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Article ; Online: Open vs. minimally invasive sublay incisional hernia repair. Is there a risk of overtreatment? EVEREG registry analysis.

López-Cano, Manuel / Verdaguer Tremolosa, Mireia / Hernández Granados, Pilar / Pereira, José Antonio

Cirugia espanola

2023 Volume 101 Suppl 1, Page(s) S46–S53

Abstract: Introduction: Incisional hernia (IH) is a very common surgical procedure. Registries provide real world data. The objective is to analyze the open and minimally invasive (MIS) sublay technique (with or without associated components separation [CS]) in ... ...

Abstract	Introduction: Incisional hernia (IH) is a very common surgical procedure. Registries provide real world data. The objective is to analyze the open and minimally invasive (MIS) sublay technique (with or without associated components separation [CS]) in IH cases from the EVEREG registry and to evaluate the evolution over time of the techniques. Methods: All patients in EVEREG from July 2012 to December 2021 were included. The characteristics of the patients, IH, surgical technique, complications and mortality in the first 30 days were collected. We analyzed Group 1 (open sublay vs MIS sublay, without CS), Group 2 (open sublay vs MIS sublay, with CS) and Group 3 where the evolution of open and MIS techniques was evaluated over time. Results: 4867 IH were repaired using a sublay technique. Group 1: 3739 (77%) open surgery, mostly midline hernias combined (P = .016) and 55 (1%) MIS, mostly lateral hernias (LH) (P = .000). Group 2: 1049 (21.5%) open surgery and 24 (0.5%) MIS. A meaningful difference (P = .006) was observed in terms of transverse diameters (5.9 (SD 2.1) cm for the MIS technique and 10.11 (SD 4.8) for the open technique). The LH MIS associated more CS (P = .002). There was an increase in the use of the sublay technique over time (with or without CS). Conclusion: Increased use of the sublay technique (open and MIS) over time. For some type of hernia (LH) the MIS sublay technique with associated CS may have represented an overtreatment.
MeSH term(s)	Humans ; Incisional Hernia/surgery ; Herniorrhaphy/methods ; Surgical Mesh ; Hernia, Ventral/surgery ; Registries ; Overtreatment
Language	English
Publishing date	2023-11-10
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2023.02.013
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Comment on: Meta-analysis and Systematic Review of the Use of a Prosthetic Mesh for Prevention of Parastomal Hernia.

López-Cano, Manuel / Pereira, José Antonio / García-Alamino, Josep M

Annals of surgery

2021 Volume 274, Issue 6, Page(s) e910–e912

MeSH term(s)	Hernia, Ventral/prevention & control ; Hernia, Ventral/surgery ; Humans ; Incisional Hernia/etiology ; Incisional Hernia/prevention & control ; Incisional Hernia/surgery ; Surgical Mesh
Language	English
Publishing date	2021-05-24
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	340-2
ISSN	1528-1140 ; 0003-4932
ISSN (online)	1528-1140
ISSN	0003-4932
DOI	10.1097/SLA.0000000000004949
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Article ; Online: Is there scientific evidence to support antibiotic prophylaxis in patients with periodontal disease as a means to decrease the risk of prosthetic joint infections? A systematic review.

Moreira, Ana Isabel / Mendes, Luzia / Pereira, José António

International orthopaedics

2019 Volume 44, Issue 2, Page(s) 231–236

Abstract: Purpose: To re-assess the scientific literature to ascertain if there is scientific evidence to support antibiotic prophylaxis in patients with periodontal disease as a means to decrease the risk of prosthetic joint infections.: Introduction: ... ...

Abstract	Purpose: To re-assess the scientific literature to ascertain if there is scientific evidence to support antibiotic prophylaxis in patients with periodontal disease as a means to decrease the risk of prosthetic joint infections. Introduction: Prosthetic joint infections occur in approximately 0.3-2% of patients and, of these, around 6-13% are thought to be caused by oral bacteria. Antibiotic prophylaxis prior to dental procedures as a means to prevent a prosthetic joint infection has been controversial throughout the years. However, it remains unclear to what extent it has a beneficial effect. We do know that bacteraemia of oral origin is directly proportional to any ongoing inflammation or infection, and that a diseased periodontium may act as an entry for bacteria to spread to distant locations, through the bloodstream, and potentially be the cause of distant site infections. Materials and methods: Updated literature search using the PubMed (Medline), and the Clarivate Analytics databases, to identify eligible articles since the previous searches up to April 2019 (last 5 years). Results: No studies that relate periodontal disease to the development of a prosthetic joint infection were found. Conclusion: Currently, there is no evidence to support or exclude the need of antibiotic prophylaxis as a means to decrease the risk of prosthetic joint infections in patients with periodontal disease.
MeSH term(s)	Anti-Bacterial Agents/administration & dosage ; Antibiotic Prophylaxis ; Arthroplasty, Replacement/adverse effects ; Humans ; Joint Diseases/complications ; Joint Diseases/surgery ; Periodontal Diseases/complications ; Periodontal Diseases/drug therapy ; Prosthesis-Related Infections/etiology ; Prosthesis-Related Infections/prevention & control ; Risk Factors
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2019-11-21
Publishing country	Germany
Document type	Journal Article ; Systematic Review
ZDB-ID	80384-4
ISSN	1432-5195 ; 0341-2695
ISSN (online)	1432-5195
ISSN	0341-2695
DOI	10.1007/s00264-019-04433-8
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Article: Friends with Benefits: An Inside Look of Periodontal Microbes’ Interactions Using Fluorescence In Situ Hybridization—Scoping Review

Esteves, Guilherme Melo / Pereira, José António / Azevedo, Nuno Filipe / Azevedo, Andreia Sofia / Mendes, Luzia

Microorganisms. 2021 July 14, v. 9, no. 7

2021

Abstract: Fluorescence in situ hybridization (FISH) has proven to be particularly useful to describe the microbial composition and spatial organization of mixed microbial infections, as it happens in periodontitis. This scoping review aims to identify and map all ... ...

Abstract	Fluorescence in situ hybridization (FISH) has proven to be particularly useful to describe the microbial composition and spatial organization of mixed microbial infections, as it happens in periodontitis. This scoping review aims to identify and map all the documented interactions between microbes in periodontal pockets by the FISH technique. Three electronic sources of evidence were consulted in search of suitable articles up to 7 November 2020: MEDLINE (via PubMed), Scopus (Elsevier: Amsterdam, The Netherlands), and Web of Science (Clarivate Analytics: Philadelphia, PA, USA) online databases. Studies that showed ex vivo and in situ interactions between, at least, two microorganisms were found eligible. Ten papers were included. Layered or radially ordered multiple-taxon structures are the most common form of consortium. Strict or facultative anaerobic microorganisms are mostly found in the interior and the deepest portions of the structures, while aerobic microorganisms are mostly found on the periphery. We present a model of the microbial spatial organization in sub- and supragingival biofilms, as well as how the documented interactions can shape the biofilm formation. Despite the already acquired knowledge, available evidence regarding the structural composition and interactions of microorganisms within dental biofilms is incomplete and large-scale studies are needed.
Keywords	biofilm ; fish ; fluorescence ; hybridization ; models ; periodontitis ; Netherlands
Language	English
Dates of publication	2021-0714
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2720891-6
ISSN	2076-2607
ISSN	2076-2607
DOI	10.3390/microorganisms9071504
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Chronic pain after groin hernia repair: pain characteristics and impact on quality of life.

Bande, David / Moltó, Luis / Pereira, Jose Antonio / Montes, Antonio

BMC surgery

2020 Volume 20, Issue 1, Page(s) 147

Abstract: Background: Chronic postsurgical pain (CPSP) after hernia repair research has mainly relied on unconfirmed self-reporting. We aimed to describe confirmed CPSP incidence, management, and quality of life (QoL) in a 2-year prospective study.: Methods: ... ...

Abstract	Background: Chronic postsurgical pain (CPSP) after hernia repair research has mainly relied on unconfirmed self-reporting. We aimed to describe confirmed CPSP incidence, management, and quality of life (QoL) in a 2-year prospective study. Methods: Multicenter study (GENDOLCAT) of 3890 patients undergoing 4 common surgical procedures in 23 hospitals to develop a risk model for CPSP; 2352 men underwent open hernia repair. Patients with pain were identified by telephone at 1 and 3 months and referred to the hospital 4 months after surgery for a physical examination to confirm CPSP. Three validated tools were used: the Brief Pain Inventory (BPI) for severity, analgesic use, and interference with activities; the SF-12 questionnaire for QoL (validated Spanish version), and the Douleur Neuropathique 4 (DN4). Patients with CPSP were called again at 1 and 2 years. Results: In 1761 patients who underwent hernia repair and were eligible for physical examination for CPSP, the incidence of confirmed pain at 4 months was 13.6% (patient-reported pain, 6.2% at 1 year and 4.0% at 2 years). Neuropathic pain was diagnosed in 38.5% of the CPSP patients at 4 months. The incidences of neuropathic CPSP in patients with mesh or non-mesh repairs were similar (38.6 and 33.3%, respectively). SF-12 physical component scores changed little in all patients, whether or not they developed CPSP. The SF-12 mental component decreased significantly in all patients, but the decrease was clinically significant only in CPSP patients. CPSP interfered with activities (18%), work (15.6%), walking (15%) and mood (10.2%). At 2 years 52.1% of CPSP patients had moderate/intense pain and 28.2% took analgesics. Conclusion: CPSP affects QoL-related activities, and although it diminishes over the course of 2 years after surgery, many patients continue to have moderate/intense pain and take analgesics. CPSP and neuropathic pain rates seem to be similar after mesh and non-mesh repair. BPI and SF-12 mental component scores detect effects on QoL. Trial registration: ClinicalTrials.gov NCT01510496.
MeSH term(s)	Adult ; Aged ; Analgesics/administration & dosage ; Chronic Pain/etiology ; Groin/surgery ; Hernia, Inguinal/surgery ; Herniorrhaphy/methods ; Humans ; Incidence ; Male ; Middle Aged ; Neuralgia/etiology ; Pain, Postoperative/etiology ; Prospective Studies ; Quality of Life ; Surveys and Questionnaires
Chemical Substances	Analgesics
Language	English
Publishing date	2020-07-06
Publishing country	England
Document type	Journal Article ; Multicenter Study
ZDB-ID	2050442-1
ISSN	1471-2482 ; 1471-2482
ISSN (online)	1471-2482
ISSN	1471-2482
DOI	10.1186/s12893-020-00805-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Friends with Benefits: An Inside Look of Periodontal Microbes' Interactions Using Fluorescence In Situ Hybridization-Scoping Review.

Esteves, Guilherme Melo / Pereira, José António / Azevedo, Nuno Filipe / Azevedo, Andreia Sofia / Mendes, Luzia

Microorganisms

2021 Volume 9, Issue 7

Abstract	Fluorescence in situ hybridization (FISH) has proven to be particularly useful to describe the microbial composition and spatial organization of mixed microbial infections, as it happens in periodontitis. This scoping review aims to identify and map all the documented interactions between microbes in periodontal pockets by the FISH technique. Three electronic sources of evidence were consulted in search of suitable articles up to 7 November 2020: MEDLINE (via PubMed), Scopus (Elsevier: Amsterdam, The Netherlands), and Web of Science (Clarivate Analytics: Philadelphia, PA, USA) online databases. Studies that showed ex vivo and in situ interactions between, at least, two microorganisms were found eligible. Ten papers were included. Layered or radially ordered multiple-taxon structures are the most common form of consortium. Strict or facultative anaerobic microorganisms are mostly found in the interior and the deepest portions of the structures, while aerobic microorganisms are mostly found on the periphery. We present a model of the microbial spatial organization in sub- and supragingival biofilms, as well as how the documented interactions can shape the biofilm formation. Despite the already acquired knowledge, available evidence regarding the structural composition and interactions of microorganisms within dental biofilms is incomplete and large-scale studies are needed.
Language	English
Publishing date	2021-07-14
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2720891-6
ISSN	2076-2607
ISSN	2076-2607
DOI	10.3390/microorganisms9071504
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Article ; Online: Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG).

López-Cano, Manuel / Pereira, José Antonio / Rodrigues-Gonçalves, Victor / Verdaguer-Tremolosa, Mireia / Hernández-Granados, Pilar / Bravo-Salvá, Alejandro

Cirugia espanola

2021 Volume 99, Issue 7, Page(s) 527–534

Abstract: Introduction: The results of parastomal hernia (PH) repair based on data from registries are scarce. The objective of this work is to analyze the data collected on PH in the National Registry of Incisional Hernia (EVEREG) and thus evaluate current ... ...

Abstract	Introduction: The results of parastomal hernia (PH) repair based on data from registries are scarce. The objective of this work is to analyze the data collected on PH in the National Registry of Incisional Hernia (EVEREG) and thus evaluate current practices and results in PH repair. Methods: Data from the PH cohort recorded in the period from July 2012 to June 2018 are analyzed. Complications, recurrences and associated factors of the entire PH cohort are analyzed, regardless of the type of stoma they are associated with. Subsequently, the same PH group analysis was performed in relation to a colostomy (larger group). Results: 353 PH were studied. Of these, 259 (73%) were PH in the context of a terminal colostomy, 74 (21%) in the context of a terminal ileostomy, and 20 (6%) in the context of a ureteroileostomy (Bricker). The global mean age was 68.7 ± 11.1 years and 135 (38%) patients were female. The open approach and elective surgery were predominant (78% and 92% respectively); 99% were repaired with a non-absorbable synthetic mesh. Global postoperative complications were high (30.6%). As well as, the global recurrence (27.5%) after a mean follow-up of 9.4 months. Conclusions: PH repair is infrequent. PH surgery seems to be associated with a high percentage of postoperative complications and recurrence.
MeSH term(s)	Aged ; Colostomy ; Female ; Herniorrhaphy/adverse effects ; Humans ; Incisional Hernia/epidemiology ; Middle Aged ; Registries ; Surgical Mesh
Language	English
Publishing date	2021-07-09
Publishing country	Spain
Document type	Journal Article ; Observational Study
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2021.06.016
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Article ; Online: Cirugía de la pared abdominal después del SARS-CoV-2: ¿es hora de restablecer los procedimientos no esenciales pospuestos?

López Cano, Manuel / Saludes Serra, Judit / Rosselló-Jiménez, Daniel / Pereira, José Antonio / Rodrigues Gonçalves, Victor / García Alamino, Josep M

Cirugia espanola

2020 Volume 98, Issue 9, Page(s) 507–509

Abstract: Pandemic by the COVID-19 has found us unprotected to provide an adequate and rapid sanitary response. The hospital network of our public health system has provided most of the resources for the treatment of patients affected by the infection. Non- ... ...

Title translation	Abdominal Wall Surgery After SARS-CoV-2: Time to Reestablish Postponed Non-essential Procedures?
Abstract	Pandemic by the COVID-19 has found us unprotected to provide an adequate and rapid sanitary response. The hospital network of our public health system has provided most of the resources for the treatment of patients affected by the infection. Non-essential (non-priority) surgeries have been postponed. The optimal and proportionate reestablishment of these non-priority surgeries can be a problem. This article offers a technical and non-technical view of reestablishment non-priority surgeries from the perspective of abdominal wall surgery.
MeSH term(s)	Abdominal Wall/surgery ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Elective Surgical Procedures ; Humans ; Infection Control/organization & administration ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2
Keywords	covid19
Language	Spanish
Publishing date	2020-04-18
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2020.04.011
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Article ; Online: Elective and emergent laparotomy closure: The importance of protocolizing the technique.

Valverde, Silvia / Sánchez García, José Luis / Pereira, José Antonio / Armengol, Manel / López-Cano, Manuel

Cirugia espanola

2018 Volume 97, Issue 2, Page(s) 97–102

Abstract: Background: Incisional hernias are a frequent complication, and their prevention includes proper closure of the abdominal wall.: Methods: A prospective study was conducted at a third-level hospital after the introduction of a midline laparotomy ... ...

Title translation	Cierre de la laparotomía electiva y urgente. Importancia de protocolizar la técnica.
Abstract	Background: Incisional hernias are a frequent complication, and their prevention includes proper closure of the abdominal wall. Methods: A prospective study was conducted at a third-level hospital after the introduction of a midline laparotomy closure protocol. An objective measurement of the suture length to incision length ratio was made. and the postoperative results were analyzed. Results: 127 patients were included and 34 of them (26.8%) had received a technically deficient closure. Incisional hernia was described in 20.5% of cases. An improvement in the quality of the abdominal wall closure was demonstrated over time. Conclusion: The abdominal wall closure was deficient in nearly one- quarter of the laparotomies performed at a third-level medical center. A protocol improved the quality of the laparotomy closure.
MeSH term(s)	Abdominal Wound Closure Techniques ; Aged ; Clinical Protocols ; Elective Surgical Procedures ; Female ; Humans ; Laparotomy/methods ; Male ; Middle Aged ; Prospective Studies
Language	Spanish
Publishing date	2018-12-10
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2018.09.011
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Article ; Online: Elevada incidencia de hernia incisional tras resección abierta y laparoscópica por cáncer colorrectal.

Pereira, José Antonio / Pera, Miguel / Grande, Luis

Cirugia espanola

2013 Volume 91, Issue 1, Page(s) 44–49

Abstract: Objectives: To determine the incidence of incisional hernia in patients subjected to colorectal cancer surgery. To analyse the individual risk factors and to determine which patients would benefit more from the use of prophylactic measures.: Patients ... ...

Title translation	Incidence of incisional hernia after open and laparoscopic colorectal cancer resection.
Abstract	Objectives: To determine the incidence of incisional hernia in patients subjected to colorectal cancer surgery. To analyse the individual risk factors and to determine which patients would benefit more from the use of prophylactic measures. Patients and methods: A retrospective study was performed on the demographic and surgical data, as well as the complications, risk factors and outcomes of all patients subjected to colorectal cancer surgery in the period between January 2006 and September 2008. The diagnosis of incisional hernia was made by means of physical examination or by a review of the follow up CT scan. Results: A total of 338 patients were reviewed (249 laparotomy and 89 laparoscopy). After a median follow-up of 19.7 months, 87 patients (25.7%) were diagnosed with incisional hernia by a physical examination. The CT scan enabled 48 hernias (14.2%) not detected clinically. The incisional hernia rate was 39.9% (135 patients). There were no significant differences between patients subjected to laparotomy (40.9%) or laparoscopy (37.1%). The incisional hernia rate in overweight patients (BMI ≥ 25 Kg/m(2)), was 51.3% compared to 31.1% in patients with normal weight (P=.02). Post-surgical complications (P=.007), surgical wound infections (P=.04), and further surgery during the post-operative period (P<.0001), was also associated with a higher incidence of incisional hernia. Conclusion: The prevalence of incisional hernia after colorectal cancer resection is higher than expected (39,9%). Patients with a BMI greater than 25 kg/m(2), and those who require further surgery are candidates to receive a prophylactic mesh.
MeSH term(s)	Aged ; Colorectal Neoplasms/surgery ; Digestive System Surgical Procedures/methods ; Female ; Hernia, Ventral/epidemiology ; Humans ; Incidence ; Laparoscopy ; Male ; Postoperative Complications/epidemiology ; Retrospective Studies ; Risk Factors
Language	Spanish
Publishing date	2013-01
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.2012.05.004
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