Clinical Management in Difficult Times
Publication date: Available online 12 March 2015 Source:Cirugía Española (English Edition) Author(s): Víctor Soria-Aledo , Alberto Colina Alonso (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 12, 2015 Category: Surgery Source Type: research

Simultaneous Colectomy and Nephrectomy in Synchronic Tumours
Publication date: Available online 12 March 2015 Source:Cirugía Española (English Edition) Author(s): Ana Belen Martin Arnau , Carolina Ochoa Vargas , Jose Antonio Peña Gonzalez , Eduardo María Targarona Soler (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 12, 2015 Category: Surgery Source Type: research

“The Paradigm of Surgical Treatment of Distal Rectal Cancer: What to Remove vs What to Leave Behind”
Publication date: March 2015 Source:Cirugía Española (English Edition), Volume 93, Issue 3 Author(s): Javier A. Cienfuegos , Jorge Baixauli , Fernando Rotellar , José Luis Hernández Lizoáin (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 28, 2015 Category: Surgery Source Type: research

Temporary Replacement of the Common Biliary Duct by a Silicone Tube as an Urgent Repair of Iatrogenic Injury. Experimental Study in Pigs
Publication date: March 2015 Source:Cirugía Española (English Edition), Volume 93, Issue 3 Author(s): Daniel A. Napolitano , Xavier Rodríguez Bertola , Gabriela M. Sambuelli , Luis H. Vial , Daniel A. Torrecillas Surgery of the biliary tract is complex, and its volume has increased with iatrogenic injuries and living donor transplantation. The aim of this study was to analyze if the common duct can be temporarily replaced. We used nine 18–20kg pigs. They were operated on, and their bile duct was replaced by a 100% silicone tube. All pigs underwent laboratory tests, magnetic resonance imaging, i...
Source: Cirugia Espanola - February 28, 2015 Category: Surgery Source Type: research

Total Pelvic Exenteration for the Treatment of Advanced Primary or Recurrent Pelvic Neoplasia
Conclusions TPE is a potentially curative procedure for advanced pelvic visceral malignancies with similar morbi-mortality than other extended excisional surgery. (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

Predictive Factors of Insulin Resistance Resolution With Adjustable Gastric Band Surgery
Conclusions In patients undergoing gastric band surgery, weight loss is the fundamental mechanism by which insulin sensitivity increases. This improvement in glucose metabolism is influenced by factors such as sex, age, insulin treatment, duration of diabetes, and degree of preoperative obesity. (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

Outpatient Laparoscopic Cholecystectomy and Pain Control: A Series of 100 Cases
Conclusion Ambulatory laparoscopic cholecystectomy is a feasible and safe technique. Postoperative pain has classically been the reason to not perform day-case surgery, but we achieved an excellent control by the combined use of local anesthetics and warm intraperitoneal saline solution. (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

Acquired Recto-Uretral Fistulas: Etiopathogenesis, Diagnosis and Therapeutic Options
Publication date: Available online 13 February 2015 Source:Cirugía Española (English Edition) Author(s): Carlos Cerdán Santacruz , Javier Cerdán Miguel Rectouretral fistulas are a rare disease, but represent an important problem for the patient that suffers them and a challenge for the urologist and colorectal surgeon who has to manage them. A wide review has been performed focusing on etiopathogenic factors, diagnostic and therapeutic options including the analysis of different surgical techniques. PubMed, MEDLINE and EMBASE medical database were searched up to September 2014. (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

Inflammatory Markers as Predictors of Postoperative Adverse Outcome in Octogenarian Surgical Patients: An Observational Prospective Study
Conclusions An age-adjusted equation for predicting 30-day morbidity that included malignancy, serum IL-6 and alpha 1-acid glycoprotein levels may be useful for risk assessment in octogenarian surgical patients. (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

Perigraft Seroma After Femoro-femoral Bypass
Publication date: Available online 13 February 2015 Source:Cirugía Española (English Edition) Author(s): Elena Romera Barba , Silvia Gálvez Pastor , Juan Castañer Ramón-Llín , José Luis Vázquez Rojas (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

General Surgery Training in Spain: Core Curriculum and Specific Areas of Training
Publication date: Available online 13 February 2015 Source:Cirugía Española (English Edition) Author(s): José Ma Miguelena Bobadilla , Dieter Morales-García , Ignacio Iturburu Belmonte , José Antonio Alcázar Montero , Xabier Serra Aracil , Fernando Docobo Durantez , Ignacio López de Cenarruzabeitia , Mercedes Sanz Sánchez , Juan Ramón Hernández Hernández The Royal Decree RD 639/2014 has been published, regulating among others, the core curriculum, and specific areas of training (SAT). It is of great interest for the specialty of General and Dige...
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

An Easy Acronym to Improve the Check-List: CALPE
Publication date: Available online 14 February 2015 Source:Cirugía Española (English Edition) Author(s): Alejandro Thomas Santamaría (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

The Future of Surgery and Surgeons
Publication date: Available online 16 February 2015 Source:Cirugía Española (English Edition) Author(s): Carlos A. Pellegrini (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

Enterocutaneous Fistula Secondary to an Error in Placement of a Negative-Pressure Abdominal Dressing
Publication date: Available online 16 February 2015 Source:Cirugía Española (English Edition) Author(s): Sergio Builes Ramírez , María Alejandra García Novoa , Ignacio Rey Simó , Manuel Gómez Gutiérrez (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

What do General Surgery Residents Operate During the Residency Program? An Analysis of the Applicability of the Specialty Program in General and Digestive Surgery
Conclusion The surgical activity performed by Spanish surgeons is adequate to the specialty program, except in hepatobiliary and esophageal-gastric surgery. The distribution is homogeneous in the different autonomous regions, although there are differences that depend on the number and sex of the residents in each hospital. This information is essential to evaluate the quality of the specialty program and to design new training programs. (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 26, 2015 Category: Surgery Source Type: research

Hepatic Inflammatory Pseudotumor: A Difficult Preoperative Diagnosis in an Oncological Patient
Publication date: Available online 10 February 2015 Source:Cirugía Española (English Edition) Author(s): Jose Manuel Ramia , Roberto de la Plaza , Cristian Perna , Alberto Arcediano , Jorge García-Parreño (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 13, 2015 Category: Surgery Source Type: research

Intermittent Negative-pressure Therapy With Antibiotic Instillation for Necrotizing Fascitis of the Abdomen and Retroperitoneum due to an Infected Renal Hematoma
Publication date: Available online 11 February 2015 Source:Cirugía Española (English Edition) Author(s): Clara Pañella-Vilamú , Jose Antonio Pereira-Rodríguez , Joan Sancho-Insenser , Luis Grande-Posa (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 13, 2015 Category: Surgery Source Type: research

Temporary Replacement of the Common Biliary Duct by a Silicone Tube, as an Urgent Repair of Iatrogenic Injury. Experimental Study in Pigs
Publication date: Available online 11 February 2015 Source:Cirugía Española (English Edition) Author(s): Daniel A. Napolitano , Xavier Rodríguez Bertola , Gabriela M. Sambuelli , Luis H. Vial , Daniel A. Torrecillas Surgery of the biliary tract is complex, and its volume has increased with iatrogenic injuries and living donor transplantation. The aim of this study was to analyze if the common duct can be temporarily replaced. We used nine 18–20kg pigs. They were operated on, and their bile duct was replaced by a 100% silicone tube. All pigs underwent laboratory tests, magnetic resonance imaging...
Source: Cirugia Espanola - February 13, 2015 Category: Surgery Source Type: research

Adult Fibrosarcoma: Surgical Management in Developing Countries
Publication date: Available online 31 January 2015 Source:Cirugía Española (English Edition) Author(s): Elena Gil Gómez , José Manuel Rodríguez González , Quiteria Francisca Hernández Agüera , José Gil Martínez (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 31, 2015 Category: Surgery Source Type: research

Respiratory Failure Due to a Gigantic Endothoracic Goiter
Publication date: Available online 31 January 2015 Source:Cirugía Española (English Edition) Author(s): Javier Ismael Roldán Villavicencio , Aitor Quintana de la Basarrate , Gloria Martinez Fernandez , Ainhoa Arana Gonzalez (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 31, 2015 Category: Surgery Source Type: research

Repair of Large Abdominal Wall Defects by Epiploplasty and Polypropelene Mesh in Patients With Decompressive Laparostomies
Publication date: Available online 31 January 2015 Source:Cirugía Española (English Edition) Author(s): Emilio Muñoz Muñoz , Fernando Pardo Aranda , Judith Camps Lasa , Xavier Rodriguez Alsina , Enrique Veloso Veloso (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 31, 2015 Category: Surgery Source Type: research

Endoscopic Treatment With Biologic Glue of Chronic Presacral Sinus After Low Anterior Resection
Publication date: Available online 30 January 2015 Source:Cirugía Española (English Edition) Author(s): Víctor López , Jesús Abrisqueta , Juan Luján , Andrés Serrano , Pascual Parrilla (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 30, 2015 Category: Surgery Source Type: research

The Paradigm of Surgical Treatment of Distal Rectal Cancer: “What to Remove vs What to Leave Behind”
Publication date: Available online 30 January 2015 Source:Cirugía Española (English Edition) Author(s): Javier A. Cienfuegos , Jorge Baixauli , Fernando Rotellar , José Luis Hernández Lizoáin (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 30, 2015 Category: Surgery Source Type: research

Abernethy Malformation: Congenital Porthosystemic Shunt
Publication date: Available online 30 January 2015 Source:Cirugía Española (English Edition) Author(s): Fernanda Benavides de la Rosa , Íñigo López de Cenarruzabeitia , Juan García-Castaño Gandiaga , Juan Pablo Beltrán de Heredia (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 30, 2015 Category: Surgery Source Type: research

Percutaneous Access to Cervical Fistulas of the Thoracic Duct: A New Approach
Publication date: Available online 30 January 2015 Source:Cirugía Española (English Edition) Author(s): José Luis Muñoz de Nova , Alfonsa Friera Reyes , Juan Julián Cuesta Pérez , Ana Rodríguez Sánchez , José Miguel Bravo Lifante (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 30, 2015 Category: Surgery Source Type: research

Jejuno-gastric Invagination After Billroth II Gastrectomy
Publication date: Available online 29 January 2015 Source:Cirugía Española (English Edition) Author(s): Arturo Cruz Cidoncha , Laura Garcia del Salto , Enrique González González , Miguel Ángel García-Ureña (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 29, 2015 Category: Surgery Source Type: research

A Rare Complication of Colorectal Surgery and Its Management: Chylous Leakage
Publication date: February 2015 Source:Cirugía Española (English Edition), Volume 93, Issue 2 Author(s): Arda Isik , Ismail Okan , Deniz Firat , Oguz Idiz (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 22, 2015 Category: Surgery Source Type: research

Epigastric Hernia With Gastric Antrum Incarceration
Publication date: February 2015 Source:Cirugía Española (English Edition), Volume 93, Issue 2 Author(s): Janet Pagnozzi Angel , Paul Ugalde , Fatima Perez Lopez , José Carlos Fernández Fernández (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 22, 2015 Category: Surgery Source Type: research

Primary Aorto-duodenal Fistula: A Rare but Potentially Fatal Cause of Gastrointestinal Bleeding
Publication date: Available online 15 January 2015 Source:Cirugía Española (English Edition) Author(s): Elena Romera Barba , Ainhoa Sánchez Pérez , Julia Bertelli Puche , Carlos Duque Pérez , José Luis Vazquez Rojas (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 16, 2015 Category: Surgery Source Type: research

Laparoscopic Surgery of the Abdominal Wall: Why Has It Not Been Implemented Like Other Laparoscopic Procedures?
Publication date: Available online 15 January 2015 Source:Cirugía Española (English Edition) Author(s): Xavier Feliu Palà (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 16, 2015 Category: Surgery Source Type: research

Laparoscopic First Stage in a Two-Stage Hepatectomy
Publication date: Available online 15 January 2015 Source:Cirugía Española (English Edition) Author(s): José Manuel Ramia , Farah Adel , Roberto de La Plaza , Pilar Veguillas , Jorge García-Parreño (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 16, 2015 Category: Surgery Source Type: research

Duodenal Injuries Due to Trauma: Review of the Literature
Publication date: Available online 14 January 2015 Source:Cirugía Española (English Edition) Author(s): Esther García Santos , Ana Soto Sánchez , Juan M. Verde , Corrado P. Marini , Juan A. Asensio , Patrizio Petrone Duodenal injuries constitute a challenge to the trauma surgeon, mainly due to their retroperitoneal location. When identified, they present associated with other abdominal injuries. Consequently, they have an increased morbidity and mortality. At best estimates, duodenal lesions occur in 4.3% of all patients with abdominal injuries, ranging from 3.7% to 5%, and because of their an...
Source: Cirugia Espanola - January 15, 2015 Category: Surgery Source Type: research

Utility of Percutaneous Dilatational Tracheostomy in the Immediate Postoperative Period of Liver Transplant
Conclusion PDT was tolerated well in recipients of liver allografts and had a relatively low risk of major complications and a low procedure-related mortality rate. (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 15, 2015 Category: Surgery Source Type: research

Cosmetic Sequelae After Oncoplastic Surgery of the Breast. Classification and Factors for Prevention
Publication date: Available online 14 January 2015 Source:Cirugía Española (English Edition) Author(s): Benigno Acea Nebril , Carmen Cereijo Garea , Alejandra García Novoa Oncoplastic surgery is an essential tool in the surgical approach to women with breast cancer. These techniques are not absolute guarantee for a good cosmetic result and therefore some patients will have cosmetic sequelae secondary to poor surgical planning, the effects of adjuvant treatments or the need for resection greater than originally planned. The high frequency of these cosmetic sequelae in oncology practice makes it necess...
Source: Cirugia Espanola - January 15, 2015 Category: Surgery Source Type: research

Detection of Adverse Events in General Surgery Using the “Trigger Tool” Methodology
Conclusions Prevalence of AE is greater than the estimate of other studies. In most cases the AE detected were related to the surgical procedure and more than half were also preventable. The adapted “Global Trigger Tool” methodology has demonstrated to be highly effective and efficient for detecting AE in surgical patients, identifying all the serious AE with few false negative results. (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 15, 2015 Category: Surgery Source Type: research

Post-cholecystectomy Biliary Fistula
Publication date: Available online 14 January 2015 Source:Cirugía Española (English Edition) Author(s): Izaskun del Hoyo Aretxabala , Pilar Gómez García , M. Inmaculada Concepción Cruz González , Sandra Ruiz Carballo (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 15, 2015 Category: Surgery Source Type: research

Predictors of Medium-term Patency in Percutaneous Endovascular Therapy of Femoro-popliteal Lesions
Conclusions Angioplasty with stent in the femoro-popliteal sector is a safe technique, but with significantly lower permeability results in injuries that require stent coverage of more than 20cm. In these cases, vein bypass surgery should be the procedure of choice. (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 15, 2015 Category: Surgery Source Type: research

Emergency Endoscopy for Gastrointestinal Bleeding After Bariatric Surgery. Therapeutic Algorithm
Conclusion Conservative management of gastrointestinal bleeding is effective in most cases, but endoscopy with therapeutic intent should be considered in patients with severe or recurrent bleeding. Multidisciplinary postoperative follow-up is very important for early detention and treatment of this complication. (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 15, 2015 Category: Surgery Source Type: research

Selective sentinel lymph node biopsy after neoadjuvant chemotherapy in breast cancer: results of the GEICAM 2005-07 study
Conclusions NCT means less DT and a higher rate of FN in subsequent SLNB, especially if there is initial nodal involvement. The use of protocols in axillary evaluation after administering the NCT and before BSGC decreases the FN rate in these patients. (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 13, 2015 Category: Surgery Source Type: research

Impact of a Diverting Stoma in an Enhanced Recovery Programme for Rectal Cancer
Conclusions The association of a loop ileostomy does not extend the length of stay nor increases the rate of complications in patients that underwent a rectal resection with anastomosis included in a MMRP. (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 13, 2015 Category: Surgery Source Type: research

Therapeutic flexible endoscopy after bariatric surgery: a solution for complex clinical situations
Publication date: January 2015 Source:Cirugía Española (English Edition), Volume 93, Issue 1 Author(s): Manoel Galvão Neto , Josemberg Marins Campos (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 13, 2015 Category: Surgery Source Type: research

Mailgnant Degeneration to Lymphangiosarcoma of a Chronic Lymphedema in the Lower Left Extremity
Publication date: Available online 7 January 2015 Source:Cirugía Española (English Edition) Author(s): Marcelin Necial , Miguel Ángel Araújo de Pazos , Manuel de La Quintana Gordón , Esther Vázquez Rodríguez (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 8, 2015 Category: Surgery Source Type: research

Giant Hepatic Hydatidosis
Publication date: Available online 7 January 2015 Source:Cirugía Española (English Edition) Author(s): Jose Luis Muñoz de Nova , Iñigo García-Sanz , Lourdes del Campo Val , Elena Martín-Pérez (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 8, 2015 Category: Surgery Source Type: research

Chronic Sternoclavicular Osteomyelitis: Salvage Surgery With Internal Mammary Artery Perforator Flap
Publication date: Available online 2 January 2015 Source:Cirugía Española (English Edition) Author(s): Jaime Lima Sánchez , María Teresa Sánchez Medina , Orlando García Duque , Javier Fernández-Palacios (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 3, 2015 Category: Surgery Source Type: research

“Stent in Stent” Technique for Oesophageal Benign Hyperplasia. Complications and Treatment of Fistulas After Sleeve Gastrectomy
Publication date: Available online 2 January 2015 Source:Cirugía Española (English Edition) Author(s): Lorea Zubiaga , Jaime Ruiz-Tovar , Javier Sola-Vera , Francisco Uceda , Rafael Calpena (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 3, 2015 Category: Surgery Source Type: research

Conservative “In Situ” Treatment of Pneumoperitoneum
Publication date: Available online 2 January 2015 Source:Cirugía Española (English Edition) Author(s): Marta Gutiérrez Andreu , Pedro Yuste García , Pilar Gómez Rodríguez , Felipe de la Cruz Vigo (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 3, 2015 Category: Surgery Source Type: research

On the Analysis of the Results of a Survey on Trauma Systems in Spain
Publication date: Available online 12 December 2014 Source:Cirugía Española (English Edition) Author(s): Alonso Mateos Rodriguez , José M. Navalpotro Pascual (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 12, 2014 Category: Surgery Source Type: research

Intestinal Obstruction Due to Internal Supravesical Hernia
Publication date: Available online 9 December 2014 Source:Cirugía Española (English Edition) Author(s): Pedro Antonio Sánchez Fuentes , Cristina García Zamora , Antonio Piñero Madrona , Pascual Parrilla Paricio (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 9, 2014 Category: Surgery Source Type: research

Should the Monitoring Protocols for Adrenal Incidentalomas be Changed?
Conclusions The results of our study challenge the validity of current diagnostic–therapeutic protocols of incidentalomas, which should be reassessed in prospective studies taking into account efficiency characteristics. (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 9, 2014 Category: Surgery Source Type: research

Chronic Idiopathic Anal Pain. Results of a Diagnostic-Therapeutic Protocol in a Colorectal Referral Unit
Conclusion Through proper anamnesis, physical examination and complementary tests, a specific diagnosis of the cause of CAP by FAD can be achieved, reducing exclusion diagnosis of CIAP to 25% of cases. Conservative measures combined with biofeedback achieved an improvement in pain in more than 40% of the cases of CIAP in our study. Sacral nerve stimulation can be considered as a treatment option in refractory cases. (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 9, 2014 Category: Surgery Source Type: research