Publications by authors named "Victor Echenagusia"

Background: Surgical failure-to-rescue (FTR, death rate following complications) is a reliable cross-sectional quality of care marker, but has not been evaluated dynamically. We aimed to study changes in FTR following emergency surgery during the COVID-19 pandemic.

Material And Methods: Matched cohort study including all COVID-19-non-infected adult patients undergoing emergency general surgery in 25 Spanish hospitals during COVID-19 pandemic peak (March-April 2020), non-peak (May-June 2020), and 2019 control periods.

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Background: COVID-19 infection is associated with a higher mortality rate in surgical patients, but surgical risk scores have not been validated in the emergency setting. We aimed to study the capacity for postoperative mortality prediction of the P-POSSUM score in COVID-19-positive patients submitted to emergency general and digestive surgery.

Material And Methods: Consecutive patients undergoing emergency general and digestive surgery from March to June 2020, and from March to June 2019 in 25 Spanish hospitals were included in a retrospective cohort study.

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Background: Patient safety (PS) is a key factor in reducing or even eradicating adverse incidents and events. Many health organizations promote strategies to improve PS, while also pointing out the importance of measuring it. For more than eight years, our institution has developed strategies focused on improving PS-culture among our personnel.

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Article Synopsis
  • Primary retroperitoneal parasitic leiomyoma (PRPL) is a challenging condition to diagnose and treat, often considered unresectable, but the Karakousis abdominoinguinal incision provides a safe surgical option for removing tumors in the lower abdomen.
  • A case study of a 35-year-old woman with a PRPL extended to the inguinal region demonstrates successful treatment using this surgical approach, resulting in her being disease-free after 18 months.
  • PRPL may originate from embryogenic cell remnants, and since there are no standard treatment guidelines, Karakousis's technique is recommended for effectively increasing tumor resectability rates in the lower abdomen.
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FDG PET/CT is believed to be crucial in oncology, but its limited specificity represents a challenge. Prosthetic meshes used for repair abdominal defects may lead to false-positives FDG PET/CT uptake, over staging malignancies and inducing inappropriate treatments. A false-positive FDG PET/CT uptake mimicking metastatic disease during the follow-up of a previously treated metastatic melanoma patient is presented.

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