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1. Umbilical incisional hernias (M3): are trocar-site hernias different? Comparative analysis of the EVEREG registry⋆

Author

Utrera González, Antonio, Capitán Vallvey, José M., Pradas, Matías, Pérez Gomar, Daniel, Bustos, Manuel, Herrera Fernández, Francisco Antonio, Blanco, Juan A., Robres Puig, Joaquim, Villalobos, Rafael, Güell Puigcercos, Dolors, Puigcercós Fusté, José María, Ayuso Osuna, Vicente, Piñol, Marta, Olona Casas, Carles, Martínez Ródenas, Francisco, Comajuncosas, Jordi, Sebastián Valverde, Enric, Amador, Sara, Gelonch, Jaume, Vallverdú, Helena, Abelló Sala, Magda, Veres Gómez, Antonio, Gamón, Rosa, García Peche, Pedro, González Valverde, Miguel, Martín Blanco, Miguel Ángel, Ferri, Ramón J, Martí Ciñat, Elena, García Pastor, Providencia, Montero, Carlos, Lorenzo Liñán, Miguel Ángel, Barbero, Vicente, Morlan, Miguel Ángel, Jover, José María, Delgado Lillo, Isabel, Sanz Sánchez, María Mercedes, Zarain Obrador, Leire, Lusilla, Alejandro, Cabeza Gómez, Juan Jesús, López, Antonio, Butrón, Teresa, Supelano Eslait, Guillermo, Álvarez Conde, José Luis, Pérez Saborido, Baltasar, Rodríguez López, Mario, Revuelta Álvarez, Santiago, Trillo Parejo, Pedro, Rodicio, José Luis, Blanco, Antonio, Cano Maldonado, Agustín Juan, Zorraquino González, Ángel, Guisasola, Esther, Fernández, Fernando, Granell, Javier, Bellido Luque, Juan Antonio, Rueda Pérez, Juan Manuel, Anaya Reig, Mª Pilar, Gómez Sabater, Rafael, García Díaz, Rosa Ana, Alonso, Verónica, Ciscar Belles, Ana, Makhoukhi, Touria, López-Cano, Manuel, Hernández Granados, Pilar, and Pereira Rodríguez, José Antonio

Published
2022
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2. Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG)

Author

Utrera González, Antonio, Capitán Vallvey, José M., Pradas, Matías, Pérez Gomar, Daniel, Bustos, Manuel, Herrera Fernández, Francisco Antonio, Blanco, Juan A., Robres Puig, Joaquim, Villalobos, Rafael, Güell Puigcercós, Dolors, Puigcercós Fusté, José María, Ayuso Osuna, Vicente, Piñol, Marta, Olona Cases, Carles, Martínez Ródenas, Francisco, Comajuncosas, Jordi, Sebastián Valverde, Enric, Amador, Sara, Gelonch, Jaume, Vallverdú, Helena, Abelló Sala, Magda, Veres Gómez, Antonio, Gamón, Rosa, García Peche, Pedro, González Valverde, Miguel, Martín Blanco, Miguel Angel, Ferri, Ramón J., Martí Ciñat, Elena, García Pastor, Providencia, Montero, Carlos, Lorenzo Liñán, Miguel Ángel, Barbero, Vicente, Morlan, Miguel Ángel, Jover, José María, Delgado Lillo, Isabel, Sanz Sánchez, María Mercedes, Zarain Obrador, Leire, Lusilla, Alejandro, Cabeza Gómez, Juan Jesús, Butrón, Teresa, Supelano Eslait, Guillermo, Álvarez Conde, José Luis, Pérez Saborido, Baltasar, Rodríguez López, Mario, Revuelta Álvarez, Santiago, Trillo Parejo, Pedro, Rodicio, José Luis, Blanco, Antonio, Trébol López, Jacobo, Castañera González, Ramón, Protti, Gian Pier, Turiño Luque, Damián, Espert, Juan José, Zaragoza, Carmen, Hidalgo Pujol, Marta, Carmona Navarro, Daniel, Valdés de Anca, Álvaro, Fresno de Prado, Laura, Nieto Soler, Antonio, Vasco Rodríguez, Francisca, Lozoya Trujillo, Roberto, Anaya Reig, M Pilar, Sanz Sánchez, M Mercedes, Bueno Lledó, José, Pous Serrano, Salvador, Martí Cuñat, Elena, Bombuy Giménez, Ernest, Mans, Esther, García, Aparicio, Ortega Ortega, Elena, Sebastián, Enric, Hoyuela Alonso, Carlos, Grajal Marino, Raquel, Elmalaki Hossain, Lofti, Medina, Raul, Sánchez, José Daniel, Ratia Giménez, Tomas, López, Antonio, García Díaz, Rosa Ana, Larrañaga, Itziar, López-Cano, Manuel, Pereira, José Antonio, Rodrigues-Gonçalves, Victor, Verdaguer-Tremolosa, Mireia, Hernández-Granados, Pilar, and Bravo-Salvá, Alejandro

Published
2021
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3. Reparación de la hernia paraestomal. Estudio observacional prospectivo basado en el Registro Español de Hernia Incisional (EVEREG)

Author

Utrera González, Antonio, M. Capitán Vallvey, José, Pradas, Matías, Pérez Gomar, Daniel, Bustos, Manuel, Herrera Fernández, Francisco Antonio, A. Blanco, Juan, Robres Puig, Joaquim, Villalobos, Rafael, Güell Puigcercós, Dolors, Puigcercós Fusté, José María, Ayuso Osuna, Vicente, Piñol, Marta, Olona Cases, Carles, Martínez Ródenas, Francisco, Comajuncosas, Jordi, Sebastián Valverde, Enric, Amador, Sara, Gelonch, Jaume, Vallverdú, Helena, Abelló Sala, Magda, Veres Gómez, Antonio, Gamón, Rosa, García Peche, Pedro, González Valverde, Miguel, Martín Blanco, Miguel Angel, J. Ferri, Ramón, Martí Ciñat, Elena, García Pastor, Providencia, Montero, Carlos, Lorenzo Liñán, Miguel Ángel, Barbero, Vicente, Morlan, Miguel Ángel, Jover, José María, Delgado Lillo, Isabel, Sanz Sánchez, María Mercedes, Zarain Obrador, Leire, Lusilla, Alejandro, Cabeza Gómez, Juan Jesús, Butrón, Teresa, Supelano Eslait, Guillermo, Álvarez Conde, José Luis, Pérez Saborido, Baltasar, Rodríguez López, Mario, Revuelta Álvarez, Santiago, Trillo Parejo, Pedro, Rodicio, José Luis, Blanco, Antonio, Trébol López, Jacobo, Castañera González, Ramón, Protti, Gian Pier, Turiño Luque, Damián, Espert, Juan José, Zaragoza, Carmen, Hidalgo Pujol, Marta, Carmona Navarro, Daniel, Valdés de Anca, Álvaro, Fresno de Prado, Laura, Nieto Soler, Antonio, Vasco Rodríguez, Francisca, Lozoya Trujillo, Roberto, Anaya Reig, M Pilar, Sanz Sánchez, M Mercedes, Bueno Lledó, José, Pous Serrano, Salvador, Martí Cuñat, Elena, Bombuy Giménez, Ernest, Mans, Esther, García, Aparicio, Ortega Ortega, Elena, Sebastián, Enric, Hoyuela Alonso, Carlos, Grajal Marino, Raquel, Elmalaki Hossain, Lofti, Medina, Raul, Sánchez, José Daniel, Ratia Giménez, Tomas, López, Antonio, García Díaz, Rosa Ana, Larrañaga, Itziar, López-Cano, Manuel, Pereira, José Antonio, Rodrigues-Gonçalves, Victor, Verdaguer-Tremolosa, Mireia, Hernández-Granados, Pilar, and Bravo-Salvá, Alejandro

Published
2021
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4. How to start and develop a multicenter, prospective, randomized, controlled trial

Author

Navarro Soto, Salvador, Sánchez Santos, Raquel, Sabater Ortí, Luís, Pera Román, Manuel, Soria Aledo, Victor, M. Targarona Soler, Eduardo, Serra Aracil, Xavier, Ramos Rdriguez, José Luis, Socas Macías, María, Moreno, Sergio, Rey Simó, Ignacio, García Botella, Sandra, Vallverdú, Helena, Rubio, Inés, Armananzas, Laura, Arteaga, Ivan, Miguelena, J.M., Artigas Raventos, Vicenç, Mercader, Enrique, Morales García, Dieter, Millan, Monica, Dolores Frutos, María, de Castro, Gonzalo, López Cano, Manuel, Pérez Saborido, Baltasar, Larrañaga, Itziar, Serra-Aracil, Xavier, Pascua-Sol, Mireia, Badia-Closa, Jesus, and Navarro-Soto, Salvador

Published
2020
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5. Cómo poner en marcha y desarrollar un estudio multicéntrico prospectivo, controlado y aleatorizado

Author

Navarro Soto, Salvador, Sánchez Santos, Raquel, Sabater Ortí, Luís, Pera Román, Manuel, Soria Aledo, Victor, M. Targarona Soler, Eduardo, Serra Aracil, Xavier, Ramos Rdriguez, José Luis, Socas Macías, María, Moreno, Sergio, Rey Simó, Ignacio, García Botella, Sandra, Vallverdú, Helena, Rubio, Inés, Armananzas, Laura, Arteaga, Ivan, Miguelena, J.M., Artigas Raventos, Vicenç, Mercader, Enrique, Morales García, Dieter, Millan, Monica, Dolores Frutos, María, de Castro, Gonzalo, López Cano, Manuel, Pérez Saborido, Baltasar, Larrañaga, Itziar, Serra-Aracil, Xavier, Pascua-Sol, Mireia, Badia-Closa, Jesus, and Navarro-Soto, Salvador

Published
2020
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6. Multicentre, prospective, randomized control non‐inferiority trial of bladder catheter management in colon surgery.

Author

Serra‐Aracil, Xavier, Hidalgo, Jose M., Dominguez, Arturo, Vallverdu, Helena, Millan, Monica, Caro‐Tarragó, Aleidis, Delgado, Salvadora, Gomez, C., Llorach, Nuria, Mora‐Lopez, Laura, Rosas, Jose Manuel Hidalgo, García, Arturo Dominguez, Ferran, Anna, Mora, Laura, Lloveras, Anna Pallisera, Nalda, Albert Garcia, Caraballo, Mariana, Pino, Oriol, Vallverdú, Helena, and Scheiding, Mónica Millan

Subjects
ENHANCED recovery after surgery protocol, BLADDER, CATHETERS, RETENTION of urine, URINARY catheterization, LAPAROSCOPIC surgery, DIALYSIS catheters
Abstract

Aim: Perioperative bladder catheterization is a controversial issue. Most current recommendations are based on data from open surgery extrapolated to enhanced recovery after surgery or fast‐track programmes ranging between 24 and 48 h. The aim of this study is to provide a rationale for reducing catheterization time while at the same time avoiding acute urine retention (AUR), in patients undergoing scheduled laparoscopic colon surgery. Method: This is a multicentre, prospective, controlled, randomized non‐inferiority study of bladder catheter management in patients undergoing scheduled laparoscopic colon surgery, randomized into two groups: experimental (with catheter removal immediately after surgery) and control (with catheter removal 24 h post‐surgery). The main outcome will be the development of AUR, and secondary outcomes the development of urinary infection within the first 30 days and hospital stay. Demographic, surgical and pathological variables will also be evaluated, especially the development of adverse effects assessed according to the Clavien scale and the Comprehensive Complication Index. Following the literature, we assume an incidence of AUR of 11% and a margin of non‐inferiority (delta) of 8% and estimate that a sample size of 208 patients per group will be required (with an estimated 10% of losses per group). Conclusions: In this study we try to demonstrate that the bladder catheter can be removed immediately after scheduled laparoscopic colon surgery, without increasing acute urine retention. This measure would offers the benefits of earlier mobilization and reduces catheter‐related morbidity. [ABSTRACT FROM AUTHOR]

Published
2023
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7. Umbilical incisional hernias (M3): are trocar-site hernias different? Comparative analysis of the EVEREG registry⋆

Author

Ciscar Belles, Ana, primary, Makhoukhi, Touria, additional, López-Cano, Manuel, additional, Hernández Granados, Pilar, additional, Pereira Rodríguez, José Antonio, additional, Utrera González, Antonio, additional, Capitán Vallvey, José M., additional, Pradas, Matías, additional, Pérez Gomar, Daniel, additional, Bustos, Manuel, additional, Herrera Fernández, Francisco Antonio, additional, Blanco, Juan A., additional, Robres Puig, Joaquim, additional, Villalobos, Rafael, additional, Güell Puigcercos, Dolors, additional, Puigcercós Fusté, José María, additional, Ayuso Osuna, Vicente, additional, Piñol, Marta, additional, Olona Casas, Carles, additional, Martínez Ródenas, Francisco, additional, Comajuncosas, Jordi, additional, Sebastián Valverde, Enric, additional, Amador, Sara, additional, Gelonch, Jaume, additional, Vallverdú, Helena, additional, Abelló Sala, Magda, additional, Veres Gómez, Antonio, additional, Gamón, Rosa, additional, García Peche, Pedro, additional, González Valverde, Miguel, additional, Martín Blanco, Miguel Ángel, additional, Ferri, Ramón J, additional, Martí Ciñat, Elena, additional, García Pastor, Providencia, additional, Montero, Carlos, additional, Lorenzo Liñán, Miguel Ángel, additional, Barbero, Vicente, additional, Morlan, Miguel Ángel, additional, Jover, José María, additional, Delgado Lillo, Isabel, additional, Sanz Sánchez, María Mercedes, additional, Zarain Obrador, Leire, additional, Lusilla, Alejandro, additional, Cabeza Gómez, Juan Jesús, additional, López, Antonio, additional, Butrón, Teresa, additional, Supelano Eslait, Guillermo, additional, Álvarez Conde, José Luis, additional, Pérez Saborido, Baltasar, additional, Rodríguez López, Mario, additional, Revuelta Álvarez, Santiago, additional, Trillo Parejo, Pedro, additional, Rodicio, José Luis, additional, Blanco, Antonio, additional, Cano Maldonado, Agustín Juan, additional, Zorraquino González, Ángel, additional, Guisasola, Esther, additional, Fernández, Fernando, additional, Granell, Javier, additional, Bellido Luque, Juan Antonio, additional, Rueda Pérez, Juan Manuel, additional, Anaya Reig, Mª Pilar, additional, Gómez Sabater, Rafael, additional, García Díaz, Rosa Ana, additional, and Alonso, Verónica, additional

Published
2022
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13. Reparación de la hernia paraestomal. Estudio observacional prospectivo basado en el Registro Español de Hernia Incisional (EVEREG)

Author

López-Cano, Manuel, primary, Pereira, José Antonio, additional, Rodrigues-Gonçalves, Victor, additional, Verdaguer-Tremolosa, Mireia, additional, Hernández-Granados, Pilar, additional, Bravo-Salvá, Alejandro, additional, Utrera González, Antonio, additional, M. Capitán Vallvey, José, additional, Pradas, Matías, additional, Pérez Gomar, Daniel, additional, Bustos, Manuel, additional, Herrera Fernández, Francisco Antonio, additional, A. Blanco, Juan, additional, Robres Puig, Joaquim, additional, Villalobos, Rafael, additional, Güell Puigcercós, Dolors, additional, Puigcercós Fusté, José María, additional, Ayuso Osuna, Vicente, additional, Piñol, Marta, additional, Olona Cases, Carles, additional, Martínez Ródenas, Francisco, additional, Comajuncosas, Jordi, additional, Sebastián Valverde, Enric, additional, Amador, Sara, additional, Gelonch, Jaume, additional, Vallverdú, Helena, additional, Abelló Sala, Magda, additional, Veres Gómez, Antonio, additional, Gamón, Rosa, additional, García Peche, Pedro, additional, González Valverde, Miguel, additional, Martín Blanco, Miguel Angel, additional, J. Ferri, Ramón, additional, Martí Ciñat, Elena, additional, García Pastor, Providencia, additional, Montero, Carlos, additional, Lorenzo Liñán, Miguel Ángel, additional, Barbero, Vicente, additional, Morlan, Miguel Ángel, additional, Jover, José María, additional, Delgado Lillo, Isabel, additional, Sanz Sánchez, María Mercedes, additional, Zarain Obrador, Leire, additional, Lusilla, Alejandro, additional, Cabeza Gómez, Juan Jesús, additional, Butrón, Teresa, additional, Supelano Eslait, Guillermo, additional, Álvarez Conde, José Luis, additional, Pérez Saborido, Baltasar, additional, Rodríguez López, Mario, additional, Revuelta Álvarez, Santiago, additional, Trillo Parejo, Pedro, additional, Rodicio, José Luis, additional, Blanco, Antonio, additional, Trébol López, Jacobo, additional, Castañera González, Ramón, additional, Protti, Gian Pier, additional, Turiño Luque, Damián, additional, Espert, Juan José, additional, Zaragoza, Carmen, additional, Hidalgo Pujol, Marta, additional, Carmona Navarro, Daniel, additional, Valdés de Anca, Álvaro, additional, Fresno de Prado, Laura, additional, Nieto Soler, Antonio, additional, Vasco Rodríguez, Francisca, additional, Lozoya Trujillo, Roberto, additional, Anaya Reig, M Pilar, additional, Sanz Sánchez, M Mercedes, additional, Bueno Lledó, José, additional, Pous Serrano, Salvador, additional, Martí Cuñat, Elena, additional, Bombuy Giménez, Ernest, additional, Mans, Esther, additional, García, Aparicio, additional, Ortega Ortega, Elena, additional, Sebastián, Enric, additional, Hoyuela Alonso, Carlos, additional, Grajal Marino, Raquel, additional, Elmalaki Hossain, Lofti, additional, Medina, Raul, additional, Sánchez, José Daniel, additional, Ratia Giménez, Tomas, additional, López, Antonio, additional, García Díaz, Rosa Ana, additional, and Larrañaga, Itziar, additional

Published
2021
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14. Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG)

Author

López-Cano, Manuel, primary, Pereira, José Antonio, additional, Rodrigues-Gonçalves, Victor, additional, Verdaguer-Tremolosa, Mireia, additional, Hernández-Granados, Pilar, additional, Bravo-Salvá, Alejandro, additional, Utrera González, Antonio, additional, Capitán Vallvey, José M., additional, Pradas, Matías, additional, Pérez Gomar, Daniel, additional, Bustos, Manuel, additional, Herrera Fernández, Francisco Antonio, additional, Blanco, Juan A., additional, Robres Puig, Joaquim, additional, Villalobos, Rafael, additional, Güell Puigcercós, Dolors, additional, Puigcercós Fusté, José María, additional, Ayuso Osuna, Vicente, additional, Piñol, Marta, additional, Olona Cases, Carles, additional, Martínez Ródenas, Francisco, additional, Comajuncosas, Jordi, additional, Sebastián Valverde, Enric, additional, Amador, Sara, additional, Gelonch, Jaume, additional, Vallverdú, Helena, additional, Abelló Sala, Magda, additional, Veres Gómez, Antonio, additional, Gamón, Rosa, additional, García Peche, Pedro, additional, González Valverde, Miguel, additional, Martín Blanco, Miguel Angel, additional, Ferri, Ramón J., additional, Martí Ciñat, Elena, additional, García Pastor, Providencia, additional, Montero, Carlos, additional, Lorenzo Liñán, Miguel Ángel, additional, Barbero, Vicente, additional, Morlan, Miguel Ángel, additional, Jover, José María, additional, Delgado Lillo, Isabel, additional, Sanz Sánchez, María Mercedes, additional, Zarain Obrador, Leire, additional, Lusilla, Alejandro, additional, Cabeza Gómez, Juan Jesús, additional, Butrón, Teresa, additional, Supelano Eslait, Guillermo, additional, Álvarez Conde, José Luis, additional, Pérez Saborido, Baltasar, additional, Rodríguez López, Mario, additional, Revuelta Álvarez, Santiago, additional, Trillo Parejo, Pedro, additional, Rodicio, José Luis, additional, Blanco, Antonio, additional, Trébol López, Jacobo, additional, Castañera González, Ramón, additional, Protti, Gian Pier, additional, Turiño Luque, Damián, additional, Espert, Juan José, additional, Zaragoza, Carmen, additional, Hidalgo Pujol, Marta, additional, Carmona Navarro, Daniel, additional, Valdés de Anca, Álvaro, additional, Fresno de Prado, Laura, additional, Nieto Soler, Antonio, additional, Vasco Rodríguez, Francisca, additional, Lozoya Trujillo, Roberto, additional, Anaya Reig, M Pilar, additional, Sanz Sánchez, M Mercedes, additional, Bueno Lledó, José, additional, Pous Serrano, Salvador, additional, Martí Cuñat, Elena, additional, Bombuy Giménez, Ernest, additional, Mans, Esther, additional, García, Aparicio, additional, Ortega Ortega, Elena, additional, Sebastián, Enric, additional, Hoyuela Alonso, Carlos, additional, Grajal Marino, Raquel, additional, Elmalaki Hossain, Lofti, additional, Medina, Raul, additional, Sánchez, José Daniel, additional, Ratia Giménez, Tomas, additional, López, Antonio, additional, García Díaz, Rosa Ana, additional, and Larrañaga, Itziar, additional

Published
2021
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17. How to start and develop a multicenter, prospective, randomized, controlled trial

Author

Serra-Aracil, Xavier, primary, Pascua-Sol, Mireia, additional, Badia-Closa, Jesus, additional, Navarro-Soto, Salvador, additional, Navarro Soto, Salvador, additional, Sánchez Santos, Raquel, additional, Sabater Ortí, Luís, additional, Pera Román, Manuel, additional, Soria Aledo, Victor, additional, M. Targarona Soler, Eduardo, additional, Serra Aracil, Xavier, additional, Ramos Rdriguez, José Luis, additional, Socas Macías, María, additional, Moreno, Sergio, additional, Rey Simó, Ignacio, additional, García Botella, Sandra, additional, Vallverdú, Helena, additional, Rubio, Inés, additional, Armananzas, Laura, additional, Arteaga, Ivan, additional, Miguelena, J.M., additional, Artigas Raventos, Vicenç, additional, Mercader, Enrique, additional, Morales García, Dieter, additional, Millan, Monica, additional, Dolores Frutos, María, additional, de Castro, Gonzalo, additional, López Cano, Manuel, additional, Pérez Saborido, Baltasar, additional, and Larrañaga, Itziar, additional

Published
2020
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18. Cómo poner en marcha y desarrollar un estudio multicéntrico prospectivo, controlado y aleatorizado

Author

Serra-Aracil, Xavier, primary, Pascua-Sol, Mireia, additional, Badia-Closa, Jesus, additional, Navarro-Soto, Salvador, additional, Navarro Soto, Salvador, additional, Sánchez Santos, Raquel, additional, Sabater Ortí, Luís, additional, Pera Román, Manuel, additional, Soria Aledo, Victor, additional, M. Targarona Soler, Eduardo, additional, Serra Aracil, Xavier, additional, Ramos Rdriguez, José Luis, additional, Socas Macías, María, additional, Moreno, Sergio, additional, Rey Simó, Ignacio, additional, García Botella, Sandra, additional, Vallverdú, Helena, additional, Rubio, Inés, additional, Armananzas, Laura, additional, Arteaga, Ivan, additional, Miguelena, J.M., additional, Artigas Raventos, Vicenç, additional, Mercader, Enrique, additional, Morales García, Dieter, additional, Millan, Monica, additional, Dolores Frutos, María, additional, de Castro, Gonzalo, additional, López Cano, Manuel, additional, Pérez Saborido, Baltasar, additional, and Larrañaga, Itziar, additional

Published
2020
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19. Multicenter Controlled Study of Intracorporeal Mechanical Side-to-Side Isoperistaltic Anastomosis versus Extracorporeal Anastomosis in Laparoscopic Right Hemicolectomy: HEMI-D-TREND-Study.

Author

Serra-Aracil, Xavier, Pascua-Solé, Mireia, Mora-López, Laura, Vallverdú, Helena, Serracant, Anna, Espina, Beatriz, Ruiz, Cristina, Merichal, Mireia, Sánchez, Antonio, Romagnolo, Luis, and Veo, Carlos

Subjects
RIGHT hemicolectomy, WESTERN countries, COLON cancer, COLON (Anatomy), SCIENTIFIC observation
Abstract

Colorectal cancer is the second most frequent cancer in the Western world. A third of colorectal tumors are located in the right colon, and right hemicolectomy is the treatment in nondisseminated right colon cancer. The most serious complication of this procedure is anastomotic leak, which occurs in 8.4% of cases. At present, there is no standardized technique for laparoscopic ileo-colic anastomosis. In previous observational studies, intracorporeal side-to-side ileo-colic laparoscopic anastomosis has shown better results than extracorporeal anastomosis in terms of morbidity and mortality. It is known that randomized studies provide higher levels of evidence, but multicenter randomized controlled studies may imply a learning curve bias due to the differences in technical experience acquired at each hospital. As a result, we propose to carry out a prospective, controlled, nonrandomized TREND-study design (Transparent Reporting of Evaluations with Non-randomized Designs-TREND) in a large sample of 416 patients (208 per group) in order to assess the use of intracorporeal side-to-side ileo-colic laparoscopic anastomosis as the gold standard in right hemicolectomy. [ABSTRACT FROM AUTHOR]

Published
2020
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21. Prospective analysis of clinician accuracy in the diagnosis of benign anorectal pathology: the value of clinical information

Author

Jimeno, Jaime, Vallverdú, Helena, Tubella, Jaume, Sánchez-Pradell, Cristina, Comajuncosas, Jordi, Orbeal, Rolando, Hermoso, Judit, Gris, Pere, López-Negre, José Luis, Urgellés, Joan, and Parés, David

Subjects
Educación, Training, Precisión diagnóstica, Diagnostic accuracy, Formación, Anorectal diseases, Enfermedades anorrectales, Education
Abstract

Aim: the prevalence of anorectal disorders in general population is high. The aim of this study was to analyze the influence of clinical symptoms on diagnostic accuracy for benign anorectal pathology among different specialists and evaluate the relationship between diagnostic accuracy and years of professional experience. Methods: seven typical cases were selected. In a first interview, participants were shown images and asked to make a diagnosis. Afterwards, images with additional information (clinical symptoms) were used. Two groups (group 1 = general surgeons and group 2 = medical specialists who attended emergency department) completed both phases of the study to analyze the influence of clinical symptoms on the final diagnosis. Results: forty four specialists were interviewed. The percentage of participants making a correct diagnosis in groups 1 and 2, respectively, was as follows: case 1 (perianal abscess): 100 vs. 80.6%, (p = 0.157); case 2 (fissure): 92.3 vs. 51.6% (p = 0.015); case 3 (thrombosed hemorrhoid): 92.3 vs. 74.2% (p = 0.321); case 4 (anal condyloma): 100 vs. 87.1% (p = 0.302); case 5 (rectal prolapse): 100 vs. 83.9% (p = 0.301); case 6 (prolapsed hemorrhoid): 92.3 vs. 29% (p = 0.001), and case 7 (fistula): 100 vs. 67.7% (p = 0.021). There were significant differences in the number of correctly diagnosed cases between groups (p < 0.001). Information about clinical symptoms significantly increased overall and specific accuracy. There was no correlation between experience and accuracy. Conclusions: clinical symptoms are important for diagnostic accuracy in anorectal pathology. Training in anorectal pathology in medical specialists is warranted. Objetivo: la prevalencia de los trastornos anorrectales benignos en la población general es alta. El objetivo de este estudio es analizar la influencia de los síntomas clínicos en la precisión diagnóstica de la patología benigna anorrectal entre los diferentes especialistas y evaluar la relación entre el diagnóstico de la enfermedad y los años de experiencia profesional entre los profesionales participantes. Pacientes y métodos: se seleccionaron 7 casos típicos. En una primera entrevista, se mostró a los participantes las imágenes clínicas de cada caso y se les pidió que formularan un diagnóstico. Posteriormente, se volvió a mostrar las mismas imágenes con información clínica adicional. Dos grupos (grupo 1 = especialistas en cirugía general y digestiva y grupo 2 = especialistas de especialidades médicas con asistencia en el área de urgencias) completaron las dos fases del estudio para analizar la influencia de los síntomas clínicos en el diagnóstico final. También se analizó la relación entre la precisión diagnóstica y los años de experiencia de cada profesional. Resultados: se entrevistaron a 44 especialistas. El porcentaje de participantes que realizó un diagnóstico correcto en el grupo 1 y 2, fue respectivamente: caso 1 (absceso perianal): 100 vs. 80.6%, (p = 0,157); caso 2 (fisura anal): 92,3 vs. 51.6% (p = 0,015); caso 3 (hemorroide trombosada): 92,3 vs. 74,2% (p = 0,321); caso 4 (condiloma anal): 100 vs. 87,1% (p = 0,302); caso 5 (prolapso rectal): 100 vs. 83.9% (p = 0,301); caso 6 (prolapso hemorroidal): 92,3 vs. 29% (p = 0,001), y caso 7 (fístula perianal): 100 vs. 67,7% (p = 0,021). Se observaron diferencias en el número de los diagnósticos correctos entre grupos (p < 0,001). Globalmente, la información sobre síntomas clínicos incrementó significativamente la precisión específicamente, no observándose correlación entre experiencia profesional y precisión. Conclusiones: los síntomas clínicos son importantes para la precisión diagnóstica de la patología anorrectal benigna. La formación específica de especialistas médicos en esta patología anorrectal está claramente justificada.

Published
2012

26. Prospective analysis of clinician accuracy in the diagnosis of benign anorectal pathology: the value of clinical information

Author

Jimeno, Jaime, primary, Vallverdú, Helena, additional, Tubella, Jaume, additional, Sánchez-Pradell, Cristina, additional, Comajuncosas, Jordi, additional, Orbeal, Rolando, additional, Hermoso, Judit, additional, Gris, Pere, additional, López-Negre, José Luis, additional, Urgellés, Joan, additional, and Parés, David, additional

Published
2012
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29. [A surgical safety checklist implementation: experience of a start-up phase of a collaborative project in hospitals of Catalonia, Spain].

Author

Secanell M, Orrego C, Vila M, Vallverdú H, Mora N, Oller A, and Bañeres J

Subjects
Cooperative Behavior, Guideline Adherence, Humans, Interinstitutional Relations, Medical Errors prevention & control, Operating Rooms standards, Patient Identification Systems standards, Program Evaluation, Prospective Studies, Spain, Surgical Procedures, Operative statistics & numerical data, Checklist, Hospitals, Private organization & administration, Hospitals, Public organization & administration, Patient Safety standards, Preoperative Care standards, Safety Management organization & administration
Abstract

Surgical patient safety is a priority in the national and international quality healthcare improvement strategies. The objective of the study was to implement a collaborative intervention with multiple components and to evaluate the impact of the patient surgical safety checklist (SSC) application. This is a prospective, longitudinal multicenter study with a 7-month follow-up period in 2009 based on a collaborative intervention for the implementation of a 24 item-SSC distributed in 3 different stages (sign in, time out, sign out) for its application to the surgical patient. A total number of 27 hospitals participated in the strategy. The global implementation rate was 48% (95%CI, 47.6%-48.4%) during the evaluation period. The overall compliance with all the items of the SSC included in each stage (sign in, time out, sign out) was 75,1% (95%CI, 73.5%-76.7%) for the sign in, 77.1% (95%CI, 75.5%-78.6%) for the time out and 88.3% (95%CI, 87.2%-89.5%) for the sign out respectively. The individual compliance with each item of the SSC has remained above 85%, except for the surgical site marking with an adherence of 67.4% (95%CI, 65.7%-69.1%)] and 71.2% (95%CI, 69.6%-72.9%)] in the sign in and time out respectively. The SSC was successfully implemented to 48% of the surgeries performed to the participating hospitals. The global compliance with the SSC was elevated and the intervention trend was stable during the evaluation period. Strategies were identified to allow of a higher number of surgeries with application of the SSC and more professional involvement in measures compliance such as surgical site marking., (Copyright © 2014. Published by Elsevier Espana.)

Published
2014
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30. [Changes in the complaints made to a General and Gastrointestinal Surgery Department after a change in hospital structure and function].

Author

Parés D, Jimeno J, Ibaceta S, Hermoso J, Sanchez-Pradell C, Vallverdú H, Comajuncosas J, Orbeal R, Gris P, Lopez-Negre JL, Urgellés J, and Sancho-Gallego C

Subjects
Health Facility Moving, Humans, Longitudinal Studies, Spain, Time Factors, Digestive System Surgical Procedures standards, General Surgery standards, Hospital Departments organization & administration, Patient Satisfaction statistics & numerical data, Quality of Health Care
Abstract

Objective: The complaints to a medical service are a measure of the quality of health care perceived by the patients. The aim of this study was to analyse the differences found in the percentage of complaints made to the General and Gastrointestinal Surgery Department (GGSD) with the changes made due to moving to a new hospital., Material and Methods: A longitudinal study of the percentage of complaints made to the GGSD in two 6 month periods in the same year (periods A and B). The Department was moved to a new hospital between the two periods. The percentage complaints associated with the hospital and outpatient activity is compared., Results: The percentage complaints made to the GGSD was 3.02% directed at the hospital service and 0.44% to outpatient care. When both periods were compared, a statistically significant difference was observed in the hospital complaints (A: 3.74% vs B: 2.20%, P=.006) and in the outpatient complaints (A: 0.53% vs. B: 0.34%, P=.005). It could also be shown that there was a continuous significant correlation in the parallel decrease in the hospital and outpatient complaints (R:0.988 P<.001)., Conclusions: The structural and functional change due to moving to a new hospital showed that the percentage of complaints made to the GGSD changed significantly in the period studied. Prospective multicentre studies are required to evaluate whether these results can be extrapolated to other services., (Copyright © 2011 AEC. Published by Elsevier Espana. All rights reserved.)

Published
2012
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