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  1. Article ; Online: Robotic transversus abdominis release using HUGO RAS system: our initial experience.

    Quezada, Nicolas / Irarrazaval, Maria Jesus / Chen, David C / Grimoldi, Milenko / Pimentel, Fernando / Crovari, Fernando

    Surgical endoscopy

    2024  

    Abstract: Background: Transversus abdominis release (TAR) is an effective technique for treating large midline and off-midline hernias. Recent studies have demonstrated that robotic TAR (rTAR) is technically feasible and associated with improved outcomes compared ...

    Abstract Background: Transversus abdominis release (TAR) is an effective technique for treating large midline and off-midline hernias. Recent studies have demonstrated that robotic TAR (rTAR) is technically feasible and associated with improved outcomes compared to open surgery. There is no published experience to date describing abdominal wall reconstruction using the novel robotic platform HUGO RAS System (Medtronic®).
    Methods: All consecutive patients who underwent a rTAR in our institution were included. Three of the four arm carts of the HUGO RAS System were used at any given time. Each arm configuration was defined by our team in conjunction with Medtronic® personnel. rTAR was performed as previously described. Upon completion of the TAR on one side, a redocking process with different, mirrored arms angles was performed to continue with the contralateral TAR. Operative variables and early morbidity were recorded.
    Results: Ten patients were included in this study. The median BMI was 31 (21-40.6) kg/m
    Conclusion: Robotic TAR utilizing the HUGO RAS system is a feasible and safe procedure. The adoption of this procedure on this novel platform for the treatment of complex abdominal wall hernias has been successful for our team.
    Language English
    Publishing date 2024-05-08
    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/s00464-024-10865-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: GALLBLADDER POLYPS: CORRELATION AND AGREEMENT BETWEEN ULTRASONOGRAPHIC AND HISTOPATHOLOGICAL FINDINGS IN A POPULATION WITH HIGH INCIDENCE OF GALLBLADDER CANCER.

    Inzunza, Martin / Irarrazaval, Maria Jesus / Pozo, Paloma / Pimentel, Fernando / Crovari, Fernando / Ibañez, Luis

    Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

    2023  Volume 36, Page(s) e1732

    Abstract: Background: Gallbladder polyps are becoming a common finding in ultrasound. The management has to consider the potential risk of malignant lesions.: Aims: The aim of this study was to analyze the ultrasound findings in patients undergoing ... ...

    Abstract Background: Gallbladder polyps are becoming a common finding in ultrasound. The management has to consider the potential risk of malignant lesions.
    Aims: The aim of this study was to analyze the ultrasound findings in patients undergoing cholecystectomy due to gallbladder polyps and compare them for histopathological findings (HPs).
    Methods: Patients with an ultrasonographic diagnosis of gallbladder polyp and who underwent cholecystectomy from 2007 to 2020 were included in the study.
    Results: A total of 447 patients were included, of whom 58% were women. The mean age was 45±12 years. The mean size of polyps in US was 7.9±3.6 mm. Notably, 9% of polyps were greater than 10 mm, and single polyps were significantly larger than the multiple ones (p=0.003). Histopathological findings confirmed the presence of polyps in 88.4%, with a mean size of 4.8±3.4 mm. In all, 16 cases were neoplastic polyps (4.1%), 4 of them being malignancies, and all were single and larger than 10 mm. We found a significant correlation between ultrasound and histopathological findings polyp size determination (r=0.44; p<0.001). The Bland-Altman analysis obtained an overestimation of the US size of 3.26 mm. The receiver operating characteristic (ROC) curve analysis between both measures obtained an area under the receiver operating characteristic curve (AUC) of 0.77 (95%CI 0.74-0.81). Ultrasound polyps size larger than 10 mm had an odds ratio (OR) of 8.147 (95%CI 2.56-23.40) for the presence of adenoma and malignancy, with a likelihood ratio of 2.78.
    Conclusions: There is a positive correlation and appropriate diagnostic accuracy between ultrasound size of gallbladder polyps compared to histopathological records, with a trend to overestimate the size by about 3 mm. Neoplastic polyps are uncommon, and it correlates with size. Polyps larger than 10 mm were associated with adenoma and malignancy.
    MeSH term(s) Humans ; Female ; Adult ; Middle Aged ; Male ; Gallbladder Neoplasms/diagnostic imaging ; Incidence ; Gastrointestinal Neoplasms ; Cholecystectomy
    Language English
    Publishing date 2023-05-08
    Publishing country Brazil
    Document type Journal Article
    ISSN 2317-6326
    ISSN (online) 2317-6326
    DOI 10.1590/0102-672020230002e1732
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Gastric Cancer After Laparoscopic Sleeve Gastrectomy: a Case Report and Literature Review.

    Orellana, Matías / Soto, Pedro / Brañes, Alejandro / Pimentel, Fernando / Muñoz, Rodrigo

    Obesity surgery

    2021  Volume 31, Issue 6, Page(s) 2797–2800

    MeSH term(s) Gastrectomy ; Gastric Bypass ; Gastroplasty ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Stomach Neoplasms/surgery ; Treatment Outcome
    Language English
    Publishing date 2021-02-28
    Publishing country United States
    Document type Case Reports ; Letter ; Review
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-021-05307-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Recidiva intestinal única de melanoma cutáneo maligno: reporte de un caso.

    Navarro, Francisco / Gaete, María Inés / Riquoir, Christophe / Azócar, Cristóbal / Pimentel, Fernando

    Revista medica de Chile

    2022  Volume 149, Issue 8, Page(s) 1236–1240

    Abstract: Digestive tract primary melanoma is uncommon. However, metastatic lesions are more frequent and occur mainly in the small intestine. We report a 69-year-old male patient who consulted for a hyperpigmented skin lesion on the left thigh associated with ... ...

    Title translation Intestinal relapse of a cutaneous melanoma. Report of one case.
    Abstract Digestive tract primary melanoma is uncommon. However, metastatic lesions are more frequent and occur mainly in the small intestine. We report a 69-year-old male patient who consulted for a hyperpigmented skin lesion on the left thigh associated with multiple subcutaneous nodules. The biopsy was compatible with melanoma and PET/CT was positive for metastases in nodules and in an inguinal lymph node. Radiotherapy and chemotherapy with pembrolizumab were performed with good response, associated with posterior resection of the inguinal lymph node and melanocytic lesions. At three years of follow-up, a new hypermetabolic focus in the proximal jejunum was found in a control PET/CT. An endoscopic biopsy confirmed that it was a recurrence of the melanoma. Laparoscopic resection with primary anastomosis was performed with good clinical evolution. The definitive biopsy showed a melanoma metastasis with two of three lymph nodes positive for metastasis and a non-mutated BRAF gene. In conclusion, a single intestinal recurrence of melanoma is rare and requires an active search, since it can be resected using minimally invasive techniques.
    MeSH term(s) Aged ; Humans ; Lymph Nodes/pathology ; Male ; Melanoma/surgery ; Positron Emission Tomography Computed Tomography ; Recurrence ; Skin Neoplasms/pathology ; Skin Neoplasms/surgery
    Language Spanish
    Publishing date 2022-03-21
    Publishing country Chile
    Document type Case Reports ; Journal Article
    ZDB-ID 732136-3
    ISSN 0717-6163 ; 0034-9887
    ISSN (online) 0717-6163
    ISSN 0034-9887
    DOI 10.4067/s0034-98872021000801236
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Chemical composition and antifungal activity of the essential oil from the

    Pimentel, Fernando Campos / Alves, Cássia Cristina Fernandes / Forim, Moacir Rossi / Matos, Andreia Pereira / Cunha, Gracielle Oliveira Sabbag / Cazal, Cristiane de Melo

    Natural product research

    2023  Volume 38, Issue 11, Page(s) 1945–1949

    Abstract: This study investigated the chemical composition and the antifungal activity of the essential oil extracted from ... ...

    Abstract This study investigated the chemical composition and the antifungal activity of the essential oil extracted from the
    MeSH term(s) Oils, Volatile/pharmacology ; Oils, Volatile/chemistry ; Fruit/chemistry ; Colletotrichum/drug effects ; Antifungal Agents/pharmacology ; Antifungal Agents/chemistry ; Botrytis/drug effects ; Hymenaea/chemistry ; Aspergillus flavus/drug effects ; Ascomycota/chemistry ; Ascomycota/drug effects ; Gas Chromatography-Mass Spectrometry ; Microbial Sensitivity Tests
    Chemical Substances Oils, Volatile ; Antifungal Agents
    Language English
    Publishing date 2023-06-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2185747-7
    ISSN 1478-6427 ; 1478-6419
    ISSN (online) 1478-6427
    ISSN 1478-6419
    DOI 10.1080/14786419.2023.2225123
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Management of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric Bypass: A Case Report.

    Riquoir, Christophe / Díaz, Luis Antonio / Chiliquinga, David / Candia, Roberto / Pimentel, Fernando / Arenas, Alex

    Clinical endoscopy

    2021  Volume 54, Issue 5, Page(s) 754–758

    Abstract: The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinal bleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and ... ...

    Abstract The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinal bleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb. There is no consensus regarding the management of this complication. While various techniques have been described to access the biliopancreatic limb, double-balloon enteroscopy is the most commonly used. If double-balloon enteroscopy is unavailable, a pediatric colonoscope may be used as an alternative; however, its use in such cases has not been described. We report the case of a 50-year-old male patient who underwent gastric bypass 13 years ago and was admitted for a second episode of upper gastrointestinal bleeding. The initial approach using upper endoscopy, colonoscopy, and abdominal computed tomography angiography did not reveal the cause of gastrointestinal hemorrhage; therefore, an endoscopic study of the biliopancreatic limb was performed using a pediatric colonoscope. A Forrest Ib ulcer was found in the duodenal bulb, and endoscopic therapy was administered. The evolution was found to be satisfactory.
    Language English
    Publishing date 2021-05-25
    Publishing country Korea (South)
    Document type Case Reports
    ZDB-ID 2643507-X
    ISSN 2234-2443 ; 2234-2400
    ISSN (online) 2234-2443
    ISSN 2234-2400
    DOI 10.5946/ce.2021.060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book ; Online: Broader terms curriculum mapping

    Duarte, Rogério / Nobre, Ângela Lacerda / Pimentel, Fernando / Jacquinet, Marc

    Using natural language processing and visual-supported communication to create representative program planning experiences

    2021  

    Abstract: Accreditation bodies call for curriculum development processes open to all stakeholders, reflecting viewpoints of students, industry, university faculty and society. However, communication difficulties between faculty and non-faculty groups leave ... ...

    Abstract Accreditation bodies call for curriculum development processes open to all stakeholders, reflecting viewpoints of students, industry, university faculty and society. However, communication difficulties between faculty and non-faculty groups leave unexplored an immense collaboration potential. Using classification of learning objectives, natural language processing, and data visualization, this paper presents a method to deliver program plan representations that are universal, self-explanatory, and empowering. A simple example shows how the method contributes to representative program planning experiences and a case study is used to confirm the method's accuracy and utility.

    Comment: v3 removed date and undertitle
    Keywords Computer Science - Computation and Language
    Publishing date 2021-02-09
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Trauma Associado às Touradas à Corda nos Açores: Um Estudo Transversal.

    Vieira, Bárbara / Taranu, Viorel / Vieira, Ana / Soares, Duarte / Soares, Ana / Silva, Anaísa / Galvão, Diogo / Bagnari, Inês / Melo, Débora / Pimentel, Fernando / Sousa, José / Martins, Lisandra / Pinheiro, Luís / Vargas, Marília / Reis, Óscar / Valente, Sofia / Bettencourt, Rui / Oliveira, Teresa / Mora, António

    Acta medica portuguesa

    2024  Volume 37, Issue 4, Page(s) 267–273

    Abstract: Introduction: The aim of the study was to describe trauma injuries associated with rope bullfights in the Azores, Portugal, regarding the cause of the incident, trauma mechanism, most affected anatomical areas, and injury severity.: Methods: Two-year ...

    Title translation Trauma Injuries Associated with Rope Bullfights in the Azores: A Cross-Sectional Study.
    Abstract Introduction: The aim of the study was to describe trauma injuries associated with rope bullfights in the Azores, Portugal, regarding the cause of the incident, trauma mechanism, most affected anatomical areas, and injury severity.
    Methods: Two-year cross-sectional study in the local hospital with prospective data collection. Patients who were consecutively admitted to the local hospital's emergency department with trauma injuries from the bull's direct impact or from falls either during the bull's escape or when handling the rope, were included. Data on general demographics, lesion characteristics, treatments, need for hospitalization and mortality were collected.
    Results: Fifty-six incidents and 80 trauma injuries were identified. The main cause of trauma was the bull's direct impact (37; 66.07%) and the mechanism of injury was blunt trauma in all patients (100%; 56). Head and neck injuries (27; 33.75%) were the most common. The median Injury Severity Score at the emergency department admission was 4. Major trauma was noted in five patients (8.92%). Ten patients (17.85%) needed hospitalization with a median hospital stay of seven days. Three of the 10 hospitalized patients (30%) were previously admitted to the intensive care unit. Surgery was performed in six patients (10.71%).
    Conclusion: The main cause of trauma was the bull's direct impact, and the mechanism of injury was blunt trauma. The most affected anatomical areas were the head and neck. These findings are a wake-up call to the impact of these events regarding the economic costs they entail, the costs for the health of the local population, the safety measures currently implemented and the availability of the necessary means to treat these patients.
    MeSH term(s) Humans ; Male ; Animals ; Cattle ; Cross-Sectional Studies ; Azores ; Hospitalization ; Length of Stay ; Wounds, Nonpenetrating ; Retrospective Studies
    Language Portuguese
    Publishing date 2024-03-07
    Publishing country Portugal
    Document type English Abstract ; Journal Article
    ZDB-ID 603078-6
    ISSN 1646-0758 ; 0870-399X
    ISSN (online) 1646-0758
    ISSN 0870-399X
    DOI 10.20344/amp.19440
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: COVID-19 in patients with rheumatological diseases treated with anti-TNF.

    Brito, Carlos Antunes / Paiva, José Gerardo / Pimentel, Fernando Nunes / Guimarães, Rosinete Santos / Moreira, Mariana Ribeiro

    Annals of the rheumatic diseases

    2020  Volume 80, Issue 5, Page(s) e62

    MeSH term(s) Antirheumatic Agents/therapeutic use ; COVID-19 ; Humans ; Rheumatic Diseases/drug therapy ; SARS-CoV-2 ; Spondylitis, Ankylosing/drug therapy ; Tumor Necrosis Factor Inhibitors
    Chemical Substances Antirheumatic Agents ; Tumor Necrosis Factor Inhibitors
    Keywords covid19
    Language English
    Publishing date 2020-06-16
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/annrheumdis-2020-218171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Taking advantage of asynchronous digital feedback: development of an at-home basic suture skills training program for undergraduate medical students that facilitates skills retention.

    Belmar, Francisca / Gaete, María Inés / Durán, Valentina / Chelebifski, Slavka / Jarry, Cristián / Ortiz, Catalina / Escalona, Gabriel / Villagrán, Ignacio / Alseidi, Adnan / Zamorano, Elga / Pimentel, Fernando / Crovari, Fernando / Varas, Julián

    Global surgical education : journal of the Association for Surgical Education

    2023  Volume 2, Issue 1, Page(s) 32

    Abstract: Purpose: To date, there are no training programs for basic suturing that allow remote deliberate practice. This study seeks to evaluate the effectiveness of a basic suture skills training program and its 6-month skill retention applying unsupervised ... ...

    Abstract Purpose: To date, there are no training programs for basic suturing that allow remote deliberate practice. This study seeks to evaluate the effectiveness of a basic suture skills training program and its 6-month skill retention applying unsupervised practice and remote digital feedback.
    Methods: Fourth-year medical-student trainees reviewed instructional videos from a digital platform and performed unsupervised practice as needed at their homes. When they felt competent, trainees uploaded a video of themselves practicing the skill. In < 72 h, they received expert asynchronous digital feedback. The course had two theoretical stages and five video-based assessments, where trainees performed different suturing exercises. For the assessment, a global (GRS) and specific rating scale (SRS) were used, with a passing score of 20 points (max:25) and 15 (max:20), respectively. Results were compared to previously published work with in-person expert feedback (EF) and video-guided learning without feedback (VGL). A subgroup of trainees underwent a 6-month skills retention assessment.
    Results: Two-hundred and forty-three trainees underwent the course between March and December 2021. A median GRS of 24 points was achieved in the final assessment, showing significantly higher scores (
    Conclusion: It is feasible to teach basic suture skills to undergraduate medical students using an unsupervised training course with remote and asynchronous feedback through a digital platform. This methodology allows continuous training with the repetition of quality practice, personalized feedback, and skills retention at 6 months.
    Language English
    Publishing date 2023-02-06
    Publishing country United States
    Document type Journal Article
    ISSN 2731-4588
    ISSN (online) 2731-4588
    DOI 10.1007/s44186-023-00112-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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