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Cirugia

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https://www.readbyqxmd.com/read/28185641/enhanced-recovery-after-surgery-in-gastric-resections
#1
Marcos Bruna Esteban, Peter Vorwald, Sonia Ortega Lucea, Jose Manuel Ramírez Rodríguez
INTRODUCTION: Enhanced recovery after surgery is a modality of perioperative management with the purpose of improving results and providing a faster recovery of patients. This kind of protocol has been applied frequently in colorectal surgery, presenting less available experience and evidence in gastric surgery. METHODS: According to the RICA guidelines published in 2015, a review of the bibliography and the consensus established in a multidisciplinary meeting in Zaragoza on the 9th of October 2015, we present a protocol that contains the basic procedures of fast-track for resective gastric surgery...
February 6, 2017: Cirugía Española
https://www.readbyqxmd.com/read/28112708/are-perioperative-statins-beneficial-for-cardiac-surgery
#2
Gonzalo A Bravo-Soto, Valentina Llovet-Gutiérrez, Gabriel Rada
La cirugía cardiaca conlleva una alta morbimortalidad debido a múltiples causas tales como fibrilación auricular, infarto al miocardio, insuficiencia renal aguda, accidente vascular encefálico, entre otros. Por otra parte, las estatinas son una familia de medicamentos que ha demostrado disminución de eventos cardiovasculares, principalmente debido a su efecto clínico en el perfil lipídico. Sin embargo, se ha propuesto un efecto pleiotrópico, incluyendo un mecanismo antiinflamatorio agudo, cuyo real impacto clínico es controvertido...
January 16, 2017: Medwave
https://www.readbyqxmd.com/read/28063525/the-impact-of-skin-diseases-on-quality-of-life-a-multicenter-study
#3
G Sanclemente, C Burgos, J Nova, F Hernández, C González, M I Reyes, N Córdoba, Á Arévalo, E Meléndez, J Colmenares, S Ariza, G Hernández
INTRODUCTION: To date, no formal study has been published regarding how Colombian patients with skin disorders could be affected according to their perception of disease. OBJECTIVE: To determine the impact in quality of life of skin diseases in a Colombian population. METHODS: This multicenter study included patients with skin disease from almost the whole country. Individuals >18 years old; of any gender; with any skin disease and who signed informed consent, were included...
January 4, 2017: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/27992027/music-listening-for-anxiety-relief-in-children-in-the-preoperative-period-a-randomized-clinical-trial
#4
Mariana André Honorato Franzoi, Cristina Bretas Goulart, Elizabete Oliveira Lara, Gisele Martins
Objective: to investigate the effects of music listening, for 15 minutes, on the preoperative anxiety levels in children undergoing elective surgery in comparison with conventional pediatric surgical care. Method: randomized controlled clinical trial pilot study with 52 children in the preoperative period, aged 3 to 12 years, undergoing elective surgery and randomly allocated in the experimental group (n = 26) and control group (n = 26). Anxiety was assessed in both groups by the application of the modified Yale Preoperative Anxiety Scale and measurement of the physiological variables, upon arrival and 15 minutes after the first measurement...
December 19, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27979315/quality-criteria-in-bariatric-surgery-consensus-review-and-recommendations-of-the-spanish-association-of-surgeons-and-the-spanish-society-of-bariatric-surgery
#5
Fátima Sabench Pereferrer, Eduardo Domínguez-Adame Lanuza, Ainitze Ibarzabal, María Socas Macias, Víctor Valentí Azcárate, Amador García Ruiz de Gordejuela, Francisca García-Moreno Nisa, Jesús González Fernández, Ramón Vilallonga Puy, Nuria Vilarrasa García, Raquel Sánchez Santos
Bariatric surgery has proven to be highly effective in controlling obesity and metabolic syndrome; the results of this surgery are not only expressed in terms of weight loss, but also in terms of resolution of comorbidities, improved quality of life and complications. The different parameters used to measure these outcomes require uniformity and reference patterns. Therefore, it is essential to identify those indicators and quality criteria that are helpful in defining the «best practice» principles in bariatric surgery...
December 12, 2016: Cirugía Española
https://www.readbyqxmd.com/read/27911061/-new-stage-of-cirug%C3%A3-a-pedi%C3%A3-trica
#6
C Soto Beauregard
No abstract text is available yet for this article.
January 25, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27865426/surgical-treatment-of-acute-diverticulitis-a-retrospective-multicentre-study
#7
José Vicente Roig, Antonio Salvador, Matteo Frasson, Míriam Cantos, Celia Villodre, Zutoia Balciscueta, Rafael García-Calvo, Javier Aguiló, Juan Hernandis, Rodolfo Rodríguez, Francisco Landete, Eduardo García-Granero
INTRODUCTION: To analyze short and medium-term results of different surgical techniques in the treatment of complicated acute diverticulitis (CAD). METHODS: Multicentre retrospective study including patients operated on as surgical emergency or deferred-urgency with the diagnosis of CAD. RESULTS: A series of 385 patients: 218 men and 167 women, mean age 64.4±15.6 years, operated on in 10 hospitals were included. The median (25(th)-75(th) percentile) time from symptoms to surgery was 48 (24-72) h, being peritonitis the main surgical indication in a 66% of cases...
December 2016: Cirugía Española
https://www.readbyqxmd.com/read/27792716/-efficacy-of-intestinal-splinting-in-hostile-abdomen-secondary-to-postoperative-flanges-in-pediatric-patients
#8
Eduardo Bracho-Blanchet, Mónica Langarica-Bulos, Roberto Dávila-Pérez, Emilio Fernández-Portilla, Cristian Zalles-Vidal, Jaime Nieto-Zermeño
Objetivo: Mostrar la eficacia de la FI para prolongar el tiempo libre de oclusión intestinal quirúrgica en niños con abdomen hostil secundario a bridas posquirúrgicas. Método: Análisis retrospectivo de FI por abdomen hostil de 2000 a 2011 y su seguimiento a largo plazo. Comparamos el tiempo libre de oclusión quirúrgica antes y después de la FI. Resultados: Se incluyeron 20 FI en 19 pacientes. Predominaron las causas congénitas, la mediana de edad en la cirugía fue de 6 meses, todos tenían cirugías previas con mediana de tres, y dos de ellas fueron por oclusión intestinal previa...
October 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27737379/factors-associated-with-the-healing-of-complex-surgical-wounds-in-the-breast-and-abdomen-retrospective-cohort-study
#9
Eline Lima Borges, José Ferreira Pires, Mery Natali Silva Abreu, Vera Lúcia de Araújo Lima, Patrícia Aparecida Barbosa Silva, Sônia Maria Soares
Objective: to estimate the healing rate of complex surgical wounds and its associated factors. Method: retrospective cohort study from 2003 to 2014 with 160 outpatients of a Brazilian university hospital. Data were obtained through consultation of the medical records. Survival function was estimated using the Kaplan-Meier method and Cox regression model to estimate the likelihood of the occurrence of healing. Results: the complex surgical wound healing rate was 67...
October 10, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27663509/cirug%C3%A3-a-espa%C3%A3-ola-increases-its-impact-factor-reflections-on-the-necessary-evolution-of-the-journal
#10
EDITORIAL
Pascual Parrilla, Sebastiano Biondo, Manuel Pera, Pablo Ramírez, Eduardo Targarona, José María Balibrea, Matteo Frasson
No abstract text is available yet for this article.
November 2016: Cirugía Española
https://www.readbyqxmd.com/read/27579935/woman-experiencing-gynecologic-surgery-coping-with-the-changes-imposed-by-surgery
#11
Carolina de Mendonça Coutinho E Silva, Octavio Muniz da Costa Vargens
OBJECTIVES: to describe the feelings and perceptions resulting from gynecologic surgery by women and analyze how they experience the changes caused by the surgery. METHOD: a qualitative, descriptive and exploratory study, which had Symbolic Interactionism and Grounded Theory as its theoretical framework. Participants of the study: 13 women submitted to surgery: Total Abdominal Hysterectomy, Total Abdominal Hysterectomy with bilateral Adnexectomy, Wertheim-Meigs surgery, Oophorectomy, Salpingectomy, Mastectomy, Quadrantectomy and Tracheloplasty...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27579924/surgical-site-infection-in-patients-submitted-to-heart-transplantation
#12
Jussara Aparecida Souza do Nascimento Rodrigues, Renata Eloah de Lucena Ferretti-Rebustini, Vanessa de Brito Poveda
OBJECTIVES: to analyze the occurrence and predisposing factors for surgical site infection in patients submitted to heart transplantation, evaluating the relationship between cases of infections and the variables related to the patient and the surgical procedure. METHOD: retrospective cohort study, with review of the medical records of patients older than 18 years submitted to heart transplantation. The correlation between variables was evaluated by using Fisher's exact test and Mann-Whitney-Wilcoxon test...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27571679/-not-available
#13
Marta Vales Montero, Beatriz Chavarría Cano, María Luisa Martínez Ginés, Fernando Díaz Otero, José Miguel Velázquez Pérez, María Cristina Cuerda Compes, Irene Bretón Lesmes
La deficiencia de vitamina A es infrecuente en los países desarrollados. La cirugía bariátrica constituye un factor de riesgo de deficiencia de esta vitamina. Se han descrito varios casos en pacientes sometidos a técnicas con un importante componente malabsortivo, como la derivación biliopancreática. En este artículo se describe un caso de deficiencia clínica de vitamina A con manifestaciones oculares y cutáneas tras bypass gástrico y se revisan las publicaciones sobre este tema y las recomendaciones para la prevención de esta importante complicación...
July 19, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571655/-not-available
#14
Lorea Zubiaga, Jaime Ruiz-Tovar, Lorena Giner, Juan González, María Del Mar Aguilar, Alejandro García, Rafael Calpena, Manuel Durán
Introducción y objetivo: el IMC puede resultar engañoso para ciertas complexiones corporales, por lo que se han propuesto otros parámetros como la adiposidad (calculada a través de fórmula CUN-BAE,) el índice de Framingham de riesgo cardiovascular (IF) y el índice aterogénico (IA) (rCT/HDL-c) como predictores de riesgo cardiovascular. Se propone comparar estos factores como marcadores de éxito terapéutico tras cirugía en pacientes obesos sometidos a gastrectomía vertical laparoscópica (GVL) como procedimiento de cirugía bariátrica...
July 19, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27533263/effectiveness-of-a-nursing-intervention-in-decreasing-the-anxiety-levels-of-family-members-of-patients-undergoing-cardiac-surgery-a-randomized-clinical-trial
#15
Letícia Hamester, Emiliane Nogueira de Souza, Cibele Cielo, Maria Antonieta Moraes, Lúcia Campos Pellanda
OBJECTIVE: to verify the effectiveness of nursing orientation provided to families of patients in the immediate post-operative following cardiac surgery before the first visit to the post-anesthesia care unit, in decreasing anxiety levels, compared to the unit's routine orientation. METHOD: open randomized clinical trial addressing family members in the waiting room before the first visit in the immediate post-operative period. The family members assigned to the intervention group received audiovisual orientation concerning the patients' conditions at the time and the control group received the unit's routine orientation...
August 15, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27508918/factors-associated-with-mortality-in-patients-undergoing-coronary-artery-bypass-grafting
#16
Cintia Koerich, Gabriela Marcellino de Melo Lanzoni, Alacoque Lorenzini Erdmann
OBJECTIVE: to investigate the factors associated with mortality in patients undergoing coronary artery bypass grafting in a cardiovascular referral hospital in Santa Catarina. METHOD: quantitative, exploratory, descriptive and retrospective study. The medical records of 1447 patients, from 2005 to 2013, were analyzed for statistically related variables, these being: profile, hospitalization diagnosis, risk factors for coronary artery disease, complications recorded during the hospitalization, length of hospitalization and cause of death...
August 8, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27424071/executive-summary-of-the-guidelines-for-the-use-of-interferon-gamma-release-assays-in-the-diagnosis-of-tuberculosis-infection
#17
Miguel Santin, José-María García-García, David Rigau, Neus Altet, Luis Anibarro, Irma Casas, Nuria Díez, Mercedes García-Gasalla, Xavier Martínez-Lacasa, Antón Penas, Elvira Pérez-Escolano, Francisca Sánchez, José Domínguez
Interferon-gamma release assays are widely used for the diagnosis of tuberculosis infection in Spain. However, there is no consensus on their application in specific clinical scenarios. To develop a guide-line for their use, a panel of experts comprising specialists in infectious diseases, respiratory diseases, microbiology, pediatrics and preventive medicine, together with a methodologist, conducted a systematic literature search, summarized the findings, rated the quality of the evidence, and formulated recommendations following the Grading of Recommendations of Assessment Development and Evaluations methodology...
September 2016: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/27363243/-modelling-science-the-ceroplastics-of-ignacio-lacaba-in-the-colegio-de-cirug%C3%A3-a-de-san-carlos-madrid
#18
Maribel Morente
Models made of wax had enormous diffusion in the anatomical teaching of the 18th century. It transcended the borders of a science that impregnated with scientific knowledge the artistic expression of beauty. Based on this premise, the San Carlos Royal College of Surgery created in Madrid a large collection of anatomical models, which is currently maintained by the Javier Puerta Anatomy Museum in the School of Medicine at Madrid Complutense University. The collection began in 1786 with Ignacio Lacaba, the first dissector of the Surgery College of Madrid, whose artistic sensibility and deep knowledge of anatomy contributed and facilitated harmonization between the work of the wax sculptors and language and anatomical expression...
2016: Dynamis
https://www.readbyqxmd.com/read/27305181/level-of-anxiety-versus-self-care-in-the-preoperative-and-postoperative-periods-of-total-laryngectomy-patients
#19
Clara Inés Flórez Almonacid, Alfredo Jurado Ramos, María-Aurora Rodríguez-Borrego
OBJECTIVE: estimate the prevalence of anxiety in laryngectomy patients in the pre and postoperative periods and its relation with the self-care level. METHOD: observational research of 40 patients with stage IV laryngeal cancer. Three observations took place: in the preoperative phase, at seven and at 14 days after the surgery; between June 2010 and December 2012. Two self-care levels were defined: self-sufficient and needing help for activities of daily living and treatment-related activities...
June 14, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27305179/prevalence-and-factors-associated-with-preoperative-anxiety-in-children-aged-5-12-years
#20
Louise Amália de Moura, Iohanna Maria Guimarães Dias, Lilian Varanda Pereira
OBJECTIVE: to estimate the prevalence and factors associated with preoperative anxiety in children who wait for outpatient surgery. METHOD: cross-sectional analysis of baseline data of a prospective cohort study that investigates the predictors of postoperative pain in children aged 5-12 years submitted to inguinal and umbilical hernia repair. It was selected 210 children, which were interviewed in the preoperative holding area of a general hospital. Anxiety was evaluated using the modified Yale Preoperative Anxiety Scale (mYPAS)...
June 14, 2016: Revista Latino-americana de Enfermagem
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