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Article: Endometriosis extragenital como causa de dolor inguinal agudo en mujer fértil.

Moreno-Egea, Alfredo / Girela, Enrique / Aguayo, José Luis

2005 Volume 81, Issue 5, Page(s) 289–290

Title translation	Extragenital endometriosis as a cause of acute inguinal pain in a woman of reproductive age.
MeSH term(s)	Abdominal Pain/etiology ; Acute Disease ; Adolescent ; Adult ; Endometriosis/complications ; Female ; Humans ; Inguinal Canal
Language	Spanish
Publishing date	2005-06-16
Publishing country	Spain
Document type	Letter
ZDB-ID	730701-9
ISSN	0009-739X
ISSN	0009-739X
DOI	10.1016/s0009-739x(07)71324-6
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Article: Reformulación conceptual de la técnica de reparación doble: una solución sencilla para defectos muy complejos de la pared abdominal.

Moreno-Egea, Alfredo / Torralba, José Antonio / Morales, Germán / Aguayo, José Luis

Cirugia espanola

2006 Volume 80, Issue 2, Page(s) 101–104

Abstract: Introduction: 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.: Material and method: We performed a prospective ... ...

Title translation	Conceptual reformulation of the double mesh repair technique: a simple solution for highly complex abdominal wall defects.
Abstract	Introduction: 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. Material and method: 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 multidisciplinary unit. Indications consisted of incisional hernias with multiple recurrences (> 3 times), prior mesh complicated by fistula and chronic infection, giant diffuse lumbar hernia, and ventral hernia (associated with parastomal hernia or occurring after bariatric surgery with associated dermolipectomy). The surgical technique used was double intra-abdominal and supra-aponeurotic mesh repair without associated plasty techniques. Clinical, surgical and follow-up data were analyzed. Results: Nine defects were lateral, three were lumbar, one was parapubic, and two were located in the mid-line (one associated with giant parastomal hernia and one occurring after bariatric surgery). Eight showed significant tissue loss, five showed trophic skin lesions, and two showed chronic suppurative infection. The mean size of the defects was 17.5 cm. Seroma occurred in three patients and limited cutaneous necrosis occurred in one patient. The mean length of hospital stay was 4.3 days (range 2-7 days). No complications, recurrences or mortality were detected during follow-up. Conclusion: Complex abdominal wall defects can be corrected through double repair using mesh only. This technique is simple to learn and perform and can be applied in many anatomical sites and types of defect, as well as in the presence of tissue destruction.
MeSH term(s)	Abdominal Wall/surgery ; Adult ; Aged ; Female ; Hernia, Ventral/surgery ; Humans ; Male ; Middle Aged ; Prospective Studies ; Reconstructive Surgical Procedures/methods ; Recurrence ; Surgical Mesh
Language	Spanish
Publishing date	2006-08-29
Publishing country	Spain
Document type	Clinical Trial ; English Abstract ; Journal Article
ZDB-ID	730701-9
ISSN	0009-739X
ISSN	0009-739X
DOI	10.1016/s0009-739x(06)70931-9
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Article: Síndrome del dedo azul. Evaluación y tratamiento.

del Pozo, Pablo / Martínez, Diego / Morales, Germán / Campillo, Alvaro / Aguayo, José Luis

Cirugia espanola

2008 Volume 83, Issue 5, Page(s) 267–268

Title translation	Blue finger syndrome. Evaluation and treatment.
MeSH term(s)	Anticoagulants/therapeutic use ; Humans ; Ischemia/drug therapy ; Ischemia/pathology ; Livedo Reticularis/drug therapy ; Livedo Reticularis/pathology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Syndrome ; Toes/blood supply ; Toes/pathology
Chemical Substances	Anticoagulants
Language	Spanish
Publishing date	2008-04-29
Publishing country	Spain
Document type	Case Reports ; Journal Article
ZDB-ID	730701-9
ISSN	0009-739X
ISSN	0009-739X
DOI	10.1016/s0009-739x(08)70567-0
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Article: Laparoscopic incisional hernia repair as a day surgery procedure: audit of 127 consecutive cases in a university hospital.

Moreno-Egea, Alfredo / Cartagena, Joaquin / Vicente, Juan Pablo / Carrillo, Andres / Aguayo, Jose Luis

Surgical laparoscopy, endoscopy & percutaneous techniques

2008 Volume 18, Issue 3, Page(s) 267–271

Abstract: Background: Findings have shown that laparoscopic incisional hernia repair is superior to conventional open techniques. The objective of the current study was to evaluate the results of laparoscopic surgery on incisional hernias in an outpatient surgery ...

Abstract	Background: Findings have shown that laparoscopic incisional hernia repair is superior to conventional open techniques. The objective of the current study was to evaluate the results of laparoscopic surgery on incisional hernias in an outpatient surgery unit in a university hospital. Methods: Data were gathered prospectively for all laparoscopic incisional hernia repairs from January 1997 to December 2006. A total of 127 patients were operated in an outpatient surgery unit. The patients' clinical features, hernia type, intraoperative and postoperative complications, and reasons for hospital admission are studied. Results: None of the patients required readmission to hospital, 15 had no need for analgesic treatment (11.8%) and the mean requirement was 6 days. The mean time of return to normal activity was less than 10 days and all the patients expressed their satisfaction with the procedure they received. During follow-up we detected 5 recurrences (4.4%). The statistical study showed no significant differences between the hospitalized patients and those treated on an ambulatory basis with regard to morbidity and recurrence rate (P<0.05). We do find a lower intraoperative and early postoperative (<30 d) complication rate in favor of the ambulatory patients (P<0.001). Conclusions: Laparoscopic repair of incisional hernias can be performed as a highly efficient ambulatory procedure with igual morbidity and recurrences than hospitalized patients.
MeSH term(s)	Ambulatory Surgical Procedures/methods ; Female ; Health Status Indicators ; Hernia, Ventral/surgery ; Hospitals, Teaching ; Humans ; Laparoscopy/methods ; Male ; Medical Audit ; Middle Aged ; Outpatients ; Pain Measurement ; Postoperative Complications ; Prospective Studies ; Treatment Outcome
Language	English
Publishing date	2008-06
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	1475108-2
ISSN	1534-4908 ; 1530-4515 ; 1051-7200
ISSN (online)	1534-4908
ISSN	1530-4515 ; 1051-7200
DOI	10.1097/SLE.0b013e31816fef2b
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Article: Tratamiento de la eventración no medial: experiencia de una unidad de pared abdominal y revisión de la literatura.

Moreno-Egea, Alfredo / Guzmán, Pablo / Morales, Germán / Carrillo, Andrés / Aguayo, José Luis

Cirugia espanola

2007 Volume 81, Issue 6, Page(s) 330–334

Abstract: Introduction: Lateral ventral hernia is an interesting surgical problem. However, few data are available on this entity.: Objective: To review current knowledge of lateral ventral hernia and present our experience of this entity in a ... ...

Title translation	Treatment of non-midline ventral hernia: experience in an abdominal wall unit and literature review.
Abstract	Introduction: Lateral ventral hernia is an interesting surgical problem. However, few data are available on this entity. Objective: To review current knowledge of lateral ventral hernia and present our experience of this entity in a multidisciplinary abdominal wall unit. Patients and method: A. Literature review: a search of Spanish (Cirugía Española) and international literature was performed through MEDLINE using the key words "lateral incisional/ventral hernia". B. Clinical study: a series of 53 patients who underwent endoscopic surgery for non-midline ventral hernia were prospectively studied. Clinical parameters, postoperative complications and the recurrence rate were evaluated. The mean follow-up was 64 months (range, 12-120 months). Results: A. Literature review: we found a ratio between chapters on inguinal hernia and ventral hernia of 3.8:1 and a complete absence of chapters on lateral ventral hernia. Only two articles specifically dealt with ventral hernia. B. Clinical study: the most frequent location was lumbar (34%), followed by iliac and subcostal. A total of 37.7% of patients could be treated without admission and the remaining patients had a mean length of hospital stay of 2.7 days. Hematoma (17%) predominated in iliac ventral hernias and pain was transitory in two patients with lumbar ventral hernia. There were two early recurrences due to incorrect mesh fixation in subcostal and lumbar ventral hernias. Conclusions: Non-midline ventral hernia is a little known entity. Future treatment should be individualized in each patient and should be based on common classification of the type of defect to correctly evaluate the results. The laparoscopic route provides competitive results in selected patients.
MeSH term(s)	Abdominal Wall/surgery ; Adult ; Hernia, Ventral/surgery ; Humans ; Laparoscopy ; Postoperative Complications/epidemiology ; Surgical Mesh
Language	Spanish
Publishing date	2007-05-31
Publishing country	Spain
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	730701-9
ISSN	0009-739X
ISSN	0009-739X
DOI	10.1016/s0009-739x(07)71332-5
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Article: Evaluation of the clinical pathway for laparoscopic cholecystectomy.

Soria, Víctor / Pellicer, Enrique / Flores, Benito / Carrasco, Milagros / Candel Maria, Fe / Aguayo, Jose Luis

The American surgeon

2005 Volume 71, Issue 1, Page(s) 40–45

Abstract: Clinical pathways are comprehensive systematized patient care plans for specific procedures. The clinical pathway for laparoscopic cholecystectomy was implemented in our department in March 2002. The aim of this study is to evaluate the clinical pathway ... ...

Abstract	Clinical pathways are comprehensive systematized patient care plans for specific procedures. The clinical pathway for laparoscopic cholecystectomy was implemented in our department in March 2002. The aim of this study is to evaluate the clinical pathway for this procedure 1 year after implementation. A study was conducted on all the patients included in the clinical pathway since its implementation. The assessment criteria include degree of compliance, indicators of clinical care effectiveness, financial impact, and survey-based indicators of satisfaction. The results are compared to a series of patients undergoing surgery the year prior to implementation of the clinical pathway. As our hospital has a system of cost management, we analyzed the mean cost per procedure before and after clinical pathway implementation. Evaluation was made of a series of 160 consecutive patients who underwent surgery during the period 1 year prior to development of the clinical pathway and met the accepted inclusion criteria. The mean length of hospital stay was 3.27 days, and the mean cost per procedure before pathway implementation was 2149 (+/-768) euros. One year after implementation of the pathway, 140 patients were included (i.e., an inclusion rate of 100%). The mean length of hospital stay of the patients included in the clinical pathway was 2.2 days. The degree of compliance with stays was 66.7 per cent. The most frequent reasons for noncompliance were staff-dependent, followed by patient-dependent causes (oral intolerance, pain, etc.). The mean cost in the series of patients included in the clinical pathway was 1845 (+/-618) euros. Laparoscopic cholecystectomy is an ideal procedure for commencing the systemization of clinical pathways. Results show that it has significantly reduced the length of hospital stay and mean cost per procedure with no increased morbidity and with a high degree of patient satisfaction.
MeSH term(s)	Cholecystectomy, Laparoscopic/economics ; Cholecystectomy, Laparoscopic/standards ; Cost-Benefit Analysis ; Critical Pathways/organization & administration ; Evaluation Studies as Topic ; Health Care Costs/statistics & numerical data ; Health Plan Implementation/economics ; Humans ; Length of Stay/economics ; Length of Stay/statistics & numerical data ; Patient Compliance/statistics & numerical data ; Patient Satisfaction/statistics & numerical data ; Retrospective Studies
Language	English
Publishing date	2005-01
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
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Article: Sociedad y cirugía. Burnout y cirujanos.

Moreno-Egea, Alfredo / Latorre-Reviriego, Isabel / de Miquel, Joana / Campillo-Soto, Alvaro / Sáez, Juan / Aguayo, José Luis

Cirugia espanola

2008 Volume 83, Issue 3, Page(s) 118–124

Abstract: Burnout syndrome is a mental and emotional state of tiredness, characterised by feelings of emptiness and negative attitudes to work and life. It appears particularly in care professionals associated with human interactions, and starts progressive, ... ...

Title translation	Society and surgery. Burnout and surgeons.
Abstract	Burnout syndrome is a mental and emotional state of tiredness, characterised by feelings of emptiness and negative attitudes to work and life. It appears particularly in care professionals associated with human interactions, and starts progressive, affecting the professional as well as the organisation. It is currently the most common cause of absence from work. Its incidence among doctors is about 50%, but, despite being considered a high risk group, its incidence and consequences among surgeons is still unknown. The causal factors are analysed and coping strategies are offered to be able to control the problem.
MeSH term(s)	Burnout, Professional/etiology ; Burnout, Professional/prevention & control ; General Surgery ; Humans ; Occupational Diseases/epidemiology ; Occupational Diseases/etiology
Language	Spanish
Publishing date	2008-02-21
Publishing country	Spain
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	730701-9
ISSN	0009-739X
ISSN	0009-739X
DOI	10.1016/s0009-739x(08)70525-6
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Article: Intracystic papillary carcinoma in the male breast.

Andrés, Bruno / Aguilar, José / Torroba, Amparo / Martínez-Gálvez, María / Aguayo, José-Luis

The breast journal

2003 Volume 9, Issue 3, Page(s) 249–250

Abstract: Intracystic papillary carcinoma is an uncommon noninvasive breast cancer with an excellent prognosis. We report the case of a 74-year-old man. Of the diagnostic tests performed, ultrasonography and pneumocystography were useful for establishing a ... ...

Abstract	Intracystic papillary carcinoma is an uncommon noninvasive breast cancer with an excellent prognosis. We report the case of a 74-year-old man. Of the diagnostic tests performed, ultrasonography and pneumocystography were useful for establishing a diagnostic suspicion, however, puncture cytology was inaccurate. Excisional biopsy was necessary to confirm the disease, but also to indicate that local treatment was sufficient.
MeSH term(s)	Aged ; Breast Neoplasms, Male/complications ; Breast Neoplasms, Male/diagnosis ; Breast Neoplasms, Male/diagnostic imaging ; Breast Neoplasms, Male/pathology ; Breast Neoplasms, Male/surgery ; Carcinoma, Papillary/complications ; Carcinoma, Papillary/diagnosis ; Carcinoma, Papillary/diagnostic imaging ; Carcinoma, Papillary/pathology ; Carcinoma, Papillary/surgery ; Diagnosis, Differential ; Fibrocystic Breast Disease/complications ; Fibrocystic Breast Disease/diagnosis ; Fibrocystic Breast Disease/diagnostic imaging ; Fibrocystic Breast Disease/pathology ; Fibrocystic Breast Disease/surgery ; Humans ; Male ; Radiography
Language	English
Publishing date	2003-03-24
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1289960-4
ISSN	1075-122X
ISSN	1075-122X
DOI	10.1046/j.1524-4741.2003.09314.x
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Article: Outpatient laparoscopic incisional/ventral hernioplasty: our experience in 55 cases.

Moreno-Egea, Alfredo / Castillo, José Antonio / Girela, Enrique / Canteras, Manuel / Aguayo, José Luis

Surgical laparoscopy, endoscopy & percutaneous techniques

2002 Volume 12, Issue 3, Page(s) 171–174

Abstract: Laparoscopic repair of ventral and incisional hernias is still a controversial therapeutic option. The purpose of this article is to evaluate the results of laparoscopic surgery on ventral hernias in an outpatient surgery unit of a university hospital. ... ...

Abstract	Laparoscopic repair of ventral and incisional hernias is still a controversial therapeutic option. The purpose of this article is to evaluate the results of laparoscopic surgery on ventral hernias in an outpatient surgery unit of a university hospital. Fifty-five patients consecutively underwent laparoscopic surgery for ventral/incisional hernias in the outpatient unit. The patients' clinical features, hernia type, intraoperative, and postoperative complications and reasons for hospital admission are studied. Forty-two patients (76%) were discharged on the day of the surgery. Thirteen (24%) required hospital admission; 9 admissions were predictable (5 for intraoperative occurrences and 4 for associated surgery) and 4 were unpredictable (all for uncontrolled pain; 31%). We found no case of hospital admission for vomiting, urinary retention, or dizziness. Statistical analysis of the patients requiring admission showed no significant correlation with their clinical features or with the site, size, or recurrence of the abdominal wall defect (P > 0.05). Laparoscopic repair of ventral and incisional hernias can be done as a highly efficient ambulatory procedure, and morbidity and hospital admission with this technique do not depend on the type of hernia.
MeSH term(s)	Adult ; Aged ; Ambulatory Surgical Procedures/methods ; Female ; Follow-Up Studies ; Hernia, Ventral/surgery ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Peritoneum/surgery ; Postoperative Complications ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2002-06-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1475108-2
ISSN	1534-4908 ; 1530-4515 ; 1051-7200
ISSN (online)	1534-4908
ISSN	1530-4515 ; 1051-7200
DOI	10.1097/00129689-200206000-00006
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Article: Clinical pathway for the treatment of primary spontaneous pneumothorax in a general surgery department.

Soria, Víctor / Coll, Antonio / Flores, Benito / Miguel, Joana / Torralba, José Antonio / Andrés, Bruno / Carrasco, Milagros / Aguayo, Jose Luis

American journal of medical quality : the official journal of the American College of Medical Quality

2005 Volume 20, Issue 5, Page(s) 268–276

Abstract: Primary spontaneous pneumothorax is a common abnormality for which there is a variety of treatments. This study presents the results of a year's evaluation of a clinical pathway (CP). A series of 34 patients treated during 1 year before CP development ... ...

Abstract	Primary spontaneous pneumothorax is a common abnormality for which there is a variety of treatments. This study presents the results of a year's evaluation of a clinical pathway (CP). A series of 34 patients treated during 1 year before CP development was analyzed to identify the weak points. To address these weak points, the CP includes associated protocols. In the CP, 31 patients were evaluated during 1 year; the results were compared with those of the pre-CP series. The mean length of stay of the pre-CP patients and the CP patients was 7.3 days and 5.0 days, respectively. The number of radiographs fell from 4.3 to 3.2. The rate of complications and readmissions is similar in both groups. The mean cost per process dropped from 1863 [UNKNOWN] to 1168 [UNKNOWN]. The CP for pneumothorax successfully manages to reduce both the variability in care patterns and hospital costs, justifying the work involved in its development and implementation.
MeSH term(s)	Critical Pathways ; Humans ; Pneumothorax/diagnosis ; Pneumothorax/therapy ; Spain ; Surgery Department, Hospital/organization & administration
Language	English
Publishing date	2005-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	1131772-3
ISSN	1062-8606
ISSN	1062-8606
DOI	10.1177/1062860605279710
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