A5046752490- Colorectal Cancer Surgical Treatments
- Anorectal Disease Treatments and Outcomes
- Colorectal and Anal Carcinomas
- Diverticular Disease and Complications
- Colorectal Cancer Screening and Detection
- Appendicitis Diagnosis and Management
- Pelvic floor disorders treatments
- Gastrointestinal disorders and treatments
- Genetic factors in colorectal cancer
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Colorectal Cancer Treatments and Studies
- Stoma care and complications
- Enhanced Recovery After Surgery
- Intestinal and Peritoneal Adhesions
- Hernia repair and management
- Esophageal and GI Pathology
- Surgical site infection prevention
- Intestinal Malrotation and Obstruction Disorders
- Intraperitoneal and Appendiceal Malignancies
- Pelvic and Acetabular Injuries
- Anesthesia and Sedative Agents
- Gastrointestinal Tumor Research and Treatment
- Diagnosis and treatment of tuberculosis
- Surgical Sutures and Adhesives
Universitat de Barcelona
2016-2025
Bellvitge University Hospital
2016-2025
Institut d'Investigació Biomédica de Bellvitge
2014-2025
Manufacturas Serviplast (Spain)
2019
The aims of this study were to assess the prognostic value for mortality several factors in patients with colonic obstruction and differences between proximal distal obstruction.Two-hundred thirty-four consecutive who underwent emergency surgery studied. Patients an obstructive lesion splenic flexure assessed as having a obstruction. Resection primary anastomosis was operation choice selected patients. Alternative procedures Hartmann's procedure high-risk patients, subtotal colectomy cases...
In Brief Objective: We compare the results of 2 different strategies for management patients with uncomplicated left colonic diverticulitis and to analyze differences in quality life economic costs. Background: The most frequent standard acute still is hospital admission both Europe United States. Methods: This multicenter, randomized controlled trial included older than 18 years diverticulitis. All underwent abdominal computed tomography. There were management: hospitalization (group 1)...
The aim of this study was to assess the reduction in incidence parastomal hernia (PH) after placement prophylactic synthetic mesh using a modified Sugarbaker technique when permanent end-colostomy is needed.Prevention PH formation crucial given high prevalence and difficulties surgical repair PH.A randomized, prospective, double-blind, controlled trial. Rectal cancer patients undergoing laparoscopic abdominoperineal resection with colostomy were randomized (1 : 1) nonmesh arms. In group,...
Chemotherapy is established as primary treatment in patients with stage IV colorectal cancer and unresectable metastases. Data from nonrandomized clinical trials have fueled persistent uncertainty if tumor resection (PTR) before chemotherapy prolongs survival. We investigated the prognostic value of PTR newly diagnosed colon who were not amenable to curative treatment.
Abstract Background Oral Gastrografin® has been used to differentiate partial from complete small bowel obstruction (SBO). It may have a therapeutic effect and predict the need for early surgery in adhesive SBO. The aim of this study was determine whether contrast examination management SBO allows an oral intake reduces hospital stay. Methods Eighty-three patients admitted between February 2000 November 2001 with 90 episodes symptoms signs suggestive postoperative were randomized into two...
There is ongoing controversy concerning the virulence and management of diverticulitis in young patients. This study reports on acute with reference to outcome disease respect age.Between January 1994 June 1999, 327 patients were treated for left colonic diverticulitis. Patients divided two groups: those aged 50 years or less (group 1, 72 patients) older than 2, 255 patients). The diagnosis was confirmed histologically radiologically all patients.There differences gender distribution related...
To evaluate the impact of surgeon specialization on emergency colorectal resection in terms mortality, morbidity, and type operation performed.Observational study from January 1, 1993, through December 31, 2006.Bellvitge University Hospital, Barcelona, Spain.A total 1046 patients underwent resection. Patients were classified into 2 groups: those operated by a (CS) general (GS).Preoperative variables studied sex, age, American Society Anesthesiologists grade, associated medical disease,...
Abstract Aim The aim was to assess factors independently associated with low anterior resection syndrome (LARS) following for rectal cancer. Method This a cross‐sectional study carried out in two acute‐care teaching hospitals Barcelona, Spain. Patients who had undergone sphincter‐preserving curative intent total or partial mesorectal excision (with and without protective ileostomy) between January 2001 December 2009 completed self‐administered questionnaire bowel dysfunction after cancer...
Abdominal perineal excision (APE) was originally described with levator ani removal for rectal cancer. An even wider, more aggressive extralevator resection APE has been proposed. Although some surgeons are performing a very wide 'extralevator (ELAPE)', there few data to recommend it routinely. This multicentre study aimed compare outcomes of and ELAPE.A propensity case-matched analysis comparing two surgical approaches (APE ELAPE) performed. All patients who underwent abdominoperineal...
<h3>Importance</h3> Two-stage Turnbull-Cutait pull-through hand-sewn coloanal anastomosis seems to provide benefits in terms of postoperative morbidity compared with standard associated diverting ileostomy and further reversal patients operated on for low rectal cancer. <h3>Objective</h3> To compare 30-day 1-year follow-up results after ultralow resection <h3>Design, Setting, Participants</h3> Multicenter randomized clinical trial. Neither nor surgeons were blinded technique. Patients...
There is no consensus about the risk factors for anastomotic failure after elective or emergency colorectal surgery. The purpose of this study was to analyze that may contribute in dehiscence.A total 208 patients who underwent left colonic resection and primary anastomosis distal emergencies were studied. Preoperative operative variables analyzed each patient gender, age, American Society Anesthesiologists score, comorbidities, indication surgery, etiology disease, presence grade...
Abstract Background Prognostic evaluation of patients with left colonic perforation is useful in predicting mortality. The aims this prospective study were to determine the prognostic value Peritonitis Severity Score (PSS) and compare it Mannheim Index (MPI). Methods One-hundred fifty-six underwent emergency operation for distal peritonitis. PSS MPI calculated each patient. Spearman rank correlation coefficient was used measure association between two scores. predictive power scoring systems...
Abstract Aim Surgical site infection (SSI) is the most common cause of morbidity after colorectal surgery. The aim this study was to analyze risk factors for SSI in patients who had undergone surgery rectal cancer. Method A multicentre observational carried out on 2131 operated cancer between May 2006 and 2009. Twenty‐nine centres were involved. included wound organ space within 30 days operation. Univariate multivariate analyses possible SSI. Results Wound diagnosed 8.9% 10%, respectively,...
Abstract Background Patients with rectal cancer often experience adverse effects on urinary, sexual, and digestive functions. Despite recognised impacts available treatments, they are not fully integrated into follow-up protocols, thereby hindering appropriate interventions. The aim of the study was to discern activities conducted in our routine clinical practice outside trials. Methods This multicentre, retrospective cohort included consecutive patients undergoing surgery between January...