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Article ; Online: Initial experience with intraoperative testing and repair of colorectal anastomosis using a TAMIS approach after a positive leak test.

Valdes-Hernandez, J / Cintas-Catena, J / Del Rio-Lafuente, F J / Cano-Matias, A / Torres-Arcos, C / Perez-Sanchez, A / Capitan-Morales, L / Oliva-Mompean, F / Gomez-Rosado, J C

Techniques in coloproctology

2022 Volume 26, Issue 11, Page(s) 901–904

Abstract: Anastomotic leak is one of the most feared complications of colorectal anastomosis. Different techniques have been described for intraoperative testing of anastomotic integrity. These include air insufflation, methylene blue and endoscopic visualisation. ...

Abstract	Anastomotic leak is one of the most feared complications of colorectal anastomosis. Different techniques have been described for intraoperative testing of anastomotic integrity. These include air insufflation, methylene blue and endoscopic visualisation. If an anastomotic leak is identified intraoperatively, there are various management options. Redo anastomosis is a possibility, but may be difficult in some cases. Defunctioning is another option, but there is an associated morbidity and signficant detrimental effect on quality of life. Direct transanal repair is only possible when a low anastomosis has been performed. When the anastomotic leak occurs high in the rectum or a partial mesorectal excision is performed a transanal approach is technically very challenging. We present our experience with transanal minimally invasive surgery (TAMIS) approach for anastomotic assessment and repair in four patients. In all cases, a colorectal anastomosis was performed and the air insufflation test was positive. We assessed the anastomosis with TAMIS. In three cases, a defect was found and subsequently sutured. In one case, a scar in the rectal mucosa was found and reinforced with a suture. A protective ileostomy was performed in two cases, while in the other two cases, no stoma was added. All four patients were discharged with no further complications. Both protective ileostomies were taken down after radiological and endoscopic confirmation of anastomotic integrity and all 4 anastomoses remain intact after follow-up. TAMIS intraoperative assessment and repair of anastomotic leak is a safe and feasible technique whcih may avoid the need for a defunctioning stoma.
MeSH term(s)	Anastomosis, Surgical/adverse effects ; Anastomotic Leak/etiology ; Anastomotic Leak/surgery ; Humans ; Methylene Blue ; Quality of Life ; Rectal Neoplasms/surgery ; Rectum/surgery ; Retrospective Studies ; Transanal Endoscopic Surgery/adverse effects
Chemical Substances	Methylene Blue (T42P99266K)
Language	English
Publishing date	2022-06-21
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2083309-X
ISSN	1128-045X ; 1123-6337
ISSN (online)	1128-045X
ISSN	1123-6337
DOI	10.1007/s10151-022-02635-8
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Article ; Online: Traumatic evisceration secondary to a stone as a projectile.

García Reyes, Alberto / Alpizar Rivas, Óscar / Sánchez Ramírez, María / Oliva Mompean, Fernando

Cirugia espanola

2021 Volume 99, Issue 7, Page(s) 536

Language	English
Publishing date	2021-06-23
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2021.06.005
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Article ; Online: Endoscopic retromuscular technique (eTEP) vs conventional laparoscopic ventral or incisional hernia repair with defect closure (IPOM +) for midline hernias. A case-control study.

Bellido Luque, J / Gomez Rosado, J C / Bellido Luque, A / Gomez Menchero, J / Suarez Grau, J M / Sanchez Matamoros, I / Nogales Muñoz, A / Oliva Mompeán, F / Morales Conde, S

Hernia : the journal of hernias and abdominal wall surgery

2021 Volume 25, Issue 4, Page(s) 1061–1070

Abstract: Purpose: This study aimed at clinical results in terms of postoperative pain and functional recovery of new technique (eTEP) compared to IPOM + for ventral/incisional midline hernias. Recurrence rate, intra/postoperative complications and aesthetic ... ...

Abstract	Purpose: This study aimed at clinical results in terms of postoperative pain and functional recovery of new technique (eTEP) compared to IPOM + for ventral/incisional midline hernias. Recurrence rate, intra/postoperative complications and aesthetic results are secondary aims. Methods: Data from consecutive patients requiring minimally invasive hernia repair were collected. From January 2015 to September 2018, patients with midline ventral/incisional hernias underwent IPOM + were compared to patients underwent eTEP procedure from October 2018 to December 2019 in a case/control study. Results: Thirty-nine patients in IPOM + group and 40 in eTEP group were included. No significant differences were identified when hernias types, mean defect area, mean mesh area and intraoperative/postoperative complications (except seroma rate in favor of eTEP group) were compared. Operative time and hospital stay were significantly higher in eTEP group and IPOM + group, respectively. eTEP group showed significantly less pain on 1st, 7th and 30th postoperative days than IPOM + group. Restriction of activities was significantly decreased in eTEP group on the 30th and 180th day after surgery. Significant differences were observed in terms of cosmetic results 30th and 180th days after surgery in favor of eTEP group. Average follow-up was 15 months in eTEP group and 28 months in IPOM + group. No recurrences were identified in eTEP group and one recurrence in IPOM + group with no significant differences. Conclusion: Endoscopic retromuscular technique shows significant lower postoperative pain, better functional recovery and cosmesis than IPOM + without differences in intra/postoperative complications (except seroma rate) or recurrences during the follow-up. eTEP requires longer operative time.
MeSH term(s)	Case-Control Studies ; Hernia, Ventral/surgery ; Herniorrhaphy/adverse effects ; Humans ; Incisional Hernia/surgery ; Laparoscopy ; Surgical Mesh
Language	English
Publishing date	2021-02-10
Publishing country	France
Document type	Journal Article
ZDB-ID	1388125-5
ISSN	1248-9204 ; 1265-4906
ISSN (online)	1248-9204
ISSN	1265-4906
DOI	10.1007/s10029-021-02373-0
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Article: Unusual presentation of obstructive jaundice.

Gordillo Hernández, Alejandra / Nogales Muñoz, Ángel / Oliva Mompeán, Fernando

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

2017 Volume 109, Issue 3, Page(s) 238–239

Abstract: Carcinoid tumors of the ampulla of Vater grow slowly and have an excellent prognosis after complete resection of local disease. Histopathological diagnosis is definitive, and the Whipple's procedure is performed as a standard at the present time, ... ...

Abstract	Carcinoid tumors of the ampulla of Vater grow slowly and have an excellent prognosis after complete resection of local disease. Histopathological diagnosis is definitive, and the Whipple's procedure is performed as a standard at the present time, although more novel minimally-invasive techniques may be highly useful for selected patients. While tumor size is not a reliable marker of tumor aggression, it is nonetheless related to lymphatic invasion, hence an accurate diagnosis is important if the patient is to be offered the best option available for the treatment of their disease. Endoscopic ultrasound (EUS) is the technique of choice for presurgical assessment and endocopic excision, as it may rule out vascular and nodal involvement, and establish whether submucosal invasion is present, which precludes endoscopic resection. Local resection has been shown to obtain similar results as compared to CDP in terms of overall survival in patients with small periampullary NETs, with the advantage of significantly lower morbidity in selected cases.
Language	English
Publishing date	2017-03
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.2017.4501/2016
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Article ; Online: Feasibility of quantitative analysis of colonic perfusion using indocyanine green to prevent anastomotic leak in colorectal surgery.

Gomez-Rosado, Juan-Carlos / Valdes-Hernandez, Javier / Cintas-Catena, Juan / Cano-Matias, Auxiliadora / Perez-Sanchez, Asuncion / Del Rio-Lafuente, Francisco-Javier / Torres-Arcos, Cristina / Lara-Fernandez, Yaiza / Capitan-Morales, Luis-Cristobal / Oliva-Mompean, Fernando

Surgical endoscopy

2022 Volume 36, Issue 2, Page(s) 1688–1695

Abstract: Background: The aim of this study was to quantify Fluorescence angiography with indocyanine green (ICG) in colorectal cancer anastomosis, determine influential factors in its temporary intensity and pattern, assessing the ability to predict the AL, and ... ...

Abstract	Background: The aim of this study was to quantify Fluorescence angiography with indocyanine green (ICG) in colorectal cancer anastomosis, determine influential factors in its temporary intensity and pattern, assessing the ability to predict the AL, and setting the cut-off levels to establish high- or low-risk groups. Methods: Retrospective analysis of prospectively managed database, including 70 patients who underwent elective surgery for colorectal cancer in which performing a primary anastomosis was in primary plan. In all of them, ICG fluorescence angiography was performed as usual clinical practice with VisionSense™ VS Iridium (Medtronic, Mansfield, MA, USA), in Elevision™ IR Platform (Medtronic, Mansfield, MA, USA). Parameters measured at real time or calculated were T Results: 70 patients were included, 69 anastomosis were performed and one end colostomy. Arterial hypertension demonstrated higher F Conclusion: Quantitative analysis of ICG fluorescence in colorectal surgery is safe and feasible to stratify risk of AL. Hypertension and location of anastomosis influence the intensity of fluorescence at the point of section. A change of division place should be considered to avoid AL related to vascular reasons when intensities of fluorescence at the point of section is lower than 169 U or slopes lower than 14.4 U/s.
MeSH term(s)	Anastomosis, Surgical/adverse effects ; Anastomotic Leak/etiology ; Anastomotic Leak/prevention & control ; Colorectal Neoplasms/surgery ; Colorectal Surgery ; Feasibility Studies ; Fluorescein Angiography ; Humans ; Indocyanine Green ; Perfusion ; Retrospective Studies
Chemical Substances	Indocyanine Green (IX6J1063HV)
Language	English
Publishing date	2022-01-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-021-08918-9
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Article ; Online: Correction: Feasibility of quantitative analysis of colonic perfusion using indocyanine green to prevent anastomotic leak in colorectal surgery.

Surgical endoscopy

2022 Volume 36, Issue 4, Page(s) 2722

Language	English
Publishing date	2022-01-30
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-022-09085-1
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Article ; Online: Extraskeletal osteosarcoma related to inguinal hernia: A rare presentation.

Bascuas Rodrigo, Beatriz / Naranjo Fernández, Juan Ramón / Valera Sánchez, Zoraida / Curado Soriano, Antonio / Oliva Mompeán, Fernando

Cirugia espanola

2019 Volume 98, Issue 3, Page(s) 171–172

Title translation	Osteosarcoma extraesquelético y hernia inguinal, una rara asociación.
MeSH term(s)	Abdominal Neoplasms ; Aged ; Hernia, Inguinal ; Humans ; Male ; Osteosarcoma
Language	Spanish
Publishing date	2019-07-19
Publishing country	Spain
Document type	Case Reports
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2019.05.011
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Article ; Online: Analysis of frequency, type of complications and economic costs of outlying patients in general and digestive surgery.

Gomez-Rosado, Juan-Carlos / Li, Yun-Hao / Valdés-Hernández, Javier / Oliva-Mompeán, Fernando / Capitán-Morales, Luis-Cristobal

Cirugia espanola

2019 Volume 97, Issue 5, Page(s) 282–288

Abstract: Introduction: The shortage of available beds and the increase in Emergency Department pressure can cause some patients to be admitted in wards with available beds assigned to other services (outlying patients). The aim of this study is to assess the ... ...

Title translation	Análisis de la frecuencia, tipos de complicación y costes económicos en los pacientes ectópicos de cirugía general y digestiva.
Abstract	Introduction: The shortage of available beds and the increase in Emergency Department pressure can cause some patients to be admitted in wards with available beds assigned to other services (outlying patients). The aim of this study is to assess the frequency, types of complications and costs of outlying patients. Methods: Using a retrospective cohort model, we analysed the 2015 general and digestive surgery records (source: Minimum Basic Data Set and economic database). After selecting all outlying patients, we compared the complications, length of stay, costs and consequences of complications against a randomized sample of non-outlying patients with the same DRG and date of episode for every outlying patient, obtaining one non-outlying patient for each selected outlying patient. Thirteen outlying patients with no non-outlying patient pair were excluded from the study. Results: From a total of 2,915 patients, 363 (12.45%) were outlying patients. A total of 350 outlying patients were analysed versus 350 non-outlying patients. There were no significant differences in complications (9.4 vs. 8.3%), length of stay (4.33 vs. 4.65 days) or costs (€3,034.12 vs. €3,223.27). Outlying patients men presented a significantly higher risk of complications compared to women (RR=2.10). Outlying patients presented complications after 2.5 or more days. Conclusions: When outlying admissions become necessary, the selection of patients with less complex pathologies does not increase complications or their consequences (ICU admissions, readmissions, reoperations or mortality), hospital stays or costs. Only in cases of prolonged outlying stays of more than 2.5 days, or in males, may more complications appear. Therefore, male outliers should be avoided in general, and patients should be transferred to the proper ward if a length of stay beyond 2.5 days is foreseen.
MeSH term(s)	Bed Occupancy/statistics & numerical data ; Digestive System Surgical Procedures/adverse effects ; Digestive System Surgical Procedures/economics ; Digestive System Surgical Procedures/statistics & numerical data ; Female ; Health Services Research/methods ; Hospital Costs/statistics & numerical data ; Humans ; Length of Stay/economics ; Length of Stay/statistics & numerical data ; Male ; Patient Admission/statistics & numerical data ; Postoperative Complications/economics ; Postoperative Complications/epidemiology ; Retrospective Studies ; Spain/epidemiology ; Specialties, Surgical/organization & administration ; Surgical Procedures, Operative/adverse effects ; Surgical Procedures, Operative/economics ; Surgical Procedures, Operative/statistics & numerical data
Language	Spanish
Publishing date	2019-02-10
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2019.01.001
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Article ; Online: Íleo biliar colónico: una rara causa de obstrucción intestinal.

Marenco-de la Cuadra, Beatriz / López-Ruiz, José Antonio / Tallón-Aguilar, Luis / López-Pérez, José / Oliva-Mompeán, Fernando

Cirugia y cirujanos

2017 Volume 85, Issue 5, Page(s) 440–443

Abstract: Background: A gallstone colonic ileus is a very rare condition.: Clinical case: The case is reported of an 87 year-old patient who came to the Emergency Department due to an intestinal obstruction of several days onset, which was caused by a ... ...

Title translation	Colonic gallstone ileus: A rare cause of intestinal obstruction.
Abstract	Background: A gallstone colonic ileus is a very rare condition. Clinical case: The case is reported of an 87 year-old patient who came to the Emergency Department due to an intestinal obstruction of several days onset, which was caused by a gallstone affected sigmoid colon. Conclusion: Colonic gallstone ileus is a rare disease that usually occurs in older patients due to the passage of large gallstone directly from the gallbladder to colon, through a cholecystocolonic fistula. It has a high morbidity and mortality.
MeSH term(s)	Aged, 80 and over ; Biliary Fistula/complications ; Cholelithiasis/complications ; Cholelithiasis/diagnostic imaging ; Cholelithiasis/surgery ; Emergencies ; Female ; Humans ; Ileus/diagnostic imaging ; Ileus/etiology ; Ileus/surgery ; Intestinal Fistula/complications ; Sigmoid Diseases/diagnostic imaging ; Sigmoid Diseases/etiology ; Sigmoid Diseases/surgery ; Tomography, X-Ray Computed
Language	Spanish
Publishing date	2017-09
Publishing country	Mexico
Document type	Case Reports ; Journal Article
ZDB-ID	730699-4
ISSN	2444-054X ; 0009-7411
ISSN (online)	2444-054X
ISSN	0009-7411
DOI	10.1016/j.circir.2016.05.016
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Article: Leiomiosarcoma de vena cava inferior. Caso clínico y revisión bibliográfica.

López-Ruiz, José Antonio / Tallón-Aguilar, Luis / Marenco-de la Cuadra, Beatriz / López-Pérez, José / Oliva-Mompeán, Fernando / Padillo-Ruiz, Javier

Cirugia y cirujanos

2017 Volume 85, Issue 4, Page(s) 361–365

Abstract: Background: Large vessel sarcomas are rare tumours. Leiomyosarcoma of the inferior vena cava is the most common. About 300 cases have been reported in the literature. They tend to be large, and not develop metastasis. The prognosis of these tumours is ... ...

Title translation	Leiomyosarcoma of the inferior vena cava. Case report and literature review.
Abstract	Background: Large vessel sarcomas are rare tumours. Leiomyosarcoma of the inferior vena cava is the most common. About 300 cases have been reported in the literature. They tend to be large, and not develop metastasis. The prognosis of these tumours is poor. Clinical case: An 81 year-old woman who complained of pain in the right flank, with no other symptoms. Abdominal computed tomography showed a large retroperitoneal mass, which affected the inferior vena cava, with signs of thrombosis inside. It also encompassed the right renal vein and the right kidney. Excision of the tumour was performed in block, performing an autologous saphenous vein bypass between left the renal vein and proximal segment of inferior vena cava. Discussion: Leiomyosarcomas of the inferior vena cava are classified according to their relationship with adjacent structures. The clinical signs and symptoms are generally non-specific. Diagnosis is made using computed tomography or magnetic resonance imaging, and biopsy of the retroperitoneal mass. Surgery is the only treatment capable of providing prolonged survival. The surgical management is determined by: the level of involvement, the extension, and the presence or absence of collateral veins. The role of adjuvant therapy is controversial. Conclusions: Inferior vena cava leiomyosarcomas remain a challenge for surgeons. At present, radical resection with negative margins, offers the highest survival rate. The best results are obtained with a multidisciplinary approach by experienced teams in the management of these tumours.
Language	Spanish
Publishing date	2017-07
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
DOI	10.1016/j.circir.2016.05.002
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