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  1. Article ; Online: Re-expansion pulmonary oedema following spontaneous pneumothorax.

    Sánchez Lopez, José Daniel / Nuñez ÒSullivan, Sara / Ferrero, Esther / Garcia-Sancho, Luis / Picardo, Antonio Luis

    Postgraduate medical journal

    2019  Volume 95, Issue 1126, Page(s) 452

    Language English
    Publishing date 2019-06-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/postgradmedj-2019-136538
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.340: 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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  2. Article ; Online: Colecistectomía laparoscópica transumbilical. Resultados con el dispositivo de gel y revisión de la literatura.

    Garijo Alvarez, Jesús / Sánchez López, José Daniel / González Elosua, Tomás / Gascón Hove, Martín / García-Sancho Téllez, Luis / Del Castillo Diez, Federico / Torres Jiménez, Jesús

    Cirugia espanola

    2010  Volume 87, Issue 5, Page(s) 293–298

    Abstract: Introduction: The appearance of single transumbilical incision surgery has opened a new era in the minimally invasive approach of cholecystectomy. Specific ports for this technique have made it easier to perform. We report our initial experience, from ... ...

    Title translation Laparoscopic transumbilical cholecystectomy. Results with the gel device and literature review.
    Abstract Introduction: The appearance of single transumbilical incision surgery has opened a new era in the minimally invasive approach of cholecystectomy. Specific ports for this technique have made it easier to perform. We report our initial experience, from July 2008 to June 2009 and give an updated bibliographic review.
    Patients and methods: A prospective, longitudinal and interventional study that included 30 patients with symptomatic cholelithiasis, from 10 July 2008 to 30 June 2009, on whom a single transumbilical incision laparoscopic cholecystectomy was performed (LESS technique), without other minilaparoscopic ports or traction stitches. A gel port was used for all surgeries (R-Port, Tri-Port), as well as straight and roticulating laparoscopic graspers. Surgical time, analgesia requirements, postoperative hospital stay, conversions and complications were registered.
    Results: The median age was 34.8 years (range, from 21 to 53), with a BMI between 21 kg/m(2) and 39.5 kg/m(2) (mean 25.8 kg/m(2)). Surgical time was 65.1 minutes (ranging from 40 to 150) and postoperative length stay was less than 24 hours. Postoperative pain was measured with the VAS scale, giving a low score. Up to now, two wound infections and a bile leak have been observed.
    Conclusions: LESS cholecystectomy is a safe and feasible technique performed by experienced surgeons in minimally invasive surgery, and requires a greater learning curve than that of the conventional laparoscopic cholecystectomy.
    MeSH term(s) Cholecystectomy, Laparoscopic/methods ; Cholelithiasis/surgery ; Gels ; Humans ; Umbilical Cord/surgery
    Chemical Substances Gels
    Language Spanish
    Publishing date 2010-05
    Publishing country Spain
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2010.02.003
    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:
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  3. Article: Determinación de paratirina en suero como factor predictivo de hipocalcemia tras tiroidectomía total.

    Díez Alonso, Manuel / Sánchez López, José Daniel / Sánchez-Seco Peña, María Isabel / Ratia Jiménez, Tomás / Arribas Gómez, Ignacio / Rodríguez Pascual, Angel / Martín-Duce, Antonio / Guadalix Hidalgo, Gregorio / Hernández Domínguez, Sara / Granell Vicent, Javier

    Cirugia espanola

    2009  Volume 85, Issue 2, Page(s) 96–102

    Abstract: Introduction: Postoperative parathyroid hormone (PTH) levels as a predictor of hypocalcaemia in patients subjected to total thyroidectomy is analyzed.: Material and method: Prospective study involving 67 patients who underwent total thyroidectomy due ...

    Title translation Serum PTH levels as a predictive factor of hypocalcaemia after total thyroidectomy.
    Abstract Introduction: Postoperative parathyroid hormone (PTH) levels as a predictor of hypocalcaemia in patients subjected to total thyroidectomy is analyzed.
    Material and method: Prospective study involving 67 patients who underwent total thyroidectomy due to a benign disease. Serum PTH and ionised calcium were measured 20 h after surgery. Sensitivity, specificity and predictive values of PTH and ionised calcium levels were calculated to predict clinical and analytical hypocalcaemia.
    Results: A total of 42 (62.7%) patients developed hypocalcaemia (ionised calcium<0.95 mmol/l), but only 20 (29.9%) presented with symptoms. PTH concentration the day after surgery was significantly lower in the group that developed symptomatic hypocalcaemia (5.57+/-6.4 pg/ml) than in the asymptomatic (21.5+/-15.3 pg/ml) or normocalcaemic (26.8+/-24.9 pg/ml) groups (p=0.001). Taking the value of 13 pg/ml as a cut-off point of PTH levels, sensitivity, specificity, positive predictive value and negative predictive value were 54%, 72%, 76% and 48%, respectively. On the other hand, sensitivity for predicting symptomatic hypocalcaemia was 95% and specificity was 76%. The test showed a high incidence of false positives (11/30, 36%). Negative predictive value was 97% and positive predictive value was 65%. In multivariate analysis, PTH and ionised calcium were the only perioperative factors that showed an independent predictive value as risk indicators of symptomatic hypocalcaemia.
    Conclusions: Normal PTH levels 20 h after surgery practically rule out the subsequent appearance of hypocalcaemia symptoms. On the other hand, low PTH levels are not necessarily associated to symptomatic hypocalcaemia due to the high number of false positives.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Hypocalcemia/blood ; Hypocalcemia/etiology ; Male ; Middle Aged ; Parathyroid Hormone/blood ; Postoperative Care ; Predictive Value of Tests ; Prospective Studies ; Thyroidectomy/adverse effects ; Thyroidectomy/methods
    Chemical Substances Parathyroid Hormone
    Language Spanish
    Publishing date 2009-02
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2008.09.006
    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:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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