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97 results on '"Lorca Álvaro J"'

3. Protocol for presurgical and anesthetic management of pheochromocytomas and sympathetic paragangliomas: a multidisciplinary approach

Author

Araujo-Castro, M., Pascual-Corrales, E., Nattero Chavez, L., Martínez Lorca, A., Alonso-Gordoa, T., Molina-Cerrillo, J., Lorca Álvaro, J., Mínguez Ojeda, C., Redondo López, S., Barberá Durbán, R., Polo López, R., Moreno Mata, N., Caballero Silva, U., Pian, H., Ruz-Caracuel, I., Sanjuanbenito Dehesa, A., Gómez Dos Santos, V., and Serrano Romero, A. B.

Published
2021
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4. Well-Leg Compartment Syndrome After Percutaneous Nephrolithotomy in the Galdakao-Modified Supine Valdivia Position

Author

Laso-García IM, Arias-Fúnez F, Duque-Ruiz G, Díaz-Pérez D, Lorca-Álvaro J, and Burgos-Revilla FJ

Subjects
well-leg compartment syndrome, percutaneous nephrolithotomy, galdakao-modified supine valdivia position, Diseases of the genitourinary system. Urology, RC870-923
Abstract

Inés María Laso-García, Fernando Arias-Fúnez, Gema Duque-Ruiz, David Díaz-Pérez, Javier Lorca-Álvaro, Francisco Javier Burgos-Revilla Urology Department, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Madrid, SpainCorrespondence: Inés María Laso-GarcíaUrology Department, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Carretera de Colmenar Km 9.100, Madrid 28029, SpainEmail ines.laso.garcia@gmail.comPurpose: The objective is to present a case of well-leg compartment syndrome in the Galdakao-modified supine Valdivia position.Results: The case of a 32-year-old male, obese (105 Kg) and a former smoker is presented. The patient was positioned in the Galdakao-modified supine Valdivia position, with lower limbs bandaged, to perform a right percutaneous nephrolithotomy. In the immediate postoperative period, significant pain was reported in the left lower limb. The limb appeared oedematous and cyanotic, although pedis pulses were preserved. Doppler ultrasound ruled out venous thrombosis. Suspecting compartment syndrome, the patient underwent a complete decompression fasciotomy of the four left leg compartments. After the surgery, values of creatine phosphokinase reached 80.000 UI/L and serum creatinine levels were 1.53 mg/dL. The patient was taken to the intensive care unit. Six months after the episode, the patient still needs rehabilitation care. The compartment syndrome is a rare complication in lithotomy position, but never described in the Galdakao-modified supine Valdivia position before, with the lower limbs in moderate flexion, and with the ipsilateral lower limb in a slightly inferior position with respect to the other. It may lead to skin necrosis, permanent neuromuscular dysfunction, myoglobinuric renal failure, amputation and even death. Therefore, this complication must be suspected and early decompression of the compartment must be performed. Risk factors include obesity, peripheral vascular disease (advanced age, hypertension, hyperlipidemia and diabetes mellitus), height, hypothermia, acidemia, BMI, male sex, combined general-spinal anesthesia, prolonged surgery time, systemic hypotension, ASA (American Society of Anesthesiologists) class, lack of operative experience, vasoconstricting drugs, important bleeding during the surgery and increased muscle bulk.Conclusion: Compartment syndrome is a potentially life-threatening complication that may occur in the Galdakao-modified supine Valdivia position. It should be suspected in cases with risk factors and compatible clinical symptoms and signs, and treated rapidly to avoid further complications.Keywords: well-leg compartment syndrome, percutaneous nephrolithotomy, Galdakao-modified supine Valdivia position

Published
2020

20. Effects of oxygen during hypothermic perfusion in a porcine model of kidney donation after circulatory death

Author

Gomez Dos Santos, V., primary, Hevia-Palacios, V., additional, García-Bermejo, L., additional, Conde-Moreno, E., additional, Salinas-Muñoz, L., additional, Alcázar-González, A., additional, Saiz-González, A., additional, Ruiz-Hernández, M., additional, Diez-Nicolás, V., additional, Álvarez-Rodríguez, S., additional, Lorca-Álvaro, J., additional, Sánchez-Guerrero, C., additional, López-Plaza, J., additional, and Burgos-Revilla, F.J., additional

Published
2020
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37. Retroperitoneal perivascular epithelioid cell tumor in a 47-years old woman

Author

Minguez Ojeda César, Lorca Álvaro Javier, López-Rodríguez Mónica A., Andreu Arnanz Ana, Tagalos Muñoz Ana Cristina, Gómez Dos Santos Victoria, and Burgos Revilla Francisco Javier

Subjects
PEComas, Tumor retroperitoneal, Inhibidores m-TOR, Tracto genitourinario, Medicine (General), R5-920
Abstract

Perivascular epithelioid cell tumors (PEComa) are rare neoplasms defined as mesenchymal tumors with distinctive histology and immunohistochemistry. They tend to occur in middle-aged patients and mostly in women. The tumours cells show an association with the walls of blood vessels. Most PEComas are benign although a proportion of these tumours behave aggressively. Case report of 47-years-old woman with retroperitoneal mass and laparoscopic resection that pathological anatomy showed retroperitoneal tumour compatible with PEComas. We describe the main characteristics of PEComas as well as their therapeutic approach. Resumen: Los tumores de células epitelioides perivasculares (PEComa) son neoplasias raras definidas como tumores mesenquimales con histología e inmunohistoquímica distintivas. Suelen aparecer en pacientes de mediana edad y principalmente en mujeres. Las células tumorales muestran una asociación con las paredes de los vasos sanguíneos. La mayoría de los PEComas son benignos, aunque una proporción de estos tumores se comporta de forma agresiva. Se presenta el caso de una mujer de 47 años con una masa retroperitoneal y resección laparoscópica cuya anatomía patológica mostró un tumor retroperitoneal compatible con PEComa. Describimos las principales características de los PEComas así como su abordaje terapéutico.

Published
2023
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49. P058 - Survival impact of the management of medical and urological complications during treatment with 1st line abiraterone (A) or enzalutamide (E) in patients with metastatic castration-resistant prostate cancer (mCRPC)

Author

Serrano Domingo, J.J., Lorca Alvaro, J., Avarez Rodriguez, S., Gajate Borau, P., Alonso Gordoa, T., Barquin Garcia, A., Molina, J., Martinez-Saez, O., Martin Huertas, R., Corral De La Fuente, E., Rodriguez-Patrón, R., Burgos Revilla, F.J., and Carrato Mena, A.

Published
2018
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