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  1. Article: Complications during multiorgan retrieval and pancreas preservation.

    Casanova, Daniel / Gutierrez, Gonzalo / Gonzalez Noriega, Monica / Castillo, Federico

    World journal of transplantation

    2020  Volume 10, Issue 12, Page(s) 381–391

    Abstract: In pancreas transplantation, complications can arise at each step of the process, from the initial selection of donors and recipients through the surgical technique itself and the post-operative period, when lifelong immunosuppression is required. In the ...

    Abstract In pancreas transplantation, complications can arise at each step of the process, from the initial selection of donors and recipients through the surgical technique itself and the post-operative period, when lifelong immunosuppression is required. In the early steps, careful retrieval and preservation of the pancreas are crucial for the viability of the organ and ultimate success of the transplant. The pancreas is a low-flow gland, making it highly sensitive to transplantation conditions and presenting risk of pancreatitis due to periods of ischemia. The two groups of donors - after brain death (DBD) or after cardiac arrest (DCD) - require different strategies of retrieval and preservation to avoid or reduce the risk of complications developing during and after the transplantation. For DBD donor transplantation, multiorgan retrieval and cold preservation is the conventional technique. Asystole donor (DCD) transplantation, in contrast, can benefit from the newest technologies, such as hypothermic and especially normothermic preservation machines (referred to as NECMO), to optimize organ preservation. The latter has led to an increase in the pool of donors by facilitating recuperation of organs for transplantation that would have been discarded otherwise.
    Language English
    Publishing date 2020-12-26
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2220-3230
    ISSN 2220-3230
    DOI 10.5500/wjt.v10.i12.381
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Oncoplastic breast conserving surgery with tailored needle-guided excision.

    Hernanz, Fernando / González-Noriega, Mónica / Sánchez, Sonia / Paz, Lucia / Muñoz, Pedro / Hermana, Sandra

    Gland surgery

    2017  Volume 6, Issue 6, Page(s) 698–705

    Abstract: Background: Breast conserving surgery (BCS) administered with oncoplastic approach (OBCS), when it is required, is currently the gold standard for the treatment of early breast cancer. Wire-guided localization (WL) is the most popular technique used to ... ...

    Abstract Background: Breast conserving surgery (BCS) administered with oncoplastic approach (OBCS), when it is required, is currently the gold standard for the treatment of early breast cancer. Wire-guided localization (WL) is the most popular technique used to help surgeon in breast cancer excision. Currently, a universal and undeniable goal is to minimize the rate of positive margins and re-excision operation after BCS improving cosmetic outcome and decreasing health care costs. This study is aimed to report our experience combining OBCS and tailored WL as surgical approach for early breast cancers.
    Methods: We performed a retrospective study on 148 breast cancer patients who were treated with OBCS and tailored WL, which consists in individualization of the number and location of wires depending on patient particularities, in our Breast Unit from March 2013 to December 2015. A multivariate analysis was used to determine the association between clinic-pathologic variables, which can be known preoperatively, and margin status.
    Results: The rate of affected margins was 13.5% and 10.8% patients underwent re-interventions for oncologic reasons. Multifocality was strongly associated with involved margins [odds ratio (OR) 4.67].
    Conclusions: OBCS together with tailored WL obtains an acceptable rate of positive margins and high rate of final BCS.
    Language English
    Publishing date 2017-11-17
    Publishing country China (Republic : 1949- )
    Document type Journal Article
    ZDB-ID 3016969-0
    ISSN 2227-8575 ; 2227-684X
    ISSN (online) 2227-8575
    ISSN 2227-684X
    DOI 10.21037/gs.2017.06.10
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Bilateral synchronous breast malignant phyllodes in a pregnant woman.

    Hernanz, Fernando / González-Noriega, Mónica / Arozamena, Bárbara / Solano, Jon / García, Julia

    The breast journal

    2017  Volume 24, Issue 3, Page(s) 412–413

    MeSH term(s) Adult ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Female ; Humans ; Mammaplasty ; Phyllodes Tumor/diagnostic imaging ; Phyllodes Tumor/pathology ; Phyllodes Tumor/secondary ; Pregnancy ; Pregnancy Complications, Neoplastic/diagnostic imaging ; Pregnancy Complications, Neoplastic/pathology ; Pregnancy Complications, Neoplastic/surgery
    Language English
    Publishing date 2017-11-15
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1289960-4
    ISSN 1524-4741 ; 1075-122X
    ISSN (online) 1524-4741
    ISSN 1075-122X
    DOI 10.1111/tbj.12961
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Simulation as a surgical teaching model.

    Ruiz-Gómez, José Luis / Martín-Parra, José Ignacio / González-Noriega, Mónica / Redondo-Figuero, Carlos Godofredo / Manuel-Palazuelos, José Carlos

    Cirugia espanola

    2017  Volume 96, Issue 1, Page(s) 12–17

    Abstract: Teaching of surgery has been affected by many factors over the last years, such as the reduction of working hours, the optimization of the use of the operating room or patient safety. Traditional teaching methodology fails to reduce the impact of these ... ...

    Title translation La simulación como modelo de enseñanza en cirugía.
    Abstract Teaching of surgery has been affected by many factors over the last years, such as the reduction of working hours, the optimization of the use of the operating room or patient safety. Traditional teaching methodology fails to reduce the impact of these factors on surgeońs training. Simulation as a teaching model minimizes such impact, and is more effective than traditional teaching methods for integrating knowledge and clinical-surgical skills. Simulation complements clinical assistance with training, creating a safe learning environment where patient safety is not affected, and ethical or legal conflicts are avoided. Simulation uses learning methodologies that allow teaching individualization, adapting it to the learning needs of each student. It also allows training of all kinds of technical, cognitive or behavioural skills.
    MeSH term(s) Education, Medical/methods ; General Surgery/education ; Humans ; Models, Educational ; Simulation Training
    Language Spanish
    Publishing date 2017-10-18
    Publishing country Spain
    Document type Journal Article ; Review
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2017.09.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Pancreatitis enfisematosa.

    Riaño Molleda, María / González Andaluz, Marta / González Noriega, Mónica / Castillo Suescún, Federico

    Cirugia espanola

    2013  Volume 91, Issue 10, Page(s) e59

    Title translation Emphysematous pancreatitis.
    MeSH term(s) Aged, 80 and over ; Emphysema/diagnostic imaging ; Fatal Outcome ; Humans ; Male ; Pancreatitis/diagnostic imaging ; Tomography, X-Ray Computed
    Language Spanish
    Publishing date 2013-12
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2013.07.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Stump appendicitis. Underrated reality?

    Morales-García, Dieter / Castañera-González, Ramón / González-Sánchez, Francisco José / González-Noriega, Mónica / Alonso-Martín, Joaquín / Gómez-Fleitas, Manuel

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

    2015  Volume 107, Issue 7, Page(s) 461–462

    MeSH term(s) Adult ; Appendectomy ; Appendicitis/diagnosis ; Appendicitis/surgery ; Humans ; Male ; Recurrence ; Reoperation
    Language English
    Publishing date 2015-07
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Radiological and pathological assessment of hepatocellular carcinoma response to radiofrequency. A study on removed liver after transplantation.

    Rodríguez-Sanjuán, Juan C / González, Francisco / Juanco, Carlos / Herrera, Luis A / López-Bautista, Mercedes / González-Noriega, Mónica / García-Somacarrera, Elena / Figols, Javier / Gómez-Fleitas, Manuel / Silván, Martín

    World journal of surgery

    2008  Volume 32, Issue 7, Page(s) 1489–1494

    Abstract: Background: The real efficacy of radiofrequency ablation (RFA) in destroying hepatocellular carcinoma is not completely known, nor is the ability of computed tomography (CT) to precisely assess response. Our aims were to analyze pathological response, ... ...

    Abstract Background: The real efficacy of radiofrequency ablation (RFA) in destroying hepatocellular carcinoma is not completely known, nor is the ability of computed tomography (CT) to precisely assess response. Our aims were to analyze pathological response, tumor size influence, and CT response evaluation.
    Materials and methods: This was a retrospective study of 30 hepatocellular carcinoma nodules treated by RFA before liver transplant (LT) in 28 patients. Pathological study of the whole removed liver was then performed and the tumor response was classified as complete, incomplete, or absent. The biggest nodule diameter was estimated by CT or ultrasound. The procedure was carried out percutaneously in all but 3 patients, and in those 3 it was done surgically.
    Results: The pathological response was complete in 14 nodules (46.7%) and incomplete in 16 (53.3%). The differences in mean preoperative diameter between cases with complete and incomplete response were not significant (p = 0.3). We found that small tumors were not always completely destroyed, whereas bigger tumors could be successfully deleted. There was no clear association between any location and better or poorer response. The detection of RFA incomplete response by means of CT scan had 50% sensitivity and 100% specificity.
    Conclusions: In our experience, RFA can achieve some degree of tumor destruction in every treated case of hepatocellular carcinoma, the complete response rate being slightly lower than half. We have not found any association of response with tumor size or interval RFA-transplant. Second, CT had not enough sensitivity to assess RFA response of hepatocellular carcinoma.
    MeSH term(s) Adult ; Aged ; Carcinoma, Hepatocellular/diagnosis ; Carcinoma, Hepatocellular/therapy ; Catheter Ablation ; Female ; Humans ; Liver/diagnostic imaging ; Liver/pathology ; Liver Neoplasms/diagnosis ; Liver Neoplasms/therapy ; Liver Transplantation ; Male ; Middle Aged ; Remission Induction ; Retrospective Studies ; Tomography, X-Ray Computed
    Language English
    Publishing date 2008-03-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-008-9559-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Biliopancreatic diversion in a renal transplant patient.

    López Deogracias, Maite / Domínguez-Diez, Agustin / Palomar-Fontanet, Rosa / González-Noriega, Monica / Rodrigo, E / Fernández-Fresnedo, G / Zubimendi, J A / Olmedo, Francisco / Gómez-Fleitas, Manuel / Arias, M / Fernández-Escalante, Carlos

    Obesity surgery

    2007  Volume 17, Issue 4, Page(s) 553–555

    Abstract: Surgery is usually the only solution to modify the evolution of morbid obesity and resolve the associated co-morbidities. There is very little written regarding malabsorptive surgery and transplantation. A 48-year-old male with hypertension, ... ...

    Abstract Surgery is usually the only solution to modify the evolution of morbid obesity and resolve the associated co-morbidities. There is very little written regarding malabsorptive surgery and transplantation. A 48-year-old male with hypertension, hyperuricemia and obesity underwent renal transplantation in 1994 for renal amyloidosis. He was maintained on oral immunosuppressive cyclosporine. The patient developed uncontrollable hypertension, hyperlipemia, hyperglycemia and increasing weight to a BMI of 44. Thus, in December 2004, he underwent biliopancreatic diversion (BPD). After 18 months follow-up, he has lost 85% of his excess weight, and his hypertension, hyperglycemia and hyperlipemia are markedly improved. Renal function was not modified, nor were the levels of cyclosporine. He has had no complications derived from the BPD, and has a better quality of life.
    MeSH term(s) Amyloidosis/surgery ; Biliopancreatic Diversion ; Cyclosporine/administration & dosage ; Humans ; Immunosuppressive Agents/administration & dosage ; Kidney Failure, Chronic/surgery ; Kidney Transplantation ; Male ; Middle Aged ; Obesity, Morbid/surgery
    Chemical Substances Immunosuppressive Agents ; Cyclosporine (83HN0GTJ6D)
    Language English
    Publishing date 2007-07-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-007-9097-z
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