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Article ; Online: Neuromuscular Response during Different Side-Cutting Maneuvers and Its Influence on the Risk of Knee Injuries.

Feria-Madueño, Adrián / Hewett, Timothy E / Sánchez-Arteaga, Alejandro / Sañudo, Borja

2023 Volume 11, Issue 10

Abstract: Background: The objective of this study was to investigate the impact of a customized exercise program on electromyographic (EMG) variables during side-cutting maneuvers.: Methods: Fifty-seven physically active volunteers were recruited and ... ...

Abstract	Background: The objective of this study was to investigate the impact of a customized exercise program on electromyographic (EMG) variables during side-cutting maneuvers. Methods: Fifty-seven physically active volunteers were recruited and randomized into two groups: a control group (CG) and an experimental group (EG). The CG maintained their regular physical activity, while the EG followed an individualized, integrated exercise regimen that included strength, neuromuscular, proprioceptive, eccentric training, and whole-body vibration (WBV) exercises, lasting for 12 weeks. EMG-Root Means Square (RMS) values for the quadriceps (Q) and hamstrings (H) were measured immediately following initial foot contact at 50, 100, 150, and 200 milliseconds. Changes in EMG activity were evaluated before and after a twelve-week intervention, and the effect size (ES, 90% confidence limit [90%CL]) was calculated. Results: The results showed that the EG participants exhibited enhanced co-contraction as measured by the hamstring/quadriceps ratio (H/Q ratio) during both open and cross-cutting side maneuvers after the twelve-week intervention. Conclusion: Furthermore, the customized, integrated exercise program that combined strength, neuromuscular, proprioceptive, eccentric training, and WBV exercises were could potentially serve as a beneficial neuromuscular and biomechanical strategy for addressing knee injury risk in non-professional, physically active populations at high risk for such injuries.
Language	English
Publishing date	2023-10-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2704239-X
ISSN	2075-4663 ; 2075-4663
ISSN (online)	2075-4663
ISSN	2075-4663
DOI	10.3390/sports11100190
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Article ; Online: Response to «Management of splenic injuries utilizing a multidisciplinary protocol in 110 consecutive patients at a level II hospital».

Sánchez Arteaga, Alejandro / Beltrán Miranda, Pablo / Gómez Bravo, Miguel Ángel / Pareja Ciuro, Felipe

Cirugia espanola

2020 Volume 98, Issue 8, Page(s) 498–499

Title translation	Respuesta a «Resultados en el tratamiento de traumatismos esplénicos utilizando un protocolo multidisciplinar en 110 pacientes consecutivos en un hospital de nivel II».
MeSH term(s)	Abdominal Injuries ; Humans ; Wounds, Nonpenetrating
Language	Spanish
Publishing date	2020-04-24
Publishing country	Spain
Document type	Letter ; Comment
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2020.03.003
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Article ; Online: Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature.

Moreno-Suero, Francisco / Tallon-Aguilar, Luis / Tinoco-González, José / Sánchez-Arteaga, Alejandro / Suárez-Grau, Juan Manuel / Alvarez-Aguilera, Miriam / Morales-Conde, Salvador / Padillo-Ruiz, Javier

Journal of abdominal wall surgery : JAWS

2023 Volume 2, Page(s) 11242

Abstract: There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin ... ...

Abstract	There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin hernia repair comparing with open approach. A retrospective review of a prospectively maintained database between January 2011 and December 2021 of acute incarcerated groin hernia that were operated at Virgen del Rocio University Hospital. In this period, they were identified 463 patients with groin hernia that required an emergency repair. 454 patients underwent open surgery (group 1) and 36 patients underwent laparoscopic approach (TAPP procedure) (group 2). Median length stay was 1 day in lap group and 2 days in open approach. Reintervention was necessary in 20 cases (4.40%) from group 1 and one (2.27%) from group 2. In laparoscopic approach, no mortality was described but in open approach, 10 patients (2.20%) died. Globally, 58 cases (12.77%) from group 1 and six patients (16.66%) from group 2 presented any complication. Wound infection was higher in group of open repairs (5.94% vs. 2.77%). Non-surgical complications were higher in open approach (19 vs. 0). There is no statistical significance in any of these items. Laparoscopic approach is a safe, feasible and effective therapeutic option for the treatment of incarcerated groin hernia that require emergency surgery, but prospective and randomized comparative studies are needed to establish the best approach.
Language	English
Publishing date	2023-06-16
Publishing country	Switzerland
Document type	Journal Article ; Review
ISSN	2813-2092
ISSN (online)	2813-2092
DOI	10.3389/jaws.2023.11242
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Article ; Online: Fasciotomy wound secondary to necrotizing fasciitis closure using combination of negative pressure wound therapy and progressive primary closure.

Pintor-Tortolero, José / Sánchez-Arteaga, Alejandro / Tallón-Aguilar, Luis / Padillo-Ruiz, Francisco Javier

ANZ journal of surgery

2019 Volume 89, Issue 1-2, Page(s) E49

MeSH term(s)	Adult ; Debridement/methods ; Fasciitis, Necrotizing/complications ; Fasciitis, Necrotizing/therapy ; Fasciotomy/adverse effects ; Humans ; Male ; Negative-Pressure Wound Therapy/methods ; Surgical Wound Infection/etiology ; Surgical Wound Infection/therapy
Language	English
Publishing date	2019-03-28
Publishing country	Australia
Document type	Case Reports ; Letter
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.14959
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Article ; Online: Is the use of endoloops safe and efficient for the closure of the appendicular stump in complicated and uncomplicated acute appendicitis?

Durán Muñoz-Cruzado, Virginia / Anguiano-Diaz, Gregorio / Tallón Aguilar, Luis / Tinoco González, José / Sánchez Arteaga, Alejandro / Aparicio Sánchez, Daniel / Pareja Ciuró, Felipe / Padillo Ruiz, Javier

Langenbeck's archives of surgery

2021 Volume 406, Issue 5, Page(s) 1581–1589

Abstract: Introduction: There is still controversy regarding the ideal technique to close the appendicular stump in laparoscopic appendectomy (LA). The objective of this study was to determine the safety and efficiency of the use of an endoloop (EL) and ... ...

Abstract	Introduction: There is still controversy regarding the ideal technique to close the appendicular stump in laparoscopic appendectomy (LA). The objective of this study was to determine the safety and efficiency of the use of an endoloop (EL) and endostapler (ES) in complicated and uncomplicated acute appendicitis. Methods: Retrospective cohort study of patients undergoing LA from February 2013 to December 2019. Acute uncomplicated and complicated appendicitis were analysed separately, establishing two groups according to the stump closure technique: EL or ES. Seven hundred-nine patients were included (535 uncomplicated and 174 complicated). In uncomplicated appendicitis, an EL was used in 447 of the patients (83.55%) and an ES was used in 88 patients (16.45%). In complicated appendicitis, an EL was used in 85 patients (48.85%) and an ES was used in 89 patients (51.15%). An analysis of effectiveness and a cost analysis of each technique were performed. Results: In uncomplicated appendicitis, we found no differences with respect to global complications, although there were significant differences in the total mean hospital stay (EL group 1.55 (SD 1.48) days; ES group 2.21 (SD 1.69) days; p = 0.046). This meant a savings of 514.12€ per patient using the EL p < 0.001). In complicated appendicitis, the reoperations classified as Clavien-Dindo IIIB in the EL group (6.4%) were greater than in the ES group (0%) (p = 0.012), although the rate of postoperative abscesses (p = 0.788) and the mean volume of abscesses (p = 0.891) were similar. Conclusion: The systematic use of an EL could reduce costs in uncomplicated appendicitis, while in complicated cases, both options are valid. Prospective studies with a greater number of patients are needed to observe differences in postoperative complications.
MeSH term(s)	Appendectomy/adverse effects ; Appendicitis/surgery ; Humans ; Laparoscopy ; Length of Stay ; Postoperative Complications/epidemiology ; Prospective Studies ; Retrospective Studies
Language	English
Publishing date	2021-01-07
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1423681-3
ISSN	1435-2451 ; 1435-2443
ISSN (online)	1435-2451
ISSN	1435-2443
DOI	10.1007/s00423-020-02050-3
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Article ; Online: Long-term influence of frailty in elderly patients after surgical emergencies.

Sánchez Arteaga, Alejandro / Tinoco González, José / Tallón Aguilar, Luis / Anguiano Díaz, Gregorio / Jiménez-Rodriguez, Rosa María / Rovira Liarde, Ana / Pareja Ciuró, Felipe / Padillo Ruíz, Javier

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2021 Volume 48, Issue 5, Page(s) 3855–3862

Abstract: Purpose: Frailty is known to increase vulnerability to stressful factors, and motivate a higher morbidity and mortality in several health conditions. However, long-term impact of frailty after surgical procedures remains unclear. The purpose of this ... ...

Abstract	Purpose: Frailty is known to increase vulnerability to stressful factors, and motivate a higher morbidity and mortality in several health conditions. However, long-term impact of frailty after surgical procedures remains unclear. The purpose of this study was to evaluate the relationship between frailty and long-term clinical outcomes after emergency surgery. Methods: Prospective cohort study in patients older than 70 years undergoing emergency procedures. A total of 82 patients (mean age 78.5 years, 53.3% women) were consecutively enrolled. Data on demographics, surgical procedures, complications after 30 postoperative days, and frailty according to the clinical frailty scale, Triage Risk Screening Tool (TRST), and FRAIL scale were recorded. Readmission, mortality, and transition to frailty rates were analyzed at 6 and 18 months postoperatively. Results: The prevalence of frailty ranged between 14.6 and 29.6% depending on the scale used. The overall mortality rate at 18 months was 19.5% (16 patients), and the survival curves demonstrated a significant difference in mortality between frail and non-frail patients assessed using the FRAIL scale and TRST (p = 0.049 and p = 0.033, respectively), with a hazard ratio of 2.28 (95% confidence interval 1.24-6.44). Logistic regression analysis showed that diabetes (p = 0.013) was an independent risk factor for transition to frailty, and antidepressant drug use was close to statistical significance (p = 0.08). Conclusion: Frailty is a predictive marker of long-term mortality in patients undergoing emergency procedures. Diabetes and depression may represent independent risk factors for transition to frailty over time.
MeSH term(s)	Aged ; Emergencies ; Female ; Frail Elderly ; Frailty/complications ; Frailty/diagnosis ; Frailty/epidemiology ; Geriatric Assessment/methods ; Humans ; Male ; Postoperative Complications/epidemiology ; Prospective Studies ; Risk Assessment ; Risk Factors
Language	English
Publishing date	2021-11-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-021-01818-6
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Zs.A 1221: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Early implementation of protective measures defines surgical outcomes in the COVID-19 pandemic.

Senent-Boza, Ana / Benítez-Linero, Inmaculada / Tallón-Aguilar, Luis / Sánchez-Arteaga, Alejandro / Melero-Cortés, Lidia / Pareja-Ciuró, Felipe / Padillo-Ruiz, Javier

Surgery today

2020 Volume 50, Issue 9, Page(s) 1107–1112

Abstract: Quick implementation of specific protocols and protective measures in a tertiary hospital in Spain allowed for the early diagnosis and optimal management of patients with SARS-CoV-2 infection and proper protection of staff and inpatients. From the COVID- ... ...

Abstract	Quick implementation of specific protocols and protective measures in a tertiary hospital in Spain allowed for the early diagnosis and optimal management of patients with SARS-CoV-2 infection and proper protection of staff and inpatients. From the COVID-19 outbreak in this country until the time of writing, 14 patients in our hospital underwent surgery with COVID-19, or COVID-19 developed postoperatively. Their postoperative outcomes did not differ from those in our routine clinical practice, with a 0% respiratory failure rate and a 7.14% mortality rate, in contrast with other published series. COVID-19 did not develop in any of the healthcare workers present in the operating room during these procedures or in those who cared for these patients on the ward.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Betacoronavirus ; COVID-19 ; Clinical Protocols ; Cohort Studies ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Female ; Humans ; Infection Control/organization & administration ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Male ; Middle Aged ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Spain ; Surgical Procedures, Operative ; Treatment Outcome
Keywords	covid19
Language	English
Publishing date	2020-07-22
Publishing country	Japan
Document type	Journal Article
ZDB-ID	1115435-4
ISSN	1436-2813 ; 0941-1291
ISSN (online)	1436-2813
ISSN	0941-1291
DOI	10.1007/s00595-020-02080-w
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Article ; Online: A prospective cohort study of the impact of covid19 world pandemic on the management of emergency surgical pathology.

Perea Del Pozo, Eduardo / Aparicio-Sánchez, Daniel / Hinojosa Ramírez, Fátima / Pareja Ciuró, Felipe / Durán Muñoz-Cruzado, Virginia / Sánchez Arteaga, Alejandro / Dios Barbeito, Sandra / Padillo Ruiz, Francisco Javier

The British journal of surgery

2020 Volume 107, Issue 11, Page(s) e463–e464

MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; Databases, Factual ; Emergencies ; Emergency Service, Hospital/trends ; Facilities and Services Utilization/trends ; Health Services Accessibility/statistics & numerical data ; Humans ; Outcome Assessment, Health Care ; Pandemics ; Pathology, Surgical/trends ; Patient Acceptance of Health Care ; Postoperative Complications/epidemiology ; Prospective Studies ; Spain/epidemiology ; Surgical Procedures, Operative/trends
Keywords	covid19
Language	English
Publishing date	2020-08-13
Publishing country	England
Document type	Letter
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1002/bjs.11918
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Article ; Online: Delayed diagnosis of a traumatic intrapericardial diaphragmatic hernia.

Burneo Esteves, Mauricio / Sanchez Arteaga, Alejandro / Lago Oliver, Jesús / Turégano Fuentes, Fernando

Cirugia espanola

2014 Volume 92, Issue 9, Page(s) e57

MeSH term(s)	Adult ; Delayed Diagnosis ; Hernia, Diaphragmatic, Traumatic/diagnosis ; Humans ; Male ; Pericardium
Language	Spanish
Publishing date	2014-11
Publishing country	Spain
Document type	Case Reports ; Journal Article
ZDB-ID	730701-9
ISSN	1578-147X ; 0009-739X
ISSN (online)	1578-147X
ISSN	0009-739X
DOI	10.1016/j.ciresp.2014.03.009
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Article: Early implementation of protective measures defines surgical outcomes in the COVID-19 pandemic

Senent-Boza, Ana / Benítez-Linero, Inmaculada / Tallón-Aguilar, Luis / Sánchez-Arteaga, Alejandro / Melero-Cortés, Lidia / Pareja-Ciuró, Felipe / Padillo-Ruiz, Javier

Surg Today

Abstract	Quick implementation of specific protocols and protective measures in a tertiary hospital in Spain allowed for the early diagnosis and optimal management of patients with SARS-CoV-2 infection and proper protection of staff and inpatients. From the COVID-19 outbreak in this country until the time of writing, 14 patients in our hospital underwent surgery with COVID-19, or COVID-19 developed postoperatively. Their postoperative outcomes did not differ from those in our routine clinical practice, with a 0% respiratory failure rate and a 7.14% mortality rate, in contrast with other published series. COVID-19 did not develop in any of the healthcare workers present in the operating room during these procedures or in those who cared for these patients on the ward.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #662492
Database	COVID19

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