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  1. Article ; Online: Anatomic sphincteroplasty with combined reconstruction of internal and external anal muscles in the anal incontinence surgical treatment.

    García-Armengol, Juan / Martínez-Pérez, Carolina / Roig-Vila, José V

    Cirugia espanola

    2022  Volume 100, Issue 9, Page(s) 580–584

    Abstract: Several groups studying the results of the classic sphincteroplasty show improvement of 75% of patients treated in a short-term follow-up, with a worsening of this data in the long-term follow-up down to an improvement of 50% of the patients. Some other ... ...

    Abstract Several groups studying the results of the classic sphincteroplasty show improvement of 75% of patients treated in a short-term follow-up, with a worsening of this data in the long-term follow-up down to an improvement of 50% of the patients. Some other groups published more optimistic results, showing an 80% success rate without any deterioration of the technique over time after introducing a separate repair of the internal and external muscles. We think that the introduction of some modifications in the classic technique, named "Anatomic sphincteroplasty with combined reconstruction of external and internal anal sphincter muscles" may obtain very good clinical and anorectal manometric results both in a short and mid-term follow-up. In addition, increasing the pressive length in the anal canal may contribute to maintain more stable results over time.
    MeSH term(s) Anal Canal/surgery ; Digestive System Surgical Procedures/methods ; Fecal Incontinence/surgery ; Humans ; Muscles ; Treatment Outcome
    Language English
    Publishing date 2022-06-11
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.06.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reply to "Comment on anatomic sphincteroplasty with combined reconstruction of internal and external anal muscles in the anal incontinence surgical treatment'".

    García-Armengol, Juan / Martínez-Pérez, Carolina / Roig-Vila, José V

    Cirugia espanola

    2022  Volume 100, Issue 10, Page(s) 664–665

    MeSH term(s) Anal Canal/surgery ; Digestive System Surgical Procedures ; Fecal Incontinence/surgery ; Humans ; Muscles
    Language English
    Publishing date 2022-06-23
    Publishing country Spain
    Document type Letter ; Comment
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.01.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Anatomical sphincteroplasty as a surgical treatment for faecal incontinence: proposal for a global anatomical reconstructive surgical procedure and results from a case series.

    García-Armengol, Juan / Martínez-Pérez, Carolina / Roig-Vila, José V / García-Gausí, María / Pla-Martí, Vicente / García-Coret, María J / Moro-Valdezate, David

    Updates in surgery

    2024  

    Abstract: The aim of this study is to describe the technical details and clinical and functional results of anatomical sphincteroplasty as a global reconstructive surgery for the treatment of faecal incontinence caused by anal sphincter lesions. This was a ... ...

    Abstract The aim of this study is to describe the technical details and clinical and functional results of anatomical sphincteroplasty as a global reconstructive surgery for the treatment of faecal incontinence caused by anal sphincter lesions. This was a prospective, longitudinal study that included patients who underwent the anatomical sphincteroplasty procedure described here to treat complete sphincter damage. We have described the different technical steps in detail. We evaluated the intraoperative and postoperative complications rate, Cleveland Clinic Score (CCS), a modification of the CCS that included soiling (mCCS), the Faecal Incontinence Quality of Life Scale (FIQLS), and patient satisfaction. An endoanal ultrasound and anorectal manometric study were performed in all the patients. Forty-four patients were included with a mean of 40.5 months follow-up. The CCS reduced from 15 to 3.3 points and the mCCS from 18.5 to 4.5 points over the study period; p < 0.001. Excellent or good results were achieved in 93% of cases. Endoanal ultrasounds showed a good sphincter repair in 66% of the cases. Anorectal manometry showed an increase in the mean maximal resting pressure from 27.6 mmHg to 41.7 mmHg and of the maximal squeeze pressure from 57.9 to 93 mmHg (p < 0.001) with respect to the preoperative values. Anatomical sphincteroplasty is a surgical proposal for the global anatomical reconstruction of anal sphincter lesions, even in cases of very severe damage. The procedure is safe and produced excellent clinical and functional results after a medium-term follow-up.
    Language English
    Publishing date 2024-02-17
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-023-01749-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 101: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  4. Article: El lenguaje médico y quirúrgico.

    Asensi-Pérez, Josep / Villalba-Ferrer, Francisco / Roig-Vila, José V

    Cirugia espanola

    2008  Volume 84, Issue 1, Page(s) 10–15

    Abstract: Medical language contains many faults. One of them is the use of cultured and elegant words without knowing its proper significance. A second error is the recourse to using foreign words or phrases (foreignisms), particularly Anglicisms, both in their ... ...

    Title translation Medical and surgical language.
    Abstract Medical language contains many faults. One of them is the use of cultured and elegant words without knowing its proper significance. A second error is the recourse to using foreign words or phrases (foreignisms), particularly Anglicisms, both in their original spelling (raw foreignisms) and Hispanicised (adapted word); an overlapping mode of foreignism are so-called "calques" or loan translations. Thirdly, there is the use of words that do not exist in Spanish, palabros. Finally, the words are not correctly pronounced. In this article some examples of these errors are demonstrated and it is directed towards the appropriate use of language.
    MeSH term(s) Language ; Semantics ; Terminology as Topic
    Language Spanish
    Publishing date 2008-06-20
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/s0009-739x(08)70597-9
    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:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  5. Article: Posición operatoria en cirugía colorrectal. La importancia de lo básico.

    Roig-Vila, José V / García-Armengol, Juan / Bruna-Esteban, Marcos / Redondo-Cano, Carlos / Tornero-Ibáñez, Fernando / García-Aguado, Roberto

    Cirugia espanola

    2009  Volume 86, Issue 4, Page(s) 204–212

    Abstract: Intra-operative positioning in colorectal surgery is very important from three points of view: the proper surgical approach and exposure, adequate anaesthetic requirements with maintenance of the airway, and the potential complications related to the ... ...

    Title translation Operating position in colorectal surgery. The importance of the basics.
    Abstract Intra-operative positioning in colorectal surgery is very important from three points of view: the proper surgical approach and exposure, adequate anaesthetic requirements with maintenance of the airway, and the potential complications related to the position. In the present study, we analyse the indications, positioning, advantages and disadvantages of each operative position, their potential complications and how to avoid them. These complications can be of a diverse nature, the most common being injuries related to stretching or compression of peripheral nerves, followed by thromboembolic, haemodynamic, and ischaemic or compartmental syndromes related to ischaemia-reperfusion after a long time in the Trendelenburg position. Anaesthetists and surgeons should coordinate and take responsibility for the position of surgical patients.
    MeSH term(s) Abdomen ; Colorectal Surgery ; Humans ; Patient Positioning/adverse effects ; Patient Positioning/methods ; Perineum ; Postoperative Complications/etiology
    Language Spanish
    Publishing date 2009-10
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2009.02.015
    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:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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