Pub Date : 2025-07-01DOI: 10.1016/j.ciresp.2025.800107
Miriam Abellán Lucas , Marc Vallve-Bernal
{"title":"Comunicación con los pacientes y sus familiares: cómo dar malas noticias","authors":"Miriam Abellán Lucas , Marc Vallve-Bernal","doi":"10.1016/j.ciresp.2025.800107","DOIUrl":"10.1016/j.ciresp.2025.800107","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800107"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633600","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 : 2025-07-01DOI: 10.1016/j.ciresp.2025.800117
Salvador Argudo Garijo , Félix Javier Jiménez Jiménez , Jessie Ramírez Calderón , Ariel Christian Jullien Petrelli , Javier del Corral Rodríguez , Miguel Hernández García , María García-Conde Delgado , Alfredo Alonso Poza
Introduction
Preoperative treatment with botulinum toxin is very common in complex incisional hernias, although it lacks clear indications.
Methods
Between July 2019 and May 2022, measurements of the thickness and length of the lateral abdominal wall, transverse diameter of the abdomen and diameter of the hernia defect were taken from patient CT scans both pre- and post-treatment with botulinum toxin at our hospital. In order to establish differences between patients with lateral and midline hernias, a logistic regression analysis was performed.
Results
The study included 23 patients: 17 had midline hernias, and 6 had lateral hernias (4 right and 2 bilateral). We observed increased length of the right wall (1.15 ± 1.64 cm; P = .0029), left wall (1.96 ± 1.74 cm; P < .0001) and transverse abdominal diameter (2.85 ± 4.83 cm; P < .0001), and a reduction in the thickness of the right (−0.54 ± 0.53 cm; P < .0001) and left walls (−0.58 ± 0.42 cm; P < .0001). There were no differences in the transverse diameter of the defect (−0.01 ± 1.37 cm; P = .4593). After logistic regression, increased right wall length (OR 14.99; 95%CI 1.58-142.12) and transverse abdominal diameter (OR 9.33; 95%CI 1.13-76.68) was more likely to be observed in patients with midline hernias than in those with lateral locations.
Conclusions
Preoperative treatment with botulinum toxin appears to be more effective in patients with midline hernias than in those with lateral locations.
{"title":"Estudio de los cambios morfológicos observados en TC de abdomen en el tratamiento preoperatorio con toxina botulínica tipo A en pacientes con hernias incisionales localizadas en línea media o con componente lateral","authors":"Salvador Argudo Garijo , Félix Javier Jiménez Jiménez , Jessie Ramírez Calderón , Ariel Christian Jullien Petrelli , Javier del Corral Rodríguez , Miguel Hernández García , María García-Conde Delgado , Alfredo Alonso Poza","doi":"10.1016/j.ciresp.2025.800117","DOIUrl":"10.1016/j.ciresp.2025.800117","url":null,"abstract":"<div><h3>Introduction</h3><div>Preoperative treatment with botulinum toxin is very common in complex incisional hernias, although it lacks clear indications.</div></div><div><h3>Methods</h3><div>Between July 2019 and May 2022, measurements of the thickness and length of the lateral abdominal wall, transverse diameter of the abdomen and diameter of the hernia defect were taken from patient CT scans both pre- and post-treatment with botulinum toxin at our hospital. In order to establish differences between patients with lateral and midline hernias, a logistic regression analysis was performed.</div></div><div><h3>Results</h3><div>The study included 23 patients: 17 had midline hernias, and 6 had lateral hernias (4 right and 2 bilateral). We observed increased length of the right wall (1.15<!--> <!-->±<!--> <!-->1.64<!--> <!-->cm; <em>P</em> <!-->=<!--> <!-->.0029), left wall (1.96<!--> <!-->±<!--> <!-->1.74<!--> <!-->cm; <em>P</em> <!--><<!--> <!-->.0001) and transverse abdominal diameter (2.85<!--> <!-->±<!--> <!-->4.83<!--> <!-->cm; <em>P</em> <!--><<!--> <!-->.0001), and a reduction in the thickness of the right (−0.54<!--> <!-->±<!--> <!-->0.53<!--> <!-->cm; <em>P</em> <!--><<!--> <!-->.0001) and left walls (−0.58<!--> <!-->±<!--> <!-->0.42<!--> <!-->cm; <em>P</em> <!--><<!--> <!-->.0001). There were no differences in the transverse diameter of the defect (−0.01<!--> <!-->±<!--> <!-->1.37<!--> <!-->cm; <em>P</em> <!-->=<!--> <!-->.4593). After logistic regression, increased right wall length (OR 14.99; 95%CI 1.58-142.12) and transverse abdominal diameter (OR 9.33; 95%CI 1.13-76.68) was more likely to be observed in patients with midline hernias than in those with lateral locations.</div></div><div><h3>Conclusions</h3><div>Preoperative treatment with botulinum toxin appears to be more effective in patients with midline hernias than in those with lateral locations.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800117"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633608","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 : 2025-07-01DOI: 10.1016/j.ciresp.2025.800123
Julio Cesar Alfaro Varela
The Nobel Prize is an international recognition awarded to individuals who have made significant contributions to humanity. The areas that are recognized are Physics, Chemistry, Physiology or Medicine, Literature, and Peace. With more than 100 years of existence, only 10 surgeons have been recipients of this recognition. Their contributions range from cardiac catheterization, the discovery of insulin to the beginning of the modern era of organ transplantation. These surgeons through their research have greatly contributed to modern medicine, saving, and improving quality of life of millions of human beings. This article will describe a brief history of the surgeons and their contribution to medical advances that allowed them to be recognized with the Nobel Prize in physiology or medicine.
{"title":"Premios Nobel y cirugía","authors":"Julio Cesar Alfaro Varela","doi":"10.1016/j.ciresp.2025.800123","DOIUrl":"10.1016/j.ciresp.2025.800123","url":null,"abstract":"<div><div>The Nobel Prize is an international recognition awarded to individuals who have made significant contributions to humanity. The areas that are recognized are Physics, Chemistry, Physiology or Medicine, Literature, and Peace. With more than 100 years of existence, only 10 surgeons have been recipients of this recognition. Their contributions range from cardiac catheterization, the discovery of insulin to the beginning of the modern era of organ transplantation. These surgeons through their research have greatly contributed to modern medicine, saving, and improving quality of life of millions of human beings. This article will describe a brief history of the surgeons and their contribution to medical advances that allowed them to be recognized with the Nobel Prize in physiology or medicine.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800123"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633611","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 : 2025-07-01DOI: 10.1016/j.ciresp.2025.800148
Robert Memba Ikuga, Alba Varona Mancilla, Mihai C Pavel, Rosa Jorba-Martín
{"title":"Aloinjerto arterial criopreservado para la reconstrucción de la vena mesentérica superior tras duodenopancreatectomía cefálica con resección venosa","authors":"Robert Memba Ikuga, Alba Varona Mancilla, Mihai C Pavel, Rosa Jorba-Martín","doi":"10.1016/j.ciresp.2025.800148","DOIUrl":"10.1016/j.ciresp.2025.800148","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800148"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633928","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 : 2025-07-01DOI: 10.1016/j.ciresp.2025.800152
Jasone Larrea Oleaga , Aingeru Sarriugarte Lasarte , Hector Marín Ortega , Miguel Durá Gil , Ignacio Casado Morentin , Rul Saa Álvarez
A series of 6 cases was analyzed in which endoscopic ultrasound-guided cholecystoduodenostomy was performed because biliary stent placement by ERCP was not possible for the treatment of malignant obstructive jaundice prior to pancreaticoduodenectomy. The Hot-Axios® device was used in combination with a coaxial pigtail. No complications were reported related to the procedure or associated with pancreaticoduodenectomy. Endoscopic ultrasound-guided cholecystoduodenostomy has been shown to be a safe and effective procedure for preoperative improvement of jaundice in these patients. The fact that it can be performed simultaneously with the failed ERCP, without delaying surgery, and the absence of complications or worsening prognosis makes it an effective and safe alternative to percutaneous transhepatic biliary drainage.
{"title":"Drenaje de vía biliar mediante colecistoduodenostomía endoscópica como puente a duodenopancreatectomía por ictericia obstructiva de origen maligno","authors":"Jasone Larrea Oleaga , Aingeru Sarriugarte Lasarte , Hector Marín Ortega , Miguel Durá Gil , Ignacio Casado Morentin , Rul Saa Álvarez","doi":"10.1016/j.ciresp.2025.800152","DOIUrl":"10.1016/j.ciresp.2025.800152","url":null,"abstract":"<div><div>A series of 6 cases was analyzed in which endoscopic ultrasound-guided cholecystoduodenostomy was performed because biliary stent placement by ERCP was not possible for the treatment of malignant obstructive jaundice prior to pancreaticoduodenectomy. The Hot-Axios® device was used in combination with a coaxial pigtail. No complications were reported related to the procedure or associated with pancreaticoduodenectomy. Endoscopic ultrasound-guided cholecystoduodenostomy has been shown to be a safe and effective procedure for preoperative improvement of jaundice in these patients. The fact that it can be performed simultaneously with the failed ERCP, without delaying surgery, and the absence of complications or worsening prognosis makes it an effective and safe alternative to percutaneous transhepatic biliary drainage.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800152"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633925","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}
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