Search results for "030230 surgery"

Cirugía mayor ambulatoria en patología mamaria

2020

Resumen Introduccion El tratamiento quirurgico de la patologia mamaria (PM) ha evolucionado aumentando su manejo como cirugia mayor ambulatoria (CMA). El objetivo de este estudio es analizar una serie de pacientes intervenidas de PM en regimen de CMA durante el ano 2017 para evaluar su calidad y seguridad. Metodos Se realiza analisis retrospectivo de las pacientes intervenidas de PM en el Consorcio Hospital General Universitario de Valencia desde enero hasta diciembre del 2017 incluidos en programa de CMA, estudiando el numero de pacientes, los motivos de exclusion, el tipo de procedimientos quirurgicos realizados, el indice de sustitucion (IS), la tasa de ingreso (TI) y las causas de conve…

Cirugía bariátrica de conversión por fallo de la técnica inicial: 25 años de experiencia en una Unidad especializada de Cirugía de la Obesidad en Esp…

2019

Resumen Objetivos Valorar la eficacia de la cirugia de conversion en una unidad de cirugia bariatrica con 25 anos de experiencia. Metodo Estudio observacional retrospectivo de pacientes con obesidad tipo II o superior reintervenidos mediante cirugia de conversion por reganancia de peso, indice de masa corporal (IMC) residual > 35 kg/m2 o perdida Resultados Se incluyeron un total de 112 pacientes con una media de edad de 40,2 anos intervenidos inicialmente mediante gastroplastia vertical anillada (GVA) (32,1%), banda gastrica ajustable (BGA) (23,2%), bypass gastrico en Y de Roux (BGYR) (21,4%) y gastrectomia vertical (GV) (23,2%). Las tecnicas de conversion, realizadas tras una mediana de 70…

Eficacia y eficiencia de un programa especial para la disminución de la lista de espera de cirugía bariátrica en un hospital terciario

2021

Resumen Introduccion La cirugia bariatrica es uno de los procedimientos quirurgicos mas realizados en Espana, sin embargo actualmente es la cirugia con mayor demora en la lista de espera quirurgica (LEQ). Para disminuir la LEQ se pone en marcha un programa especial de autoconcertacion, y se quiere valorar su utilidad, estudiando las repercusiones clinicas y economicas en una unidad de alto volumen de cirugia bariatrica. Metodos Se realizo un estudio prospectivo de 3 meses comparando evolucion, resultados y consumo de recursos perioperatorios de 45 pacientes operados de cirugia bariatrica, divididos en 2 grupos, pacientes operados en quirofano de forma estandar y pacientes operados en progra…

The Deep Lingual Artery Axial Propeller flap in intraoral reconstructions

2016

Editorial

"Free or Perforator-Pedicled Propeller Flaps in Lower Extremity Reconstruction: Defining the Coverage Failure": Response.

2018

JC Virus and Lung Adenocarcinoma: Fact or Myth?

2017

Background/aim An association has been reported between lung cancer and John Cunningham (JC) virus infection. The aim of this study was to evaluate the prevalence of JC virus in a small cohort of patients with lung adenocarcinoma and assess its presence in nodal metastasis. Materials and methods Consecutive samples of 13 surgically-removed lung tumors and 13 surrounding normal cancer-free tissues were selected. Five cases included metastatic lymph nodes. JC virus infection was assessed through nested PCR. Results Seven out of thirteen patients with lung adenocarcinoma had a positive PCR test for JC virus. One of the five patients with nodal metastasis had a positive PCR test for JC virus. N…

Student nurses at Spanish universities and their attitude toward xenotransplantation.

2019

INTRODUCTION: Recent immunological and transgenic advances are a promising alternative using limited materials of human origin for transplantation. However, it is essential to achieve social acceptance of this therapy. OBJECTIVE: To analyze the attitude of nursing students from Spanish universities toward organ xenotransplantation (XTx) and to determine the factors affecting their attitude. MATERIALS AND METHODS: Type of study: A sociological, multicentre, and observational study. STUDY POPULATION: Nursing students enrolled in Spain (n = 28,000). SAMPLE SIZE: A sample of 10 566 students estimating a proportion of 76% (99% confidence and precision of ±1%), stratified by geographical area and…

Non-invasive Biomarkers of Acute Rejection in Kidney Transplantation: Novel Targets and Strategies

2019

Abstract: Kidney transplantation is considered the favored treatment for patients suffering from end-stage renal disease, since successful transplantation is associated with longer survival and improved quality of life compared to dialysis. Alloreactive immune responses against the donor kidney may lead to acute rejection of the transplant. The current diagnosis of renal allograft rejection mainly relies on clinical monitoring, including serum creatinine, proteinuria, and confirmation by histopathologic assessment in the kidney transplant biopsy. These parameters have their limitations. Identification and validation of biomarkers, which correlate with or predict the presence of acute reject…

Expanding role of cytomegalovirus as a human pathogen

2016

Cytomegalovirus (CMV) continues to be a leading cause of morbidity and mortality in transplant recipients, despite major advancements in preventative strategies. Antiviral prophylaxis and pre-emptive antiviral therapeutic regimens are associated with a high incidence of late-onset end-organ disease and cause drug-related toxicity when overused. Therefore, the identification of risk factors for CMV replication is required. Genetic and immunological factors that predispose individuals to CMV-related clinical complications have been identified and may be instrumental for optimizing CMV treatment in the future. Evidence suggests a causal pathogenetic link between CMV-related complications and i…

Cytomegalovirus infection management in solid organ transplant recipients across European centers in the time of molecular diagnostics: An ESGICH sur…

2017

Background Scant information is available about how transplant centers are managing their use of quantitative molecular testing (QNAT) assays for active cytomegalovirus (CMV) infection monitoring in solid organ transplant (SOT) recipients. The current study was aimed at gathering information on current practices in the management of CMV infection across European centers in the era of molecular testing assays. Methods A questionnaire-based cross-sectional survey study was conducted by the European Study Group of Infections in Immunocompromised Hosts (ESGICH) of the Society of Clinical Microbiology and Infectious Diseases (ESCMID). The invitation and a weekly reminder with a personal link to …