Publications by authors named "Andrea Campos-Serra"
Introduction: Laparoscopic cholecystectomy is one of the most common gastrointestinal surgeries, and bile duct injury is one of its main complications. The use of real-time indocyanine green fluorescence cholangiography allows the identification of extrahepatic biliary structures, facilitating the procedure and reducing the risk of bile duct lesions. A better visualization of the bile duct may help to reduce the need for conversion to open surgery, and may also shorten operating time.
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- This study compares two surgical methods, Hartmann's procedure (HP) and resection with primary anastomosis (RPA), for treating acute left-sided colonic emergencies among 1215 patients from 204 centers globally.
- Results showed that while HP was the more common treatment (57.3%), RPA was favored for younger patients with fewer health issues and those needing surgery sooner.
- The study concluded that although HP is still widely used, RPA might be the better option, emphasizing the importance of patient characteristics and surgeon experience in determining treatment choice.
Article Synopsis
- The Spanish National Polytrauma Registry (SNPR) was established in 2017 to enhance severe trauma management and assess resource use and treatment strategies in Spain.
- An observational study collected data from 2069 trauma patients over 5 years, revealing that most were middle-aged men with a high incidence of blunt trauma, particularly from motorcycle accidents.
- Findings suggest that early detection and treatment of thoracic injuries could significantly improve trauma care outcomes in Spain.
Article Synopsis
- Persistent occult hypoperfusion after trauma can lead to serious complications, prompting this study to evaluate indicators like regional tissue oxygenation in seemingly stable patients.
- The study monitored 66 trauma patients 8 hours post-admission, classifying them as having either "Occult shock" (OS) or "Truly hemodynamically stable" (THD) based on their need for further medical intervention.
- Key findings revealed that while global markers showed no significant differences between OS and THD groups, regional oxygenation metrics indicated notable variations, highlighting their potential as diagnostic tools for occult shock.
Dynamic use of fibrinogen under viscoelastic assessment results in reduced need for plasma and diminished overall transfusion requirements in severe trauma.
J Trauma Acute Care Surg
August 2022
Article Synopsis
- The study investigates the impact of a transfusion protocol using viscoelastic hemostatic assays on trauma patients to reduce bleeding-related deaths.
- Implementing this protocol led to an increased use of fibrinogen concentrate and a decreased reliance on blood products like plasma and packed red blood cells.
- Outcomes for patients receiving only fibrinogen concentrate showed fewer complications, such as pneumonia and multiorgan failure, compared to other treatment groups.
Introduction: FAST is essential to decide whether trauma patients need laparotomy, but it has a notable decrease in accuracy in patients with pelvic fracture. Our objective is to analyze the consequences of therapeutic decision-making based on the FAST results in trauma patients with pelvic fracture.
Methods: Descriptive study that includes trauma patients older than 16 with a pelvic fracture admitted to the critical care area or who died.
Background: An important drawback of local surgery for lesions in the anal canal is the difficulty of achieving en bloc full-thickness resections. The aim of this study is to evaluate TEM/TEO in lesions of this type from the point of view of morbidity, mortality and the quality of the pathology specimen.
Methods: This is an observational study with prospective data collection from June 2004 to July 2018.
Introduction: Vital signs indicate the presence of bleeding only after large amounts of blood have been lost, with high morbidity and mortality. The Shock Index (SI) is a hemorrhage indicator with a cut-off point for the risk of bleeding at 0.9.
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- Polytrauma is a significant cause of death and disability in individuals aged 10-40, prompting a study to analyze care quality at a hospital.
- Over an 8-year period, 1200 polytrauma patients were registered, predominantly men with a median age of 45, with blunt trauma being the leading cause of injury; the mortality rate was 9.8%.
- Despite adequate trauma care, the study identified areas for improvement, including a need for a registry to better evaluate and enhance patient outcomes.