20 results on '"Fernando Oliva-Mompeán"'
Search Results
2. Hirschsprung disease with debut in adult age as acute intestinal obstruction: case report
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José Antonio López-Ruiz, Luis Tallón-Aguilar, Laura Sánchez-Moreno, José López-Pérez, Felipe Pareja-Ciuró, Fernando Oliva-Mompeán, and Javier Padillo-Ruiz
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Hirschsprung disease ,Megacolon ,Intestinal obstruction ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Hirschsprung's disease is characterized by absence of ganglion cells in submucosal and myenteric plexus of distal bowel. Most cases become manifest during the neonatal period, but in rare instances, this disease is initially diagnosed in adult age. It usually presents as severe constipation with colonic dilatation proximal to the aganglionic segment. The treatment is surgical, removing the aganglionic segment and restoring continuity of digestive tract. The disease rarely presents as an acute intestinal obstruction. We report a case not previously diagnosed, which presented as a massive colonic dilatation with a maximum diameter of 44 cm, with imminent risk of drilling that forced to perform an emergency surgery. We include a review of existing literature.
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3. Unusual presentation of obstructive jaundice
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Alejandra Gordillo-Hernández, Ángel Nogales-Muñoz, and Fernando Oliva-Mompeán
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Diseases of the digestive system. Gastroenterology ,RC799-869 - Full Text
- View/download PDF
4. Traumatic evisceration secondary to a stone as a projectile
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María Sánchez Ramírez, Óscar Alpizar Rivas, Fernando Oliva Mompeán, and Alberto García Reyes
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medicine.medical_specialty ,Projectile ,business.industry ,medicine.medical_treatment ,General surgery ,General Engineering ,Medicine ,business ,Evisceration (ophthalmology) - Published
- 2020
5. Transanal minimally invasive surgery after incomplete resection of a rectal polyp using a full-thickness resection device
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Juan Carlos Gómez-Rosado, Auxiliadora Cano, Fernando Oliva Mompeán, Manuel Rodriguez-Tellez, and Javier Valdés-Hernández
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medicine.medical_specialty ,business.industry ,Full thickness resection device ,Rectal Neoplasms ,Gastroenterology ,Anal Canal ,Transanal Minimally Invasive Surgery ,Incomplete Resection ,Surgery ,Medicine ,Humans ,Minimally Invasive Surgical Procedures ,business ,Rectal Polyp ,Transanal Endoscopic Surgery - Published
- 2020
6. Full Endoscopic Suprapubic Subcutaneous Access: A New Minimally Invasive Surgical Technique for Midline Ventral Hernias
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Juan Antonio Bellido Luque, Inmaculada Sanchez-Matamoros, Angel Nogales Muñoz, Beatriz Bascuas Rodrigo, and Fernando Oliva Mompeán
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medicine.medical_specialty ,business.industry ,Ventral hernia repair ,Ventral hernia ,Medicine ,sense organs ,business ,medicine.disease ,Surgical treatment ,eye diseases ,Diastasis recti ,Surgery - Abstract
Introduction: When primary ventral hernia and simultaneous diastasis recti are diagnosed, there is no consensus among the surgical community on the surgical treatment regarding indications or surgi...
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- 2020
7. Evisceración traumática secundaria a una piedra como proyectil
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Fernando Oliva Mompeán, Óscar Alpizar Rivas, María Sánchez Ramírez, and Alberto García Reyes
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business.industry ,Medicine ,Surgery ,business ,Humanities - Published
- 2021
8. Íleo biliar colónico: una rara causa de obstrucción intestinal
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Beatriz Marenco-de la Cuadra, José Antonio López-Ruiz, Luis Tallón-Aguilar, José López-Pérez, and Fernando Oliva-Mompeán
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Medicine(all) ,Gynecology ,medicine.medical_specialty ,Cálculo biliar ,Colecistitis ,business.industry ,Gallstone ileus ,03 medical and health sciences ,0302 clinical medicine ,Obstruction ,Cholelithiasis ,Gallstone ,030220 oncology & carcinogenesis ,Colelitiasis ,Íleo biliar ,Cholecystitis ,medicine ,Obstrucción ,030211 gastroenterology & hepatology ,Surgery ,business - Abstract
ResumenAntecedentesLa obstrucción intestinal en colon, como consecuencia de un cálculo biliar, es una enfermedad extremadamente rara, que suele desarrollarse en muy pocas ocasiones.Caso clínicoPresentamos el caso de una paciente de 87 años, que acude al servicio de urgencias por cuadro compatible con obstrucción intestinal de varios días de evolución, como consecuencia de un cálculo impactado en colon sigmoide.ConclusiónEl íleo biliar colónico es una enfermedad muy rara, que ocurre generalmente en pacientes de edad avanzada, como consecuencia del paso del cálculo de gran tamaño desde la vesícula al colon, a través de una fístula colecisto-cólica, siendo una enfermedad con una elevada morbimortalidad.AbstractBackgroundA gallstone colonic ileus is a very rare condition.Clinical caseThe case is reported of an 87 year-old patient who came to the Emergency Department due to an intestinal obstruction of several days onset, which was caused by a gallstone affected sigmoid colon.ConclusionColonic gallstone ileus is a rare disease that usually occurs in older patients due to the passage of large gallstone directly from the gallbladder to colon, through a cholecystocolonic fistula. It has a high morbidity and mortality.
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- 2017
9. Leiomyosarcoma of the inferior vena cava. Case report and literature review
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Luis Tallón-Aguilar, José Antonio López-Ruiz, José López-Pérez, Javier Padillo-Ruiz, Fernando Oliva-Mompeán, and Beatriz Marenco-de la Cuadra
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Leiomyosarcoma ,medicine.medical_specialty ,Vena Cava, Inferior ,Ocean Engineering ,Inferior vena cava ,Vena cava inferior ,03 medical and health sciences ,Fatal Outcome ,0302 clinical medicine ,Biopsy ,medicine ,Adjuvant therapy ,Humans ,Neoplasia de tejidos blandos ,Survival rate ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,medicine.disease ,Thrombosis ,Vascular Neoplasms ,Surgery ,medicine.vein ,Soft tissue neoplasm ,030220 oncology & carcinogenesis ,cardiovascular system ,Female ,030211 gastroenterology & hepatology ,Radiology ,Leiomiosarcoma ,Renal vein ,business - Abstract
Background Large vessel sarcomas are rare tumours. Leiomyosarcoma of the inferior vena cava is the most common. About 300 cases have been reported in the literature. They tend to be large, and not develop metastasis. The prognosis of these tumours is poor. Clinical case An 81-year-old woman who complained of pain in the right flank, with no other symptoms. Abdominal computed tomography showed a large retroperitoneal mass, which affected the inferior vena cava, with signs of thrombosis inside. It also encompassed the right renal vein and the right kidney. Excision of the tumour was performed in block, performing an autologous saphenous vein bypass between left the renal vein and proximal segment of inferior vena cava. Discussion Leiomyosarcomas of the inferior vena cava are classified according to their relationship with adjacent structures. The clinical signs and symptoms are generally non-specific. Diagnosis is made using computed tomography or magnetic resonance imaging, and biopsy of the retroperitoneal mass. Surgery is the only treatment capable of providing prolonged survival. The surgical management is determined by: the level of involvement, the extension, and the presence or absence of collateral veins. The role of adjuvant therapy is controversial. Conclusions Inferior vena cava leiomyosarcomas remain a challenge for surgeons. At present, radical resection with negative margins, offers the highest survival rate. The best results are obtained with a multidisciplinary approach by experienced teams in the management of these tumours.
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- 2017
10. Leiomiosarcoma de vena cava inferior. Caso clínico y revisión bibliográfica
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Javier Padillo-Ruiz, Luis Tallón-Aguilar, José Antonio López-Ruiz, Beatriz Marenco-de la Cuadra, Fernando Oliva-Mompeán, and José López-Pérez
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Leiomyosarcoma ,Medicine(all) ,business.industry ,Vena cava inferior ,03 medical and health sciences ,0302 clinical medicine ,Soft tissue neoplasm ,030220 oncology & carcinogenesis ,cardiovascular system ,Medicine ,030211 gastroenterology & hepatology ,Surgery ,cardiovascular diseases ,Leiomiosarcoma ,Inferior vena cava ,Neoplasia de tejidos blandos ,business ,Nuclear medicine - Abstract
ResumenAntecedentesLos sarcomas de grandes vasos son tumores raros; el leiomiosarcoma de cava inferior es el más frecuente de ellos, del que existen unos 300 casos descritos. Tienden a presentar gran tamaño sin causar metástasis. El pronóstico de estos tumores es malo.Caso clínicoMujer de 81 años que consulta por dolor en fosa renal derecha, sin otra sintomatología. La tomografía computada abdominal muestra una gran masa retroperitoneal, que compromete a la vena cava inferior, con signos de trombosis en su interior; igualmente, engloba a la vena renal derecha y al riñón derecho. Se realizó exéresis de la tumoración en bloque, con un bypass autógeno, con safena entre vena renal izquierda y segmento proximal de vena cava inferior.DiscusiónLos leiomiosarcomas de vena cava inferior se clasifican en función de su relación con las estructuras vecinas. La clínica suele ser inespecífica. El diagnóstico se realiza por tomografía computada o resonancia magnética nuclear y biopsia de la masa retroperitoneal. La cirugía es el único tratamiento capaz de proporcionar supervivencias prolongadas. El manejo quirúrgico se determina por: el nivel de afectación, la extensión y la presencia o ausencia de venas colaterales. El papel del tratamiento adyuvante es controvertido.ConclusionesLos leiomiosarcomas de vena cava inferior continúan siendo un desafío para los cirujanos. En la actualidad, la resección radical con márgenes negativos ofrece la mayor tasa de supervivencia. Los mejores resultados se obtienen con un abordaje multidisciplinario por parte de equipos experimentados en el manejo de estos tumores.AbstractBackgroundLarge vessel sarcomas are rare tumours. Leiomyosarcoma of the inferior vena cava is the most common. About 300 cases have been reported in the literature. They tend to be large, and not develop metastasis. The prognosis of these tumours is poor.Clinical caseAn 81 year-old woman who complained of pain in the right flank, with no other symptoms. Abdominal computed tomography showed a large retroperitoneal mass, which affected the inferior vena cava, with signs of thrombosis inside. It also encompassed the right renal vein and the right kidney. Excision of the tumour was performed in block, performing an autologous saphenous vein bypass between left the renal vein and proximal segment of inferior vena cava.DiscussionLeiomyosarcomas of the inferior vena cava are classified according to their relationship with adjacent structures. The clinical signs and symptoms are generally non-specific. Diagnosis is made using computed tomography or magnetic resonance imaging, and biopsy of the retroperitoneal mass. Surgery is the only treatment capable of providing prolonged survival. The surgical management is determined by: the level of involvement, the extension, and the presence or absence of collateral veins. The role of adjuvant therapy is controversial.ConclusionsInferior vena cava leiomyosarcomas remain a challenge for surgeons. At present, radical resection with negative margins, offers the highest survival rate. The best results are obtained with a multidisciplinary approach by experienced teams in the management of these tumours.
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- 2017
11. Extraskeletal Osteosarcoma Related to Inguinal Hernia: A Rare Presentation
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Zoraida Valera Sánchez, Juan Ramón Naranjo Fernández, Antonio Curado Soriano, Beatriz Bascuas Rodrigo, and Fernando Oliva Mompeán
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Extraskeletal Osteosarcoma ,medicine.medical_specialty ,Inguinal hernia ,business.industry ,General Engineering ,MEDLINE ,Medicine ,Presentation (obstetrics) ,business ,medicine.disease ,Surgery - Published
- 2020
12. Osteosarcoma extraesquelético y hernia inguinal, una rara asociación
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Antonio Curado Soriano, Zoraida Valera Sánchez, Juan Ramón Naranjo Fernández, Fernando Oliva Mompeán, and Beatriz Bascuas Rodrigo
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Gynecology ,medicine.medical_specialty ,business.industry ,Medicine ,Surgery ,business - Published
- 2020
13. Profilaxis de la hernia paraestomal mediante malla de polipropileno en espacio preperitoneal
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Luis Cristóbal Capitán Morales, Javier Padillo Ruiz, Juan Antonio Díaz Milanés, Francisco Javier del Río la Fuente, Jesús Cañete Gómez, Fernando Oliva Mompeán, Javier Valdés-Hernández, and Cristina Torres Arcos
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Gynecology ,medicine.medical_specialty ,business.industry ,medicine ,Surgery ,business - Abstract
Resumen Objetivo Presentar nuestra experiencia en la implantacion periestomal de malla de polipropileno en espacio preperitoneal como profilaxis de hernia paraestomal en colostomias terminales en pacientes intervenidos por neoplasia rectal. Metodos Desde enero de 2010 hasta marzo de 2014, 45 pacientes consecutivos afectados de neoplasia de recto que requirieron implantacion de colostomia terminal definitiva fueron intervenidos y analizados. En todos ellos se implanto una malla de polipropileno profilactica en espacio preperitoneal periestomal. Analizamos variables demograficas, aspectos tecnicos y efectividad de la tecnica asi como complicaciones consecuentes. Resultados Se implanto malla profilactica en 45 pacientes, 35 varones y 10 mujeres, con una media edad de 66,2 anos (47-88) y un indice de masa corporal de 29,1 (20,4-40,6). Se intervinieron de manera programada y con identico protocolo 7 adenocarcinomas de recto medio, 36 de recto bajo, un melanoma de recto y un carcinoma de celulas escamosas de ano; realizandose una amputacion abdominoperineal en 38 pacientes y reseccion anterior baja con colostomia terminal en 7 pacientes. La via de abordaje fue laparotomica en 39 casos y laparoscopica en 6 casos, 2 de los cuales se convirtieron a laparotomia. La mediana del tiempo de seguimiento fue de 22 meses (2,1-53). Se evidenciaron 3 hernias paraestomales (6,6%), siendo un hallazgo radiologico durante tomografia computarizada de control. No hubo complicaciones asociadas a la colostomia ni a la implantacion de la malla. Conclusiones La colocacion de una malla de polipropileno en localizacion paraestomal preperitoneal es facilmente reproducible, disminuyendo la incidencia de hernia paraestomal sin aumentar la morbilidad ni la mortalidad.
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- 2015
14. Profilaxis de la hernia paraestomal mediante malla de polipropileno en espacio preperitoneal
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Javier Padillo Ruiz, Fernando Oliva Mompeán, Javier Valdés-Hernández, Cristina Torres Arcos, Luis Cristóbal Capitán Morales, Juan Antonio Díaz Milanés, Francisco Javier del Río la Fuente, Jesús Cañete Gómez, and Universidad de Sevilla. Departamento de Cirugía
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Male ,Parastomal ,medicine.medical_specialty ,Rectal Melanoma ,Hernia ,Colorectal cancer ,medicine.medical_treatment ,Polypropylenes ,Paraestomal ,Profilaxis ,Colostomy ,medicine ,Humans ,Clinical significance ,Malla ,Laparoscopy ,Aged ,Aged, 80 and over ,Mesh ,medicine.diagnostic_test ,Rectal Neoplasms ,Prophylaxis ,business.industry ,Abdominoperineal resection ,General surgery ,Incidence (epidemiology) ,General Engineering ,Middle Aged ,Surgical Mesh ,Colostomía ,medicine.disease ,Hernia, Ventral ,Surgery ,Female ,Peritoneum ,business - Abstract
Objective: To show our results with the use of a polypropylene mesh at the stoma site, as prophylaxis of parastomal hernias in patients with rectal cancer when a terminal colostomy is performed. Methods: From January 2010 until March 2014, 45 consecutive patients with rectal cancer, underwent surgical treatment with the need of a terminal colostomy. A prophylactic mesh was placed in a sublay position at the stoma site in all cases. We analyse Demographics, technical issues and effectiveness of the procedure, as well as subsequent complications. Results: A prophylactic mesh was placed in 45 patients, 35 male and 10 females, mean age of 66.2 (47–88) and Body Mass Index 29.1 (20.4–40.6). A total of 7 middle rectal carcinoma, 36 low rectal carcinoma, one rectal melanoma and one squamous cell anal carcinoma were electively treated with identical protocol. Abdominoperineal resection was performed in 38 patients, and low anterior resection with terminal colostomy in 7. An open approach was elected in 39 patients and laparoscopy in 6, with 2 conversions to open surgery. Medium follow up was 22 months (2.1–53). Overall, 3 parastomal hernias (6.66%) were found, one of which was a radiological finding with no clinical significance. No complications related to the mesh or the colostomy was found. Conclusions: The use of a prophylactic polypropylene mesh placed in a sublay position at the stoma site is a safe and feasible technique. It lowers the incidence of parastomal hernias with no increased morbidity. Objetivo: Presentar nuestra experiencia en la implantación periestomal de malla de polipropileno en espacio preperitoneal como profilaxis de hernia paraestomal en colostomías terminales en pacientes intervenidos por neoplasia rectal. Métodos: Desde enero de 2010 hasta marzo de 2014, 45 pacientes consecutivos afectados de neoplasia de recto que requirieron mplantación de colostomía terminal definitiva fueron intervenidos y analizados. En todos ellos se implantó una malla de polipropileno profiláctica en espacio preperitoneal periestomal. Analizamos variables demográficas, aspectos técnicos y efectividad de la técnica así como complicaciones onsecuentes. Resultados: Se implantó malla profiáctica en 45 pacientes, 35 varones y 10 mujeres, con una media edad de 66,2 años (47–88) y un índice Masa Corporal de 29,19 (20,4–40,6). Se intervinieron de manera programada y con idéntico protocolo 7 adenocarcinomas de recto medio,36 de recto bajo, un melanoma de recto y un carcinoma de células escamosas de ano; realizándose una amputación abdominoperineal en 38 pacientes y resección anterior baja con colostomía terminal en 7 pacientes. La vía de abordaje fue laparotómica en 39 casos y laparoscópica en 6 casos, 2 de los cuales se convirtieron a laparotomía. La mediana del tiempo de seguimiento fue de 22 meses (2,1–53). Se evidenciaron 3 hernias paraestomales (6,6%), siendo un hallazgo radiológico durante tomografía computarizada de control. No hubo complicaciones asociadas a la colostomía ni a la implantación de la malla. Conclusiones: La colocación de una malla de polipropileno en localización paraestomal preperitoneal es fácilmente reproducible, disminuyendo la incidencia de hernia paraestomal sin aumentar la morbilidad ni la ortalidad.
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- 2015
15. Unusual presentation of obstructive jaundice
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Fernando Oliva Mompeán, Alejandra Gordillo Hernández, and Angel Nogales Muñoz
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Endoscopic ultrasound ,medicine.medical_specialty ,Lymphovascular invasion ,Carcinoid tumors ,030209 endocrinology & metabolism ,Disease ,Complete resection ,Pancreaticoduodenectomy ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,030212 general & internal medicine ,lcsh:RC799-869 ,Cholangiopancreatography, Endoscopic Retrograde ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Ampulla of Vater ,General Medicine ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Jaundice, Obstructive ,medicine.anatomical_structure ,lcsh:Diseases of the digestive system. Gastroenterology ,Female ,Obstructive jaundice ,Radiology ,Presentation (obstetrics) ,Tomography, X-Ray Computed ,business - Abstract
Carcinoid tumors of the ampulla of Vater grow slowly and have an excellent prognosis after complete resection of local disease. Histopathological diagnosis is definitive, and the Whipple's procedure is performed as a standard at the present time, although more novel minimally-invasive techniques may be highly useful for selected patients. While tumor size is not a reliable marker of tumor aggression, it is nonetheless related to lymphatic invasion, hence an accurate diagnosis is important if the patient is to be offered the best option available for the treatment of their disease. Endoscopic ultrasound (EUS) is the technique of choice for presurgical assessment and endocopic excision, as it may rule out vascular and nodal involvement, and establish whether submucosal invasion is present, which precludes endoscopic resection. Local resection has been shown to obtain similar results as compared to CDP in terms of overall survival in patients with small periampullary NETs, with the advantage of significantly lower morbidity in selected cases.
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- 2017
16. [Colonic gallstone ileus: A rare cause of intestinal obstruction]
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Fernando Oliva-Mompeán, Beatriz Marenco-de la Cuadra, Luis Tallón-Aguilar, José López-Pérez, and José Antonio López-Ruiz
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medicine.medical_specialty ,Biliary Fistula ,Ileus ,Fistula ,Ocean Engineering ,Gallstone ileus ,Gastroenterology ,03 medical and health sciences ,0302 clinical medicine ,Cholelithiasis ,Obstruction ,Internal medicine ,Colelitiasis ,medicine ,Cholecystitis ,Íleo biliar ,Intestinal Fistula ,Humans ,Aged, 80 and over ,Sigmoid Diseases ,Colecistitis ,Cálculo biliar ,business.industry ,Gallbladder ,Biliary fistula ,Sigmoid colon ,medicine.disease ,digestive system diseases ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Gallstone ,Obstrucción ,030211 gastroenterology & hepatology ,Female ,Emergencies ,business ,Tomography, X-Ray Computed ,Rare disease - Abstract
Background A gallstone colonic ileus is a very rare condition. Clinical case The case is reported of an 87 year-old patient who came to the Emergency Department due to an intestinal obstruction of several days onset, which was caused by a gallstone affected sigmoid colon. Conclusion Colonic gallstone ileus is a rare disease that usually occurs in older patients due to the passage of large gallstone directly from the gallbladder to colon, through a cholecystocolonic fistula. It has a high morbidity and mortality.
- Published
- 2016
17. Evolución del abordaje quirúrgico de la colecistitis aguda en una unidad de cirugía de urgencias
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Laura Sánchez Moreno, Javier Valdés Hernández, Francisco Del Río Lafuente, José Antonio López Ruiz, Juan Antonio Díaz Milanés, José López Pérez, Maria Diaz, and Fernando Oliva Mompeán
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business.industry ,Acute cholecystitis ,Open cholecystectomy ,Medicine ,Surgery ,business ,Humanities ,Laparoscopic cholecystectomy - Abstract
Resumen Objetivo La aplicacion de la tecnica laparoscopica en la colecistitis aguda es aun hoy un tema controvertido. El objetivo del estudio es valorar la aplicabilidad, seguridad, beneficios y complicaciones del abordaje laparoscopico en pacientes con colecistitis aguda, asi como la evolucion y desarrollo de dicha via en la unidad de cirugia de urgencias de un hospital de tercer nivel, en comparacion con la laparotomica. Material y metodo El estudio consta de 354 pacientes con cuadros de colecistitis aguda intervenidos por via abierta o laparoscopica desde 2006 a 2009. Resultados Se han intervenido 253 pacientes por via laparoscopica, 101 por via abierta, apreciandose un predominio del sexo masculino (57,67%) y una edad media de 62,83 anos. El numero de colecistectomia laparoscopica ha pasado del 60% en el 2006, al 79% en 2009. La estancia media (englobando complicadas y no complicadas) hablan a favor del abordaje laparoscopico frente al abierto (mostrando una diferencia de aproximadamente 6 al dia). Las complicaciones postoperatorias a lo largo de estos cuatro anos en la via laparoscopica han experimentado un descenso, pasando de un 21,42 a un 11,3%. Las complicaciones locales y globales se correlacionaron significativamente con el tiempo transcurrido entre el inicio de los sintomas agudos y la cirugia, asi como con el estado anatomopatologico de la vesicula biliar. Conclusiones El abordaje laparoscopico va adquiriendo un papel cada vez mas primordial en el tratamiento de esta dolencia, convirtiendose en nuestro hospital en la principal opcion quirurgica.
- Published
- 2012
18. [Development of the surgical approach to acute cholecystitis in an emergency surgical unit]
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María Luisa, Reyes Díaz, Juan Antonio Díaz, Milanés, José Antonio López, Ruiz, Francisco Del Río, Lafuente, Javier, Valdés Hernández, Laura Sánchez, Moreno, José López, Pérez, and Fernando Oliva, Mompeán
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Male ,Cholecystectomy, Laparoscopic ,Cholecystitis, Acute ,Humans ,Cholecystectomy ,Female ,Middle Aged ,Emergency Service, Hospital ,Emergency Treatment ,Retrospective Studies - Abstract
The application of the laparoscopic technique in acute cholecystitis is still subject to controversy. The aim of this study is to asses the applicability, safety, benefits and complications of the laparoscopic approach in patients with acute cholecystitis, as well as the development of this technique in the emergency surgery department of a tertiary hospital, compared to laparotomy.The study consisted of 354 patients with acute cholecystitis syndromes operated either by open or laparoscopic surgery, during the years 2006 to 2009.The laparoscopic method was used in 253 patients, and 101 by the open route, with the slight majority being male (57.67%) and with a mean age of 62.83 years. The number of laparoscopic cholecystectomies increased from 60% in 2006, to 79% in 2009. The mean hospital stay (including those with and without complications) was shorter using the laparoscopic approach, compared to open surgery (showing a difference of approximately 6 days). The postoperative complications in laparoscopy during the four years studied decreased from 21.42 to 11.3%. The local and general complications were significantly associated with time since the start of the acute symptoms and the surgery, as well as the histopathological state of the gall bladder.The laparoscopic approach continues to play an increasing role in the treatment of this disease, becoming the main surgical option in our hospital.
- Published
- 2011
19. Anillo constrictor apendicular: una rara causa de oclusión intestinal
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Maria Diaz, José Antonio López Ruiz, Fernando Oliva Mompeán, Antonio Curado Soriano, and Beatriz Martín Pérez
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business.industry ,Medicine ,Surgery ,Anatomy ,business - Published
- 2013
20. Hirschsprung disease with debut in adult age as acute intestinal obstruction: case report
- Author
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Fernando Oliva Mompeán, Laura Sánchez Moreno, Luis Tallón Aguilar, José Antonio López Ruiz, Felipe Pareja Ciuró, F Javier Padillo Ruiz, and José López Pérez
- Subjects
Male ,medicine.medical_specialty ,Hirschsprung disease ,Disease ,Megacolon ,Adult age ,03 medical and health sciences ,0302 clinical medicine ,Maximum diameter ,Emergency surgery ,Medicine ,Humans ,lcsh:RC799-869 ,Severe constipation ,Myenteric plexus ,business.industry ,Gastroenterology ,General Medicine ,Middle Aged ,Ganglion ,Surgery ,Abdominal Pain ,medicine.anatomical_structure ,Intestinal obstruction ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Digestive tract ,lcsh:Diseases of the digestive system. Gastroenterology ,business - Abstract
Hirschsprung's disease is characterized by absence of ganglion cells in submucosal and myenteric plexus of distal bowel. Most cases become manifest during the neonatal period, but in rare instances, this disease is initially diagnosed in adult age. It usually presents as severe constipation with colonic dilatation proximal to the aganglionic segment. The treatment is surgical, removing the aganglionic segment and restoring continuity of digestive tract. The disease rarely presents as an acute intestinal obstruction. We report a case not previously diagnosed, which presented as a massive colonic dilatation with a maximum diameter of 44 cm, with imminent risk of drilling that forced to perform an emergency surgery. We include a review of existing literature.
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