La técnica del ganglio centinela en pacientes con melanoma

Resumen Introduccion y objetivos Actualmente existe un aumento mundial de la incidencia de melanoma. Su pronostico depende entre otros factores de la existencia de metastasis en los ganglios linfaticos regionales. La realizacion de la biopsia del ganglio centinela persigue la identificacion de metastasis ganglionares subclinicas como factor pronostico de la enfermedad. El presente estudio tiene por objetivo estudiar las diferencias entre los pacientes con melanoma, positivos y negativos a la biopsia del ganglio centinela, y analizar el impacto de esta tecnica en su pronostico. Material y metodos Se realizo biopsia del ganglio centinela a los pacientes con melanomas de espesor Breslow ≥1 mm …

742: Antiaggregation in Carotid Surgery and Cervical Cervical Plexus Block

Retrospective Study of Patients Diagnosed With Sweet Syndrome in the Health Area of a Tertiary Hospital in the Autonomous Community of Valencia

Sweet syndrome is the most characteristic of the neutrophilic dermatoses. We performed a retrospective study of patients with Sweet syndrome seen in our department between 2001 and 2009, inclusive; the aims were to define the patient profile and to evaluate the clinical and epidemiological differences between subgroups. There were 24 patients (13 women and 11 men). The age distribution was similar in both sexes and showed 2 peaks, one in the fourth decade and the other in the eighth decade. The etiology was predominantly infectious or inflammatory, followed by the idiopathic form. There were 4 cases of paraneoplastic disease, 2 of which involved solid-organ tumors. One case was associated w…

Bispectral index changes in carotid surgery.

Intraoperative monitoring of cerebral ischemia with shunting during carotid endarterectomy (CEA) remains controversial. Our objective was to evaluate the sensitivity and specificity of BIS changes during carotid clamping in relation to shunted patients in awake CEA.Eighty CEAs under cervical block were included. There were two patient groups: with clinical signs of cerebral ischemia (shunted patients) and without signs of cerebral ischemia (nonshunted patients). Data were based on bispectral index (BIS) values and neurological monitoring at different surgery time points, with special attention paid during carotid clamping. BIS values were compared between shunted and nonshunted patients. Se…

Estudio retrospectivo de pacientes diagnosticados de síndrome de Sweet en el área de un hospital terciario de la Comunidad Valenciana

Resumen El sindrome de Sweet (SS) es la mas caracteristica de todas las dermatosis neutrofilicas. Para definir el perfil de los pacientes diagnosticados de SS en nuestro Departamento y evaluar las diferencias clinico-epidemiologicas entre subgrupos, hemos realizado un estudio retrospectivo desde 2001 a 2009, ambos inclusive. Han sido incluidos 24 pacientes (13 mujeres y 11 hombres). La distribucion por edades es similar en todos los grupos con dos picos: entre los 30-39 y los 70-79 anos. Respecto a la etiologia predomina el grupo que incluye los casos infecciosos e inflamatorios, seguido del grupo de etiologia idiopatica. De los 4 casos paraneoplasicos dos correspondian a neoplasias de orga…