Utility of Indocyanine Green for Intra-operative Localization of Ureter in Complex Colo-rectal Surgery
Publication date: Available online 28 March 2019Source: Cirugía Española (English Edition)Author(s): Antonio Gila-Bohórquez, Julio Gómez-Menchero, Joaquín Luis García-Moreno, Juan Manuel Suárez-Grau, Juan Francisco Guadalajara-Jurado (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 30, 2019 Category: Surgery Source Type: research

Boerhaave Syndrome Presenting as Gastric Emphysema
Publication date: Available online 28 March 2019Source: Cirugía Española (English Edition)Author(s): Patricia Ciriano Hernández, Irene Grao Torrente, Elena Viejo Martínez, Fernando Turégano Fuentes (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 28, 2019 Category: Surgery Source Type: research

Incidental Bladder Hernia on Bone Scintigraphy
Publication date: Available online 22 March 2019Source: Cirugía Española (English Edition)Author(s): Juan José Martín-Marcuartu, Estefanía López-Rodriguez, Rosa María Álvarez-Pérez, José Manuel Jiménez-Hoyuela (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 22, 2019 Category: Surgery Source Type: research

Influence of Radiotherapy on Immediate Breast Reconstruction After Skin-sparing Mastectomy. Before or After: Does It Matter?
ConclusionsPatients who underwent radiotherapy before reconstruction had a higher risk of developing failure of reconstruction and needing reoperation than those patients who received radiotherapy after breast reconstruction or did not receive radiotherapy at all.ResumenIntroducciónLa mastectomía bilateral con reconstrucción inmediata (MB + RMI) está aumentando. La radioterapia incrementa las complicaciones, pero se han ampliado los criterios de administración. Queremos evaluar las tasas de complicaciones/secuelas realizando un análisis comparativo con una cohorte sin rad...
Source: Cirugia Espanola - March 15, 2019 Category: Surgery Source Type: research

Unplanned Readmission After Lung Resection Surgery: A Systematic Review
Publication date: Available online 14 March 2019Source: Cirugía Española (English Edition)Author(s): Javier García-Tirado, Diego Júdez-Legaristi, Hugo Salvador Landa-Oviedo, José María Miguelena-BobadillaAbstractUrgent readmissions have a major impact on outcomes in patient health and healthcare costs. The associated risk factors have generally been infrequently studied. The main objective of the present work is to identify pre- and perioperative determinants of readmission; the secondary aim was to determine readmission rate, identification of readmission diagnoses, and impact of ...
Source: Cirugia Espanola - March 14, 2019 Category: Surgery Source Type: research

Detection of the Sentinel Node Using a Magnetic Tracer in Thyroid Cancer. A Technical Pilot Study
ConclusionsA paramagnetic tracer can be useful for detecting the SN and correctly staging papillary carcinoma.ResumenIntroducciónLa detección del ganglio centinela (GC) no se ha generalizado en la enfermedad tiroidea. Sin embargo, la recientemente detección del GC mediante trazador paramagnético está siendo útil en la cirugía del cáncer de mama y melanoma. El objetivo es evaluar la utilidad del trazador superparamagnetic iron oxide para la detección intraoperatoria del GC en el cáncer papilar de tiroides sin afectación ganglionar en el estudio pre...
Source: Cirugia Espanola - March 13, 2019 Category: Surgery Source Type: research

Laparoscopic Approach of the Left Side of the Pancreas
ConclusionsLLP can be considered the technique of choice in the treatment of primary benign pancreatic lesions and an alternative to the open approach in selected patients diagnosed with malignant pancreatic lesions.ResumenIntroducciónLa pancreatectomía izquierda laparoscópica (PIL) es una técnica quirúrgica cada vez más utilizada para el tratamiento de lesiones benignas y malignas del páncreas izquierdo. Analizamos los resultados de nuestra serie de PIL para el tratamiento de las lesiones primarias de cuerpo y cola pancreáticos.MétodosDesde noviembre de 2011 a...
Source: Cirugia Espanola - March 13, 2019 Category: Surgery Source Type: research

Response to the Article: Concentration of Treatments Can Improve Clinical Results in Complex Cancer Surgery
Publication date: Available online 11 March 2019Source: Cirugía Española (English Edition)Author(s): Dieter Morales-García, Jose Antonio Alcazar-Montero, Jose María Miguelena-Bobadilla, Xavier Serra Aracil (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 12, 2019 Category: Surgery Source Type: research

Radical Treatment of Peritoneal Carcinomatosis: Times Are Changing
Publication date: Available online 8 March 2019Source: Cirugía Española (English Edition)Author(s): Pedro Barrios Sánchez (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 8, 2019 Category: Surgery Source Type: research

Contrast Radiography Before Diverting Stoma Closure in Rectal Cancer Is Not Necessary on a Routine Basis
ConclusionsRadiology studies of the colorectal anastomosis before reconstruction can safely be omitted in patients without pelvic sepsis after the previous rectal resection.ResumenIntroducciónEs recomendable practicar un estoma derivativo en pacientes con resección anterior baja y factores de riesgo, para reducir la gravedad de la fuga anastomótica. Habitualmente se realiza un estudio radiológico previo al cierre del estoma para detectar fugas subclínicas. El objetivo del presente estudio es evaluar la utilidad clínica del estudio radiológico.MétodosEstudio prospectiv...
Source: Cirugia Espanola - March 8, 2019 Category: Surgery Source Type: research

First PIPAC Treatment in a Spanish Public Hospital: A Novel Technique for the Treatment of Carcinomatosis
Publication date: Available online 8 March 2019Source: Cirugía Española (English Edition)Author(s): Jaime Alonso-Gómez, José Silvestre-Rodríguez, María Inmaculada Bermejo-Guillén, Manuel Artíles-Armas, Joaquín Marchena-Gómez (Source: Cirugia Espanola)
Source: Cirugia Espanola - March 8, 2019 Category: Surgery Source Type: research

The Top 100: A Review of the Most Cited Articles in Surgery
ConclusionsThe top 100 most cited articles tend to be original articles describing studies carried out in the US, reporting significant surgical breakthroughs. Hepato-pancreato-biliary surgery is the most common subject area. Annals of Surgery had twice as many citations as the other journals studied. The archetypal article of the Top15 most cited is an original paper published in the twentieth century, with an average of 2000 citations.ResumenIntroducciónLlevamos a cabo un estudio de los 100 artículos más citados en las 5 revistas quirúrgicas con mayor factor de impacto según Journal Cit...
Source: Cirugia Espanola - March 8, 2019 Category: Surgery Source Type: research

Giant Lumbar Incisional Hernia Reparation by “Sandwich” Technique
Publication date: Available online 27 February 2019Source: Cirugía Española (English Edition)Author(s): Victoria Lucas Guerrero, Carla Zerpa Martín, José Antonio González López, Pere Rebasa, Salvador Navarro Soto (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 28, 2019 Category: Surgery Source Type: research

Perianal Paget Disease
Publication date: Available online 28 February 2019Source: Cirugía Española (English Edition)Author(s): Mireia Merichal Resina, Carlos Cerdan Santacruz, Enrique Sierra Grañón, Jordi Antoni Tarragona Foradada, Jorge Juan Olsina Kissler (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 28, 2019 Category: Surgery Source Type: research

Fish Bone-related Intrahepatic Abscess. An Underdiagnosed Condition?
Publication date: February 2019Source: Cirugía Española (English Edition), Volume 97, Issue 2Author(s): Alberto Gómez Portilla, Bernardo Ezurmendia, Ernesto Martín, Eduardo López de Heredia, Jesús Muriel López (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 23, 2019 Category: Surgery Source Type: research

Jejuno-jejunal Invagination in a Patient With Intestinal Malrotation
Publication date: Available online 21 February 2019Source: Cirugía Española (English Edition)Author(s): Sagrario María Santos-Seoane, Ana María Alvarez-Suárez, Laura Sánchez-Suárez, Rosa Acebal-Berruguete (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 22, 2019 Category: Surgery Source Type: research

Vertical Gastrectomy: Global Trends and Some Controversies
Publication date: Available online 21 February 2019Source: Cirugía Española (English Edition)Author(s): Jesús Morales-Maza, Jorge Humberto Rodríguez-Quintero (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 22, 2019 Category: Surgery Source Type: research

Scarless Neck Thyroidectomy Using Bilateral Axillo-breast Approach: Initial Impressions After Introduction in a Specialized Unit and a Review of the Literature
ConclusionOur experience with endoscopic bilateral axillo-breast approach thyroidectomy is short but satisfactory. It is a reproducible procedure that requires extensive experience in endocrine and endoscopic surgery. Extracervical approaches are an alternative for selected patients who are especially concerned about cervical scarring and are not intended to displace conventional thyroidectomy, which is the current gold standard. Our Scientific Society should explore these approaches to establish coherent indications and limitations.ResumenIntroducciónEl abordaje extracervical para tiroidectomía es poco conoc...
Source: Cirugia Espanola - February 18, 2019 Category: Surgery Source Type: research

Quality Control Techniques in Surgery: Application of Cumulative Sum (CUSUM) Charts
Publication date: Available online 14 February 2019Source: Cirugía Española (English Edition)Author(s): Carlos Fortea-Sanchis, Javier Escrig-SosAbstractCumulative sum graphs are quality control charts that are possibly the most frequently used for monitoring clinical-care processes.One of their main advantages is the use in rare cases and in events with low incidence, where it would be necessary to obtain a large sample and a long follow-up time with conventional statistical methods, which is impossible in certain cases. This is also why they are useful for studying learning curves, the introduction of new te...
Source: Cirugia Espanola - February 14, 2019 Category: Surgery Source Type: research

Ewing's Sarcoma: Differential Diagnosis of Gastrointestinal Stromal Tumors (GIST)
Publication date: Available online 13 February 2019Source: Cirugía Española (English Edition)Author(s): Cristina Rihuete, Débora Acín-Gándara, Fernando Pereira, Juan Carlos Tardío (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 13, 2019 Category: Surgery Source Type: research

Variability of Breast Surgery in Women Participating in Breast Cancer Screening Programs
ConclusionsThis study shows that, despite taking into account patient and tumor characteristics, there is great variability in the type of surgery depending on the place of diagnosis.ResumenIntroducciónActualmente la variabilidad en la práctica quirúrgica constituye un problema a resolver. El objetivo de nuestro estudio es describir la variabilidad en la realización del tratamiento quirúrgico del cáncer de mama y analizar los factores asociados a la misma.MétodosLa población de estudio comprende 1.057 mujeres diagnosticadas de cáncer de mama y tratadas quir&uac...
Source: Cirugia Espanola - February 6, 2019 Category: Surgery Source Type: research

Efficacy of Fibrin-collagen Sealant for Reducing the Incidence of Biliary Fistulae After Laparoscopic Exploration of the Bile Duct
Publication date: Available online 31 January 2019Source: Cirugía Española (English Edition)Author(s): Pablo Parra-Membrives, Darío Martínez-Baena, José Manuel Lorente-Herce, Ramón Martín-Balbuena (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 1, 2019 Category: Surgery Source Type: research

Evaluation and Treatment of Anemia Prior to Surgery: A Challenge to Improve
Publication date: Available online 1 February 2019Source: Cirugía Española (English Edition)Author(s): C. Jericó Alba, J. Ripollés-Melchor, J.M. Ramírez-Rodríguez, J.A. García-Erce (Source: Cirugia Espanola)
Source: Cirugia Espanola - February 1, 2019 Category: Surgery Source Type: research

Radiation-induced Angiosarcoma of the Breast in a Li-Fraumeni Patient
Publication date: Available online 29 January 2019Source: Cirugía Española (English Edition)Author(s): Alejandra García Novoa, Benigno Acea Nebril, Alberto Bouzón Alejandro, Carmen Cereijo Garea, Silvia Antolín Novoa (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 30, 2019 Category: Surgery Source Type: research

Psoas and Neck Abscess by Nocardia farcinica
Publication date: Available online 29 January 2019Source: Cirugía Española (English Edition)Author(s): Javier García Callejo (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 30, 2019 Category: Surgery Source Type: research

Intraoperative Neurophysiological Monitoring of the Phrenic Nerve: Utility and Descriptions of the Technique
We describe the technique used for the neurophysiological monitoring of the phrenic nerve. Also, its usefulness and advantages over other techniques are discussed.We conclude that, with the increasing incorporation in recent years of intraoperative neurophysiological monitoring, its application to the phrenic nerve is possible in procedures with a risk of injury and, thus, the reduction of iatrogenic injury rates may be feasible.ResumenEn procedimientos quirúrgicos de las regiones supraclaviculares y laterales cervicales, así como en cirugías cardíacas y mediastínicas, la función d...
Source: Cirugia Espanola - January 30, 2019 Category: Surgery Source Type: research

Elective and Emergent Laparotomy Closure: The Importance of Protocolizing the Technique
ConclusionThe abdominal wall closure was deficient in nearly one-quarter of the laparotomies performed at a third-level medical center. A protocol improved the quality of the laparotomy closure.ResumenIntroducciónLa hernia incisional es una patología altamente prevalente cuya prevención incluye medidas como el correcto cierre de la pared abdominal.MétodosSe llevó a cabo un estudio prospectivo en un centro de tercer nivel que incluyó a pacientes intervenidos de modo electivo y de urgencias tras la implementación de un protocolo de cierre de la laparotomía media. Se rea...
Source: Cirugia Espanola - January 30, 2019 Category: Surgery Source Type: research

Efficacy of Fibrin-collagen Sealant for Reducing the Incidence of Biliary Fistulae After Laparoscopic Exploration of the Bile Duct
Publication date: Available online 28 January 2019Source: Cirugía Española (English Edition)Author(s): Alberto Martínez Isla, Lalin Navaratne, José Quiñones Sampedro, David Martínez-Cecilia (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 29, 2019 Category: Surgery Source Type: research

Reply to: Evaluation and Treatment of Anemia Prior to Surgery: A Challenge to Improve
Publication date: Available online 28 January 2019Source: Cirugía Española (English Edition)Author(s): Marcos Bruna Esteban, Peter Vorwald (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 29, 2019 Category: Surgery Source Type: research

Prognostic Nutritional Index Predicts Morbidity After Curative Surgery for Colorectal Cancer
ConclusionOur work reports that PNI is an independent predictive factor for the development of postoperative complications following curative surgery for CRC.ResumenIntroducciónEl cáncer colorrectal (CCR) constituye un problema sanitario relevante, asociado a una morbimortalidad significativa. A lo largo de las últimas décadas se ha estudiado en profundidad el vínculo que existe entre el cáncer y el estado nutricional e inflamatorio de los pacientes oncológicos, y se han desarrollado múltiples escalas inmunonutricionales, relacionadas principalmente con el pronó...
Source: Cirugia Espanola - January 29, 2019 Category: Surgery Source Type: research

Hemosuccus Pancreaticus Originating From the Left Gastric Artery: A Rare Cause of Upper Gastrointestinal Bleeding
Publication date: Available online 25 January 2019Source: Cirugía Española (English Edition)Author(s): Alba Zárate Pinedo, Neus García Monforte, Andreu Romaguera Monzonis, Francisco J. García Borobia (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 25, 2019 Category: Surgery Source Type: research

Artificial Intelligence Applied to Evidence-based Surgery
Publication date: Available online 23 January 2019Source: Cirugía Española (English Edition)Author(s): Jordi Navinés López (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 24, 2019 Category: Surgery Source Type: research

The Urgent Surgery Units: An Imperative Change With Benefits for Everyone!
Publication date: Available online 22 January 2019Source: Cirugía Española (English Edition)Author(s): Juan C. Puyana (Source: Cirugia Espanola)
Source: Cirugia Espanola - January 22, 2019 Category: Surgery Source Type: research

The Acute Care Surgery Model in the World, and the Need for and Implementation of Trauma and Emergency Surgery Units in Spain
Publication date: Available online 22 January 2019Source: Cirugía Española (English Edition)Author(s): José Manuel Aranda-Narváez, Luis Tallón-Aguilar, José Antonio López-Ruiz, Felipe Pareja-Ciuró, José María Jover-Navalón, Fernando Turégano-Fuentes, Salvador Navarro-Soto, José Ceballos-Esparragón, Lola Pérez-DíazAbstractThe Acute Care Surgery model groups trauma and emergency surgery with surgical critical care. Conceived and extended during the last 2 decades throughout North America, the magnitude and clinical...
Source: Cirugia Espanola - January 22, 2019 Category: Surgery Source Type: research

Use of Social Networks by General Surgeons. Results of the National Survey of the Spanish Association of Surgeons
Publication date: Available online 6 January 2019Source: Cirugía Española (English Edition)Author(s): Antonio Morandeira Rivas, Jerónimo Riquelme Gaona, Mario Álvarez Gallego, Eduard María Targarona Soler, Carlos Moreno SanzAbstractIntroductionThe use and utility of social media (SM) among Spanish general surgeons is unknown.MethodsBetween October and December 2017 an online survey was carried out to the members of the Spanish Association of Surgeons, in which data on the profile of use and opinion on the usefulness of SM were collected.Results360 valid responses were obtained, 310 from s...
Source: Cirugia Espanola - January 6, 2019 Category: Surgery Source Type: research

Evaluation of Patient Safety and Satisfaction in a Program of Ambulatory Laparoscopic Cholecystectomy Program With Expanded Criteria
ConclusionsAmbulatory laparoscopic cholecystectomy is a safe procedure with a good acceptance by patients with expanded criteria who were included in the surgery without admission program.ResumenIntroducciónLos buenos resultados obtenidos con la implementación de los programas de colecistectomía laparoscópica ambulatoria han llevado a la ampliación de los criterios iniciales de inclusión. Como objetivo principal planteamos evaluar los resultados y el grado de satisfacción de los pacientes incluidos en un programa de colecistectomía laparoscópica sin ingreso, co...
Source: Cirugia Espanola - January 3, 2019 Category: Surgery Source Type: research

Major Ambulatory Surgery for the Treatment of Breast Cancer: Factors Conditioning Conversion to Conventional Hospitalization
ConclusionsAmbulatory surgery for the surgical treatment of breast cancer should be standard care. Optimized results require adequate patient selection and the performance of surgical technique that needs to be as careful and as conservative as possible.ResumenIntroducciónLa realización de cirugía oncológica mamaria en régimen ambulatorio se está convirtiendo en una práctica estándar entre los centros públicos por los distintos beneficios que aporta. En este estudio se analizan los resultados obtenidos con esta modalidad asistencial y se identifican los factore...
Source: Cirugia Espanola - January 3, 2019 Category: Surgery Source Type: research

Hernias at the Extraction Incision After Laparoscopic Colon and Rectal Resection: Influence of Incision Location and Use of Prophylactic Mesh
ConclusionsThe location of the incision is relevant to avoid incisional hernias. Transverse incisions should be used as the first option. When a midline incision is needed, a prophylactic mesh could be considered in high risk patients because it is safe and associated with low morbidity.ResumenObjetivosDeterminar la incidencia de hernia incisional (HI) en la incisión de asistencia (IA) de la pieza en cirugía por neoplasia de colon y recto. Análisis de la relación de la localización de la incisión y uso de una malla en la prevención de la HI en pacientes de alto riesgo.M&eacu...
Source: Cirugia Espanola - January 3, 2019 Category: Surgery Source Type: research

Injuries to Amateur Participants in Traditional Bullfighting Festivals
ConclusionsInjuries occurring during traditional bull-related festivals are different in patients with open wounds from patients who suffer blunt trauma. The pathogenesis of these injuries must be understood in order to improve patient survival.ResumenIntroducciónConocer los diferentes tipos de lesiones producidas en fiestas populares con toros o vaquillas, analizar las condiciones en las que se producen estas lesiones, las exploraciones radiológicas realizadas, el tratamiento y las complicaciones.MétodoSe trata de un estudio retrospectivo en el que se revisan 107 pacientes que acudieron al servicio de...
Source: Cirugia Espanola - January 3, 2019 Category: Surgery Source Type: research

Gastric Duplication Cyst With Respiratory Epithelium: An Uncommon Injury That Has a Difficult Differential Diagnosis
Publication date: Available online 26 December 2018Source: Cirugía Española (English Edition)Author(s): María García Nebreda, Gloria Paseiro Crespo, Edurne Álvaro Cifuentes, Elia Marqués Medina, Ana Burdaspal Moratilla (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 27, 2018 Category: Surgery Source Type: research

Stimulation the Efferent Limb Before Loop Ileostomy Closure With Short Chain Fatty Acids
Publication date: Available online 26 December 2018Source: Cirugía Española (English Edition)Author(s): Fernando Fernández López, Jaime González López, Manuel Paz Novo, María Jesús Ladra González, Jesús Paredes Cotoré (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 27, 2018 Category: Surgery Source Type: research

Laparoscopic Transduodenal Ampullectomy for Ampullary Tumor
Publication date: Available online 20 December 2018Source: Cirugía Española (English Edition)Author(s): Esteban Cugat Andorrà, Eric Herrero Fonollosa, Maria Isabel García Domingo, Judith Camps Lasa (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 22, 2018 Category: Surgery Source Type: research

Use of Alexis Retractor in Thyroid and Parathyroid Surgery
Publication date: Available online 13 December 2018Source: Cirugía Española (English Edition)Author(s): Yolanda Lois-Ortega, Fernando García-Curdi, Simón Brotons-Durbán, Juan Bosco Vendrell-MarquésAbstractIn thyroid and parathyroid surgical procedures, good visibility of the thyroid gland is essential. This is traditionally achieved by means of traction sutures of the dermo-plastysmal flaps to the drapes of the operative field, producing tension and even damage to the skin. The Alexis® retractor ring improves exposure and facilitates stable access to the thyroid, protecting the...
Source: Cirugia Espanola - December 14, 2018 Category: Surgery Source Type: research

Metastatic Melanoma of the Stomach
Publication date: Available online 12 December 2018Source: Cirugía Española (English Edition)Author(s): Sagrario María Santos-Seoane, Lucía Pérez-Casado, Cristina Helguera-Amezua, Miriam Diez-Fernández (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 13, 2018 Category: Surgery Source Type: research

Appendiceal Diverticulitis as a Cause of Acute Appendicitis
Publication date: Available online 11 December 2018Source: Cirugía Española (English Edition)Author(s): Vicent Primo Romaguera, Abel Gregorio Hernández, Elena Bragin, Juan José Arroyo Martín (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 12, 2018 Category: Surgery Source Type: research

Supernumerary Breast Cancer
Publication date: Available online 11 December 2018Source: Cirugía Española (English Edition)Author(s): Dania Calvo Rodríguez, María Álvarez Blanco, Carmen García Gutiérrez, Begoña Alonso Martínez (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 12, 2018 Category: Surgery Source Type: research

Postherpetic Pseudohernia
Publication date: Available online 10 December 2018Source: Cirugía Española (English Edition)Author(s): Anna Curell, Nuria Ortega, Gian Pier Protti, Jose María Balibrea, Manuel López-Cano (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 11, 2018 Category: Surgery Source Type: research

Autologous Falciform Ligament Graft for Vascular Reconstruction in Pancreatic Cancer Surgery
Publication date: Available online 10 December 2018Source: Cirugía Española (English Edition)Author(s): María Galofré-Recasens, Eric Herrero Fonollosa, Judith Camps Lasa, María Isabel García-Domingo, Esteban Cugat Andorrà (Source: Cirugia Espanola)
Source: Cirugia Espanola - December 11, 2018 Category: Surgery Source Type: research

The Wound Environment, Microbial Virulence and Postoperative Infection: Practical Lessons for the Surgeon
Publication date: Available online 7 December 2018Source: Cirugía Española (English Edition)Author(s): John Cohn AlverdyAbstractFor the practicing surgeon, the development of a postoperative wound infection represents a major complication that can be both costly and disabling. As a result, surgeons apply multiple methods of prevention including skin decontamination, use of antibiotics, irrigation with or without antiseptics and meticulous use of technique. In elective surgery, however, most wound infections cannot be predicted.In this review we discuss emerging concepts in wound infection pathogenesis and inc...
Source: Cirugia Espanola - December 7, 2018 Category: Surgery Source Type: research

Anastomotic Reconstruction and External Drainage of Wirsung's Duct as Treatment for Pancreaticojejunal Stenosis Following Pancreaticoduodenectomy
Publication date: Available online 3 December 2018Source: Cirugía Española (English Edition)Author(s): Iago Justo Alonso, Alberto Marcacuzco Quinto, Oscar Caso Maestro, Carlos Jiménez-RomeroAbstractStenosis of the pancreaticodigestive anastomosis (pancreaticogastrostomy and pancreaticojejunostomy) is a very rare complication that usually develops several years after pancreaticoduodenectomy (PD). Only a few cases have been previously reported. We have reviewed the literature and present 2 more cases of pancreaticojejunostomy stenosis that started with episodes of recurrent acute pancreatitis 6 years and...
Source: Cirugia Espanola - December 4, 2018 Category: Surgery Source Type: research