La relación entre la hernia inguinal y la cirugía del cáncer de próstata

2017 ◽  
Vol 5 (4) ◽  
pp. 157
Author(s):  
Miguel Ramírez Backhaus ◽  
José Rubio-Briones ◽  
Rafael Estevan-Estevan ◽  
Fernando Carbonell-Tatay
Keyword(s):  
Prostate Neoplasm ◽  
Abdominal Hernia ◽  
Cáncer De Próstata ◽  
Mesh Terms ◽  
Hernia Inguinal

Introducción y ObjetivoLos defectos de pared abdominal y el cáncer de próstata pueden aparecer de manera sincrónica o metacrónica. Procedemos a realizar una revisión de la literatura para dilucidar: la conveniencia y seguridad de la cirugía combinada, la incidencia de hernias tras la cirugía prostática y la viabilidad de la prostatectomía en pacientes con hernioplastia laparoscópica previa.Material y Método: Combinamos los mesh terms “prostate neoplasm” y “abdominal hernia” en la base de datos  https://www.ncbi.nlm.nih.gov/pubmed/. Dos investigadores MRB y FCT revisan las 125 referencias bibliográficas y seleccionan aquellas series de casos con más de 20 procedimientos así como artículos de revisión y revisiones sistemáticas.Resultados y conclusiones: Hasta 24 trabajos (34,3%) describían o analizaban la viabilidad, los resultados y las complicaciones de una cirugía combinada, prostatectomía radical y herniorrafia o hernioplastia en un mismo acto quirúrgico. Evaluados los resultados, la literatura avala la intervención combinada en el mismo acto quirúrgico a los pacientes que padecen una hernia inguinal y un cáncer de próstata subsidiario de prostatectomía.Encontramos 25 estudios y un meta-análisis que abordan el potencial incremento de hernias inguinales tras prostatectomía radical. Aproximadamente un 15% de los pacientes a los que se les practica una prostatectomía radical retropúbica clásica desarrollarán hernias inguinales; es posible que la incidencia sea menor en prostatectomías laparoscópicas y es factible que se acentúe con el abordaje extraperitoneal. La mediana de tiempo a la aparición de la hernia es de alrededor de 6 meses.Tras la evaluación de 13 originales y 1 meta-análisis se concluye que la hernioplastia laparoscópica no imposibilita la prostatectomía pero  dificulta la cirugía pélvica ulterior. 

La relación entre hernia inguinal y cirugía mínimamente invasiva para el cáncer de próstata: revisión sistemática de la literatura

2020 ◽  
Vol 44 (3) ◽  
pp. 131-138
Author(s):  
R. Bertolo ◽  
M.C. Mir Maresma ◽  
P. Bove ◽  
J. Rubio-Briones ◽  
M. Ramírez-Backhaus
Keyword(s):  
Cáncer De Próstata ◽  
Revisión Sistemática ◽  
Hernia Inguinal

scholarly journals Europos išvaržos asociacijos (EHS) pasiūlyta pilvo sienos išvaržų klasifikacija

2009 ◽  
Vol 7 (3-4) ◽  
pp. 0-0
Author(s):  
Sigitas Tamulis
Keyword(s):  
Inguinal Hernia ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Abdominal Wall Hernia ◽  
Abdominal Hernia ◽  
Epigastric Hernia ◽  
Surgical Practice ◽  
European Hernia Society ◽  
Hernia Inguinal

Sigitas TamulisVilniaus universiteto Gastroenterologijos, nefrourologijos ir chirurgijos klinika, Bendrosios chirurgijos centras, Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Šiuo metu Lietuvos chirurginėje praktikoje vartojama daug įvairių pilvo sienos išvaržų klasifikacijų, tačiau nėra vienos paprastos, unifikuotos, informatyvios, išsamios ir kartu lengvai atsimenamos išvaržų klasifikacijos. Tai sunkina gydymo rezultatų vertinimą, naujų gydymo būdų diegimą ir integraciją į Europos ir pasaulio pilvo sienos išvaržų diagnostiką, gydymą ir klinikinius tyrimus. Šio darbo tikslas – apžvelgti iki šiol naudotas klasifikacijas ir pateikti EHS klasifikaciją. Reikšminiai žodžiai: pilvo siena, išvarža, pirminė pilvo sienos išvarža, pooperacinė pilvo sienos išvarža, bambos išvarža, kirkšninė išvarža, epigastrinė išvarža, baltosios pilvo linijos išvarža, juosmeninė išvarža, Špigelio išvarža, pilvo sienos išvaržų klasifikacija. The european hernia society (ehs) abdominal hernia classification Sigitas TamulisVilnius Universitety, Clinic of Gastroenterology, Nephrourology and Surgery, Vilniaus University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] A number of abdominal wall hernia classifications are used in surgical practice in Lithuania. However, there is a lack of one simple, practical, informative, well memorizable, unified and integrated classification intended for all the surgical society. The purpose of this article was to review the abdominal wall hernia classifications commonly used in Lithuania and to present the new abdominal hernia classification proposed by the European Hernia Society. Key words: abdominal wall hernia, inguinal hernia, classification, incisional hernia, ventral hernia, umbilical hernia, epigastric hernia.

scholarly journals Benefícios da atividade física em homens com câncer de próstata – Revisão sistemática

2016 ◽  
Vol 27 (1) ◽  
pp. 2729
Author(s):  
Leonessa Boing ◽  
Taysi Seemann ◽  
Melissa De Carvalho Souza ◽  
Mirella Dias ◽  
Adriana Coutinho de Azevedo Guimarães
Keyword(s):  
Motor Activity ◽  
Web Of Science ◽  
Prostate Neoplasm ◽  
Cáncer De Próstata

Trata-se de uma revisão sistemática cujo objetivo foi analisar estudos originais que investigaram benefícios da atividade física em homens com câncer de próstata. A busca foi realizada nas bases de dados PubMed, Web of Science, Science Direct, Biblioteca Virtual Scielo, e Biblioteca Virtual da Saúde. Para o levantamento dos artigos utilizou-se os descritores [motor activity] AND [prostate neoplasm] em inglês, espanhol e português. Foram incluídos 19 estudos publicados em inglês, entre 2004 e 2014. As investigações tiveram maior foco na atividade física com outras variáveis, relacionando-as positivamente com melhoria da qualidade de vida e diminuição da mortalidade e progressão da doença. Foram observados benefícios em variáveis como fadiga e função sexual, além da diminuição na circunferência abdominal e pressão arterial. Novos estudos são sugeridos a fim de investigar a prática de atividade física em diferentes intensidades com ensaios clínicos randomizados, permeando o diagnóstico, período de tratamento e recuperação do paciente.

Characteristics of the Frequency-Following Response to Speech in Neonates and Potential Applicability in Clinical Practice: A Systematic Review

2020 ◽  
Vol 63 (5) ◽  
pp. 1618-1635
Author(s):  
Céline Richard ◽  
Mary Lauren Neel ◽  
Arnaud Jeanvoine ◽  
Sharon Mc Connell ◽  
Alison Gehred ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cochrane Library ◽  
Neurodevelopmental Outcomes ◽  
Frequency Following Response ◽  
Ovid Medline ◽  
Published Evidence ◽  
Mesh Terms ◽  
Potential Applicability ◽  
Clinical Potential

Purpose We sought to critically analyze and evaluate published evidence regarding feasibility and clinical potential for predicting neurodevelopmental outcomes of the frequency-following responses (FFRs) to speech recordings in neonates (birth to 28 days). Method A systematic search of MeSH terms in the Cumulative Index to Nursing and Allied HealthLiterature, Embase, Google Scholar, Ovid Medline (R) and E-Pub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily, Web of Science, SCOPUS, COCHRANE Library, and ClinicalTrials.gov was performed. Manual review of all items identified in the search was performed by two independent reviewers. Articles were evaluated based on the level of methodological quality and evidence according to the RTI item bank. Results Seven articles met inclusion criteria. None of the included studies reported neurodevelopmental outcomes past 3 months of age. Quality of the evidence ranged from moderate to high. Protocol variations were frequent. Conclusions Based on this systematic review, the FFR to speech can capture both temporal and spectral acoustic features in neonates. It can accurately be recorded in a fast and easy manner at the infant's bedside. However, at this time, further studies are needed to identify and validate which FFR features could be incorporated as an addition to standard evaluation of infant sound processing evaluation in subcortico-cortical networks. This review identifies the need for further research focused on identifying specific features of the neonatal FFRs, those with predictive value for early childhood outcomes to help guide targeted early speech and hearing interventions.

Traumatic abdominal hernia

Cell ◽  
1973 ◽  
Vol 5 (4) ◽  
pp. 298-300
Author(s):  
A CLAIN
Keyword(s):  
Abdominal Hernia ◽  
Traumatic Abdominal Hernia

Geschlechtsunterschiede in Glucocorticoidkonzentrationen und Entzündungsparametern im Zusammenhang mit Depression

2020 ◽  
Vol 39 (04) ◽  
pp. 222-237
Author(s):  
Lena Schneider ◽  
Andreas Walther
Keyword(s):  
Sex Differences ◽  
Major Depression ◽  
Hpa Axis ◽  
Web Of Science ◽  
Tnf Alpha ◽  
Mesh Terms

ZusammenfassungHintergrund: Frauen erkranken fast doppelt so häufig wie Männer an einer Major Depression. Eine Hyperaktivität der Hypothalamus-Hypophysen-Nebennierenrinden-Achse (HHNA) und eine chronisch niedrig-gradige Inflammation sind 2 der konsistentesten biologischen Befunde bei schweren Depressionen. Inwiefern diese Parameter für die Existenz von Geschlechtsunterschieden bei Depression eine Rolle spielen, ist noch unzureichend untersucht worden. Methoden: Es wurde eine systematische Literaturrecherche mittels der elektronischen Fachdatenbanken (PubMed, Web of Science, PsycARTICLES) durchgeführt. Die Suche umfasste alle englischsprachigen Artikel, die bis zum 29. Juni 2019 aufgenommen wurden. Als MeSH terms wurden depression, sex differences, inflammation, hpa axis, mit Zusätzen wie cortisol, crp, IL-6, TNF-alpha, dex/crh oder tsst verwendet. Ergebnisse: Insgesamt konnten 62 Primärstudien mit einem Total von 91318 Probanden (52 % Frauen) eingeschlossen werden. Basale Glucocorticoidkonzentrationen scheinen für beide Geschlechter tendenziell positiv mit dem Vorliegen oder der Schwere einer Depressionssymptomatik assoziiert zu sein. Konsistente Geschlechtsunterschiede konnten für die Cortisolreaktion auf einen Stressor sowie für Entzündungsmarker identifiziert werden. Fazit: Geschlechtsunterschiede in der Neurobiologie der Depression sind identifizierbar und geben Anlass für geschlechtsspezifische Untersuchungen der Pathophysiologie von Depressionen und deren geschlechtsspezifischer Behandlungen.

Systematic review of cervical cancer prevalence and determinants of early detection in Sub-Saharan Africa

2018 ◽  
Vol 1 (1) ◽  
pp. 32-36
Author(s):  
Eleazar Ndabarora ◽  
Dariya Mukamusoni ◽  
Clarte Ndikumasabo ◽  
Védaste Ngirinshuti
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Early Detection ◽  
Cervical Cancer Screening ◽  
Sub Saharan Africa ◽  
Extensive Literature ◽  
Early Management ◽  
Screening Programs ◽  
Mesh Terms ◽  
Sub Saharan

Cervical cancer is one of the leading causes of morbidity and mortality globally and in Sub-Saharan Africa in particular. There is evidence that early detection and early management of cases are the best strategies to prevent and control this health threat, since treatment of the later stages of the diseases are very expensive. The objectives of the review were: (1) to identify and review studies on the prevalence of cervical cancer and determinants of early detection in Sub-Saharan Africa, and (2) to recommend further studies and interventions based on the findings of this review. Extensive literature search was conducted using the MeSH terms. Articles on cervical cancer and/or determinants of early detection which fulfilled inclusion criteria were reviewed independently by three reviewers. The prevalence of cervical cancer in Sub-Saharan Africa is increasing. Although there are evidences that cervical cancer screening programs are practical and feasible even in resource-limited settings in Sub-Saharan Africa, there is a very low uptake of cervical cancer screening and there are key factors that need to be addressed in order to make these programs established and effective.

Uncomplicated adult inguinal hernia repair under local anaesthesia and spinal anaesthesia

2020 ◽  
Vol 11 (3) ◽  
pp. 3212-3221
Author(s):  
Naniwadekar R G
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Spinal Anaesthesia ◽  
Local Anaesthesia ◽  
Control Group ◽  
Early Ambulation ◽  
Inguinal Hernias ◽  
Hernia Inguinal ◽  
The Subject ◽  
Prolonged Hospital

Multiple researchers have given numerous guidelines in the clinical management of this disorder in the late nineteenth and twentieth centuries, after comprehensive works on the subject. As a result, a very wide variety of surgical procedures are now available to the surgeon to suit the requirement. There have been numerous advances in the management of inguinal hernia. Inguinal hernias can conveniently be repaired under all kinds of anaesthesia, namely general, spinal and local. Whereas the general anaesthesia requires the services of an experienced anaesthetist and new devices and spinal anaesthesia requires postoperative impairment while local anaesthesia is safe to prescribe, easy and efficient and does not cause postoperative complications. This work consisted of a study group of twenty-five adult patients of uncomplicated inguinal hernias, who after repair of hernias, which after repair of hernias were allowed early ambulation and had a short hospital, stay of one day post operatively. The second control group consisted of similar twenty-five patients who are subjected to conventional delayed ambulation and prolonged hospital stay. The results of repair in the two groups were compared; the available literature on the subject was reviewed. The implementation of ”shortstay surgery” not only relieves the waiting list in hospitals but also offers an economic boost and provides the patient with some social advantages.

Sign in / Sign up

Export Citation Format

Share Document