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  1. Article ; Online: Social media and surgery.

    Sánchez-Santos, Raquel / Cano-Valderrama, Oscar

    Cirugia espanola

    2023  

    Abstract: During the last years, social media use has increased in the surgical community. Social Media in surgery has created new challenges such as surgical education, patient privacy, professionalism, and the difference between the private and public virtual ... ...

    Abstract During the last years, social media use has increased in the surgical community. Social Media in surgery has created new challenges such as surgical education, patient privacy, professionalism, and the difference between the private and public virtual life. Facebook, YouTube or WebSurg are some of the main social media in the surgical field. Nevertheless, Twitter is the most common and relevant Media for surgeons. Some Twitter Hashtag such as #SoMe4Surgery or #colorectalsurgery went viral and had a significant influence in the surgical community. Some of the uses of social media in surgery are education of younger surgeons, surgical research, and relationship between surgeons. However, not everything in social media is positive. Some negative issues of social media use in surgery are, for example, lack of privacy, intellectual property conflicts, conflicts of interest and mistakes in the published information. In this article, the main social media, the use of these media, the advantages and the possible risks and negative issues of social media are discussed.
    Language English
    Publishing date 2023-11-17
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.11.010
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  2. Article ; Online: Comment on: Changes in utilization of immediate-release, extended-release and liquid formulation medications relative to bariatric surgery: a segmented regression analysis.

    Cano-Valderrama, Oscar / Sánchez-Santos, Raquel

    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

    2021  Volume 17, Issue 6, Page(s) 1094–1095

    MeSH term(s) Bariatric Surgery ; Delayed-Action Preparations ; Humans ; Regression Analysis
    Chemical Substances Delayed-Action Preparations
    Language English
    Publishing date 2021-03-26
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2274243-8
    ISSN 1878-7533 ; 1550-7289
    ISSN (online) 1878-7533
    ISSN 1550-7289
    DOI 10.1016/j.soard.2021.03.016
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    Zs.A 6572: Show issues Location:
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  3. Article ; Online: Local Excision for organ preservation in early REctal cancer with No Adjuvant treatment (LORENA Trial): prospective observational study protocol.

    Pérez, Rodrigo Tovar / Cerdán-Santacruz, Carlos / Cano-Valderrama, Óscar / Escovar, Fernando Jiménez / Lorente, Blas Flor / Pérez, Rodrigo O / García-Septiem, Javier

    Cirugia espanola

    2024  

    Abstract: Introduction: Local resection (LR) is an alternative to total mesorectal excision (TME) that avoids its associated morbidity to the detriment of oncological radicality in early stages of rectal cancer. There are several conditioning factors for the ... ...

    Abstract Introduction: Local resection (LR) is an alternative to total mesorectal excision (TME) that avoids its associated morbidity to the detriment of oncological radicality in early stages of rectal cancer. There are several conditioning factors for the success of this strategy, such as poor prognosis histological factors (PPHF), involvement of resection margins, clinical under staging, or complications that may lead to the indication for radical surgery with TME.
    Patients and method: An international multicenter prospective observational open-label study has been designed. Consecutive patients diagnosed with early rectal cancer (cT1N0 on MRI + / - endorectal ultrasound) whose lower limit is a maximum of 2 cm proximal to the ano-rectal junction will be included. The primary objective of the study is to determine the overall prevalence of PPHF after LR and requiring TME or postoperative radio-chemotherapy.
    Discussion: The prevalence of PPHF conditioning the success of LR in early distal rectal cancer has been scarcely studied in the literature, and there are very few prospective data. Considering the increasing interest in the watch and wait strategy in rectal cancer and its possible application in early-stage tumors, it seems necessary to know this information. The results of this study will help guide clinical practice in patients with early distal rectal cancer. It will also provide quality information for the design of future comparative studies to improve organ preservation success in these patients.
    Trial registration number: NCT05927584.
    Language English
    Publishing date 2024-05-17
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2024.04.013
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  4. Article ; Online: Traumatic deficient perineum: surgical management and outcome from a single center.

    Cerdán-Santacruz, Carlos / Cano-Valderrama, Óscar / Cerdán-Miguel, Javier

    International urogynecology journal

    2021  Volume 33, Issue 3, Page(s) 651–658

    Abstract: Introduction and hypothesis: Deficient perineum is a disruption of the perineal body and distal rectovaginal septum presenting with anal incontinence and a range of urogenital symptoms. There is scarce reported outcome of this condition with management ... ...

    Abstract Introduction and hypothesis: Deficient perineum is a disruption of the perineal body and distal rectovaginal septum presenting with anal incontinence and a range of urogenital symptoms. There is scarce reported outcome of this condition with management often delayed and with a variety of surgical alternatives. This study aims to determine faecal continence outcomes after long-term surgical repair.
    Methods: Patients were included for analysis after surgical repair between 1989 and 2012. Cases were preoperatively assessed by endosonography and anorectal manometry with a record of their continence with the Cleveland Clinic Incontinence Score (CCIS). Surgical repair comprised an overlapping repair of the external anal sphincter (EAS) with levatorplasty. There was selective use of internal anal sphincter (IAS) suture and/or advancement perineoplasty for soft tissue reconstruction. Patients were clinically evaluated for functional outcomes with comparison of their postoperative CCIS.
    Results: There were 20 patients (median age 55.5 years; range 29-81 years) with a median duration of incontinence symptoms of 174 (range 1-540) months. All patients had an EAS and IAS defect with 14 (70%) undergoing an IAS suture and 10 (50%) a Corman-style anoplasty. Over a median follow-up of 137.2 (range 13-322) months, there was a significant decrease in the recorded median preoperative vs. postoperative CCIS 18, range 13-20 vs. 2, range 0-10, respectively; p < 0.001) with 18 (90%) satisfied with the functional outcome. Faecal diversion was not used in any of the patients.
    Conclusions: Experienced delayed repair of a traumatic cloaca is associated with an acceptable functional outcome at medium- to long-term follow-up.
    MeSH term(s) Anal Canal/surgery ; Child ; Child, Preschool ; Defecation ; Fecal Incontinence/etiology ; Fecal Incontinence/surgery ; Female ; Humans ; Manometry ; Perineum/surgery ; Rectum ; Treatment Outcome
    Language English
    Publishing date 2021-04-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 1050631-7
    ISSN 1433-3023 ; 0937-3462
    ISSN (online) 1433-3023
    ISSN 0937-3462
    DOI 10.1007/s00192-021-04803-0
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  5. Article ; Online: National observational study about the surgical treatment of anal fistula: Does the kind of hospital modify the results?

    Cano-Valderrama, Oscar / Cerdán-Santacruz, Carlos / Fernández Veiga, Pilar / Fernández-Miguel, Tamara / Viejo, Elena / García-Granero, Álvaro / Calderón, Teresa / Reyes, María L

    Cirugia espanola

    2024  Volume 102, Issue 3, Page(s) 150–156

    Abstract: Introduction: Performing the surgical procedure in a high-volume center has been seen to be important for some surgical procedures. However, this issue has not been studied for patients with an anal fistula (AF).: Material and methods: A ... ...

    Abstract Introduction: Performing the surgical procedure in a high-volume center has been seen to be important for some surgical procedures. However, this issue has not been studied for patients with an anal fistula (AF).
    Material and methods: A retrospective multicentric study was performed including the patients who underwent AF surgery in 2019 in 56 Spanish hospitals. A univariate and multivariate analysis was performed to analyse the relationship between hospital volume and AF cure and fecal incontinence (FI).
    Results: 1809 patients were include. Surgery was performed in a low, middle, and high-volume hospitals in 127 (7.0%), 571 (31.6%) y 1111 (61.4%) patients respectively. After a mean follow-up of 18.9 months 72.3% (1303) patients were cured and 132 (7.6%) developed FI. The percentage of patients cured was 74.8%, 75.8% and 70.3% (p = 0.045) for low, middle, and high-volume hospitals. Regarding FI, no statistically significant differences were observed depending on the hospital volume (4.8%, 8.0% and 7.7% respectively, p = 0.473). Multivariate analysis didńt observe a relationship between AF cure and FI.
    Conclusion: Cure and FI in patients who underwent AF surgery were independent from hospital volume.
    MeSH term(s) Humans ; Treatment Outcome ; Retrospective Studies ; Anal Canal/surgery ; Rectal Fistula/epidemiology ; Rectal Fistula/surgery ; Fecal Incontinence/epidemiology ; Fecal Incontinence/etiology ; Hospitals, High-Volume
    Language English
    Publishing date 2024-01-14
    Publishing country Spain
    Document type Observational Study ; Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2024.01.002
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  6. Article ; Online: Magnetic device in reduced port and single port bariatric surgery: First 170 cases experience.

    Borjas, Guillermo / Sánchez, Nestor / Urdaneta, Ali / Maldonado, Andres / Ramos, Eduardo / Ferrigni, Carlos / Cano-Valderrama, Oscar / Alvarez, Jarib

    Cirugia espanola

    2022  Volume 100, Issue 10, Page(s) 614–621

    Abstract: Introduction: Magnetic devices have been successfully used in bariatric surgery. To the date, the only reported use of the magnet was for liver retraction. Our purpose in this study is to demonstrate the safety and viability of using a magnetic system ... ...

    Abstract Introduction: Magnetic devices have been successfully used in bariatric surgery. To the date, the only reported use of the magnet was for liver retraction. Our purpose in this study is to demonstrate the safety and viability of using a magnetic system in different steps in single port and reduced port bariatric surgery.
    Methods: Prospective and observational study was performed. Patients older than 18 years, undergoing primary laparoscopic sleeve gastrectomy (SG), one-anastomosis gastric bypass (OAGB), and Roux-en-Y gastric bypass (RYGB) or revisional surgery by single-port or reduced-port approach between July 2020 and June 2021 were included.
    Results: A total of 170 patients (mean BMI, 41.47kg/m
    Conclusion: Magnetic assistance in single-port and reduced-port bariatric surgery is an innovative technique. With this prospective study we attempt to demonstrate the safety profile and potential uses that may improve the implementation of new surgical approaches in bariatric surgery.
    MeSH term(s) Adult ; Bariatric Surgery ; Gastric Bypass/methods ; Humans ; Magnetic Phenomena ; Magnets ; Obesity, Morbid/surgery ; Postoperative Complications ; Prospective Studies
    Language English
    Publishing date 2022-09-15
    Publishing country Spain
    Document type Journal Article ; Observational Study
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.08.016
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  7. Article: Cystic fibrosis with liver involvement in adults has a benign course. Results from a tertiary referral center cohort.

    Marinero Martínez-Lázaro, Almudena / Girón Moreno, Rosa María / Casals Seoane, Fernando / Cano-Valderrama, Óscar / García-Buey, Luisa

    Revista espanola de enfermedades digestivas

    2022  Volume 115, Issue 6, Page(s) 301–305

    Abstract: Background: Cystic Fibrosis Liver Disease is a poorly understood entity, especially in adults, in terms of its real prevalence, natural history and diagnostic criteria, despite being the most important extrapulmonary cause of mortality. The aim was to ... ...

    Abstract Background: Cystic Fibrosis Liver Disease is a poorly understood entity, especially in adults, in terms of its real prevalence, natural history and diagnostic criteria, despite being the most important extrapulmonary cause of mortality. The aim was to evaluate the prevalence, characteristics and potential risk factors of liver disease in adults with cystic fibrosis, according to two diagnostic criteria accepted in the scientific literature.
    Methods: Patients were recruited in a tertiary referral hospital, and laboratory, ultrasound, non-invasive liver fibrosis tests (AST to Platelet Ratio Index; Fibrosis-4 Index) and transient elastography (Fibroscan) were performed. The proportion of patients with liver disease according to the Debray and Koh criteria were evaluated.
    Results: 95 patients were included, 48 (50.5%) females, with a mean age of 30.4 (28.6-32.2) years. According to the Debray criteria, 6 (6.3%) patients presented liver disease. According to the Koh criteria, prevalence increased up to 8.4%, being statistically different from the 25% value described in other published series (p = 0.005). Seven (7.5%) presented ultrasonographic chronic liver disease. Eleven (13%) presented liver fibrosis according to the APRI score; 95 (100%) had a normal FIB-4 value. Mean liver stiffness value was 4.4 (4.1-4.7) kPa. FEV1 (OR=0.16, p 0.05), meconium ileus (OR=14.16, p 0.002), platelets (Pearson coefficient -0.25, p 0.05) and younger age (Pearson coefficient -0.19, p 0.05) were risk factors.
    Conclusions: Prevalence and severity of liver disease in adult cystic fibrosis patients were lower than expected. Meconium ileus, platelets, age and respiratory function were confirmed as risk factors associated to cystic fibrosis liver disease.
    MeSH term(s) Female ; Humans ; Adult ; Male ; Tertiary Care Centers ; Cystic Fibrosis/complications ; Cystic Fibrosis/diagnostic imaging ; Meconium Ileus/complications ; Liver Cirrhosis/diagnostic imaging ; Liver Cirrhosis/epidemiology ; Liver Cirrhosis/complications ; Liver Diseases/diagnostic imaging ; Liver Diseases/epidemiology ; Liver Diseases/etiology ; Elasticity Imaging Techniques/methods ; Liver/pathology ; Aspartate Aminotransferases
    Chemical Substances Aspartate Aminotransferases (EC 2.6.1.1)
    Language English
    Publishing date 2022-11-09
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2022.9289/2022
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    Zs.B 199: Show issues Location:
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  8. Article ; Online: Right laparoscopic pudendal release + neurostimulator prosthesis (LION procedure) in pudendal neuralgia.

    Moncada, Enrique / de San Ildefonso, Alberto / Flores, Erene / Garrido, Lucia / Cano-Valderrama, Oscar / Vigorita, Vincenzo / Sánchez-Santos, Raquel

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

    2022  Volume 24, Issue 10, Page(s) 1243–1244

    Abstract: Aim: Pudendal neuralgia is a highly disabling entity with complex diagnostic and controversial treatment results. Surgical neurolysis has been shown to be the most effective treatment. Sacral root neurostimulation or posterior tibial nerve stimulation ... ...

    Abstract Aim: Pudendal neuralgia is a highly disabling entity with complex diagnostic and controversial treatment results. Surgical neurolysis has been shown to be the most effective treatment. Sacral root neurostimulation or posterior tibial nerve stimulation are used to rescue patients who either have not responded to surgery or have worsened after an initial improvement.
    Methods: Given the excellent visualization of the pudendal nerve during laparoscopic pudendal release, we propose to combine this procedure with neurostimulation, taking advantage of the possibility of in situ placement of the electrode. The abdominal cavity is accessed laparoscopically through four ports, and after identifying and releasing the pudendal nerve a neurostimulation electrode is placed next to the nerve and is connected to a generator located in a subcutaneous pocket.
    Results: This procedure has been performed in one patient with a satisfactory result.
    Conclusions: Laparoscopic pudendal release with neurostimulator prosthesis is an experimental technique that can be promising for the treatment of pudendal neuralgia.
    MeSH term(s) Humans ; Pudendal Neuralgia/etiology ; Pudendal Neuralgia/surgery ; Pudendal Nerve/surgery ; Laparoscopy ; Treatment Outcome ; Electrodes, Implanted
    Language English
    Publishing date 2022-06-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16190
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    Zs.A 5799: Show issues Location:
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  9. Article ; Online: Evolución de la cirugía urgente en un servicio de cirugía general durante la pandemia de COVID-19 y comparación con una cohorte histórica.

    Rodríguez-Fernández, Laura / Sánchez-Santos, Raquel / Cano-Valderrama, Óscar / Fernández-Rodríguez, Paula / Fernández-Veiga, María P / Flores-Rodríguez, Erene V / Vigorita, Vincenzo / Paniagua-García-Señoráns, Marta / Moncada-Iribarren, Enrique

    Cirugia y cirujanos

    2023  Volume 91, Issue 1, Page(s) 21–27

    Abstract: Background: Acute care surgery decreased during the first wave of the COVID-19 pandemic.: Objective: To study the evolution of acute care surgery and its relationship with the pandemic severity.: Method: Retrospective cohort study which compared ... ...

    Title translation Evolution of acute care surgery in a general surgery department during the COVID-19 pandemic and comparison with a historical cohort.
    Abstract Background: Acute care surgery decreased during the first wave of the COVID-19 pandemic.
    Objective: To study the evolution of acute care surgery and its relationship with the pandemic severity.
    Method: Retrospective cohort study which compared patients who underwent acute care surgery during the pandemic to a control group.
    Results: A total of 660 patients were included (253 in the control group, 67 in the first-wave, 193 in the valley, and 147 in the second wave). The median daily number of acute care surgery procedures was 2 during the control period. This activity decreased during the first wave (1/day), increased during the valley (2/day), and didn't change in the second wave (2/day). Serious complications were more common during the first wave (22.4%). A negative linear correlation was found between the daily number of acute care surgery procedures, number of patients being admitted to the hospital each day and daily number of patients dying because of COVID-19.
    Conclusions: Acute care surgery was reduced during the first wave of the COVID-19 pandemic, increased during the valley, and returned to the pre-pandemic level during the second wave. Thus, acute care surgery was related to pandemic severity, with fewer surgeries being performed when the pandemic was more severe.
    MeSH term(s) Humans ; Retrospective Studies ; Pandemics ; COVID-19/epidemiology ; Hospitalization ; Hospitals ; Postoperative Complications/epidemiology
    Language English
    Publishing date 2023-02-08
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.21000879
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  10. Article ; Online: Is ICG essential in all colorectal surgery? A 3-year experience in a single center: a cohort study.

    Flores-Rodríguez, Erene / Garrido-López, Lucia / Sánchez-Santos, Raquel / Cano-Valderrama, Oscar / Rodríguez-Fernández, Laura / Nogueira-Sixto, Manuel / Paniagua-García Señorans, Marta / Vigorita, Vincenzo / Moncada-Iribarren, Enrique

    International journal of colorectal disease

    2023  Volume 38, Issue 1, Page(s) 67

    Abstract: Introduction and objectives: Indocyanine green (ICG) was introduced as a promising diagnostic tool to provide real-time assessment of intestinal vascularization. Nevertheless, it remains unclear whether ICG could reduce the rate of postoperative AL. The ...

    Abstract Introduction and objectives: Indocyanine green (ICG) was introduced as a promising diagnostic tool to provide real-time assessment of intestinal vascularization. Nevertheless, it remains unclear whether ICG could reduce the rate of postoperative AL. The objective of this study is to assess its usefulness and to determine in which patients is most useful and would benefit the most from the use of ICG for intraoperative assessment of colon perfusion.
    Methods: A retrospective cohort study was conducted in a single center, including all patients who underwent colorectal surgery with intestinal anastomosis between January 2017 and December 2020. The results of patients in whom ICG was used prior to bowel transection were compared with the results of the patients in whom this technique was not used. Propensity score matching (PSM) was employed to compare groups with and without ICG.
    Results: A total of 785 patients who underwent colorectal surgery were included. The operations performed were right colectomies (35.0%), left colectomies (48.3%), and rectal resections (16.7%). ICG was used in 280 patients. The mean time since the infusion of ICG until detection of fluorescence in the colon wall was 26.9 ± 1.2 s. The section line was modified in 4 cases (1.4%) after ICG due to a lack of perfusion in the chosen section line. Globally, a non-statistically significant increase in anastomotic leak rate was observed in the group without ICG (9.3% vs. 7.5%; p = 0.38). The result of the PSM was a coefficient of 0.026 (CI - 0.014 to 0.065, p = 0.207).
    Conclusions: ICG is a safe and useful tool to assess the perfusion of the colon prior to performing the anastomosis in colorectal surgery. However, in our experience, it did not significantly lower the anastomotic leakage rate.
    MeSH term(s) Humans ; Indocyanine Green ; Cohort Studies ; Retrospective Studies ; Colorectal Surgery ; Laparoscopy/methods ; Anastomotic Leak/diagnosis ; Colectomy/methods ; Anastomosis, Surgical/methods ; Fluorescein Angiography/methods
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2023-03-10
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 84975-3
    ISSN 1432-1262 ; 0179-1958
    ISSN (online) 1432-1262
    ISSN 0179-1958
    DOI 10.1007/s00384-023-04363-3
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