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Article ; Online: Are Spanish surgeons prepared to treat trauma patients? Multicentre descriptive observational study.

Tallón-Aguilar, Luis / Durán-Muñoz-Cruzado, Virginia María / Martínez-Casas, Isidro / Aranda-Narváez, José Manuel / Pérez-Díaz, María Dolores / Montón-Condón, Soledad / Turégano-Fuentes, Fernando / Pareja-Ciuró, Felipe

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2020 Volume 48, Issue 2, Page(s) 901–906

Abstract: Purpose: Specific training in the management of trauma patients is beneficial for surgeons. Training through specific courses in this area has a direct impact on the care of these patients. The aim of this work is to understand the participation and ... ...

Abstract	Purpose: Specific training in the management of trauma patients is beneficial for surgeons. Training through specific courses in this area has a direct impact on the care of these patients. The aim of this work is to understand the participation and specific training in the care of trauma patients by Spanish surgeons. Methods: A national survey was conducted and administered to all members of the Spanish Association of Surgeons. The survey assessed their degree of participation in emergency surgery, and therefore the probability of attending trauma patients, their assessment of the initial care of trauma patients in their centre, and their specific training in this field. Results: The survey was completed by 510 surgeons from 47 Spanish provinces, with Catalonia and Andalusia being the most represented regions. In total, 456 (89.41%) of those surveyed work in the emergency department on a routine basis. Only 171 (33.53%) refer to having a registry of trauma patients in their hospital. While 79.02% of surgeons reported that general surgeons are not involved in care of severe trauma from the outset, only 66.47% have completed the ATLS course, 40.78% the DSTC course and 18.82% the MUSEC course. Despite this, 85.69% believe that the ATLS course should be compulsory during residency and 43.33% believe that severe trauma care in their hospital is poor or very poor. Conclusion: Only 40% have received specific training in definitive surgical management of severe trauma. Despite this, a large percentage of surgeons work in the emergency department on a routine basis and potentially face the challenge of managing these patients.
MeSH term(s)	Emergency Service, Hospital ; Humans ; Surgeons ; Surveys and Questionnaires
Language	English
Publishing date	2020-09-13
Publishing country	Germany
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-020-01492-0
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Article ; Online: Liver Transplant With Double Portal Anastomose: A Case Report.

Sánchez, Ana Isabel Fernández / Reyes, María Pérez / Pérez, Belinda Sánchez / Villalba, Julio Santoyo / Narváez, Jose Manuel Aranda / Santoyo, Julio Santoyo

Transplantation proceedings

2023 Volume 55, Issue 10, Page(s) 2304–2306

Abstract: Background: Reno-portal reconstruction is a surgical alternative to achieve enough portal flow in liver transplant when there is a complete portal thrombosis, provided there are collaterals or portosystemic shunt, with or without spleno-renal shunt.: ... ...

Abstract	Background: Reno-portal reconstruction is a surgical alternative to achieve enough portal flow in liver transplant when there is a complete portal thrombosis, provided there are collaterals or portosystemic shunt, with or without spleno-renal shunt. Methods: We present the case of a 58-year-old man with enolic cirrhosis and a history of gastrointestinal hemorrhage due to esophageal varices and portal thrombosis. The clinical case was discussed in the Transplant Committee, and the patient was included in the surgical waiting list with a Model for End-Stage Liver Disease score of 17 and Child-Pugh score of A6. The preoperative computer tomography scan showed significant collateral circulation with esophageal varices, varices dependent on the inferior mesenteric vein (IMV) and hypoplasic portal vein. During the operation, a large shunt from the IMV to the iliac territory and type II portal thrombosis were observed, which was managed with eversion thrombectomy. A temporary portocaval shunt was performed, showing minimal flow in the portal vein, which did not improve after ligation of the systemic shunt. It was decided to perform a reno-portal anastomosis, after which the portal flow measurement was 600 cc per minute; because of this, it was decided to supplement portal flow with an end-to-side portoportal anastomosis, obtaining a flow of 1300 cc per minute with low resistance (R0.5). Results: The postoperative period was favorable, with good evolution of liver analytical parameters, with permeability of the porto-portal venous anastomoses, reno-portal, arterial, and suprahepatic anastomoses in the imaging tests. Conclusion: If the portal flow is insufficient with a hypoplasic portal vein, a double anastomosis, portoportal, and reno-portal would be a technical resource.
MeSH term(s)	Male ; Humans ; Middle Aged ; Liver Transplantation/methods ; Esophageal and Gastric Varices ; End Stage Liver Disease ; Severity of Illness Index ; Portal Vein/diagnostic imaging ; Portal Vein/surgery ; Liver Diseases ; Venous Thrombosis/diagnostic imaging ; Venous Thrombosis/etiology ; Venous Thrombosis/surgery
Language	English
Publishing date	2023-10-11
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	82046-5
ISSN	1873-2623 ; 0041-1345
ISSN (online)	1873-2623
ISSN	0041-1345
DOI	10.1016/j.transproceed.2023.08.029
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Article ; Online: Results of the Spanish National Polytrauma Registry. Where are we and where are we heading?

Campos-Serra, Andrea / Pérez-Díaz, Lola / Rey-Valcárcel, Cristina / Montmany-Vioque, Sandra / Artiles-Armas, Manuel / Aparicio-Sánchez, Daniel / Tallón-Aguilar, Luís / Gutiérrez-Andreu, Marta / Bernal-Tirapo, Julia / Garcia-Moreno Nisa, Francisca / Vera-Mansilla, Cristina / González-Conde, Ricardo / Gómez-Viana, Leticia / Titos-García, Alberto / Aranda-Narvaez, Jose

Cirugia espanola

2023 Volume 101, Issue 9, Page(s) 609–616

Abstract: Introduction: In 2017, the Spanish National Polytrauma Registry (SNPR) was initiated in Spain with the goal to improve the quality of severe trauma management and evaluate the use of resources and treatment strategies. The objective of this study is to ... ...

Abstract	Introduction: In 2017, the Spanish National Polytrauma Registry (SNPR) was initiated in Spain with the goal to improve the quality of severe trauma management and evaluate the use of resources and treatment strategies. The objective of this study is to present the data obtained with the SNPR since its inception. Methods: We conducted an observational study with prospective data collection from the SNPR. The trauma patients included were over 14 years of age, with ISS ≥ 15 or penetrating mechanism of injury, from a total of 17 tertiary hospitals in Spain. Results: From 1/1/17 to 1/1/22, 2069 trauma patients were registered. The majority were men (76.4%), with a mean age of 45 years, mean ISS 22.8, and mortality 10.2%. The most common mechanism of injury was blunt trauma (80%), the most frequent being motorcycle accident (23%). Penetrating trauma was presented in 12% of patients, stab wounds being the most common (84%). On hospital arrival, 16% of patients were hemodynamically unstable. The massive transfusion protocol was activated in 14% of patients, and 53% underwent surgery. Median hospital stay was 11 days, while 73.4% of patients required intensive care unit (ICU) admission, with a median ICU stay of 5 days. Conclusions: Trauma patients registered in the SNPR are predominantly middle-aged males who experience blunt trauma with a high incidence of thoracic injuries. Early addressed detection and treatment of these kind of injuries would probably improve the quality of trauma care in our environment.
MeSH term(s)	Middle Aged ; Male ; Humans ; Female ; Multiple Trauma/epidemiology ; Multiple Trauma/therapy ; Hospitalization ; Length of Stay ; Wounds, Nonpenetrating/epidemiology ; Wounds, Nonpenetrating/surgery ; Registries
Language	English
Publishing date	2023-03-20
Publishing country	Spain
Document type	Observational Study ; Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2023.03.007
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Article ; Online: The Acute Care Surgery model in the world, and the need for and implementation of trauma and emergency surgery units in Spain.

Aranda-Narváez, José Manuel / Tallón-Aguilar, Luis / López-Ruiz, José Antonio / Pareja-Ciuró, Felipe / Jover-Navalón, José María / Turégano-Fuentes, Fernando / Navarro-Soto, Salvador / Ceballos-Esparragón, José / Pérez-Díaz, Lola

Cirugia espanola

2018 Volume 97, Issue 1, Page(s) 3–10

Abstract: The Acute Care Surgery model groups trauma and emergency surgery with surgical critical care. Conceived and extended during the last 2 decades throughout North America, the magnitude and clinical idiosyncrasy of emergency general surgery have determined ... ...

Title translation	El modelo Acute Care Surgery en el mundo y la necesidad e implantación de unidades de trauma y cirugía de urgencia en España.
Abstract	The Acute Care Surgery model groups trauma and emergency surgery with surgical critical care. Conceived and extended during the last 2 decades throughout North America, the magnitude and clinical idiosyncrasy of emergency general surgery have determined that this model has been expanded to other parts of the world. In our country, this has led to the introduction and implementation of the so-called trauma and emergency surgery units, with common objectives as those previously published for the original model: to decrease the rates of emergency surgery at night, to allow surgeons linked to elective surgery to develop their activity in their own disciplines during the daily schedule, and to become the perfect link and reference for the continuity of care. This review summarizes how the original model was born and how it expanded throughout the world, providing evidence in terms of results and a description of the current situation in our country.
MeSH term(s)	Critical Care/organization & administration ; Emergency Service, Hospital/organization & administration ; Humans ; Models, Organizational ; Spain ; Surgery Department, Hospital/organization & administration ; Trauma Centers/organization & administration
Language	Spanish
Publishing date	2018-11-08
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2018.09.015
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Article ; Online: Laparoscopic anterior resection after failure of non-operative management in acute diverticulitis-a video vignette.

Reyes, María Pérez / García, Alberto Titos / Narváez, José Manuel Aranda / López, Laura Romacho / Sánchez, Antonio Jesús González / Santoyo, Julio Santoyo

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

2022 Volume 25, Issue 3, Page(s) 519

MeSH term(s)	Humans ; Diverticulitis/surgery ; Diverticulitis, Colonic/surgery ; Laparoscopy ; Treatment Outcome
Language	English
Publishing date	2022-10-17
Publishing country	England
Document type	Video-Audio Media ; Letter
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.16358
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Zs.A 5799: Show issues

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Article ; Online: Atención de la urgencia quirúrgica durante la pandemia COVID-19. Recomendaciones de la Asociación Española de Cirujanos.

Aranda-Narváez, José Manuel / Tallón-Aguilar, Luis / Pareja-Ciuró, Felipe / Martín-Martín, Gonzalo / González-Sánchez, Antonio Jesús / Rey-Simó, Ignacio / Tamayo-Medel, Gonzalo / Yánez-Benítez, Carlos / Costa-Navarro, David / Montón-Condón, Soledad / Navarro-Soto, Salvador / Turégano-Fuentes, Fernando / Pérez-Díaz, María Dolores / Ceballos-Esparragón, José / Jover-Navalón, José María / Balibrea, José María / Morales-Conde, Salvador

Cirugia espanola

2020 Volume 98, Issue 8, Page(s) 433–441

Abstract: New coronavirus SARS-CoV-2 infection (coronavirus disease 2019 [COVID-19]) has determined the necessity of reorganization in many centers all over the world. Spain, as an epicenter of the disease, has been forced to assume health policy changes in all ... ...

Title translation	Emergency Surgery and Trauma Care During COVID-19 Pandemic. Recommendations of the Spanish Association of Surgeons.
Abstract	New coronavirus SARS-CoV-2 infection (coronavirus disease 2019 [COVID-19]) has determined the necessity of reorganization in many centers all over the world. Spain, as an epicenter of the disease, has been forced to assume health policy changes in all the territory. However, and from the beginning of the pandemic, every center attending surgical urgencies had to guarantee the continuous coverage adopting correct measures to maintain the excellence of quality of care. This document resumes general guidelines for emergency surgery and trauma care, obtained from the available bibliography and evaluated by a subgroup of professionals designated from the general group of investigators
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Emergency Medical Services/organization & administration ; Humans ; Infection Control/organization & administration ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2 ; Spain ; Traumatology/organization & administration
Keywords	covid19
Language	Spanish
Publishing date	2020-04-29
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2020.04.031
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Article ; Online: Appendiceal inflammatory mass. letter to the editor.

González-Sánchez, Antonio Jesús / Aranda-Narváez, Jose Manuel / Titos-García, Alberto / Montiel-Casado, Custodia / Santoyo-Santoyo, Julio

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

2015 Volume 19, Issue 4, Page(s) 797

MeSH term(s)	Abscess/surgery ; Appendectomy ; Appendiceal Neoplasms/surgery ; Appendicitis/therapy ; Female ; Humans ; Male
Language	English
Publishing date	2015-02-18
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2012365-6
ISSN	1873-4626 ; 1934-3213 ; 1091-255X
ISSN (online)	1873-4626 ; 1934-3213
ISSN	1091-255X
DOI	10.1007/s11605-015-2769-4
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Article ; Online: National survey on the treatment of acute appendicitis in Spain during the initial period of the COVID-19 pandemic.

Prieto, Mikel / Ielpo, Benedetto / Jiménez Fuertes, Montiel / González Sánchez, María Del Carmen / Martín Antona, Esteban / Balibrea, José M / Aranda Narváez, José Manuel

Cirugia espanola

2021 Volume 99, Issue 6, Page(s) 450–456

Abstract: Introduction: The COVID-19 pandemic has had a significant impact on Spanish hospitals, which have had to allocate all available resources to treat these patients, reducing the ability to attend other common pathologies. The aim of this study is to ... ...

Abstract	Introduction: The COVID-19 pandemic has had a significant impact on Spanish hospitals, which have had to allocate all available resources to treat these patients, reducing the ability to attend other common pathologies. The aim of this study is to analyze how the treatment of acute appendicitis has been affected. Method: A national descriptive study was carried out by an online voluntary specific questionnaire with Google Drive™ distributed by email by the Spanish Association of Surgeons (AEC) to all affiliated surgeons currently working in Spain (5203), opened from April 14th to April 24th. Results: We received 337 responses from 170 centers. During the first month of the pandemic, the incidence of acute appendicitis decreased. Although conservative management increased, the surgical option has been the most used in both simple and complicated appendicitis. Despite the fact that the laparoscopic approach continues to be the most widely used in our services, the open approach has increased during this pandemic period. Conclusion: Highlight the contribution of this study in terms of knowledge of the status of the treatment of acute appendicitis during this first month of the pandemic, being able to serve for a better possible organization in future waves of the pandemic and a reorganization of current protocols and management of acute appendicitis in a pandemic situation.
MeSH term(s)	Acute Disease ; Appendectomy/methods ; Appendectomy/trends ; Appendicitis/complications ; Appendicitis/diagnosis ; Appendicitis/epidemiology ; Appendicitis/therapy ; COVID-19/complications ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/therapy ; Conservative Treatment/trends ; Health Care Rationing/trends ; Health Care Surveys ; Humans ; Incidence ; Infection Control/methods ; Infection Control/trends ; Laparoscopy/trends ; Pandemics ; Practice Patterns, Physicians'/trends ; Spain/epidemiology
Language	English
Publishing date	2021-05-28
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2021.05.009
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Article: Acute necrotizing pancreatitis: Surgical indications and technical procedures.

Aranda-Narváez, José Manuel / González-Sánchez, Antonio Jesús / Montiel-Casado, María Custodia / Titos-García, Alberto / Santoyo-Santoyo, Julio

World journal of clinical cases

2014 Volume 2, Issue 12, Page(s) 840–845

Abstract: Necrosis of pancreatic parenchyma or extrapancreatic tissues is present in 10%-20% of patients with acute pancreatitis, defining the necrotizing presentation frequently associated with high morbidity and mortality rates. During the initial phase of acute ...

Abstract	Necrosis of pancreatic parenchyma or extrapancreatic tissues is present in 10%-20% of patients with acute pancreatitis, defining the necrotizing presentation frequently associated with high morbidity and mortality rates. During the initial phase of acute necrotizing pancreatitis the most important pillars of medical treatment are fluid resuscitation, early enteral nutrition, endoscopic retrograde colangiopancreatography if associated cholangitis and intensive care unit support. When infection of pancreatic or extrapancreatic necrosis occurs, surgical approach constitutes the most accepted therapeutic option. In this context, we have recently assited to changes in time for surgery (delaying the indication if possible to around 4 wk to deal with "walled-off" necrosis) and type of access for necrosectomy: from a classical open approach (with closure over large-bore drains for continued postoperative lavage or semiopen techniques with scheduled relaparotomies), trends have changed to a "step-up" philosophy with initial percutaneous drainage and posterior minimally invasive or endoscopic access to the retroperitoneal cavity for necrosectomy if no improvement has been previously achieved. These approaches are progressively gaining popularity and morbidity and mortality rates have decreased significantly. Therefore, a staged, multidisciplinary, step-up approach with minimally invasive or endoscopic access for necrosectomy is widely accepted nowadays for management of pancreatic necrosis.
Language	English
Publishing date	2014-12-09
Publishing country	United States
Document type	Journal Article ; Review
ISSN	2307-8960
ISSN	2307-8960
DOI	10.12998/wjcc.v2.i12.840
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Article: Tumores retrorrectales: un reto diagnósticoterapéutico.

Carrasco-Campos, Joaquín / Mera-Velasco, Santiago / González-Poveda, Iván / Ruiz-López, Manuel / Toval-Mata, José Antonio / Aranda-Narváez, José Manuel / Santoyo-Santoyo, Julio

Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

2015 Volume 107, Issue 8, Page(s) 519–520

Title translation	Retrorectal tumors - A diagnostic-therapeutic challenge.
MeSH term(s)	Aged ; Fibromatosis, Aggressive/diagnostic imaging ; Humans ; Magnetic Resonance Imaging ; Male ; Pelvic Neoplasms/diagnostic imaging ; Rectum ; Sacrococcygeal Region
Language	Spanish
Publishing date	2015-07-24
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	1070381-0
ISSN	1130-0108 ; 0212-7512
ISSN	1130-0108 ; 0212-7512
DOI	10.17235/reed.2015.3551/2014
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