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  1. Article ; Online: Leiomyosarcoma of the right gonadal vein.

    Puerta Vicente, Ana / Sanjuanbenito, Alfonso / Lobo, Eduardo

    Cirugia espanola

    2021  Volume 99, Issue 10, Page(s) 764–766

    MeSH term(s) Humans ; Leiomyosarcoma ; Vascular Neoplasms ; Veins
    Language English
    Publishing date 2021-11-08
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2021.10.005
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  2. Article ; Online: Leiomyosarcoma of the right gonadal vein.

    Puerta Vicente, Ana / Sanjuanbenito, Alfonso / Lobo, Eduardo

    Cirugia espanola

    2020  

    Title translation Leiomiosarcoma de vena gonadal derecha.
    Language Spanish
    Publishing date 2020-10-31
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.09.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Strangulated right paraduodenal hernia in the context of bowel malrotation: Rare small bowel obstruction.

    Puerta Vicente, Ana / Vilar Tabanera, José Alberto / Pedraza Muñoz, Antonio / Guirado, Marta

    Cirugia espanola

    2022  Volume 101, Issue 1, Page(s) 56

    MeSH term(s) Humans ; Paraduodenal Hernia ; Intestine, Small/diagnostic imaging ; Intestine, Small/surgery ; Intestinal Obstruction/diagnostic imaging ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Intestinal Volvulus/complications ; Intestinal Volvulus/diagnostic imaging ; Intestinal Volvulus/surgery
    Language English
    Publishing date 2022-09-05
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.09.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Medullary colorectal carcinoma. Do we really know it?

    Puerta Vicente, Ana / Vilar Tabanera, Alberto / García Pérez, Juan Carlos

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

    2020  Volume 112, Issue 7, Page(s) 579–580

    Abstract: Medullary carcinoma (MC) is a recently described subtype of mismatch repair deficient (MMRd) colorectal carcinoma (CRC) which, despite being poorly differentiated by traditional morphological criteria, has been reported to have a good prognosis. By the ... ...

    Abstract Medullary carcinoma (MC) is a recently described subtype of mismatch repair deficient (MMRd) colorectal carcinoma (CRC) which, despite being poorly differentiated by traditional morphological criteria, has been reported to have a good prognosis. By the moment, there is a handful reports about its clinical and pathological features, without agreement between results obtained.
    MeSH term(s) Carcinoma, Medullary ; Colonic Neoplasms ; Colorectal Neoplasms/diagnosis ; DNA Mismatch Repair ; Humans ; Thyroid Neoplasms
    Language English
    Publishing date 2020-06-24
    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.2020.6728/2019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 199: Show issues Location:
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  5. Article: Dynamics of PTH levels in the development of post-operative hypoparathyroidism.

    Vilar Tabanera, José Alberto / Gómez Ramirez, Joaquín / Brabyn, Philip / Barranquero, Alberto G / Puerta Vicente, Ana / Porrero, Belén / Luengo, Patricia / Fernández Cebrián, José María

    Acta chirurgica Belgica

    2023  Volume 124, Issue 2, Page(s) 99–106

    Abstract: Background: Post-operative hypoparathyroidism is the most frequent complication after total thyroidectomy. The identification of preoperative predictors could be helpful to identify patients at risk. This study aimed to evaluate the potential influence ... ...

    Abstract Background: Post-operative hypoparathyroidism is the most frequent complication after total thyroidectomy. The identification of preoperative predictors could be helpful to identify patients at risk. This study aimed to evaluate the potential influence of preoperative PTH levels and their perioperative dynamics as a predictor of transient, protracted, and permanent post-operative hypoparathyroidism.
    Methods: A prospective, observational study that includes 100 patients who underwent total thyroidectomy between September 2018 and September 2020.
    Results: Transient hypoparathyroidism was present in 42% (42/100) of patients, 11% (11/100) developed protracted hypoparathyroidism, and 5% (5/100) permanent hypoparathyroidism. Patients who presented protracted hypoparathyroidism had higher preoperative PTH levels. The protracted and permanent hypoparathyroidism rate was higher in groups with greater preoperative PTH [0% group 1 (<40 pg/mL)
    Conclusion: The prevalence of protracted hypoparathyroidism was higher in groups with higher preoperative PTH levels. PTH levels 24 h after surgery lower than 6.6 pg/mL and a decline of more than 90% predict protracted and permanent hypoparathyroidism. The percentage of PTH increase a week after surgery could predict permanent hypoparathyroidism.
    MeSH term(s) Humans ; Prospective Studies ; Hypoparathyroidism/epidemiology ; Hypoparathyroidism/etiology ; Thyroidectomy/adverse effects ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Parathyroid Hormone ; Hypocalcemia/complications
    Chemical Substances Parathyroid Hormone
    Language English
    Publishing date 2023-03-28
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
    DOI 10.1080/00015458.2023.2194598
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    Uk I Zs.57/10: Show issues Location:
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  6. Article ; Online: Luschka Duct Leak: An Unexpected Cause of Choleperitoneum After Liver Transplant.

    Vilar Tabanera, Alberto / Puerta Vicente, Ana / López Buenadicha, Adolfo / Peromingo, Roberto / Lopez Hervás, Pedro / Nuño Vasquez-Garza, Javier

    Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation

    2019  Volume 18, Issue 4, Page(s) 526–528

    Abstract: The anatomic variabilities in ducts of Luschka put patients at risk during hepatobiliary surgery. Clinically relevant bile leakage is the cause of 0.4% to 1.2% of complications of cholecystectomies, with almost one-third of complications caused by an ... ...

    Abstract The anatomic variabilities in ducts of Luschka put patients at risk during hepatobiliary surgery. Clinically relevant bile leakage is the cause of 0.4% to 1.2% of complications of cholecystectomies, with almost one-third of complications caused by an inadvertent injury to the duct of Luschka. However, bile leakage from a duct of Luschka after liver transplant is rare, and only one previously published report has been found. Here, we report a case of a 67-year-old male patient who underwent liver transplant for cirrhosis due to hepatitis C virus infection. After transplant, the patient had a choleperitoneum caused by bile leakage from a duct of Luschka. The donor surgery had been performed by surgeons from another institution, and they had also performed the previous cholecystectomy. Fifteen days after surgery, a cholangiography showed bile leakage near the anastomosis. A new intervention was decided. After confirmation of the integrity of the anastomosis, methylene blue was injected through the Kehr's tube, which escaped from a duct of Luschka. The duct was closed, and an intraoperative cholangiography confirmed that the biliary tree was intact. After this intervention, a new bile leakage was observed, resulting in an endoscopic retrograde cholangiopancreatography scan and sphincterotomy. The Kehr's tube was kept open until leak resolution. Although unusual after liver transplant, this complication should be considered in cases of bile leakage. The ducts of Luschka are difficult to see during cholecystectomy in the graft due to perivesicular edema.
    MeSH term(s) Aged ; Bile Duct Diseases/diagnostic imaging ; Bile Duct Diseases/etiology ; Bile Duct Diseases/surgery ; Cholangiopancreatography, Endoscopic Retrograde ; Hepatitis C/complications ; Hepatitis C/diagnosis ; Hepatitis C/virology ; Humans ; Liver Cirrhosis/diagnosis ; Liver Cirrhosis/surgery ; Liver Cirrhosis/virology ; Liver Transplantation/adverse effects ; Male ; Peritoneal Diseases/diagnostic imaging ; Peritoneal Diseases/etiology ; Peritoneal Diseases/surgery ; Reoperation ; Sphincterotomy, Endoscopic ; Treatment Outcome
    Language English
    Publishing date 2019-06-25
    Publishing country Turkey
    Document type Case Reports
    ZDB-ID 2396778-X
    ISSN 2146-8427 ; 1304-0855
    ISSN (online) 2146-8427
    ISSN 1304-0855
    DOI 10.6002/ect.2018.0348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6632: Show issues Location:
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  7. Article ; Online: Management of Esophageal Perforation: 28-Year Experience in a Major Referral Center.

    Puerta Vicente, Ana / Priego Jiménez, Pablo / Cornejo López, María Ángeles / García-Moreno Nisa, Francisca / Rodríguez Velasco, Gloria / Galindo Álvarez, Julio / Lobo Martínez, Eduardo

    The American surgeon

    2018  Volume 84, Issue 5, Page(s) 684–689

    Abstract: Esophageal perforation constitutes a surgical emergency. Despite its gravity, no single strategy has been described as sufficient to deal with most situations to date. The aim of this study was to assess the etiology, management, and outcome of ... ...

    Abstract Esophageal perforation constitutes a surgical emergency. Despite its gravity, no single strategy has been described as sufficient to deal with most situations to date. The aim of this study was to assess the etiology, management, and outcome of esophageal perforation over a 28-year period, to characterize optimal treatment options in this severe disease. A retrospective clinical review of all patients treated for esophageal perforation at Ramón y Cajal Hospital between January 1987 and December 2015 was performed (n = 57). Iatrogenic injury was the most frequent cause of esophageal perforation (n = 32). Abdominal esophagus was the main location (23 patients; 40.4%). Eight patients (14%) were managed with antibiotics and parenteral nutrition. In seven patients (12.3%), an endoscopic stent was implanted. Surgical therapy was performed in 38 patients (66.7%). Morbidity and 90-day mortality rates were 61.4 and 28 per cent, respectively. Five patients were reoperated (8.8%). Median hospital stay was 23.5 days. The mortality rate was higher among patients with spontaneous and tumoral perforation (54.5 and 100%; P = 0.009), delayed diagnosis (>24 hours; P = 0.0001), and abdominal/thoracic location (37.5%; P = 0.05). No statistical differences were found between surgical and conservative/endoscopic management (31% vs 20%; P = 0.205) although hospital staying was longer in surgical group (36.30 days vs 15.63 days; P = 0.029). Esophageal perforation was associated with high morbidity and mortality rates. Global outcomes depend on etiology, site of perforation, and delay in diagnosis. An individualized approach for each patient should be chosen to prevent septic complications of this potentially fatal disease.
    MeSH term(s) Aged ; Esophageal Perforation/diagnosis ; Esophageal Perforation/etiology ; Esophageal Perforation/therapy ; Female ; Hospitals, University ; Humans ; Length of Stay ; Male ; Middle Aged ; Practice Patterns, Physicians'/statistics & numerical data ; Retrospective Studies ; Spain ; Treatment Outcome
    Language English
    Publishing date 2018-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Uk I Zs.106: Show issues Location:
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