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Cirugia

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https://www.readbyqxmd.com/read/29733065/impacto-de-la-revascularizaci%C3%A3-n-y-factores-asociados-en-el-salvamento-de-la-extremidad-en-pacientes-con-pie-diab%C3%A3-tico
#1
Carlos A Hinojosa, Estefanía Boyer-Duck, Javier E Anaya-Ayala, Ana E Núñez-Salgado, Hugo Laparra-Escareno, René Lizola
Introducción: El pie diabético es causa frecuente de hospitalización. Objetivo: Examinar el impacto de la revascularización en la preservación de los miembros inferiores. Método: Estudio retrospectivo de pacientes diabéticos con úlceras en el pie. Se evaluó extensión del tejido perdido conforme las clasificaciones PEDIS y de Wagner, así como indicaciones y técnicas de revascularización. Los factores involucrados en la amputación mayor y el salvamento de la extremidad fueron evaluados por pruebas Fisher y chi cuadrado...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29656762/clinical-guideline-on-bone-conduction-implants
#2
María José Lavilla Martín de Valmaseda, Laura Cavalle Garrido, Alicia Huarte Irujo, Faustino Núñez Batalla, Manuel Manrique Rodriguez, Ángel Ramos Macías, Carlos de Paula Vernetta, Elisa Gil-Carcedo Sañudo, Luis Lassaleta, Isabel Sánchez-Cuadrado, Juan Manuel Espinosa Sánchez, Ángel Batuecas Caletrio, Carlos Cenjor Español
INTRODUCTION AND GOALS: During the last decade there have been multiple and relevant advances in conduction and mixed hearing loss treatment. These advances and the appearance of new devices have extended the indications for bone-conduction implants. The Scientific Committee of Audiology of the Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello SEORL-CCC (Spanish Society of Otolaryngology and Head and Neck Surgery), together with the Otology and Otoneurology Committees, have undertaken a review of the current state of bone-conduction devices with updated information, to provide a clinical guideline on bone-conduction implants for otorhinolaryngology specialists, health professionals, health authorities and society in general...
April 13, 2018: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/29650221/lymph-node-dissection-in-patients-with-melanoma-and-sentinel-lymph-node-metastasis-an-updated-evidence-based-decision-algorithm
#3
D Moreno-Ramírez, A Boada, L Ferrándiz, E Samaniego, G Carretero, E Nagore, P Redondo, P Ortiz-Romero, J Malvehy, R Botella-Estrada
Recent publication of the results of clinical trials in which lymph node dissection was not associated with any survival benefit in patients with sentinel node metastasis makes it necessary to reconsider the treatment of patients with melanoma. This article provides an update on the available evidence on the diverse factors (routes of metastatic spread, predictors, adjuvant therapy, etc.) that must be considered when treating patients with sentinel node-positive melanoma. The authors propose a decision-making algorithm for use in this clinical setting...
April 9, 2018: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/29573788/enhanced-recovery-after-esophageal-resection
#4
Peter Vorwald, Marcos Bruna Esteban, Sonia Ortega Lucea, Jose Manuel Ramírez Rodríguez
ERAS is a multimodal perioperative care program which replaces traditional practices concerning analgesia, intravenous fluids, nutrition, mobilization as well as a number of other perioperative items, whose implementation is supported by evidence-based best practices. According to the RICA guidelines published in 2015, a review of the literature and the consensus established at a multidisciplinary meeting in 2015, we present a protocol that contains the basic procedures of an ERAS pathway for resective esophageal surgery...
March 21, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29550037/health-literacy-and-health-related-quality-of-life-in-patients-with-anorectal-malformations-a-comparison-between-a-charity-hospital-in-honduras-and-a-tertiary-care-center-in-the-united-states
#5
Alexander J M Dingemans, Wilfried Krois, Juan Craniotis Rios, Richard J Wood, Marc A Levitt, Carlos A Reck-Burneo
BACKGROUND/PURPOSE: We conduct an annual medical mission to Hospital Ruth Paz para Niños Quemados y Cirugía Pediátrica in Honduras to operate on cases of anorectal malformations (ARM). To improve our knowledge of these patients, we compared their health-related quality of life (HRQoL), and the health literacy of their caregivers from this hospital and ours in the United States. METHODS: The BRIEF Health Literacy Screen (BHLS) and Pediatric Quality of Life Inventory 4...
February 23, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29530275/stoma-reversal-after-surgery-for-complicated-acute-diverticulitis-a-multicentre-retrospective-study
#6
José Vicente Roig, Antonio Salvador, Matteo Frasson, Lucas García-Mayor, Javier Espinosa, Vicente Roselló, Juan Hernandis, María Dolores Ruiz-Carmona, Natalia Uribe, Rafael García-Calvo, Juan Carlos Bernal, Juan García-Armengol, Eduardo García-Granero
INTRODUCTION THE AIM: was to analyse the stoma reversal rate after surgery for complicated acute diverticulitis (CAD), and more specifically the end-stoma-reversal, as well as the delay, feasibility, complications and risk factors for stoma maintenance. METHODS: A multicentre retrospective study of patients who had undergone urgent surgery for CAD with stoma formation in ten hospitals during a period of 6 years. The frequency of reversal over time and the factors affecting the decision for reversal were analysed...
May 2018: Cirugía Española
https://www.readbyqxmd.com/read/29420518/gabapentina-a-dosis-de-300-vs-450-mg-como-premedicaci%C3%A3-n-anest%C3%A3-sica-para-hipertensi%C3%A3-n-reactiva-ansiedad-y-analgesia
#7
Dulce María Rascón-Martínez, Joaquín Antonio Guzmán-Sánchez, Nora Paulina Corral-Urdapilleta, Gema Damaris Arguelles-Uribe, Jazmín Velázquez-Loeza, Gustavo Soto-Palma, Orlando Carrillo-Torres
Objetivo: Observar el comportamiento de la gabapentina para aminorar la hipertensión reactiva secundaria a ansiedad y dolor en pacientes sometidos a cirugía oftálmica, así como el consumo de opiáceos entre los grupos. Método: Ensayo clínico controlado aleatorizado y doble ciego que analizó a 125 pacientes divididos en tres grupos: grupo A, gabapentina 300 mg; grupo B, gabapentina 450 mg; grupo C, amaranto en grageas como control 2 horas antes del procedimiento quirúrgico...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29420516/efectos-de-una-intervenci%C3%A3-n-quir%C3%A3%C2%BArgica-menor-sobre-la-calidad-de-vida-en-ni%C3%A3-os-desde-diferentes-perspectivas
#8
Javier Brazo-Sayavera, Inés M Parejo-Cabezas, Narcís Gusi, Pedro R Olivares
Objetivo: Comparar la percepción de la calidad de vida relacionada con la salud (CVRS) de padres y médico con respecto al paciente en población infantil sometida a una intervención quirúrgica menor, y analizar la progresión de la CVRS tras un mes de someterse a la intervención. Método: Participaron 36 pacientes sometidos a intervenciones quirúrgicas menores. Se les administró el cuestionario EQ-5D-Y, y su versión proxy correspondiente a los padres y al médico...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/28902932/non-pharmacological-interventions-to-promote-the-sleep-of-patients-after-cardiac-surgery-a-systematic-review
#9
Fernanda de Souza Machado, Regina Claudia da Silva Souza, Vanessa Brito Poveda, Ana Lucia Siqueira Costa
Objective: to analyze evidence available in the literature concerning non-pharmacological interventions that are effective to treat altered sleep patterns among patients who underwent cardiac surgery. Method: systematic review conducted in the National Library of Medicine-National Institutes of Health, Cochrane Central Register of Controlled Trials, Latin American and Caribbean Health Sciences Literature, Scopus, Embase, Cumulative Index to Nursing and Allied Health Literature and PsycINFO databases, and also grey literature...
September 12, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28898467/mohs-micrographic-surgery-in-the-elderly-comparison-of-tumours-surgery-and-first-year-follow-up-in-patients-younger-and-older-than-80-years-old-in-regesmohs
#10
C Camarero-Mulas, Y Delgado Jiménez, O Sanmartín-Jiménez, J R Garcés, M A Rodríguez-Prieto, T Alonso-Alonso, R Miñano Medrano, J L López-Estebaranz, E de Eusebio Murillo, P Redondo, C Ciudad-Blanco, A Toll-Abelló, J L Artola Igarza, I Allende Markixana, R Suarez Fernández, A Alfaro Rubio, M L Alonso Pacheco, H Vázquez-Veiga, P de la Cueva Dobao, V Ruiz-Salas, E Vilarrasa Rull, L Barchino, V Morales-Gordillo, I Ocerin-Guerra, R Navarro Tejedor, L Hueso, M Mayor Arenal, M J Seoane-Pose, N Cano-Martinez, I Garcia-Doval, M A Descalzo
BACKGROUND: The elderly population is increasing and more patients in this group undergo Mohs micrographic surgery. The few publications investigating MMS in elderly people conclude that it is a safe procedure; however, these are single centre studies without a comparison group. OBJECTIVE: To compare the characteristics of patients, tumours, MMS, and one-year follow-up in patients younger than 80 years, with patients older than 80 years at the time of surgery. METHODS: Data was analysed from REGESMOHS, a prospective cohort study of patients treated with MMS...
September 12, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/28869178/review-of-the-role-of-the-sentinel-node-biopsy-in-neoadjuvant-chemotherapy-in-women-with-breast-cancer-and-negative-or-positive-axillary-node-at-diagnosis
#11
R Ruano Pérez, A C Rebollo Aguirre, P García-Talavera San Miguel, R Díaz Expósito, S Vidal-Sicart, J M Cordero García, D Carrera Salazar, M E Rioja Martín
The role of the selective sentinel node biopsy (SNB) is increasing in relevance in breast cancer women with indication of neoadjuvant chemotherapy (NAC). The Radiosurgery Working Group of the SEMNIM is aware of the necessity of establishing the need for SNB before or after NAC, and also how to manage patients with axillary node-negative or node-positive. There is sufficient data to assess that the SNB with radioisotope techniques are feasible and safe in all these scenarios. An adequate axilla evaluation prior to surgery and the possibility of marking prior to NAC the nodes infiltrated must be the two main pillars to guarantee the success of the SNB...
January 2018: Revista Española de Medicina Nuclear e Imagen Molecular
https://www.readbyqxmd.com/read/28807364/initial-results-of-the-oesophageal-and-gastric-cancer-registry-from-the-comunidad-valenciana
#12
Javier Escrig, Fernando Mingol, Roberto Martí, José Puche, Ramón Trullenque, José Antonio Barreras, Francisco Asencio, Javier Aguiló, José Manuel Navarro, Carmen Alberich, Dolores Salas, Francisco Javier Lacueva
AIMS: To evaluate the initial results of the oesophagogastric cancer registry developed for the Sociedad Valenciana de Cirugía and the Health Department of the Comunidad Valenciana (Spain). MATERIAL AND METHODS: Fourteen of the 24 public hospitals belonging to the Comunidad Valenciana participated. All patients with diagnosis of oesophageal or gastric carcinomas operated from January 2013 to December 2014 were evaluated. Demographic, clinical and pathological data were analysed...
August 11, 2017: Cirugía Española
https://www.readbyqxmd.com/read/28717739/liver-metastasectomy-and-systemic-therapy-improve-overall-survival-compared-with-surgery-alone-after-curative-liver-resection-of-colorectal-metastases-in-a-developing-country-costa-rica
#13
Paula Quesada-Soto, Denis Landaverde, Allan Ramos-Esquivel
BACKGROUND: Resection of liver-isolated metastases of colorectal cancer (CRC) offers the greatest likelihood of cure. Nevertheless, recurrence rates after this procedure are high, and chemotherapy is a reasonable choice with inconclusive evidence. We aimed to determine if there is a survival difference between patients receiving systemic therapy with surgery versus surgery alone for resection of liver metastases. METHODS: From a source population of 170 patients treated in our National Centre (Centro Nacional de Cirugía Hepatobiliar, San José, Costa Rica), with liver metastases from various primary sites, we selected 51 patients with CRC who underwent hepatic resection with curative intent...
February 2017: Journal of Global Oncology
https://www.readbyqxmd.com/read/28699994/safe-surgery-validation-of-pre-and-postoperative-checklists
#14
Francine Taporosky Alpendre, Elaine Drehmer de Almeida Cruz, Ana Maria Dyniewicz, Maria de Fátima Mantovani, Ana Elisa Bauer de Camargo E Silva, Gabriela de Souza Dos Santos
Objective: to develop, evaluate and validate a surgical safety checklist for patients in the pre and postoperative periods in surgical hospitalization units. Method: methodological research carried out in a large public teaching hospital in the South of Brazil, with application of the principles of the Safe Surgery Saves Lives Programme of the World Health Organization. The checklist was applied to 16 nurses of 8 surgical units and submitted for validation by a group of eight experts using the Delphi method online...
July 10, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28693020/propiedades-biomec%C3%A3-nicas-de-la-membrana-limitante-interna-tras-recibir-tratamiento-intrav%C3%A3-treo-con-ocriplasmina
#15
Franziska Vielmuth, Ricarda G Schumann, Volker Spindler, Armin Wolf, Renate Scheler, Wolfgang J Mayer, Paul B Henrich, Christos Haritoglou
Objetivo: Evaluar la rigidez de la membrana limitante interna (MLI) humana y evaluar los posibles cambios de las propiedades mecánicas tras administrar una inyección intravítrea de ocriplasmina para tratar la tracción vitreomacular. Métodos: Este estudio se compone de una serie de casos intervencionales y comparativos de 12 muestras de MLI extraídas mediante cirugía y obtenidas de forma consecutiva de 9 ojos de 9 pacientes después de someterse sin éxito a vitreólisis farmacológica con ocriplasmina...
2017: Ophthalmologica. Journal International D'ophtalmologie
https://www.readbyqxmd.com/read/28627185/adherence-and-tolerance-as-key-in-brake-on-weight-loss-in-cancer-patients-with-nutritional-risk-after-intervention-with-a-high-calorie-nutritional-and-specific-hyperproteic-supplement
#16
Jose M García Almeida, Yolanda Lupiáñez Pérez, Mercedes Blanco Naveira, Josefina Ruiz Nava, José Antonio Medina, Isabel Cornejo Pareja, Ana Gómez Pérez, María Molina Vega, José A López-Medina, Francisco Tinahones Madueño
Background: In patients with nutritional risk, the European Society for Clinical Nutrition and Metabolism (ESPEN) recommends nutritional supplements during cancer treatment to prevent weight loss. Objectives: Our goal is to determine the acceptability, compliance and tolerance of a hyperproteic, high-calorie, omega-3 enriched supplement in cancer patients. Methods: Unicentric, prospective observational study in cancer patients with hyperproteic, high-calorie, rich in omega 3 and low volume nutritional supplement...
June 5, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28625557/-more-than-3-hours-and-less-than-3-years-safety-of-anaesthetic-procedures-in-infants-less-than-3-years-old-subected-to-surgery-for-more-the-3-hours
#17
Julián Álvarez Escudero, Rosa María Paredes Esteban, Francisco José Cambra Lasaosa, Máximo Vento, Maite López Gil, Juan Carlos de Agustín Asencio, María Teresa Moral Pumarega
An FDA alert in December 2016 on the safety of general anesthesia and sedations in patients less than 3 years of age and pregnant women has raised doubts in relation to the attitude that professionals implicated in these procedures should adopt in relation to these specific group of patients. Confronted with this situation, the following medical scientific societies: Sociedad Española de Anestesia y Reanimación (SEDAR), Sociedad Española de Cirugía Pediátrica (SECP), Sociedad Española de Cuidados Intensivos Pediátricos (SECIP) y Sociedad Española de Neonatología (SENeo), have established a working group to analyze and clarify the safety of these techniques...
June 15, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28614429/clinical-and-epidemiological-aspects-of-cornea-transplant-patients-of-a-reference-hospital
#18
Giovanna Karinny Pereira Cruz, Isabelle Campos de Azevedo, Diana Paula de Souza Rego Pinto Carvalho, Allyne Fortes Vitor, Viviane Euzébia Pereira Santos, Marcos Antonio Ferreira
Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus...
June 8, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28562746/perioperative-fasting-time-among-cancer-patients-submitted-to-gastrointestinal-surgeries
#19
Nayara de Castro Pereira, Ruth Natalia Teresa Turrini, Vanessa de Brito Poveda
OBJECTIVE: To identify the length of perioperative fasting among patients submitted to gastrointestinal cancer surgeries. METHOD: Retrospective cohort study, developed by consulting the medical records of 128 patients submitted to gastrointestinal cancer surgeries. RESULTS: The mean of total length of fasting was 107.6 hours. The total length of fasting was significantly associated with the number of symptoms presented before (p=0.000) and after the surgery (p=0...
May 25, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28545711/cirug%C3%A3-a-espa%C3%A3-ola-evolution-and-continuity
#20
EDITORIAL
Eduardo M Targarona, Matteo Frasson, José María Balibrea, Manuel López-Cano, Antonio Ríos, Joana Ferrer
No abstract text is available yet for this article.
May 2017: Cirugía Española
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