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  1. Article ; Online: Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature.

    Moreno-Suero, Francisco / Tallon-Aguilar, Luis / Tinoco-González, José / Sánchez-Arteaga, Alejandro / Suárez-Grau, Juan Manuel / Alvarez-Aguilera, Miriam / Morales-Conde, Salvador / Padillo-Ruiz, Javier

    Journal of abdominal wall surgery : JAWS

    2023  Volume 2, Page(s) 11242

    Abstract: There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin ... ...

    Abstract There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin hernia repair comparing with open approach. A retrospective review of a prospectively maintained database between January 2011 and December 2021 of acute incarcerated groin hernia that were operated at Virgen del Rocio University Hospital. In this period, they were identified 463 patients with groin hernia that required an emergency repair. 454 patients underwent open surgery (group 1) and 36 patients underwent laparoscopic approach (TAPP procedure) (group 2). Median length stay was 1 day in lap group and 2 days in open approach. Reintervention was necessary in 20 cases (4.40%) from group 1 and one (2.27%) from group 2. In laparoscopic approach, no mortality was described but in open approach, 10 patients (2.20%) died. Globally, 58 cases (12.77%) from group 1 and six patients (16.66%) from group 2 presented any complication. Wound infection was higher in group of open repairs (5.94% vs. 2.77%). Non-surgical complications were higher in open approach (19 vs. 0). There is no statistical significance in any of these items. Laparoscopic approach is a safe, feasible and effective therapeutic option for the treatment of incarcerated groin hernia that require emergency surgery, but prospective and randomized comparative studies are needed to establish the best approach.
    Language English
    Publishing date 2023-06-16
    Publishing country Switzerland
    Document type Journal Article ; Review
    ISSN 2813-2092
    ISSN (online) 2813-2092
    DOI 10.3389/jaws.2023.11242
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Impact of a Donor Age >75 Years on the Survival of Liver Transplant Recipients.

    Cuevas López, María José / Álvarez Aguilera, Miriam / Cepeda Franco, Carmen / Suárez Artacho, Gonzalo / Marín Gómez, Luis Miguel / Bernal Bellido, Carmen / Álamo Martínez, José María / Padillo Ruiz, Francisco Javier / Gómez Bravo, Miguel Ángel

    Transplantation proceedings

    2022  

    Abstract: Background: An organ shortage is the reason why it is necessary to expand the pool of donors, which can be achieved by using elderly donors. The main goal of this study is to analyze the outcomes of liver transplant (LT) when it is performed with donors ...

    Abstract Background: An organ shortage is the reason why it is necessary to expand the pool of donors, which can be achieved by using elderly donors. The main goal of this study is to analyze the outcomes of liver transplant (LT) when it is performed with donors older than 75 years.
    Methods: We carried out a retrospective case-control study (N = 212) that included LTs with donors older than 75 years (group A, n = 106 cases) that were performed in our center between the years 2010 and 2020. This cohort has been paired off with a similar control group (group B, n = 106) whose donors were significantly younger. A survival analysis using the Kaplan-Meier model was performed.
    Results: Average (SD) age of donors in group A was statistically greater than group B (A, 79.1 [3.0] years vs B, 54.4 [15.3], P < .001). There were no differences either in the average age of the recipients or in the Model for End-Stage Liver Disease score of both groups. Indications for LT were distributed equally in both groups: the most common was cellular hepatocarcinoma followed by alcohol-related cirrhosis. Survival rates for group A were 81%, 78%, and 67%, in 1, 3, and 5 years, respectively, while in group B they were 85%, 76%, and 71%, respectively, without differences found between the groups (P = .57).
    Conclusions: Using elderly liver donors is safe, achieving good outcomes in terms of short- and midterm rates of survival.
    Language English
    Publishing date 2022-10-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82046-5
    ISSN 1873-2623 ; 0041-1345
    ISSN (online) 1873-2623
    ISSN 0041-1345
    DOI 10.1016/j.transproceed.2022.10.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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