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  1. Article ; Online: Laparoscopic sleeve gastrectomy after endoscopic sleeve gastroplasty: Feasible or dangerous revisional surgery?

    Soler-Silva, Á / Cordero, O / Barroso, C / Boza, C

    Cirugia espanola

    2023  Volume 101, Issue 9, Page(s) 636

    MeSH term(s) Humans ; Gastroplasty ; Gastrectomy ; Laparoscopy
    Language English
    Publishing date 2023-05-18
    Publishing country Spain
    Document type Video-Audio Media
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.05.001
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  2. Article ; Online: Surgery for inflammatory bowel disease in Spain: How are we doing? Initial results of a nationwide prospective registry.

    Sánchez-Guillén, L / Blanco-Antona, F / Soler-Silva, Á / Millán, M

    Cirugia espanola

    2023  

    Abstract: Introduction: Inflammatory bowel disease (IBD), which includes Crohn's disease (CD) and ulcerative colitis (UC), requires a multidisciplinary approach, and surgery is commonly needed. The aim of this study was to evaluate the types of surgery performed ... ...

    Abstract Introduction: Inflammatory bowel disease (IBD), which includes Crohn's disease (CD) and ulcerative colitis (UC), requires a multidisciplinary approach, and surgery is commonly needed. The aim of this study was to evaluate the types of surgery performed in these patients in a nationwide study by hospital type, global postoperative complications, and quality of life after surgery.
    Methods: A prospective, multicenter, national observational study was designed to collect the results of surgical treatment of IBD in Spain. Demographic characteristics, medical-surgical treatments, postoperative complications and quality of life were recorded with a one-year follow-up. Data were validated and entered by a surgeon from each institution.
    Results: A total of 1134 patients (77 centers) were included: 888 CD, 229 UC, and 17 indeterminate colitis. 1169 surgeries were recorded: 882 abdominal and 287 perianal. Before surgery, 81.6% of the patients were evaluated by a multidisciplinary committee, and the mean preoperative waiting time for elective surgery was 2.09 ± 2 meses (P > .05). Overall morbidity after one year of follow-up was 16%, and the major complication rate was 36.4%. Significant differences were observed among centers in complex CD surgeries. Overall quality of life improved after surgery.
    Conclusions: There is heterogeneity in the surgical treatment of IBD among Spanish centers. Differences were observed in patients with highly complex surgeries. Overall quality of life improved with surgical treatment.
    Language English
    Publishing date 2023-11-02
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.08.001
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  3. Article ; Online: Differential diagnosis of retroperitoneal tumor: chronic adrenal hematoma, an uncommon diagnosis.

    Soler-Silva, Álvaro / Aranaz-Ostáriz, Verónica / Lario Pérez, Sandra / Barreras, José Antonio

    Cirugia espanola

    2024  

    Language English
    Publishing date 2024-01-12
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.09.009
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  4. Article ; Online: Megaesophagus secondary to Wilkie syndrome.

    Soler-Silva, Álvaro / Díaz-Lara, Carlos / Oller, Inmaculada / Arroyo, Antonio

    Cirugia espanola

    2022  Volume 100, Issue 12, Page(s) 783

    MeSH term(s) Humans ; Esophageal Achalasia/complications ; Esophageal Achalasia/diagnostic imaging ; Superior Mesenteric Artery Syndrome/complications ; Duodenal Obstruction
    Language English
    Publishing date 2022-09-02
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.08.002
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  5. Article ; Online: Extra-adrenal paraganglioma: Mesenteric tumour of uncommon origin.

    Soler-Silva, Álvaro / Cabezas, María / Caravaca García, Ibán / Calero, Alicia

    Cirugia espanola

    2022  Volume 101, Issue 4, Page(s) 289

    MeSH term(s) Humans ; Paraganglioma/diagnostic imaging ; Paraganglioma/surgery ; Paraganglioma, Extra-Adrenal/diagnostic imaging ; Paraganglioma, Extra-Adrenal/surgery ; Paraganglioma, Extra-Adrenal/pathology
    Language English
    Publishing date 2022-09-21
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.09.028
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  6. Article ; Online: Laparoscopic Cruroplasty and Magnetic Sphincter Augmentation Device Placement in Refractory Gastroesophageal Reflux After Sleeve Gastrectomy, a Case Report: a Less Invasive Surgical Alternative to Roux-en-Y Gastric Bypass?

    Soler-Silva, Álvaro / Cordero, Octavio / Barroso, Carlos / Funke, Ricardo / Sepulveda, Matías / Boza, Camilo

    Obesity surgery

    2023  Volume 33, Issue 3, Page(s) 982–983

    MeSH term(s) Humans ; Gastric Bypass/adverse effects ; Obesity, Morbid/surgery ; Gastroesophageal Reflux/etiology ; Gastroesophageal Reflux/surgery ; Gastrectomy ; Laparoscopy ; Magnetic Phenomena ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2023-01-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-023-06457-x
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3381: Show issues Location:
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  7. Article ; Online: Negative pressure therapy as a safe alternative in the treatment of massive subcutaneous emphysema in critically ill patients COVID-19.

    Soler-Silva, Álvaro / Sánchez-Guillén, Luis / Rodriguez-Arias, Francisco López / Arroyo, Antonio

    Heart & lung : the journal of critical care

    2022  Volume 52, Page(s) 190–193

    Abstract: Many surgical treatments have been described for massive subcutaneous emphysema (MSE) over the recent years. However, there is no consensus on which is the most recommended and there is great diversity in treatment. With new advances in minimally ... ...

    Abstract Many surgical treatments have been described for massive subcutaneous emphysema (MSE) over the recent years. However, there is no consensus on which is the most recommended and there is great diversity in treatment. With new advances in minimally invasive therapy performed at the bedside, especially in intensive care units, it has been possible to increase therapeutic efficacy. During the COVID-19 pandemic, some therapeutic techniques have been discussed in critically ill patients with SARS-COV-2 respiratory infections, because of the potential overexposure of healthcare personnel to an increased risk of contagion after direct exposure to air trapped in the subcutaneous tissue of infected patients. We present the clinical case of an 82-year-old male patient, SARS COV-2 infected, with MSE after 48 h with invasive mechanical ventilation in critical intensive care. He was treated with negative pressure therapy (NPT) allowing effective resolution of the MSE in a short period (5 days) with a minimally invasive bedside approach, reducing the potential air exposure of health personnel by keeping the viral load retained by the emphysema. Therefore, we present NPT as an effective, minimally invasive and safe therapeutic alternative to be considered in the management of MSE in critically ill patients infected with SARS COV-2.
    MeSH term(s) Aged, 80 and over ; COVID-19 ; Critical Illness/therapy ; Humans ; Male ; Pandemics ; SARS-CoV-2 ; Subcutaneous Emphysema/epidemiology ; Subcutaneous Emphysema/etiology ; Subcutaneous Emphysema/therapy
    Language English
    Publishing date 2022-01-13
    Publishing country United States
    Document type Case Reports
    ZDB-ID 193129-5
    ISSN 1527-3288 ; 0147-9563
    ISSN (online) 1527-3288
    ISSN 0147-9563
    DOI 10.1016/j.hrtlng.2022.01.006
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1035: Show issues Location:
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  8. Article: Effect of Early Peripheral Parenteral Nutrition Support in an Enhanced Recovery Program for Colorectal Cancer Surgery: A Randomized Open Trial.

    Sánchez-Guillén, Luis / Soriano-Irigaray, Leticia / López-Rodríguez-Arias, Francisco / Barber, Xavier / Murcia, Ana / Alcaide, M José / Aranaz-Ostáriz, Verónica / Soler-Silva, Álvaro / Navarro-Ruiz, Andrés / Arroyo, Antonio

    Journal of clinical medicine

    2021  Volume 10, Issue 16

    Abstract: Background: Peripheral parenteral nutrition allows repletion of acute nutrient deficiencies and could prevent further nutrition deficits before and after colorectal surgery. A randomized open study was performed to evaluate the effect of perioperative ... ...

    Abstract Background: Peripheral parenteral nutrition allows repletion of acute nutrient deficiencies and could prevent further nutrition deficits before and after colorectal surgery. A randomized open study was performed to evaluate the effect of perioperative peripheral parenteral nutrition (PPN) support on postoperative morbidity after colorectal cancer surgery within an enhanced recovery program.
    Methods: Patients were randomized into two groups: peripheral parenteral nutrition (PPN) (with Peri-Olimel N4-E) versus conventional fluid therapy (FT). Ninety-day postoperative complications, laboratory parameters, length of hospital stay, and compliance with the ERAS protocol were assessed.
    Results: A total of 158 patients were analysed. The overall 90-day complication rate was 38.6% (61 patients), and 24 patients had major complications (Clavien-Dindo III-V) (15.2%). In the multivariate analysis, the intervention (PPN vs. FC) showed a protective effect against postoperative complications (
    Conclusions: Perioperative peripheral parenteral nutrition (PPN) support with Peri-Olimel N4-E in colorectal cancer surgery associated with early oral intake could reduce postoperative complications.
    Language English
    Publishing date 2021-08-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10163647
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  9. Article ; Online: Assessment of Body Composition as an Indicator of Early Peripheral Parenteral Nutrition Therapy in Patients Undergoing Colorectal Cancer Surgery in an Enhanced Recovery Program.

    López-Rodríguez-Arias, Francisco / Sánchez-Guillén, Luis / Lillo-García, Cristina / Aranaz-Ostáriz, Verónica / Alcaide, M José / Soler-Silva, Álvaro / Soriano-Irigaray, Leticia / Barber, Xavier / Arroyo, Antonio

    Nutrients

    2021  Volume 13, Issue 9

    Abstract: Background: A poor body composition (BC) has been identified as a risk factor for patients with colorectal cancer (CRC). This study was performed to assess the effect of early peripheral parenteral nutrition (PPN) on BC in patients undergoing CCR ... ...

    Abstract Background: A poor body composition (BC) has been identified as a risk factor for patients with colorectal cancer (CRC). This study was performed to assess the effect of early peripheral parenteral nutrition (PPN) on BC in patients undergoing CCR surgery within an enhanced recovery program.
    Methods: Patients with normal nutritional status were prospectively included between October 2016 and September 2019, randomized into two groups (PPN with periOlimel N4-E versus conventional fluid therapy) and subsequently classified according to their preoperative CT scan into high- or low-risk BC groups. Postoperative complications and length of hospital stay (LOS) were assessed.
    Results: Of the 156 patients analyzed, 88 patients (56.4%) were classified as having high-risk BC according to CT measurements. PPN led to a 15.4% reduction in postoperative complications in high-risk vs. 1.7% in low-risk BC patients. In the multivariate analysis, high-risk BC was related to an OR (95% CI) of 2 (
    Conclusions: The measurement of patients' BC can allow for the identification of target patients where PPN has been proven to be an effective tool to improve postoperative outcomes.
    MeSH term(s) Aged ; Body Composition ; Body Mass Index ; Colorectal Neoplasms/surgery ; Double-Blind Method ; Enhanced Recovery After Surgery ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Nutritional Status ; Parenteral Nutrition ; Postoperative Care/methods ; Postoperative Complications/prevention & control
    Language English
    Publishing date 2021-09-18
    Publishing country Switzerland
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu13093245
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  10. Article ; Online: The Thiel cadaveric model for pelvic floor surgery: Best rated in transferable simulation-based training for postgraduate studies.

    Soler-Silva, Álvaro / Sanchís-López, Antonio / Sánchez-Guillén, Luis / López-Rodríguez-Arias, Francisco / Gómez-Pérez, Luis / Quirós, María José Alcaide / Sánchez-Ferrer, María-Luisa / Escoriza, Juan Carlos Martínez / Muñoz-Duyos, Arantxa / Ramírez, José Manuel / Arroyo, Antonio

    European journal of obstetrics, gynecology, and reproductive biology

    2020  Volume 256, Page(s) 165–171

    Abstract: Objective: To determine whether the Thiel cadaveric model is better and more realistic than other surgical simulation techniques for learning pelvic floor and perineal surgical procedures according to the opinions of urogynecologists and surgeons ... ...

    Abstract Objective: To determine whether the Thiel cadaveric model is better and more realistic than other surgical simulation techniques for learning pelvic floor and perineal surgical procedures according to the opinions of urogynecologists and surgeons participating in international postgraduate pelvic floor surgery courses using cadavers embalmed by the Thiel method.
    Study design: An observational prospective study was performed in urogynecologists and surgeons attending international postgraduate pelvic floor and perineal surgery courses using cadavers embalmed by the Thiel method. A survey was completed by the participants after finishing the course. Based on the answers collected, we analyzed the differences, including in the satisfaction degree and teaching level for each surgical procedure, between different surgical simulation models that the participants had already used and the Thiel simulation method employed.
    Results: The students recognized that Thiel cadavers present more similarities to patients than other simulation methods. The Thiel cadaveric method was considered by most responders to be the best for the simulation of surgical procedures on the pelvic floor and perineum. Most of the surgeons surveyed recommended conducting these courses with Thiel cadavers for different colleagues in other specialties as a reliable simulation method for training for difficult surgical procedures.
    Conclusions: Participants in the course on pelvic floor surgery in Thiel cadavers recognized that this is the most realistic model for surgical simulation and the best way to gain confidence, self-determination and precise surgical skills for performing pelvic floor and perineal surgery.
    MeSH term(s) Cadaver ; Embalming ; Humans ; Pelvic Floor/surgery ; Prospective Studies ; Simulation Training
    Language English
    Publishing date 2020-11-11
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 190605-7
    ISSN 1872-7654 ; 0301-2115 ; 0028-2243
    ISSN (online) 1872-7654
    ISSN 0301-2115 ; 0028-2243
    DOI 10.1016/j.ejogrb.2020.11.023
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 837: Show issues Location:
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