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  1. Article ; Online: Mejora de la profilaxis tromboembólica en cirugía mayor abdominopélvica tras la implementación de medidas de mejora.

    Soria-Aledo, V / Flores-Pastor, B / Carrasco-Prats, M / Aguayo-Albasini, J L

    Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial

    2014  Volume 29, Issue 2, Page(s) 120–121

    Title translation Thromboembolic prophylaxis in major abdominopelvic surgery after introducing improvement measures.
    MeSH term(s) Abdomen/surgery ; Humans ; Pelvis/surgery ; Postoperative Complications/prevention & control ; Quality Improvement ; Thromboembolism/prevention & control
    Language Spanish
    Publishing date 2014-03
    Publishing country Spain
    Document type Evaluation Studies ; Letter
    ISSN 1887-1364
    ISSN (online) 1887-1364
    DOI 10.1016/j.cali.2013.11.001
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  2. Article ; Online: Postoperative Diet with an Oligomeric Hyperproteic Normocaloric Supplement versus a Supplement with Immunonutrients in Colorectal Cancer Surgery: Results of a Multicenter, Double-Blind, Randomized Clinical Trial.

    Benavides-Buleje, Jorge Alejandro / Fernández-Fernández, Pedro Vicente / Ruiz-Úcar, Elena / Solana-Bueno, Amparo / Parra-Baños, Pedro Antonio / Martínez-Torres, Beatriz / Lozoya-Trujillo, Roberto / Ruiz-Carmona, María Dolores / Alarcón-Iranzo, Marina / Rentero-Redondo, Lorena / Peña-Ros, Emilio / Muñoz-Camarena, José Manuel / Carrasco-Prats, Milagros / Ramírez-Faraco, María / Portillo-Ortega, Paloma / Albarracín-Marín-Blázquez, Antonio

    Nutrients

    2022  Volume 14, Issue 15

    Abstract: 1) Background: For normo-nourished colorectal cancer patients, the need for immunonutrients after elective surgery is not known. (2) Methods: Multicenter, randomized, double-blind, phase III clinical trial comparing the postoperative diet with 200 mL ... ...

    Abstract (1) Background: For normo-nourished colorectal cancer patients, the need for immunonutrients after elective surgery is not known. (2) Methods: Multicenter, randomized, double-blind, phase III clinical trial comparing the postoperative diet with 200 mL oligomeric hyperproteic normocaloric (OHN; experimental arm) supplement vs. 200 mL immunonutritional (IN) (active comparator) supplement twice a day for five days in 151 normo-nourished adult colorectal-resection patients following the multimodal rehabilitation ERAS protocol. The proportions of patients with complications (primary outcome) and those who were readmitted, hospitalized for <7 days, had surgical site infections, or died due to surgical complications (secondary outcome) were compared between the two groups until postoperative day 30. Tolerance to both types of supplement and blood parameters was also assessed until day 5. (3) Results: Mean age was 69.2 and 84 (58.7%) were men. Complications were reported in 41 (28.7%) patients and the incidence did not differ between groups (18 (25%) vs. 23 (32.4%) patients with OHN and IN supplement, respectively; p = 0.328). No significant differences were found for the rest of the variables. (4) Conclusions: IN supplement may not be necessary for the postoperative recovery of colorectal cancer patients under the ERAS regimen and with normal nutritional status at the time of surgery.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Colorectal Neoplasms/complications ; Colorectal Neoplasms/surgery ; Diet ; Digestive System Surgical Procedures ; Female ; Humans ; Length of Stay ; Male ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Prospective Studies
    Language English
    Publishing date 2022-07-26
    Publishing country Switzerland
    Document type Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu14153062
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  3. Article: Is cholecystectomy the treatment of choice for acute acalculous cholecystitis? A systematic review of the literature.

    Soria Aledo, Víctor / Galindo Iñíguez, Lorena / Flores Funes, Diego / Carrasco Prats, Milagros / Aguayo Albasini, Jose Luis

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

    2017  Volume 109, Issue 10, Page(s) 708–718

    Abstract: Background and objectives: There is currently no consensus with regard to the use of cholecystectomy or percutaneous cholecystostomy as the therapy of choice for acute acalculous cholecystitis. The goal of this study was to review the scientific ... ...

    Abstract Background and objectives: There is currently no consensus with regard to the use of cholecystectomy or percutaneous cholecystostomy as the therapy of choice for acute acalculous cholecystitis. The goal of this study was to review the scientific evidence on the management of these patients according to clinical and radiographic findings.
    Methods: A systematic review of the literature from 2000 to 2016 was performed. The databases of PubMed, Índice Médico Español, Cochrane Library and Embase were searched according to the following inclusion criteria: publication language (English or Spanish), adult patients, acalculous etiology and appropriate study design.
    Results: A total of 1,013 articles were identified and ten articles were selected for review. These included five observational controlled studies and five case series which described the outcome of patients treated with percutaneous cholecystostomy and emergency cholecystectomy. No prospective or randomized studies were identified using the search criteria. The data from the literature and analysis of results suggested that percutaneous cholecystostomy may be a definitive therapy for acute acalculous cholecystitis with no need for subsequent elective cholecystectomy.
    Conclusions: Percutaneous cholecystostomy may be the first treatment option for patients with acute acalculous cholecystitis except in cases with a perforation or gallbladder gangrene. Patients at low surgical risk may benefit from cholecystectomy but both treatment options may be effective. Percutaneous cholecystostomy in patients with acute acalculous cholecystitis may be a definitive therapy with no need for a subsequent elective cholecystectomy. However, the overall quality of studies is low and the final recommendations should be considered with caution.
    Language English
    Publishing date 2017-10
    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.2017.4902/2017
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  4. Article: Erosión duodenal como complicación de un tubo en T de Kehr.

    Soria Aledo, V / Carrasco Prats, M / González Martínez, P

    Gastroenterologia y hepatologia

    2001  Volume 24, Issue 4, Page(s) 220–221

    Title translation Duodenal erosion as a complication of a Kehr T tube.
    MeSH term(s) Aged ; Duodenum/injuries ; Female ; Gastroenterology/instrumentation ; Humans
    Language Spanish
    Publishing date 2001-08-03
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
    DOI 10.1016/s0210-5705(01)70156-2
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  5. Article: Perforación intestinal por cuerpo extraño tratada mediante laparoscopia.

    Soria Aledo, V / Gónzalez Martínez, P / Carrasco Prats, M

    Gastroenterologia y hepatologia

    2000  Volume 23, Issue 4, Page(s) 211–212

    Title translation Intestinal perforation due to a foreign body treated with laparoscopy.
    MeSH term(s) Abdomen, Acute/diagnostic imaging ; Adolescent ; Female ; Humans ; Intestinal Perforation/diagnosis ; Laparoscopy ; Radiography
    Language Spanish
    Publishing date 2000-04
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
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  6. Article: Neumomediastino y enfisema subcutáneo como manifestación de una perforación duodenal.

    Montoya Tabares, M J / Martín, J L / Ríos Zambudio, A / Carrasco Prats, M / López Espejo, J / Sánchez de la Villa, G

    Anales de medicina interna (Madrid, Spain : 1984)

    2006  Volume 24, Issue 1, Page(s) 48–49

    Title translation Pneumomediastinum and subcutaneous emphysema-like manifestation of duodenal ulcer perforation.
    MeSH term(s) Duodenal Ulcer/complications ; Duodenal Ulcer/diagnosis ; Duodenal Ulcer/surgery ; Humans ; Laparotomy ; Male ; Mediastinal Emphysema/diagnostic imaging ; Mediastinal Emphysema/etiology ; Mediastinal Emphysema/therapy ; Middle Aged ; Peptic Ulcer Perforation/complications ; Peptic Ulcer Perforation/diagnosis ; Peptic Ulcer Perforation/surgery ; Pneumoperitoneum/diagnostic imaging ; Pneumoperitoneum/etiology ; Pneumoperitoneum/therapy ; Radiography ; Subcutaneous Emphysema/diagnostic imaging ; Subcutaneous Emphysema/etiology ; Subcutaneous Emphysema/therapy ; Treatment Outcome
    Language Spanish
    Publishing date 2006-12-15
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 639013-4
    ISSN 0212-7199
    ISSN 0212-7199
    DOI 10.4321/s0212-71992007000100012
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  7. Article ; Online: Reduction in inappropriate hospital use based on analysis of the causes.

    Soria-Aledo, Víctor / Carrillo-Alcaraz, Andrés / Flores-Pastor, Benito / Moreno-Egea, Alfredo / Carrasco-Prats, Milagros / Aguayo-Albasini, José Luis

    BMC health services research

    2012  Volume 12, Page(s) 361

    Abstract: Background: To reduce inappropriate admissions and stays with the application of an improvement cycle in patients admitted to a University Hospital. The secondary objective is to analyze the hospital cost saved by reducing inadequacy after the ... ...

    Abstract Background: To reduce inappropriate admissions and stays with the application of an improvement cycle in patients admitted to a University Hospital. The secondary objective is to analyze the hospital cost saved by reducing inadequacy after the implementation of measures proposed by the group for improvement.
    Methods: Pre- and post-analysis of a sample of clinical histories studied retrospectively, in which the Appropriateness Evaluation Protocol (AEP) was applied to a representative hospital sample of 1350 clinical histories in two phases. In the first phase the AEP was applied retrospectively to 725 admissions and 1350 stays. The factors associated with inappropriateness were analysed together with the causes, and specific measures were implemented in a bid to reduce inappropriateness. In the second phase the AEP was reapplied to a similar group of clinical histories and the results of the two groups were compared. The cost of inappropriate stays was calculated by cost accounting.
    Setting: General University Hospital with 426 beds serving a population of 320,000 inhabitants in the centre of Murcia, a city in south-eastern Spain.
    Results: Inappropriate admissions were reduced significantly: 7.4% in the control group and 3.2% in the intervention group. Likewise, inappropriate stays decreased significantly from 24.6% to 10.4%. The cost of inappropriateness in the study sample fell from 147,044 euros to 66,642 euros. The causes of inappropriateness for which corrective measures were adopted were those that showed the most significant decrease.
    Conclusions: It is possible to reduce inadequacy by applying measures based on prior analysis of the situation in each hospital.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Chi-Square Distribution ; Child ; Costs and Cost Analysis ; Female ; Health Services Misuse/statistics & numerical data ; Health Services Research ; Hospitals, University/statistics & numerical data ; Humans ; Length of Stay/statistics & numerical data ; Logistic Models ; Male ; Middle Aged ; Patient Admission/statistics & numerical data ; Retrospective Studies ; Utilization Review/methods
    Language English
    Publishing date 2012-10-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1472-6963
    ISSN (online) 1472-6963
    DOI 10.1186/1472-6963-12-361
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  8. Article: Hemorragia digestiva masiva provocada por seudoaneurisma de la arteria hepática derecha.

    Carrasco Prats, M / Soria Aledo, V / Ramírez Romero, P / Parrilla Paricio, P

    Gastroenterologia y hepatologia

    2000  Volume 23, Issue 9, Page(s) 457–458

    Title translation Massive digestive hemorrhage caused by a pseudoaneurysm of the right hepatic artery.
    MeSH term(s) Abdominal Injuries/complications ; Accidents, Traffic ; Adult ; Aneurysm, False/complications ; Duodenal Ulcer/complications ; Gastrointestinal Hemorrhage/etiology ; Hepatic Artery ; Humans ; Male ; Wounds, Nonpenetrating/complications
    Language Spanish
    Publishing date 2000-11
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
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  9. Article: Necrosis isquémica del bazo y fundus gástrico. Rara complicación de una pancreatitis aguda.

    Soria Aledo, V / Carrasco Prats, M / Ramírez Romero, P / Parrilla Paricio, P

    Gastroenterologia y hepatologia

    1999  Volume 22, Issue 4, Page(s) 209

    Title translation Ischemic necrosis of the spleen and gastric fundus. A rare complication of acute pancreatitis.
    MeSH term(s) Acute Disease ; Aged ; Fatal Outcome ; Gastric Fundus/blood supply ; Gastric Fundus/pathology ; Humans ; Ischemia/etiology ; Ischemia/pathology ; Male ; Necrosis ; Pancreatitis/complications ; Pancreatitis/pathology ; Spleen/blood supply ; Spleen/pathology ; Stomach/blood supply ; Stomach/pathology
    Language Spanish
    Publishing date 1999-04
    Publishing country Spain
    Document type Case Reports ; Letter ; Review
    ZDB-ID 632502-6
    ISSN 0210-5705
    ISSN 0210-5705
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  10. Article ; Online: Role of appendectomy in training for laparoscopic surgery.

    Carrasco-Prats, M / Soria Aledo, V / Luján-Mompeán, J A / Ríos-Zambudio, A / Pérez-Flores, D / Parrilla-Paricio, P

    Surgical endoscopy

    2003  Volume 17, Issue 1, Page(s) 111–114

    Abstract: Background: This study aimed to evaluate a program of training in laparoscopic surgery based on clinical practice in the emergency room, in which laparoscopic appendectomy is the first technique that residents perform as surgeons.: Methods: A ... ...

    Abstract Background: This study aimed to evaluate a program of training in laparoscopic surgery based on clinical practice in the emergency room, in which laparoscopic appendectomy is the first technique that residents perform as surgeons.
    Methods: A prospective nonrandomized study was conducted involving all the laparoscopies performed in emergencies with a diagnosis of acute abdomen, appendicular in origin, during the period between June 1991 and December 1997.
    Results: There were no statistically significant differences between residents and assistants in terms of conversion rates (22/242 vs 15/158), mean hospital stay for each type of surgeon (5.2 days for residents and 5.1 days for assistants), and complications (12.8% for residents and 13.7% for assistants). Operating time, was significantly longer (p < 0.05) for residents (52.2 min) than for assistants (48 min).
    Conclusions: Apprenticeship in laparoscopic appendectomy can be accomplished with gradual clinical training and without the need for resort to animal experimentation laboratories.
    MeSH term(s) Abdomen, Acute/surgery ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Surgical Procedures/education ; Ambulatory Surgical Procedures/methods ; Ambulatory Surgical Procedures/statistics & numerical data ; Appendectomy/education ; Appendectomy/methods ; Child ; Emergency Service, Hospital/manpower ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Internship and Residency/statistics & numerical data ; Laparoscopy/methods ; Laparoscopy/statistics & numerical data ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Program Evaluation
    Language English
    Publishing date 2003-01
    Publishing country Germany
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-001-9199-y
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