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Therefore, the early identification of risk factors for DN development in Mexican population would allow implementing personalized strategies to improve the overall T2D patients' quality of life and reduce healthcare costs in our country.
El sarcoma fibromixoide de bajo grado es una neoplasia rara de histología someramente benigna, pero con un comportamiento agresivo metastásico tardío. Las hernias perineales son de presentación inusitada y no existen más de 100 casos reportados en la literatura mundial.
La presentación de esta neoplasia fibroblástica es poco frecuente, y aún más como contenido de una hernia perineal primaria.
Es una neoplasia infrecuente que se presenta en aproximadamente el 0.7% de los casos, con comportamiento agresivo metastásico y con necesidad de tratamiento adyuvante.
Low-grade fibromyxoid sarcoma is a rare neoplasm with apparently benign histology but with late aggressive metastatic behavior. The perineal hernias are unusual, there are no more than 100 cases reported in the world literature.
The presentation of this fibroblastic neoplasm is rare and makes it even more rare if it is as the content of a primary perineal hernia.
It is an infrequent neoplasm that occurs in approximately 0.7% of all cases, with aggressive metastatic behavior and in need of adjuvant treatment.
It is an infrequent neoplasm that occurs in approximately 0.7% of all cases, with aggressive metastatic behavior and in need of adjuvant treatment.
The objective was to measure the incidence of surgical site infection (SSI) and identify risk factors, in patients undergoing elective surgery of the colon and rectum.
A prospective cohort study was performed from January 2017 to December 2018.
A total of 130 patients were studied. The cumulative incidence of SSI was 12.3%. The 56.25% were superficial wound infections and the 31.25%, organ-space infection. The risk factors significantly associated with SSI were the non-administration of pre-operative oral nutrition, diabetes mellitus, heart disease, symptomatic state at the diagnosis of colorectal cancer (CRC), and ≥ 2 altered nutritional biochemical parameters at diagnosis. After multivariate , risk factors associated with SSI were non-administration of preoperative enteral nutrition (odds ratio [OR] = 0.27; 95% confidence interval [CI] 0.07-1.0), DM (OR = 3.0; 95% CI 0.9-9.9), the heart disease (OR = 4.6; 95% CI 1.1-18.6), and laparoscopic surgery (OR = 0.28; 95% CI 0.08-0.97). The average stay was higher in patients with a diagnosis of SSI (11.9 vs. 9.2 days).
Independent risk factors for SSI in CRC were the non-administration of pre-operative enteral nutrition, the existence of heart disease, and open surgery.
Independent risk factors for SSI in CRC were the non-administration of pre-operative enteral nutrition, the existence of heart disease, and open surgery.
La pandemia de COVID-19 ha ocasionado que los servicios de cirugía y de salud en todo el mundo tengan que reorganizarse y planear para poder brindar la mejor atención a los pacientes, con la protección necesaria para el personal de salud. selleck inhibitor Algunos de estos pacientes requerirán tratamiento quirúrgico, ya sea electivo o de urgencia.
Reportar la experiencia inicial en el manejo de pacientes con COVID-19 que ameritaron tratamiento quirúrgico por los servicios de cirugía de un hospital de referencia.
Revisión de los protocolos quirúrgicos, equipo de protección personal usado por los equipos quirúrgicos y resultados del tratamiento de 42 pacientes sometidos a cirugía en un periodo de 4 meses.
Fueron intervenidos 42 pacientes con COVID-19. Treinta pacientes tenían diagnóstico de infección por SARS-CoV-2 y en 12 casos el diagnóstico fue clínico y por imagen. Las cirugías más frecuentes fueron traqueostomía en 16 pacientes (38%) y laparotomías exploradoras en 8 pacientes (19%). La mediana de estancia posoperato
During four months (April-July 2020) forty-two patients with suspicion or confirmed infection of SARS-CoV2 underwent surgical treatment. The most common surgery was tracheostomy in 16 patients (38%) followed by exploratory laparotomy in 8 patients (19%). The median postoperative stay was 17 days and the thirty-day postoperative mortality rate was 26%.
reorganization of the general surgery department and the hospital, favors adequate management and treatment of patients with COVID-19 and protection to the health-related personnel. Due to the usual co-existence of comorbidities and pulmonary complications the postoperative mortality of these patients is high.
reorganization of the general surgery department and the hospital, favors adequate management and treatment of patients with COVID-19 and protection to the health-related personnel. Due to the usual co-existence of comorbidities and pulmonary complications the postoperative mortality of these patients is high.
We aimed to define indication of Hartmann procedure (HP) under emergency conditions, analyze, and present in which cases this procedure should be used.
The patients who underwent emergency surgery for colorectal cancer were analyzed. Rates of mortality, overall, and disease-free survival of the patients were evaluated. The colostomy closure rate, operative mortality, and surgical complications of the secondary operation performed after the HP were also assessed.
Fifty-seven patients who underwent HP were included in the study. The indications were obstruction (n = 37) or perforation (n = 20). The post-operative mortality and morbidity rates were 21.1% and 63.2%, respectively. The 1-, 3-, and 5-year survival rates for all patients were 54%, 49%, and 45%.
HP can be a life-saving procedure in cases of high risk, emergency colorectal disease. Surgeons create a temporary stoma as a part of this procedure that is generally closed with a second operation. However, it is not possible to close the stoma in some cases, and the potential physical and emotional issues related to the stoma should be a part of the surgeon's considerations.
HP can be a life-saving procedure in cases of high risk, emergency colorectal disease. Surgeons create a temporary stoma as a part of this procedure that is generally closed with a second operation. However, it is not possible to close the stoma in some cases, and the potential physical and emotional issues related to the stoma should be a part of the surgeon's considerations.
