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Cirugia Espanola最新文献

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Laparoscopic TAPP repair of inguinal tubo-ovarian hernia: an uncommon presentation of inguinal hernia in adult women 腹腔镜 TAPP 修补术治疗腹股沟输卵管卵巢疝：成年女性腹股沟疝的一种罕见表现形式
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.01.013
Cecilia Meliga, Siyuan Qian Zhang, Manuel Escanciano Escanciano, Víctor Domínguez Prieto
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引用次数: 0
Manejo quirúrgico de hernia intraparietal recurrente tras disrupción de la línea semilunar por incisión pararectal 通过直肠旁切口破坏月骨线后复发性顶叶内疝的手术治疗方法
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.05.012
Jose Carlos Vaqué Alcázar, Elena Martinez Guerrero, Genesis Para Eslava, Jetzabel Soria Estrems, Natalia Uribe Quintana
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引用次数: 0
Clinical trial on nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes 通过虚拟现实模拟手术室进行护士培训的临床试验：评估满意度和成果
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.04.016
Jon Zabaleta , Amaya Blasco , Tanit Esnal , Borja Aguinagalde , Iker J. López , Arantza Fernandez-Monge , Jon A. Lizarbe , Jaime Báez , Javier Aldazabal

Introduction

Virtual reality (VR) provides a firsthand active learning experience through varying degrees of immersion. The aim of this study is to evaluate the use of VR as a potential tool for training operating room nurses to perform thoracic surgery procedures.

Methods

This is an open parallel-group randomized clinical trial. One group received basic formation followed by an assessment module. The experimental group received the same basic formation, followed by thoracic surgery training and an assessment module.

Results

Fifty-six nurses participated in the study (51 females), with a mean age of 41.6 years. Participants achieved a median evaluation mode score of 480 points (IQR = 32 points). The experimental group (520 points) achieved an overall higher score than the control group (440 points; P = .04). Regarding age, women in the second quartile of age among the participants (35–41 years) achieved significantly better results than the rest (P = .04). When we evaluated the results based on the moment of practice, exercises performed in the last 10 min obtained better results than those performed in the first 10 min (1064 points versus 554 points; P < .001). Regarding adverse effects blurred vision was the most frequent. The overall satisfaction rating with the experience was 8.5 out of 10.

Conclusion

Virtual reality is a useful tool for training operating room nurses. Clinical trial with ISRCTN16864726 registered number.

引言 虚拟现实（VR）通过不同程度的沉浸感提供了第一手的主动学习体验。本研究旨在评估将 VR 用作培训手术室护士执行胸外科手术的潜在工具。一组接受基础培训，然后是评估模块。结果56名护士（51名女性）参加了研究，平均年龄41.6岁。参与者的评估模式得分中位数为 480 分（IQR = 32 分）。实验组（520 分）的总分高于对照组（440 分；P = .04）。在年龄方面，参与者中年龄处于第二四分位数（35-41 岁）的女性取得的成绩明显优于其他女性（P = .04）。当我们根据练习时间来评估结果时，最后 10 分钟进行的练习比前 10 分钟进行的练习效果更好（1064 分对 554 分；P <.001）。关于不良反应，最常见的是视力模糊。结论虚拟现实技术是培训手术室护士的有用工具。注册号为 ISRCTN16864726 的临床试验。
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引用次数: 0
Fístula aortoentérica, aún continúa siendo un reto diagnóstico 肠主动脉瘘，仍是诊断难题
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.03.004
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引用次数: 0
Estandarización de la definición de los tipos de colectomía oncológica. Método Delphi para consenso de expertos de la Asociación Española de Cirujanos 肿瘤结肠切除术类型定义的标准化。西班牙外科医生协会通过德尔菲法达成专家共识。
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.05.009
Alvaro Garcia-Granero , Gonzalo P Martín-Martín , Paula Dujovne-Lindenbaum , Carlos J Alvarez Laso , Carlos Cerdán-Santacruz , Blas Flor-Lorente , Sebastiano Biondo

There is no international consensus on the definition of the type of oncological resection that corresponds to each of the colectomies existing in the current literature.

The objective is to define for each colectomy described in the literature: embryological dissection plane, vascular pedicles in which to perform central ligation, the extent of the colectomy and the need for resection of the greater omentum.

A consensus of experts is carried out through the Delphi methodology through two rounds from the Coloproctology Section of the Spanish Association of Surgeons. Study period: November 2021-January 2023. 120 experts were surveyed.

Degrees of consensus: Very strong: >90%, strong: 80-90%, moderate: 50-80%, non-consensus: < 50%.

The definition for each oncological colectomy was established by very strong and strong recommendations.

Each oncological colectomy was established by right hemicolectomy (RHC), RHC with D3 lymphadenectomy, extended-RHC, transverse colon segmentary colectomy, splenic flexure segmentary colectomy, subtotal colectomy, total, left hemicolectomy (LHC), extended-LHC, sigmoidectomy.

该研究的目的是为文献中描述的每种结肠切除术确定：胚胎学解剖平面、进行中央结扎的血管蒂、结肠切除术的范围以及切除大网膜的必要性。西班牙外科医生协会结肠直肠分会的专家们通过德尔菲法进行了两轮讨论，达成了共识。研究时间研究时间：2021 年 11 月至 2023 年 1 月。120 名专家接受了调查：共识度：非常强烈：90%；强烈：80-90%；中等：50-80%；无共识：50-80%：每种肿瘤性结肠切除术的定义由非常强烈和强烈建议确定。每种肿瘤性结肠切除术由右半结肠切除术（RHC）、带 D3 淋巴腺切除术的右半结肠切除术、扩展-RHC、横结肠分段结肠切除术、脾曲分段结肠切除术、结肠次全切除术、全切除术、左半结肠切除术（LHC）、扩展-LHC、乙状结肠切除术确定。
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引用次数: 0
Interpretación y lectura crítica de una revisión sistemática y/o metaanálisis 解读和批判性阅读系统综述和/或荟萃分析
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.04.004
Andrés Carrillo-Alcaraz , Víctor Soria Aledo
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引用次数: 0
Neurofibroma del nervio vago como hallazgo incidental durante linfadenectomía laterocervical por cáncer papilar de tiroides 甲状腺乳头状癌颈后淋巴结切除术中偶然发现的迷走神经神经纤维瘤
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2023.12.003
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引用次数: 0
Uso de la revisión sistemática y el metaanálisis en cirugía. Calidad, áreas deficitarias y puntos de mejora 在外科手术中使用系统综述和荟萃分析。质量、薄弱环节和有待改进之处
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.04.002
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引用次数: 0
Why are we so sceptical about the omission of antibiotics in patients with acute uncomplicated diverticulitis? 为什么我们对急性无并发症憩室炎患者不使用抗生素持怀疑态度？
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.07.004
Gianluca Pellino, Eloy Espín-Basany
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引用次数: 0
¿Macroadenoma paratiroideo quístico o quiste de duplicación esofágico? Una presentación infrecuente de una patología habitual 甲状旁腺囊性大腺瘤还是食管重复囊肿？常见病理的罕见表现
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.03.005
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引用次数: 0
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