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  1. Article ; Online: Long-Term Quality of Life (BREAST-Q) in Patients with Mastectomy and Breast Reconstruction.

    García-Solbas, Silvia / Lorenzo-Liñán, Miguel Ángel / Castro-Luna, Gracia

    International journal of environmental research and public health

    2021  Volume 18, Issue 18

    Abstract: 1) Background: Mastectomy is the surgical treatment of choice in 20-30% of women with breast cancer. In addition, more women are undergoing risk-reducing mastectomies. It is necessary to study these women's quality of life and satisfaction after surgery, ...

    Abstract (1) Background: Mastectomy is the surgical treatment of choice in 20-30% of women with breast cancer. In addition, more women are undergoing risk-reducing mastectomies. It is necessary to study these women's quality of life and satisfaction after surgery, as studies report high percentages of dissatisfaction with the results. The publication of the BREAST-Q© questionnaire in 2009 provided a valuable tool to measure these results. (2) Methods: Descriptive, cross-sectional study of 70 patients who underwent mastectomy and breast reconstruction, both therapeutic and prophylactic, in the last 10 years to whom the BREAST-Q© 2.0-Reconstruction Module questionnaire was provided for completion. (3) Results: The sexual satisfaction scale was the lowest score of the entire questionnaire (51.84 ± 21.13), while the highest score was obtained on the satisfaction with the surgeon scale (91.86 ± 18.11). The satisfaction with care scales showed the importance of the evaluation of these items for future studies. More than half of the patients of the study (51.5%) underwent at least one reoperation after the first surgery, with an average of one (1.15) intervention per patient and a maximum of five. (4) Conclusions: Mastectomy and breast reconstruction have a high negative impact on the sexual well-being of patients. The high percentage of reoperations is a factor to consider because of its possible influence on these patients' quality of life and satisfaction.
    MeSH term(s) Breast Neoplasms/surgery ; Cross-Sectional Studies ; Female ; Humans ; Mammaplasty ; Mastectomy ; Patient Satisfaction ; Quality of Life
    Language English
    Publishing date 2021-09-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph18189707
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Emphysematous hepatitis: a very rare entity with a poor prognosis.

    Estébanez-Ferrero, Beatriz / Fuentes-Porcel, Orlando / Lorenzo-Liñán, Miguel Ángel / Rico-Morales, María Del Mar

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

    2021  Volume 113, Issue 8, Page(s) 612–614

    Abstract: A 67-year-old female, with no alterations in glucose metabolism or other relevant history, presented to the Emergency Department due to abdominal pain and vomiting after a syncopal episode. Physical examination revealed a poor general condition, mild ... ...

    Abstract A 67-year-old female, with no alterations in glucose metabolism or other relevant history, presented to the Emergency Department due to abdominal pain and vomiting after a syncopal episode. Physical examination revealed a poor general condition, mild stupor and a distended abdomen, painful on palpation in the right hypochondrium, with localized rigidity. On arrival at the Emergency Department, the patient's blood pressure (BP) was 150/66 mmHg, heart rate (HR) was 110 beats/minute and temperature 35 °C.
    MeSH term(s) Abdominal Pain ; Aged ; Emphysema ; Female ; Hepatitis ; Humans ; Prognosis ; Vomiting
    Language English
    Publishing date 2021-03-10
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2021.7795/2021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Epithelioid angiomyolipoma of the liver: an incidental diagnosis.

    Estébanez Ferrero, Beatriz / Cabañó-Muñoz, Daniel / Velasco-Albendea, Francisco Javier / Lorenzo-Liñán, Miguel Ángel / Reina-Duarte, Ángel

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

    2022  Volume 114, Issue 11, Page(s) 684–685

    Abstract: We present the exceptional case of a 76-year-old woman with an incidental finding of a liver tumor compatible with an epithelioid angiomyolipoma, a rare neoformation about which there is still controversy regarding its management, due to its presumed ... ...

    Abstract We present the exceptional case of a 76-year-old woman with an incidental finding of a liver tumor compatible with an epithelioid angiomyolipoma, a rare neoformation about which there is still controversy regarding its management, due to its presumed potential for malignancy.
    MeSH term(s) Female ; Humans ; Aged ; Angiomyolipoma/diagnosis ; Kidney Neoplasms/pathology ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/pathology ; Tomography, X-Ray Computed
    Language English
    Publishing date 2022-05-12
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2022.8895/2022
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  4. Article: Giant cavernous mesenteric lymphangioma in an adult.

    Estébanez-Ferrero, Beatriz / Rico-Morales, María Del Mar / Lorenzo-Liñán, Miguel Ángel / Teruel-Lillio, Irene / Reina-Duarte, Ángel

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

    2022  Volume 114, Issue 10, Page(s) 631–632

    Abstract: We report the exceptional case of a 71-year-old patient with a giant mesenteric mass causing mass effect, dyspnea and abdominal pain. After surgical resection and histopathological analysis of the specimen, the result was a cavernous lymphangioma, an ... ...

    Abstract We report the exceptional case of a 71-year-old patient with a giant mesenteric mass causing mass effect, dyspnea and abdominal pain. After surgical resection and histopathological analysis of the specimen, the result was a cavernous lymphangioma, an unusual diagnosis due to both the location and age of presentation.
    MeSH term(s) Abdominal Pain/etiology ; Adult ; Aged ; Humans ; Lymphangioma/diagnostic imaging ; Lymphangioma/surgery ; Mesentery/diagnostic imaging ; Mesentery/pathology
    Language English
    Publishing date 2022-04-25
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2022.8839/2022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Validation of pelvic magnetic resonance imaging as the method of choice to determine the distance to the anal margin in rectal cancer.

    Lorenzo Liñán, Miguel Ángel / García Armengol, Juan / Martín Martín, Gonzalo Pablo / Martínez Sanjuán, Vicente / Roig Vila, José Vicente

    Cirugia espanola

    2022  Volume 100, Issue 12, Page(s) 772–779

    Abstract: Introduction: Distance from anal verge of rectal tumours and their anatomical relationships contribute to determine the multidisciplinary therapeutic strategy based on the combination of radio-chemotherapy and radical surgery. Our aims are to ... ...

    Abstract Introduction: Distance from anal verge of rectal tumours and their anatomical relationships contribute to determine the multidisciplinary therapeutic strategy based on the combination of radio-chemotherapy and radical surgery. Our aims are to investigate which is the most accurate method for the preoperative measuring of the distance from the anal verge in rectal tumours and if the pelvic MRI can substitute the classical instrumental methods.
    Methods: Prospective study of diagnostic precision between flexible colonoscopy (FC), preoperative rigid rectosigmoidoscopy (pRR) and pelvic MRI in patients scheduled to radical surgery. Rigid intraoperative rectoscopy (iRR) was considered the reference test. The correlations between the different techniques and their determination coefficient as well as the intraclass correlation coefficient and the degree of agreement between the different tests were analyzed.
    Results: 96 patients (65% males), mean age (SD): 68 (14.1) years were included. 72% received neoadjuvant treatment. The mean distance to the anal margin measured by FC = 103.5 mm, was significantly greater than others, which had similar values: pRR = 81.1; MRI = 77.4; iRR = 82.9 mm (P < .001). A significant intraclass correlation was observed and there was high agreement between all pre- and intraoperative measurements except for the performed by FC, which overestimated the results. MRI provided more individualized and accurate information.
    Conclusions: There is variability between the measurement methods, being colonoscopy the least reliable. MRI offers objective, comparable, accurate and individualized values that can replace those obtained by pRR for tumours of any location in the rectum.
    MeSH term(s) Male ; Humans ; Female ; Prospective Studies ; Retrospective Studies ; Rectal Neoplasms/diagnostic imaging ; Rectal Neoplasms/surgery ; Anal Canal/diagnostic imaging ; Anal Canal/pathology ; Magnetic Resonance Imaging/methods
    Language English
    Publishing date 2022-09-02
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.08.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Validation of pelvic magnetic resonance imaging as the method of choice to determine the distance to the anal margin in rectal cancer.

    Lorenzo Liñán, Miguel Ángel / García Armengol, Juan / Martín Martín, Gonzalo Pablo / Martínez Sanjuán, Vicente / Roig Vila, José Vicente

    Cirugia espanola

    2021  

    Abstract: Introduction: Distance from anal verge of rectal tumors and their anatomical relationships contribute to determine the multidisciplinary therapeutic strategy based on the combination of radio-chemotherapy and radical surgery. Our aims are to investigate ...

    Title translation Validación de la resonancia magnética pélvica como método de elección para determinar la distancia al margen anal en el cáncer de recto.
    Abstract Introduction: Distance from anal verge of rectal tumors and their anatomical relationships contribute to determine the multidisciplinary therapeutic strategy based on the combination of radio-chemotherapy and radical surgery. Our aims are to investigate which is the most accurate method for the preoperative measuring of the distance from the anal verge in rectal tumors and if the pelvic MRI can substitute the classical instrumental methods.
    Methods: Prospective study of diagnostic precision between flexible colonoscopy (FC), preoperative rigid rectosigmoidoscopy (pRR) and pelvic MRI in patients scheduled to radical surgery. Rigid intraoperative rectoscopy (iRR) was considered the reference test. The correlations between the different techniques and their determination coefficient as well as the intraclass correlation coefficient and the degree of agreement between the different tests were analyzed.
    Results: 96 patients (65% males), mean age (SD): 68 (14.1) years were included. 72% received neoadjuvant treatment. The mean distance to the anal margin measured by FC=103.5mm, was significantly greater than others, which had similar values: pRR=81.1; MRI=77.4; iRR=82.9mm (P<.001). A significant intraclass correlation was observed and there was high agreement between all pre- and intraoperative measurements except for the performed by FC, which overestimated the results. MRI provided more individualized and accurate information.
    Conclusions: There is variability between the measurement methods, being colonoscopy the least reliable. MRI offers objective, comparable, accurate and individualized values that can replace those obtained by pRR for tumors of any location in the rectum.
    Language Spanish
    Publishing date 2021-09-04
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2021.07.004
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  7. Article: Quiste folicular hemorrágico roto en la gestación.

    Lorenzo Liñán, Miguel Angel / Ivorra García-Moncó, Purificación / Tormos Tronqual, Bárbara / Roig Vila, José Vicente

    Cirugia espanola

    2010  Volume 87, Issue 3, Page(s) 177

    Title translation Burst haemorrhagic follicular cyst in pregnancy.
    MeSH term(s) Adnexal Diseases/complications ; Adult ; Female ; Follicular Cyst/complications ; Hemorrhage/etiology ; Humans ; Pregnancy ; Pregnancy Complications ; Rupture, Spontaneous
    Language Spanish
    Publishing date 2010-03
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2009.01.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 96: Show issues Location:
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  8. Article ; Online: Cáncer de mama bilateral y síndrome de Peutz-Jeghers.

    Lorenzo Liñán, Miguel Ángel / Lorenzo Campos, Miguel / Motos Micó, Jacob / Martínez Pérez, Carolina / Gumbau Puchol, Verónica

    Cirugia espanola

    2013  Volume 91, Issue 3, Page(s) 195–197

    Title translation Bilateral breast cancer and Peutz-Jeghers syndrome.
    MeSH term(s) Breast Neoplasms/complications ; Breast Neoplasms/genetics ; Breast Neoplasms/pathology ; Female ; Humans ; Middle Aged ; Peutz-Jeghers Syndrome/complications ; Peutz-Jeghers Syndrome/genetics
    Language Spanish
    Publishing date 2013-03
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2012.05.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 96: Show issues Location:
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  9. Article ; Online: Preparación intestinal selectiva en un programa de rehabilitación multimodal. Influencia en el confort preoperatorio y resultados tras cirugía colorrectal.

    Roig, José Vicente / García-Fadrique, Alfonso / Salvador, Antonio / Villalba, Francisco L / Tormos, Bárbara / Lorenzo-Liñán, Miguel Ángel / García-Armengol, Juan

    Cirugia espanola

    2011  Volume 89, Issue 3, Page(s) 167–174

    Abstract: Introduction: Despite there being no evidence of the advantages of its use, mechanical bowel preparation (MBP) continues to be routine in colorectal surgery. Our objective is to analyse the impact of its selective use, as regards patient comfort and ... ...

    Title translation Selective intestinal preparation in a multimodal rehabilitation program. Influence on preoperative comfort and the results after colorectal surgery.
    Abstract Introduction: Despite there being no evidence of the advantages of its use, mechanical bowel preparation (MBP) continues to be routine in colorectal surgery. Our objective is to analyse the impact of its selective use, as regards patient comfort and results, comparing a perioperative multimodal rehabilitation program (MMRH) with conventional care (CC).
    Material and methods: A prospective study of 108 patients proposed for elective surgery, assigned consecutively 2:1 to an MMRH protocol which only included MBP in rectal surgery with low anastomosis, or to CC in whom MBP was used except in right colon surgery. We also studied two Groups (A and B) with and without the use of MBP. Their tolerance, results and postoperative recovery variables were analysed.
    Results: Thirty-nine patients were included in Group A, and 69 in Group B. A MMRH protocol was used in another 69 patients. The Group A patients had more abdominal pain, anal discomfort, nausea and thirst, but there were no differences as regards, death, overall or local complications, whilst there was less complications, suture failures and death in the MMRH when compared with CC Group (P<.05). There were no advantages observed in the use of MBP as regards the start of bowel movements, tolerance to diet or hospital stay, but these parameters were favourable to the MMRH when compared with CC Group.
    Conclusions: The restriction of MBP is safe, and associated with an MMRH program, contributes to a faster and more comfortable recovery, without increasing complications.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Colorectal Neoplasms/surgery ; Colorectal Surgery/rehabilitation ; Enema ; Female ; Humans ; Male ; Middle Aged ; Preoperative Care ; Prospective Studies
    Language Spanish
    Publishing date 2011-03
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2010.12.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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