Publications by authors named "Tamara Fernandez Miguel"

Introduction: Specific training at surgical super-specialities and its objective evaluation is a challenge nowadays in order to measure the potential benefits that it might add.

Material And Methods: An online survey addressed by the "Grupo Joven de la Asociación Española de Coloproctología" has been performed in order to evaluate the level of formation achieved specifically at colorectal surgery.

Results: 128 surgeons participated, representing 81 colorectal surgery units.

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Article Synopsis
  • Recent guidelines suggest outpatient management for acute uncomplicated diverticulitis without antibiotics in selected patients, but adherence to these recommendations varies significantly across national hospitals.
  • A survey involving 104 surgeons from 69 hospitals showed that 82.6% of centers offer outpatient management, but only 23.2% have protocols for antibiotic-free treatment, often citing logistical challenges and a lack of evidence.
  • There are notable differences between accredited hospitals and others, with accredited centers more likely to implement outpatient care and antibiotic-free protocols, highlighting the need for standardized treatment practices across the board.
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Introduction: Performing the surgical procedure in a high-volume center has been seen to be important for some surgical procedures. However, this issue has not been studied for patients with an anal fistula (AF).

Material And Methods: A retrospective multicentric study was performed including the patients who underwent AF surgery in 2019 in 56 Spanish hospitals.

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Early-onset Colorectal Cancer (ECRC) represents a significant and increasing proportion of Colorectal Cancer (CRC), but it is a heterogeneous entity that probably encompasses specific subclasses. On the premise that the carcinogenetic mechanism and progression of CRC may differ with location, we analyzed molecular and clinical characteristics of ECRC according to tumor location in order to identify more homogeneous subgroups of CRC. Right-sided ECRC is a subset in which most Lynch Syndrome cases are found, with earlier stages at diagnosis and better prognosis.

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