Pub Date : 2024-11-01DOI: 10.1016/j.ciresp.2023.11.006
{"title":"Las complicaciones en cirugía. Algo más que una asimetría de género","authors":"","doi":"10.1016/j.ciresp.2023.11.006","DOIUrl":"10.1016/j.ciresp.2023.11.006","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 571-572"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139391971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.ciresp.2024.05.019
Manuel López Cano
{"title":"¿Son los cirujanos la peor parte de la cirugía?","authors":"Manuel López Cano","doi":"10.1016/j.ciresp.2024.05.019","DOIUrl":"10.1016/j.ciresp.2024.05.019","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 605-606"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.ciresp.2024.08.001
Benigno Acea-Nebril, Alejandra García-Novoa, Sergio Rodríguez-Rojo, Carlota Díaz-Carballada, Alberto Bouzón-Alejandro
Introduction
During oncoplastic procedures, the vascularization and perfusion of the skin flaps is modified, thus increasing the possibility of skin necrosis.
The objective of this study is to evaluate the effectiveness of indocyanine color green angiography (ICG-A) to determine intraoperative skin necrosis after oncoplastic surgery or skin-sparing or nipple-skin sparing mastectomy (NSSM).
Patients and method
Prospective observational study to evaluate the sensitivity, specificity and positive and negative predictive values of the ICG-A in women with high-risk breast cancer.
Results
98 women and 156 breasts were included in the study. A total of 20 women (20.4%) presented an image of ischemia in the ICG-A. 21 women (21.4%) presented ischemic events in the postoperative period, 71.4% of these events had been detected in the third ICG-A. Three of these patients (3.1%) presented a serious complication that required reintervention. The sensitivity and specificity of the A-VIC was 71.4% and 93.5%, respectively.
Conclusions
ICG-A has high specificity and negative predictive value for detecting areas of low perfusion. In breast units with highly complex surgery, it can be useful to plan extreme surgeries and identify skin areas of low perfusion.
{"title":"Evaluación de la eficacia y concordancia de la angiografía con verde de indocianina en la cirugía oncoplástica y reconstructiva de la mama. resultados preliminares del estudio prospectivo gBREAST-22","authors":"Benigno Acea-Nebril, Alejandra García-Novoa, Sergio Rodríguez-Rojo, Carlota Díaz-Carballada, Alberto Bouzón-Alejandro","doi":"10.1016/j.ciresp.2024.08.001","DOIUrl":"10.1016/j.ciresp.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>During oncoplastic procedures, the vascularization and perfusion of the skin flaps is modified, thus increasing the possibility of skin necrosis.</div><div>The objective of this study is to evaluate the effectiveness of indocyanine color green angiography (ICG-A) to determine intraoperative skin necrosis after oncoplastic surgery or skin-sparing or nipple-skin sparing mastectomy (NSSM).</div></div><div><h3>Patients and method</h3><div>Prospective observational study to evaluate the sensitivity, specificity and positive and negative predictive values of the ICG-A in women with high-risk breast cancer.</div></div><div><h3>Results</h3><div>98 women and 156 breasts were included in the study. A total of 20 women (20.4%) presented an image of ischemia in the ICG-A. 21 women (21.4%) presented ischemic events in the postoperative period, 71.4% of these events had been detected in the third ICG-A. Three of these patients (3.1%) presented a serious complication that required reintervention. The sensitivity and specificity of the A-VIC was 71.4% and 93.5%, respectively.</div></div><div><h3>Conclusions</h3><div>ICG-A has high specificity and negative predictive value for detecting areas of low perfusion. In breast units with highly complex surgery, it can be useful to plan extreme surgeries and identify skin areas of low perfusion.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 573-581"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.ciresp.2024.04.015
Salvador Morales-Conde , Juan Carlos Gómez Rosado , Stavros A. Antoniou
{"title":"Network metaanálisis: concepto y valor en la aplicación práctica","authors":"Salvador Morales-Conde , Juan Carlos Gómez Rosado , Stavros A. Antoniou","doi":"10.1016/j.ciresp.2024.04.015","DOIUrl":"10.1016/j.ciresp.2024.04.015","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 607-608"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.ciresp.2024.07.009
Francisco J. Gómez Valle , Cristina Rivas Duarte , Oscar Colmenares Mendoza , María Teresa Gómez Hernández
{"title":"Uncommon anatomical variation of the origin of the right upper pulmonary vein detected by 3D reconstruction prior to robotic segmentectomy","authors":"Francisco J. Gómez Valle , Cristina Rivas Duarte , Oscar Colmenares Mendoza , María Teresa Gómez Hernández","doi":"10.1016/j.ciresp.2024.07.009","DOIUrl":"10.1016/j.ciresp.2024.07.009","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 612-613"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.ciresp.2024.04.005
Víctor Soria Aledo , Andrés Carrillo-Alcaraz
{"title":"Criterios de calidad de una revisión sistemática y/o metaanálisis","authors":"Víctor Soria Aledo , Andrés Carrillo-Alcaraz","doi":"10.1016/j.ciresp.2024.04.005","DOIUrl":"10.1016/j.ciresp.2024.04.005","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 609-611"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Results of the implementation of a specialized cervical tracheal surgery program","authors":"Usue Caballero-Silva, Sara Fra-Fernández, C.ristina Cavestany García-Matres, Albarto Cabañero-Sánchez, Nicolás Moreno-Mata","doi":"10.1016/j.ciresp.2024.05.017","DOIUrl":"10.1016/j.ciresp.2024.05.017","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 617-619"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}