首页 > 最新文献

Cirugia Y Cirujanos最新文献

英文 中文
[Extremity soft tissue sarcoma: does surgical margin impact survival?] [肢体软组织肉瘤:手术切缘对存活率有影响吗?]
IF 0.5 4区 医学 Q3 Medicine Pub Date : 2023-12-07 DOI: 10.24875/CIRU.22000202
Rafael Medrano-Guzmán, Moises Brener-Chaoul, Luis E García-Ríos, Marisol Luna-Castillo

Objective: To define the impact of surgical margins on local recurrence (LR), distant recurrence (DR) and overall survival (OS) in patients with soft tissue sarcomas of the extremities (eSTS).

Method: Patients treated for a primary eSTS from 2006 to 2010 were analyzed. Rates of local recurrence, distant recurrence, and overall survival were estimated using the Kaplan-Meier method. The association of possible prognostic factors such as local recurrence, metastasis, and survival was performed using the Cox proportional hazards model.

Results: 128 patients were analyzed. The surgical margins were positive (R1 resection) in 22.7% and negative in 77.3%. The LR was 27%, the DR was 13% (70% of the population was free of disease at 5 years) and OS at 5 years was 84%. The prognostic factors for OS at 5 years were clinical stage, type and histological grade. The surgical margin had no impact on OS.

Conclusions: Although an adequate oncological resection cannot be underestimated, this should be considered in the decision of the optimal treatment of eSTS when amputation or significant functional impairment of the limb is required to obtain negative surgical margins.

目的:确定手术切缘对四肢软组织肉瘤(eSTS)患者局部复发(LR)、远处复发(DR)和总生存率(OS)的影响:明确手术切缘对四肢软组织肉瘤(eSTS)患者局部复发(LR)、远处复发(DR)和总生存率(OS)的影响:方法:对2006年至2010年接受原发性肢端软组织肉瘤治疗的患者进行分析。采用卡普兰-梅耶法估算了局部复发率、远处复发率和总生存率。采用考克斯比例危险模型对局部复发、转移等可能的预后因素与生存率之间的关系进行分析:分析了 128 例患者。22.7%的患者手术切缘为阳性(R1切除),77.3%为阴性。LR为27%,DR为13%(70%的患者在5年后无疾病),5年后的OS为84%。5年生存率的预后因素包括临床分期、类型和组织学分级。手术切缘对OS没有影响:尽管不能低估充分的肿瘤切除,但在决定 eSTS 的最佳治疗方法时,如果需要截肢或肢体功能严重受损才能获得阴性手术切缘,则应考虑到这一点。
{"title":"[Extremity soft tissue sarcoma: does surgical margin impact survival?]","authors":"Rafael Medrano-Guzmán, Moises Brener-Chaoul, Luis E García-Ríos, Marisol Luna-Castillo","doi":"10.24875/CIRU.22000202","DOIUrl":"10.24875/CIRU.22000202","url":null,"abstract":"<p><strong>Objective: </strong>To define the impact of surgical margins on local recurrence (LR), distant recurrence (DR) and overall survival (OS) in patients with soft tissue sarcomas of the extremities (eSTS).</p><p><strong>Method: </strong>Patients treated for a primary eSTS from 2006 to 2010 were analyzed. Rates of local recurrence, distant recurrence, and overall survival were estimated using the Kaplan-Meier method. The association of possible prognostic factors such as local recurrence, metastasis, and survival was performed using the Cox proportional hazards model.</p><p><strong>Results: </strong>128 patients were analyzed. The surgical margins were positive (R1 resection) in 22.7% and negative in 77.3%. The LR was 27%, the DR was 13% (70% of the population was free of disease at 5 years) and OS at 5 years was 84%. The prognostic factors for OS at 5 years were clinical stage, type and histological grade. The surgical margin had no impact on OS.</p><p><strong>Conclusions: </strong>Although an adequate oncological resection cannot be underestimated, this should be considered in the decision of the optimal treatment of eSTS when amputation or significant functional impairment of the limb is required to obtain negative surgical margins.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40704445","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}
引用次数: 0
Clinical outcomes and radiological assessment of vascular anatomy in patients who underwent D3 left hemicolectomy. D3 左半结肠切除术患者的临床疗效和血管解剖放射学评估。
IF 0.5 4区 医学 Q3 Medicine Pub Date : 2023-12-07 DOI: 10.24875/CIRU.22000425
Stepan Y Grytsenko, Ihor Y Dzyubanovsky, Anatoliy D Bedeniuk, Ivanna Y Hrytsenko, Andriy M Prodan

Background: Adequate blood supply is one of the key factors for colorectal anastomosis healing. Various variants of vascular anatomy often come as a surprise to surgeons during operations.

Objectives: The aims of this study were to carry out a comparative analysis of three-dimensional-computed tomography (3D-CT) angiography data with intraoperative data and a detailed analysis of variants of the anatomy of splenic flexure.

Material and methods: In this study, we included 103 patients (56 males and 47 females; mean age 64.2 ± 11.6) with the left-sided colon and rectal cancer who underwent preoperative 3D-CT angiography at Ternopil University Hospital between 2016 and 2022.

Results: According to the recently proposed classification, there are four types of blood supply to the splenic flexure of the colon: Our analysis showed that type 1 was found in 83 (80.6%) patients, type 2 in 9 (8.7%), type 3 in 10 (9.7%), and type 4 in 1 (1%). All patients underwent local left radical hemicolectomy with resection of complete mesocolic excision (CME), central vascular ligation (CVL) and resección (R0). Seven cases were operated laparoscopically; and the median quantity of removal lymph nodes was 21.54 ± 7.32. Positive lymph nodes were revealed in 24.3% cases. AL was diagnosed in one patient.

Conclusions: Careful pre-operative analysis of vascular anatomy on 3D-CT angiography will assess the vascularization of the splenic flexure of the colon, reduce intraoperative time to identify structures, and develop a personalized strategy for surgery which potentially can reduce the risk of anastomotic leakage.

背景:充足的血液供应是结直肠吻合愈合的关键因素之一。在手术过程中,血管解剖的各种变异常常令外科医生感到惊讶:本研究旨在对三维计算机断层扫描(3D-CT)血管造影数据与术中数据进行对比分析,并对脾曲解剖变异进行详细分析:在这项研究中,我们纳入了103名左侧结肠癌和直肠癌患者(男56名,女47名;平均年龄(64.2±11.6)岁),他们于2016年至2022年间在特尔诺皮尔大学医院接受了术前3D-CT血管造影检查:根据最近提出的分类,结肠脾曲的血供有四种类型:我们的分析显示,83 例(80.6%)患者为 1 型,9 例(8.7%)为 2 型,10 例(9.7%)为 3 型,1 例(1%)为 4 型。所有患者都接受了局部左侧根治性半结肠切除术,包括完整的结肠系膜切除术(CME)、中央血管结扎术(CVL)和切除术(R0)。其中 7 例采用腹腔镜手术,切除淋巴结的中位数为 21.54 ± 7.32。24.3%的病例淋巴结呈阳性。1例患者被诊断为AL:通过三维 CT 血管造影术对血管解剖进行仔细的术前分析,可以评估结肠脾曲的血管情况,减少术中识别结构的时间,并制定个性化的手术策略,从而降低吻合口漏的风险。
{"title":"Clinical outcomes and radiological assessment of vascular anatomy in patients who underwent D3 left hemicolectomy.","authors":"Stepan Y Grytsenko, Ihor Y Dzyubanovsky, Anatoliy D Bedeniuk, Ivanna Y Hrytsenko, Andriy M Prodan","doi":"10.24875/CIRU.22000425","DOIUrl":"10.24875/CIRU.22000425","url":null,"abstract":"<p><strong>Background: </strong>Adequate blood supply is one of the key factors for colorectal anastomosis healing. Various variants of vascular anatomy often come as a surprise to surgeons during operations.</p><p><strong>Objectives: </strong>The aims of this study were to carry out a comparative analysis of three-dimensional-computed tomography (3D-CT) angiography data with intraoperative data and a detailed analysis of variants of the anatomy of splenic flexure.</p><p><strong>Material and methods: </strong>In this study, we included 103 patients (56 males and 47 females; mean age 64.2 ± 11.6) with the left-sided colon and rectal cancer who underwent preoperative 3D-CT angiography at Ternopil University Hospital between 2016 and 2022.</p><p><strong>Results: </strong>According to the recently proposed classification, there are four types of blood supply to the splenic flexure of the colon: Our analysis showed that type 1 was found in 83 (80.6%) patients, type 2 in 9 (8.7%), type 3 in 10 (9.7%), and type 4 in 1 (1%). All patients underwent local left radical hemicolectomy with resection of complete mesocolic excision (CME), central vascular ligation (CVL) and resección (R0). Seven cases were operated laparoscopically; and the median quantity of removal lymph nodes was 21.54 ± 7.32. Positive lymph nodes were revealed in 24.3% cases. AL was diagnosed in one patient.</p><p><strong>Conclusions: </strong>Careful pre-operative analysis of vascular anatomy on 3D-CT angiography will assess the vascularization of the splenic flexure of the colon, reduce intraoperative time to identify structures, and develop a personalized strategy for surgery which potentially can reduce the risk of anastomotic leakage.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433581","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}
引用次数: 0
A model to determine factors influencing intraoperative complications in sleeve gastrectomy. 确定袖状胃切除术术中并发症影响因素的模型。
IF 0.5 4区 医学 Q3 Medicine Pub Date : 2023-12-07 DOI: 10.24875/CIRU.22000640
Srdjan S Putnik, Miroslav D Ilic, Srdjan M Stefanovic, Slobodan S Milisavljevic

Objective: The study presents a logistic regression model describing the factors leading to intraoperative complications in laparoscopic sleeve gastrectomy (LSG) and a detailed description of the intraoperative complications that occurred in our operations.

Material and methods: The study was designed as a retrospective and cohort study. It includes patients who underwent laparoscopic sleeve gastrectomy between January 2008 and December 2020.

Results: The study included 257 patients. The mean (SD) age of all patients included in the study was 40.28 (9.58) years. The body mass index of our patients ranged from 31.2 to 86.6 kg/m2. The Stepwise Backward model was used (Cox and Snell R2 = 0.051, Nagelkerke R2 = 0.072, Hosmer-Lemesxow χ2 = 1.968, df = 4, p = 0.742, overall model accuracy of 70.4%). The model shows that pre-operative diabetes mellitus or hypertension Stage 3 significantly increases the probability or risk of intraoperative complications.

Conclusions: The study shows which intraoperative complications occur in LSG, how they can be remedied and which factors can lead to them and influence the outcome of the operation itself. The recognition and successful treatment of intraoperative complications are very important as they reduce the number of reoperations and treatment costs.

目的:该研究提出了一个逻辑回归模型,描述了导致腹腔镜袖带胃切除术(LSG)术中并发症的因素,并详细描述了我们手术中出现的术中并发症:本研究为回顾性队列研究。研究对象包括2008年1月至2020年12月期间接受腹腔镜袖带胃切除术的患者:研究共纳入 257 名患者。所有患者的平均(标清)年龄为 40.28(9.58)岁。患者的体重指数从 31.2 kg/m2 到 86.6 kg/m2 不等。采用逐步后向模型(Cox 和 Snell R2 = 0.051,Nagelkerke R2 = 0.072,Hosmer-Lemesxow χ2 = 1.968,df = 4,p = 0.742,模型总体准确率为 70.4%)。该模型显示,术前糖尿病或高血压 3 期会显著增加术中并发症的概率或风险:该研究显示了LSG术中会出现哪些术中并发症,如何对其进行补救,以及哪些因素会导致术中并发症并影响手术本身的结果。识别并成功治疗术中并发症非常重要,因为这可以减少再次手术的次数和治疗费用。
{"title":"A model to determine factors influencing intraoperative complications in sleeve gastrectomy.","authors":"Srdjan S Putnik, Miroslav D Ilic, Srdjan M Stefanovic, Slobodan S Milisavljevic","doi":"10.24875/CIRU.22000640","DOIUrl":"10.24875/CIRU.22000640","url":null,"abstract":"<p><strong>Objective: </strong>The study presents a logistic regression model describing the factors leading to intraoperative complications in laparoscopic sleeve gastrectomy (LSG) and a detailed description of the intraoperative complications that occurred in our operations.</p><p><strong>Material and methods: </strong>The study was designed as a retrospective and cohort study. It includes patients who underwent laparoscopic sleeve gastrectomy between January 2008 and December 2020.</p><p><strong>Results: </strong>The study included 257 patients. The mean (SD) age of all patients included in the study was 40.28 (9.58) years. The body mass index of our patients ranged from 31.2 to 86.6 kg/m2. The Stepwise Backward model was used (Cox and Snell R2 = 0.051, Nagelkerke R2 = 0.072, Hosmer-Lemesxow χ2 = 1.968, df = 4, p = 0.742, overall model accuracy of 70.4%). The model shows that pre-operative diabetes mellitus or hypertension Stage 3 significantly increases the probability or risk of intraoperative complications.</p><p><strong>Conclusions: </strong>The study shows which intraoperative complications occur in LSG, how they can be remedied and which factors can lead to them and influence the outcome of the operation itself. The recognition and successful treatment of intraoperative complications are very important as they reduce the number of reoperations and treatment costs.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9437505","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}
引用次数: 0
¿La vía de señalización de sonic hedgehog desempeña un papel en el mecanismo antirreflujo de la vejiga en los niños? sonic hedgehog信号通路在儿童膀胱抗反流机制中发挥作用吗?
4区 医学 Q3 Medicine Pub Date : 2023-10-09 DOI: 10.24875/ciru.22000629
Eda Tokat, Mustafa O. Tan, Serhat GuÓrocak
{"title":"¿La vía de señalización de sonic hedgehog desempeña un papel en el mecanismo antirreflujo de la vejiga en los niños?","authors":"Eda Tokat, Mustafa O. Tan, Serhat GuÓrocak","doi":"10.24875/ciru.22000629","DOIUrl":"https://doi.org/10.24875/ciru.22000629","url":null,"abstract":"","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135043930","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}
引用次数: 0
Relación preoperatoria de neutrófilos a proteína C reactiva como predictor de complicaciones posoperatorias del cáncer de pancreas 中性粒细胞与C反应蛋白的术前关系作为胰腺癌术后并发症的预测因子
4区 医学 Q3 Medicine Pub Date : 2023-10-09 DOI: 10.24875/ciru.22000544
Kemal Eyvaz, Onur Dinçer, Erhan Aydemir, Murat Kazim-Kazan, Nedim AkguÓl, Arif Aslaner, TuÓrul Óakir
{"title":"Relación preoperatoria de neutrófilos a proteína C reactiva como predictor de complicaciones posoperatorias del cáncer de pancreas","authors":"Kemal Eyvaz, Onur Dinçer, Erhan Aydemir, Murat Kazim-Kazan, Nedim AkguÓl, Arif Aslaner, TuÓrul Óakir","doi":"10.24875/ciru.22000544","DOIUrl":"https://doi.org/10.24875/ciru.22000544","url":null,"abstract":"","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135043927","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}
引用次数: 0
[Transcultural adaptation and validation of the DASH questionnaire in Mexican healthy volunteers and patients with neurogenic disorders of the upper extremity]. [在墨西哥健康志愿者和上肢神经源性疾病患者中对 DASH 问卷进行跨文化改编和验证]。
IF 0.5 4区 医学 Q3 Medicine Pub Date : 2023-08-08 DOI: 10.24875/CIRU.22000510
Parménides Guadarrama-Ortiz, Susana P Lule-Castillo, Deyanira Capi-Casillas, Alondra Román-Villagómez, Ángel D Prieto-Rivera, César O Ruiz-Rivero, Jesús D Peña-Bartolone, Raymundo Cruz-Zarrabal, Rocío Vásquez-Núñez, Ingrid Montes de Oca-Vargas, André Garibay-Gracián, Daniel G Revilla-López, Ricardo López-de la Cruz, M Fernanda Sánchez-Mawcinitt, José A Choreño-Parra

Background: The Disability of the Arm, Shoulder and Hand (DASH) questionnaire assesses the impact of upper extremity disorders on quality of life. However, its use in the Mexican population has not been formally validated.

Objective: To conduct a cultural adaptation and validation of the DASH questionnaire to evaluate the perspective of patients with neurogenic disorders of the upper extremity regarding the impact on their quality of life.

Method: We performed an adaptation of the Spanish version of the DASH questionnaire to the Mexican vocabulary and applied it to 478 volunteers. Ceiling effect, floor effect, item-total correlation, descriptive statistics of items and total score, internal consistency, precision, cross-sectional and longitudinal validity were estimated by comparing healthy controls and affected individuals with different disability levels.

Results: Our DASH questionnaire version was equivalent to those previously approved and showed homogeneity of the items with respect to the total value of the questionnaire (Cronbach's alpha > 0.96). In addition, it showed an accuracy of 7.25 points and the crosssectional and longitudinal validity was documented with significant differences between groups and subgroups with distinct disability levels.

Conclusions: The DASH questionnaire can be used with a high level of confidence in the Mexican population.

背景:手臂、肩部和手部残疾(DASH)问卷可评估上肢疾病对生活质量的影响。然而,该问卷在墨西哥人群中的使用尚未得到正式验证:对 DASH 问卷进行文化改编和验证,以评估上肢神经源性疾病患者对其生活质量影响的看法:我们对西班牙语版的 DASH 问卷进行了改编,使其符合墨西哥语词汇,并将其应用于 478 名志愿者。通过比较健康对照组和不同残疾程度的患者,对上限效应、下限效应、项目-总分相关性、项目和总分的描述性统计、内部一致性、精确性、横向和纵向有效性进行了估算:结果:我们的 DASH 问卷版本与之前批准的版本相当,且各项目与问卷总分具有同质性(Cronbach's alpha > 0.96)。此外,它的准确度达到了 7.25 分,横向和纵向有效性也得到了证实,不同残疾程度的组别和亚组之间存在显著差异:结论:在墨西哥人群中使用 DASH 问卷具有很高的可信度。
{"title":"[Transcultural adaptation and validation of the DASH questionnaire in Mexican healthy volunteers and patients with neurogenic disorders of the upper extremity].","authors":"Parménides Guadarrama-Ortiz, Susana P Lule-Castillo, Deyanira Capi-Casillas, Alondra Román-Villagómez, Ángel D Prieto-Rivera, César O Ruiz-Rivero, Jesús D Peña-Bartolone, Raymundo Cruz-Zarrabal, Rocío Vásquez-Núñez, Ingrid Montes de Oca-Vargas, André Garibay-Gracián, Daniel G Revilla-López, Ricardo López-de la Cruz, M Fernanda Sánchez-Mawcinitt, José A Choreño-Parra","doi":"10.24875/CIRU.22000510","DOIUrl":"10.24875/CIRU.22000510","url":null,"abstract":"<p><strong>Background: </strong>The Disability of the Arm, Shoulder and Hand (DASH) questionnaire assesses the impact of upper extremity disorders on quality of life. However, its use in the Mexican population has not been formally validated.</p><p><strong>Objective: </strong>To conduct a cultural adaptation and validation of the DASH questionnaire to evaluate the perspective of patients with neurogenic disorders of the upper extremity regarding the impact on their quality of life.</p><p><strong>Method: </strong>We performed an adaptation of the Spanish version of the DASH questionnaire to the Mexican vocabulary and applied it to 478 volunteers. Ceiling effect, floor effect, item-total correlation, descriptive statistics of items and total score, internal consistency, precision, cross-sectional and longitudinal validity were estimated by comparing healthy controls and affected individuals with different disability levels.</p><p><strong>Results: </strong>Our DASH questionnaire version was equivalent to those previously approved and showed homogeneity of the items with respect to the total value of the questionnaire (Cronbach's alpha > 0.96). In addition, it showed an accuracy of 7.25 points and the crosssectional and longitudinal validity was documented with significant differences between groups and subgroups with distinct disability levels.</p><p><strong>Conclusions: </strong>The DASH questionnaire can be used with a high level of confidence in the Mexican population.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9962612","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}
引用次数: 0
[Morphology of ulnar trochlear notch and defining ideal position for olecranon osteotomy]. [尺骨胫骨切迹的形态学及骨截骨术理想位置的确定]。
IF 0.5 4区 医学 Q4 SURGERY Pub Date : 2023-06-26 DOI: 10.24875/CIRU.22000528
Milan Milinkov, Nikola Vučinić, Mirko Obradović, Nikola Vukosav, Milan Tošić, Bojana Krstonošić

Aim: The aim of the study was to calculate the most important parameters of ulna and to determine its gender. Classifying trochlear notch joint surface types and to establish their representation in Serbian population. To determine the ideal position for olecranon osteotomy.

Material and methods: The study included 69 bones. Gender determination was performed using digital scale and photographs of the ulna. The bones weight, maximum and physiological length were measured. The place for the ideal position of olecranon osteotomy (projection of the bare area on its posterior wall) was determined on profile images.

Results: Gender related, 45 (65.21%) bones belonged to males, 24 (34.79%) ulnas belonged to females. Type I of the bare area was present in 38 (55%) ulnas, type II in 20 (29%), whereas type III was present in 11 (16%) bones. The average value for the ideal position of olecranon osteotomy was 23.02 mm. In males' ulnas, it was 23.22 mm, in females, it was 22.59 mm.

Conclusion: Type I of the bare area is the most common type of trochlear notch joint surface in Serbian population. The average value for the ideal position of olecranon osteotomy was 23.02 mm. We believe that a uniform name for the bare area should be established.

目的:这项研究的目的是计算尺骨最重要的参数并确定其性别。对喙突关节面类型进行分类,并确定其在塞尔维亚人口中的代表性。确定截骨术的理想位置:研究包括 69 块骨头。使用数字秤和尺骨照片确定性别。测量骨骼重量、最大长度和生理长度。根据轮廓图像确定截骨的理想位置(裸露区域在其后壁上的投影):结果:与性别有关,45(65.21%)块骨骼属于男性,24(34.79%)块骨骼属于女性。38块(55%)尺骨存在 I 型裸露区,20 块(29%)尺骨存在 II 型裸露区,而 11 块(16%)尺骨存在 III 型裸露区。截骨的理想位置平均值为 23.02 毫米。男性尺骨的理想位置为 23.22 毫米,女性尺骨的理想位置为 22.59 毫米:结论:在塞尔维亚人群中,裸露区域的I型是最常见的喙突关节面类型。截骨理想位置的平均值为23.02毫米。我们认为应该为裸露区确定一个统一的名称。
{"title":"[Morphology of ulnar trochlear notch and defining ideal position for olecranon osteotomy].","authors":"Milan Milinkov, Nikola Vučinić, Mirko Obradović, Nikola Vukosav, Milan Tošić, Bojana Krstonošić","doi":"10.24875/CIRU.22000528","DOIUrl":"10.24875/CIRU.22000528","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to calculate the most important parameters of ulna and to determine its gender. Classifying trochlear notch joint surface types and to establish their representation in Serbian population. To determine the ideal position for olecranon osteotomy.</p><p><strong>Material and methods: </strong>The study included 69 bones. Gender determination was performed using digital scale and photographs of the ulna. The bones weight, maximum and physiological length were measured. The place for the ideal position of olecranon osteotomy (projection of the bare area on its posterior wall) was determined on profile images.</p><p><strong>Results: </strong>Gender related, 45 (65.21%) bones belonged to males, 24 (34.79%) ulnas belonged to females. Type I of the bare area was present in 38 (55%) ulnas, type II in 20 (29%), whereas type III was present in 11 (16%) bones. The average value for the ideal position of olecranon osteotomy was 23.02 mm. In males' ulnas, it was 23.22 mm, in females, it was 22.59 mm.</p><p><strong>Conclusion: </strong>Type I of the bare area is the most common type of trochlear notch joint surface in Serbian population. The average value for the ideal position of olecranon osteotomy was 23.02 mm. We believe that a uniform name for the bare area should be established.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742612","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}
引用次数: 0
[Deep brain stimulation for Parkinson's disease: experience, benefits and limitations in a center in Latin America]. [深部脑刺激治疗帕金森病:拉丁美洲一家中心的经验、益处和局限性]。
IF 0.5 4区 医学 Q3 Medicine Pub Date : 2023-05-11 DOI: 10.24875/CIRU.22000438
Óscar F Zorro-Guío, Manuel A Ardila-Martínez, Álvaro Bedoya-Gómez, Héctor F Restrepo, Jhon E Mosquera-Sinisterra, Cristian Páez, Jonathan Lee, Jorge A Romo-Quebradas, Edgar G Ordóñez-Rubiano

Background: Parkinson's disease is poorly studied in Colombia. It is pharmacologically managed, but for refractory cases, surgery is a therapeutic option, positively impacting on quality of life.

Objective: To determine the impact of deep brain stimulation as management in the control of progression in patients with Parkinson's disease attended our institution between the years 2014 to 2020.

Method: Descriptive retrospective study, with patients collected between 2014 and 2020 undergoing deep brain stimulation surgery. The MDS-UPDRS (Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale) was applied in the pre- and postoperative period, and the results were compared.

Results: 21 patients were included and the UPDRS was applied, finding a decrease in scores in the postoperative period. One patient had an operative site infection.

Conclusions: There was an improvement in the MDS-UPDRS score, with a low rate of complications. The procedure time was prolonged from the preoperative evaluation. Deep brain stimulation is the management of choice for refractory Parkinson's disease. The patients in this series showed improvement in their symptoms. Unfortunately, there are limitations to perform this procedure in Colombia, such as the delay in the authorization of the procedure.

背景:哥伦比亚对帕金森病的研究很少。该病以药物治疗为主,但对于难治性病例,手术是一种治疗选择,对生活质量有积极影响:目的:确定 2014 年至 2020 年期间,脑深部刺激疗法对控制本院就诊的帕金森病患者病情发展的影响:方法:描述性回顾研究,收集2014年至2020年间接受脑深部刺激手术的患者。在术前和术后使用运动障碍协会赞助的统一帕金森病评分量表修订版(MDS-UPDRS),并对结果进行比较。一名患者出现手术部位感染:结论:MDS-UPDRS评分有所改善,并发症发生率较低。结论:MDS-UPDRS评分有所改善,并发症发生率较低,手术时间比术前评估延长。脑深部刺激是治疗难治性帕金森病的首选方法。这一系列患者的症状均有所改善。遗憾的是,在哥伦比亚进行这种手术还存在一些限制,比如手术审批的延迟。
{"title":"[Deep brain stimulation for Parkinson's disease: experience, benefits and limitations in a center in Latin America].","authors":"Óscar F Zorro-Guío, Manuel A Ardila-Martínez, Álvaro Bedoya-Gómez, Héctor F Restrepo, Jhon E Mosquera-Sinisterra, Cristian Páez, Jonathan Lee, Jorge A Romo-Quebradas, Edgar G Ordóñez-Rubiano","doi":"10.24875/CIRU.22000438","DOIUrl":"10.24875/CIRU.22000438","url":null,"abstract":"<p><strong>Background: </strong>Parkinson's disease is poorly studied in Colombia. It is pharmacologically managed, but for refractory cases, surgery is a therapeutic option, positively impacting on quality of life.</p><p><strong>Objective: </strong>To determine the impact of deep brain stimulation as management in the control of progression in patients with Parkinson's disease attended our institution between the years 2014 to 2020.</p><p><strong>Method: </strong>Descriptive retrospective study, with patients collected between 2014 and 2020 undergoing deep brain stimulation surgery. The MDS-UPDRS (Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale) was applied in the pre- and postoperative period, and the results were compared.</p><p><strong>Results: </strong>21 patients were included and the UPDRS was applied, finding a decrease in scores in the postoperative period. One patient had an operative site infection.</p><p><strong>Conclusions: </strong>There was an improvement in the MDS-UPDRS score, with a low rate of complications. The procedure time was prolonged from the preoperative evaluation. Deep brain stimulation is the management of choice for refractory Parkinson's disease. The patients in this series showed improvement in their symptoms. Unfortunately, there are limitations to perform this procedure in Colombia, such as the delay in the authorization of the procedure.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9501407","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}
引用次数: 0
Report of two cases of high cervical injury: an adequate functional result with timely surgical management. 两例高位颈椎损伤病例报告:及时的手术治疗带来了良好的功能效果。
IF 0.5 4区 医学 Q4 SURGERY Pub Date : 2023-05-11 DOI: 10.24875/CIRU.21000719
Antonio Sosa-Nájera, Abrahan A Tafur-Grandett, Alejandro Ceja-Espinosa, Raúl Huato-Reyes, Jórge Ortega-Espino

Introduction: Odontoid fractures correspond to 9-15% of cervical spine fractures. Atlas fracture is rare (3-13%)8.

Case presentation: Male with Anderson and D´Alonzo Type II Odontoid fracture with unstable fragment treated with occipitocervical fixation with occipital plate, C2-C3 transfacet screws; Female with type E Jefferson fracture + anterolateral atloaxial dislocation, treated with occipitocervical fixation, C2-C3-C4 transfacet screws.

Discussion: Anderson and D'Alonzo Type II fractures and Jefferson type E fractures are a surgical emergency due to instability and neurological deficit.

简介舌骨骨折占颈椎骨折的 9-15%。寰椎骨折很少见(3-13%)8:男性:Anderson和D'Alonzo II型寰枢椎不稳定骨折,采用枕骨钢板枕颈固定、C2-C3转位螺钉治疗;女性:E型Jefferson骨折+前外侧寰枢椎脱位,采用枕骨钢板枕颈固定、C2-C3-C4转位螺钉治疗:Anderson和D'Alonzo II型骨折和Jefferson E型骨折是一种因不稳定和神经功能缺损而导致的外科急症。
{"title":"Report of two cases of high cervical injury: an adequate functional result with timely surgical management.","authors":"Antonio Sosa-Nájera, Abrahan A Tafur-Grandett, Alejandro Ceja-Espinosa, Raúl Huato-Reyes, Jórge Ortega-Espino","doi":"10.24875/CIRU.21000719","DOIUrl":"10.24875/CIRU.21000719","url":null,"abstract":"<p><strong>Introduction: </strong>Odontoid fractures correspond to 9-15% of cervical spine fractures. Atlas fracture is rare (3-13%)<sup>8</sup>.</p><p><strong>Case presentation: </strong>Male with Anderson and D´Alonzo Type II Odontoid fracture with unstable fragment treated with occipitocervical fixation with occipital plate, C2-C3 transfacet screws; Female with type E Jefferson fracture + anterolateral atloaxial dislocation, treated with occipitocervical fixation, C2-C3-C4 transfacet screws.</p><p><strong>Discussion: </strong>Anderson and D'Alonzo Type II fractures and Jefferson type E fractures are a surgical emergency due to instability and neurological deficit.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9501408","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}
引用次数: 0
[Epithelioid hemangioendothelioma as a cause of intestinal intussusception in an adult female patient: case report]. [上皮样血管内皮细胞瘤是一名成年女性患者肠套叠的病因:病例报告]。
IF 0.5 4区 医学 Q4 SURGERY Pub Date : 2023-05-11 DOI: 10.24875/CIRU.21000708
Osama Bahsas-Zaky, Jorge R Guillén-Nieto, Leonardo Y P Dugarte-Quintero, Carlos E Gómez, Eduardo E Marquina-Montilla, Estrella Uzcátegui-Paz

Introduction: Epithelioid hemangioendothelioma is a rare vascular tumor with an epithelioid and histiocytoid appearance. Intestinal intussusception can manifest as chronic abdominal pain, representing only 1-5% of intestinal obstructions in adults.

Case report: 65-year-old female who is attended with chronic abdominal pain. We performed a computed tomography showing the incursion of the ileum into the right colon. She was taken to the operating table, with the finding of ileo-colic intestinal intussusception due to small bowel tumor, with subsequent anatomopathological results of epithelioid hemangioendothelioma.

Conclusions: The diagnosis and management process with an appropriate postoperative outcome is described.

导言上皮样血管内皮瘤是一种罕见的血管肿瘤,具有上皮样和组织细胞样外观。肠套叠可表现为慢性腹痛,仅占成人肠梗阻的1%-5%:病例报告:65 岁女性,因慢性腹痛就诊。我们为她进行了计算机断层扫描,显示回肠侵入右侧结肠。她被送上手术台,发现回盲部结肠肠套叠是由小肠肿瘤引起的,随后的解剖病理结果为上皮样血管内皮细胞瘤:结论:本文描述了诊断和处理过程,以及适当的术后结果。
{"title":"[Epithelioid hemangioendothelioma as a cause of intestinal intussusception in an adult female patient: case report].","authors":"Osama Bahsas-Zaky, Jorge R Guillén-Nieto, Leonardo Y P Dugarte-Quintero, Carlos E Gómez, Eduardo E Marquina-Montilla, Estrella Uzcátegui-Paz","doi":"10.24875/CIRU.21000708","DOIUrl":"10.24875/CIRU.21000708","url":null,"abstract":"<p><strong>Introduction: </strong>Epithelioid hemangioendothelioma is a rare vascular tumor with an epithelioid and histiocytoid appearance. Intestinal intussusception can manifest as chronic abdominal pain, representing only 1-5% of intestinal obstructions in adults.</p><p><strong>Case report: </strong>65-year-old female who is attended with chronic abdominal pain. We performed a computed tomography showing the incursion of the ileum into the right colon. She was taken to the operating table, with the finding of ileo-colic intestinal intussusception due to small bowel tumor, with subsequent anatomopathological results of epithelioid hemangioendothelioma.</p><p><strong>Conclusions: </strong>The diagnosis and management process with an appropriate postoperative outcome is described.</p>","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9501405","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}
引用次数: 0
期刊
Cirugia Y Cirujanos
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1