínez, Santiago González Moreno (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 11, 2017 Category: Surgery Source Type: research

Analysis of the Long-term Results of Living Donor Liver Transplantation in Adults
Conclusions Given the long-term results, LDLT is confirmed as an alternative to conventional transplantation. However, the high rate of late biliary complications involves repeated admissions and invasive treatments that, while not compromising survival, can affect the patient's quality of life. (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 11, 2017 Category: Surgery Source Type: research

Form of Presentation, Natural History and Course of Postoperative Venous Thromboembolism in Patients Operated on for Pelvic and Abdominal Cancer. Analysis of the RIETE Registry
Conclusions VTE occurs after hospital discharge in most patients, particularly in those operated for colorectal, urologic, and gynecologic cancer. Pulmonary embolism is more frequent in patients who develop early VTE, who also have worse prognosis. (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 10, 2017 Category: Surgery Source Type: research

Mucinous Appendiceal Neoplasms: Incidence, Diagnosis and Surgical Treatment
Conclusions Appendiceal mucinous tumors are frequently an incidental finding. The diagnosis of mucinous tumors of low malignant potential is a factor associated with the development of pseudomyxoma peritonei. Histologic tumor grade and the presence of peritoneal dissemination will determine surgical treatment that can vary, from appendectomy to cytoreductive surgery. (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 10, 2017 Category: Surgery Source Type: research

Surgical Management of Foreign Body on Airway. Case Report and Review
Publication date: Available online 9 August 2017 Source:Cirugía Española (English Edition) Author(s): Carlos León Espinoza, José Cerón Navarro, Genaro Galán Gil Genaro, Joaquín Ortega Serrano (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 10, 2017 Category: Surgery Source Type: research

The Role of the Irreversible Electroporation in the Hepato-Pancreatico-Biliary Surgery
Publication date: Available online 9 August 2017 Source:Cirugía Española (English Edition) Author(s): Patricia Sánchez-Velázquez, Pierre-Alain Clavien Irreversible electroporation is a novel technique growing in popularity over the last years among the ablative modalities. Its unique action mechanism produces irreversible nanopores in the membrane of the cell leading to apoptosis; therefore irreversible electroporation can be used to ablate substantial volumes of tissue without the undesirable thermal effects as the “heat sink effect”. Moreover the extracellular matrix is left unper...
Source: Cirugia Espanola - August 10, 2017 Category: Surgery Source Type: research

Cutaneous Fistula Caused by Postcholecystectomy Residual Litiasis
Publication date: Available online 9 August 2017 Source:Cirugía Española (English Edition) Author(s): E. Rovira Pujol, N. Arteche Gonzalez, F. Lopez Lanau (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 10, 2017 Category: Surgery Source Type: research

SPECT/CT Lymphogammagraphy of a Contralateral Axillary Drainage in a Patient With Breast Cancer
Publication date: Available online 9 August 2017 Source:Cirugía Española (English Edition) Author(s): Salomé Sanz-Viedma, Victoria Scholz Gutierrez, Francisco Javier Fernández-Garcia, José Manuel Jiménez-Hoyuela (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 10, 2017 Category: Surgery Source Type: research

Living Transplantation in Adult, From Living Donor. A Valid Option
Publication date: Available online 9 August 2017 Source:Cirugía Española (English Edition) Author(s): Enrique Moreno González (Source: Cirugia Espanola)
Source: Cirugia Espanola - August 10, 2017 Category: Surgery Source Type: research