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We present a case of prosthetic valve endocarditis secondary to an infrequent organism (Corynebacterium sp.) after percutaneous aortic valve implantation. The lower sensitivity of transesophageal echocardiogram to detect signs of endocarditis in these patients may delay diagnosis. Implementing other ancillary imaging techniques such as positron emission tomography may be helpful. The increase in percutaneous prosthetic implants in recent years is associated with an upsurge in complications such as endocarditis. [ABSTRACT FROM AUTHOR]

Introduction: Inguinal hernia constitutes one of the most frequent problems in general surgery services, because it usually appears at any stage of life. Objective: To characterize patients with inguinal hernias, according to some clinicalepidemiological variables. Methods: A descriptive and cross-sectional study of 2 043 surgically treated patients due to inguinal hernias was carried out in the General Surgery Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba, from 2009 to 2017. Results: There was a prevalence of the male sex (89.8%), 61 and over age group (45.7%) and primary hernias (94.4%). Prophylactic antibiotic therapy was used in 73.6%, mainly in patients surgically treated with bioprosthetics techniques (72.1%) who formed most of the series (93.0%); Lichtenstein technique was the most used of them (97.7%). Conclusions: Nowadays, the use of antibiotic prophylaxis in those who suffer from inguinal hernias is discussed, which are mostly presented in male sex and the elderly. [ABSTRACT FROM AUTHOR]

Introduction: the large incisional hernia has a high recurrence in spite of the use of meshes. Objective: to describe a technique for the repair of the abdominal wall defects of more than 15-20 cm in diameter. Methods: a descriptive, quantitative, retrospective - prospective and longitudinal study of 62 patients operated by means of this technique was carried out in the "Dr. Juan Bruno Zayas Alfonso" University General Hospital in Santiago de Cuba, from 2003 to 2015. Results: there was a prevalence of the female sex, 45-65 years age group, hypertension as comorbidity with previous gynecological abdominal surgery, infraumbilical localization of the hernial site, Bendavid hernioplasty and abdominoplasty as associated surgery. The endotraqueal general anesthetic as anesthetic method had a higher incidence, the most outstanding postoperative complication was the serous complication; there was neither mortality, nor recurrences. Conclusions: this is a safe and effective method for the repair of large hernial defects of the front abdominal wall. [ABSTRACT FROM AUTHOR]

A descriptive and prospective study was carried out in 556 patients with inguinal hernia, who underwent outpatient surgical treatment in "Saturnino Lora" Provincial Teaching Hospital of Santiago de Cuba, from January 2010 to December 2012, in order to identify the results by means of hernial repair techniques (facial and aponeurotic) and the use of bioprosthesis. Men of 60 years and over with indirect inguinal hernia and infiltrating local anesthesia predominated in the case material. The most used surgical techniques were the fascial ones, without tension, as herniorrhaphy or hernioplasty, with polypropylene mesh and few relapses. [ABSTRACT FROM AUTHOR]