Publications by authors named "L Segovia Garcia de Marina"
Article Synopsis
- Precise identification of nerve fascicles is crucial for certain surgeries on peripheral nerves, with bipolar nerve stimulation preferred, but many still use handheld monopolar stimulators.
- The study presents a new technique for monopolar stimulation, where both the anode and cathode are placed on the same nerve fascicle to enhance specificity.
- Two surgical cases demonstrated that this modified method allowed for better selection of nerve fascicles, resulting in successful outcomes without unexpected complications.
Background: Transfer of the fascicle carrying the flexor carpi ulnaris (FCU) branch of the ulnar nerve (UN) to the biceps/brachialis muscle branch of the musculocutaneous nerve (Oberlin's procedure), is a mainstay technique for elbow flexion restoration in patients with upper brachial plexus injury. Despite its widespread use, there are few studies regarding the anatomic location of the donor fascicle for Oberlin's procedure. Our report aims to analyze the anatomical variability of this fascicle within the UN, while obtaining quantifiable, objective data with intraoperative neuromonitoring (IONM) for donor fascicle selection.
View Article and Find Full Text PDFPurpose Of Review: This review aims to provide an overview of the current evidence on the efficacy, also considering the anti-inflammatory properties and safety of very low-calorie ketogenic diet (VLCKD) as a potential treatment for lipedema, particularly in the context of obesity.
Recent Findings: Lipedema is a chronic disease characterized by abnormal and painful fat buildup on the legs and/or arms. It is often misdiagnosed as obesity or lymphedema.
Article Synopsis
- The study investigates the comorbidities associated with mild autonomous cortisol secretion (MACS) in patients with adrenal incidentalomas and examines treatment options.
- A systematic review of 30 cross-sectional and 16 cohort studies found higher incidences of diabetes, hypertension, and dyslipidemia in MACS patients, alongside increased all-cause mortality.
- Surgical treatment, particularly adrenalectomy, showed promising improvements in metabolic control and cardiovascular health for these patients, although results should be viewed cautiously due to inconsistencies in study definitions and data reporting.
Purpose: The purpose of this review is to examine the current evidence on the potential role of Mediterranean diet (MD) in the prevention and management of endocrine disorders and to highlight the importance of interdisciplinary collaboration between endocrinologists and nutritionists.
Methods: A literature search was conducted using PubMed and Google Scholar databases to identify relevant studies published in English. Studies were selected based on their relevance to the role of MD in the prevention and management of endocrine disorders.