Publications by authors named "Nils J Hidalgo"
Article Synopsis
- Surgical site infections (SSI) are a common issue following surgeries, particularly in incisional hernia repairs, and the effectiveness of topical antibiotics like gentamicin for prevention remains uncertain.
- A randomized controlled trial was conducted with 146 patients, comparing outcomes between those given a gentamicin solution and those given saline solution during surgery.
- The study found no significant differences in SSI rates or other complications between the two groups, indicating that topical gentamicin did not effectively reduce SSI incidence in hernia repair surgeries.
Purpose: The use of outpatient surgery in inguinal hernia is heterogeneous despite clinical recommendations. This study aimed to analyze the utilization trend of outpatient surgery for bilateral inguinal hernia repair (BHIR) in Spain and identify the factors associated with outpatient surgery choice and unplanned overnight admission.
Methods: A retrospective observational study of patients undergoing BIHR from 2016 to 2021 was conducted.
Background: The guidelines recommend laparoscopic repair for bilateral inguinal hernia. However, few studies compare the totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) techniques in bilateral inguinal hernias. This study aimed to compare the outcomes of TEP and TAPP in bilateral inguinal hernia.
View Article and Find Full Text PDFBackground: The impact of pre-existing comorbidities on acute pancreatitis (AP) mortality is not clearly defined. Our study aims to determine the trend in AP hospital mortality and the role of comorbidities as a predictor of hospital mortality.
Methods: We analyzed patients aged ≥ 18 years hospitalized with AP diagnosis between 2016 and 2019.
Background: International guidelines currently recommend laparoscopy for bilateral inguinal hernia repair (BIHR). Our study aims to evaluate the trends and factors associated with the choice of laparoscopy for BIHR in Spain.
Methods: We performed a retrospective analysis of patients undergoing BIHR between 2016 and 2019.
Background: The relevance of elevated serum triglyceride (TG) levels in the early stages of acute pancreatitis (AP) not induced by hypertriglyceridemia (HTG) remains unclear. Our study aims to determine the role of elevated serum TG levels at admission in developing pancreatic necrosis.
Methods: We analyzed the clinical data collected prospectively from patients with AP.
Reducing inpatient admissions and health care costs is a central aspiration of worldwide health systems. This study aimed to evaluate trends in outpatient surgery in inguinal hernia repair (IHR) and factors related to the outpatient setting in Spain. A retrospective cohort study (Record-Strobe compliant) of 1,163,039 patients who underwent IHR from January 2004 to December 2019 was conducted.
View Article and Find Full Text PDFPurpose: To describe the transition process from open repair (OR) to laparoscopic repair (LR) of bilateral inguinal hernia in a small basic general hospital METHODS: We describe the technical details and training strategy used to facilitate the transition to systematic LR of bilateral inguinal hernia. We conducted a retrospective analysis of prospectively collected data from all patients undergoing bilateral inguinal hernia repair between January 2017 and December 2020. We analysed the evolution of LR and compared the surgical outcomes: complications, acute pain (24 h), chronic pain (> 3 months), and recurrence (1 year) of the patients operated on by OR and LR.
View Article and Find Full Text PDFBackground: The value of serum triglycerides (TGs) related to complications and the severity of acute pancreatitis (AP) has not been clearly defined. Our study aimed to analyze the association of elevated levels of TG with complications and the severity of AP.
Methods: The demographic and clinical data of patients with AP were prospectively analyzed.
Ileocolic anastomosis in laparoscopic-assisted right colectomy is frequently performed extracorporeally. Intracorporeal anastomosis could be associated with several short-term benefits. However, it is a more technically demanding procedure.
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