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The solid pseudopapillary tumor of the pancreas is a rare neoplasm, representing 0.13% to 2.7% of all pancreatic tumors. This neoplasm is more common in young women between the third and fourth decade of life. It may produce nonspecific symptoms and in many cases is asymptomatic, being diagnosed incidentally. A 28-year-old woman with no previous medical history presented epigastric pain for the last 3 months. Physical examination was normal. When an upper gastrointestinal endoscopy was performed, a submucosal lesion was observed in the posterior wall of the stomach. A computed tomography and a magnetic resonance imaging were done and both showed a 2.8 cm-diameter tumor in the body of the pancreas. She underwent a spleen-preserving distal pancreatectomy (Warshaw surgery), evolved favourably and was discharged at the sixth postoperative day. The pathological diagnosis of the surgical specimen was a solid pseudopapillary tumor of the pancreas. Surgery is the gold-standard treatment for this condition, given the facts that no other treatment have proven being effective and often surgical treatment is curative because of the tumor's low malignant potential. Source


Introduction: The use of tissue adhesives can be an alternative to suture fixation of the mesh, but experience in their use is very limited. Material and methods: A prospective descriptive study was conducted on a group of 35 patients with inguinal hernias repaired by sutureless hernioplasty (20 by open and 15 by endoscopic), the prosthesis was fixed with a synthetic adhesive (n-hexyl-α-cyanoacrylate). This group was compared with another 35 patients for hernia repair with fixation sutures. All patients were scheduled for outpatient surgery. Peri-operative variables were recorded. The patients were followed up at one week, one month, 6 months and one year after surgery. Results: There was no morbidity associated with the use of tissue adhesive (bruising, infection or skin necrosis). During a median follow-up of 15 months, no complications or recurrences were detected. In the open hernioplasty using adhesive significantly reduced surgery time (30. min versus 70. min, P=.001), postoperative pain (from 2.4 to 4.5 at one week, P<.001) and analgesic consumption (7 to 14 days, P<.001). In the laparoscopic approach are demonstrated significant differences in favour of the adhesive in pain (P=.001 at 24. h), and in analgesic use (P<.001) was observed using the laparoscopic approach. The adhesive did not alter the morbidity or the relapse rate at one year in any of the two approaches, and the financial analysis showed an annual savings of 117,461.2 euros (about 460 hernias). Conclusion: The use of a synthetic tissue adhesive (n-hexyl-α-cyanoacrylate) is safe as a means of fixation in uncomplicated hernia and patients without comorbidity, and with good postoperative results. © 2012 AEC. Source


Abdominal wall bleeding in the port-site insertion place during laparoscopic surgery is sometimes difficult to control and can be associated with morbidity ranging from parietal pain up to haematoma and massive haemoperitoneum. We perform a retrospective study of our experience in the management of the abdominal wall bleeding port-site using a Foley's catheter (24F), in those cases when haemostasis with electrocautery was not achieved. This technique was used in 35 patients (27 women and 8 men) with a mean age of 45,37 years (range 24-82 years). The median of time up to the removal of the catheter was 36 hours (range 24-48 hours), without observing bleeding or prolongation of the hospital stay or readmission. The use of Foley's catheter is a simple and efficient method for the control of the port-site bleeding during laparoscopic surgery. Source


Fuerte Ruiz S.,Servicio de Cirugia General
Cirugia Espanola | Year: 2010

Breast surgery training of residents varies greatly in Spain and depends on the specialty chosen and the centre where this is carried out. Training programmes have been changing and have been updated within the current trend for subspecialisation. The results from a survey show that, for residents, training in breast surgery is not very attractive as they think that they do not receive adequate training. © 2009 AEC. Source


Rodriguez-Montes J.A.,Hospital Universitario La Paz | Menendez Sanchez P.,Servicio de Cirugia General
Cirugia Espanola | Year: 2014

MicroRNAs are involved in carcinogenesis through postranscriptional gene regulatory activity. These molecules are involved in various physiological and pathological functions, such as apoptosis, cell proliferation and differentiation, which indicates their functionality in carcinogenesis as tumour suppressor genes or oncogenes. Several studies have determined the presence of microRNAs in different neoplastic diseases such as colon, prostate, breast, stomach, pancreas, and lung cancer. There are promising data on the usefulness of quantifying microRNAs in different organic fluids and tissues. We have conducted a review of the determinations of microRNAs in the diagnosis of colorectal cancer. © 2014 AEC. Source

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