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  1. Article ; Online: Editorial: Incisional Hernia Prevention.

    López-Cano, Manuel

    Journal of abdominal wall surgery : JAWS

    2023  Volume 2, Page(s) 11495

    Language English
    Publishing date 2023-05-05
    Publishing country Switzerland
    Document type Editorial
    ISSN 2813-2092
    ISSN (online) 2813-2092
    DOI 10.3389/jaws.2023.11495
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A virtual simulation approach to assess the effect of trocar-site placement and scar characteristics on the abdominal wall biomechanics.

    Tuset, Lluís / López-Cano, Manuel / Fortuny, Gerard / López, Josep M / Herrero, Joan / Puigjaner, Dolors

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 3583

    Abstract: Analyses of registries and medical imaging suggest that laparoscopic surgery may be penalized with a high incidence of trocar-site hernias (TSH). In addition to trocar diameter, the location of the surgical wound (SW) may affect TSH incidence. The intra- ... ...

    Abstract Analyses of registries and medical imaging suggest that laparoscopic surgery may be penalized with a high incidence of trocar-site hernias (TSH). In addition to trocar diameter, the location of the surgical wound (SW) may affect TSH incidence. The intra-abdominal pressure (IAP) exerted on the abdominal wall (AW) might also influence the appearance of TSH. In the present study, we used finite element (FE) simulations to predict the influence of trocar location and SW characteristics (stiffness) on the mechanical behavior of the AW subject to an IAP. Two models of laparoscopy patterns on the AW, with trocars in the 5-12 mm range, were generated. FE simulations for IAP values within the 4 kPa-20 kPa range were carried out using the Code Aster open-source software. Different stiffness levels of the SW tissue were considered. We found that midline-located surgical wounds barely deformed, even though they moved outwards along with the regular LA tissue. Laterally located SWs hardly changed their location but they experienced significant variations in their volume and shape. The amount of deformation of lateral SWs was found to strongly depend on their stiffness. Trocar incisions placed in a LA with non-diastatic dimensions do not compromise its mechanical integrity. The more lateral the trocars are placed, the greater is their deformation, regardless of their size. Thus, to prevent TSH it might be advisable to close lateral trocars with a suture, or even use a prosthetic reinforcement depending on the patient's risk factors (e.g., obesity).
    MeSH term(s) Humans ; Abdominal Wall/surgery ; Biomechanical Phenomena ; Cicatrix/etiology ; Laparoscopy/adverse effects ; Surgical Instruments/adverse effects ; Thyrotropin
    Chemical Substances Thyrotropin (9002-71-5)
    Language English
    Publishing date 2024-02-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-54119-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Bias in surgery. Do and act, that's the key.

    Garcia-Alamino, Josep María / López-Cano, Manuel

    Cirugia espanola

    2022  Volume 100, Issue 11, Page(s) 734–735

    Language English
    Publishing date 2022-07-16
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2021.05.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Overdiagnosis and overtreatment - More is better?

    Garcia-Alamino, J M / López-Cano, Manuel

    Cirugia espanola

    2022  Volume 100, Issue 12, Page(s) 793–794

    MeSH term(s) Humans ; Overtreatment ; Overdiagnosis ; Early Detection of Cancer ; Mass Screening
    Language English
    Publishing date 2022-07-29
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.06.053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The conundrum of ostomy formation.

    Verdaguer-Tremolosa, Mireia / Garcia-Alamino, Josep Maria / Rodrigues-Gonçalves, Victor / Martínez-López, Maria Pilar / López-Cano, Manuel

    Surgery

    2024  

    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Letter
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2024.02.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: TARUP technique. Advantages of minimally invasive robot-assisted abdominal Wall surgery.

    Rodrigues, Victor / López-Cano, Manuel

    Cirugia espanola

    2020  Volume 99, Issue 4, Page(s) 302–305

    Abstract: The use of robot-assisted minimally invasive surgery in ventral/incisional hernia repair has increased exponentially in recent years. This increase is probably related to the advantages of robotic surgery, among which are better visualization, the ... ...

    Title translation Técnica TARUP. Ventajas de la cirugía mínimamente invasiva de la pared abdominal asistida por robot.
    Abstract The use of robot-assisted minimally invasive surgery in ventral/incisional hernia repair has increased exponentially in recent years. This increase is probably related to the advantages of robotic surgery, among which are better visualization, the implementation of articulated instruments and better ergonomics for the surgeon. The TARUP (Robotic Transabdominal Retromuscular Umbilical Prosthetic Hernia Repair) technique combines the benefits of minimally invasive surgery, in terms of less wound-related morbidity, also allowing the placement of a mesh in a retromuscular position facilitated by the use of the robotic platform.
    Language Spanish
    Publishing date 2020-11-19
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.10.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Clinical practice guidelines. Let's identify them.

    Cano, Manuel López

    Cirugia espanola

    2023  Volume 102, Issue 1, Page(s) 1–2

    Language English
    Publishing date 2023-10-25
    Publishing country Spain
    Document type Editorial
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.10.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Bias in surgery. Do and act, that's the key.

    Garcia-Alamino, Josep María / López-Cano, Manuel

    Cirugia espanola

    2021  

    Title translation Sesgos en cirugía. Hacer y proceder, esa es la clave.
    Language Spanish
    Publishing date 2021-06-15
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2021.05.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Abdominal wall surgery units accreditation. The Spanish model.

    López-Cano, Manuel / Hernández-Granados, Pilar / Morales-Conde, Salvador / Ríos, Antonio / Pereira-Rodríguez, José Antonio

    Cirugia espanola

    2024  

    Abstract: The Spanish Association of Surgeons (AEC) deems it essential to define and regulate the acquisition of high-specialization competencies within General Surgery and Gastrointestinal Surgery and proposes the Regulation for the accreditation of specialized ... ...

    Abstract The Spanish Association of Surgeons (AEC) deems it essential to define and regulate the acquisition of high-specialization competencies within General Surgery and Gastrointestinal Surgery and proposes the Regulation for the accreditation of specialized surgical units. The AEC aims to define specialized surgical units as those functional elements of the health system that meet the defined requirements regarding their provision, solvency, and specialization in care, teaching, and research. In this paper we present the proposed accreditation model for Abdominal Wall Surgery Units, as well as the results of a survey conducted to assess the status of such units in our country. The model presented represents one of the pioneering initiatives worldwide concerning the accreditation of Abdominal Wall Surgery Units.
    Language English
    Publishing date 2024-01-29
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2024.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Has academic surgery been fatally wounded? A rhetorical question.

    López Cano, Manuel

    Cirugia espanola

    2023  Volume 101, Issue 9, Page(s) 585–586

    Language English
    Publishing date 2023-03-16
    Publishing country Spain
    Document type Editorial
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.03.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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