[The surgery to come: less vocation and changes in the form of teaching and practicing surgery].
Published in Cirugia espanola
[Mortality analysis as a tool for quality improvement in a general surgery service].
Published in Cirugia espanola
The present study aims to propose a method to improve healthcare quality based on systematic analysis of mortality and mortality-related adverse effects. We analyzed all deaths in the surgery service between January, 1997 and December, 2003. There were 10,905 hospital admissions and 194 deaths. The mean number of deaths per year was 28 (range 24-36...
[Cephalic pancreaticoduodenectomy with mesentericoportal venous reconstruction. Technical features].
...Published in Cirugia espanola
Cephalic pancreaticoduodenectomy (CPD) with mesentericoportal venous resection increases the resectability rate of pancreatic tumors. When performed in selected patients and by experienced surgical teams, this technique shows the same long-term rates of morbidity, mortality and survival as CPD without vascular resection, provided that negative surg...
[Endobronchial lipoma. Therapeutic considerations].
Published in Cirugia espanola
Endobronchial lipoma is a very rare benign tumor. The most frequent clinical presentation is caused by airway obstruction. A computed tomography finding of a homogeneous mass with fat density not enhanced by intravenous contrast material is considered diagnostic of this kind of tumor. The definitive diagnosis is given by bronchoscopy and biopsy. Th...
[Factors associated with morbidity and mortality after gastric bypass. Alternatives for risk reduction: sleeve gastrecto...
Published in Cirugia espanola
The aim of this study was to analyze factors related to morbidity and mortality after gastric bypass and to evaluate lower-risk alternatives in selected patients. A prospective cohort of 761 patients who underwent gastric bypass was included. Prognostic factors were studied using a logistic regression model with SPSS 11.0. Independent variables wer...
[Conceptual reformulation of the double mesh repair technique: a simple solution for highly complex abdominal wall defec...
Published in Cirugia espanola
Repair of complex abdominal wall defects remains a challenge for the general surgeon. The aim of the present study was to validate the double mesh repair technique in complex hernias. We performed a prospective study of 15 patients with complex abdominal wall defects who underwent surgery in a university hospital. All patients were evaluated in a m...
[Pneumoretroperitoneum secondary to surgical lavage of a perianal abscess with hydrogen peroxide].
Published in Cirugia espanola
[Development and outcomes of the surgical management of multinodular goiter].
Published in Cirugia espanola
The aims of this study were to: 1. Define our criteria and the results obtained in the surgical management of multinodular goiter (MNG); 2. Compare the results of partial thyroidectomies with those of total thyroidectomies; 3. Determine the incidence of "hidden" carcinomas diagnosed as MNG; 4. Define the most suitable treatment of MNG. We performed...
[Image of the month. Intestinal perforation caused by foreign body].
Published in Cirugia espanola
[Knowledge identification and management in a surgery department].
Published in Cirugia espanola
The hospital is an enterprise in which the surgery department represents a specific healthcare unit. The purpose of the surgery department, like that of any other enterprise, is assumed to be indefinite survival; to that end, it must be able to achieve and maintain a competitive advantage in the long term. Nevertheless, each surgery department, lik...
