A Novel Visual Grading for Ureteral Encrusted Stent Classification to Help Decide the Endourologic Treatment.

The aim of the study is to propose a visual classification for encrusted stents (ESs) to help choose the appropriate endourologic treatment. A multicenter, retrospective, and descriptive study was performed. A total of 140 patients with encrusted Double-J stents were enrolled from 5 different institutions.

Equipment failures in laparoscopic surgery: Causes and consequences.

Objective: The aim of this study was to assess incidence, causes and consequences of equipment failures in a high volume, advanced endoscopic surgery department.

Methods: This is a prospectical observational single centre study between April and July of 2019 in the Gynecological surgery department of the Estaing University Hospital of Clermont-Ferrand, France. During the study period, 171 laparoscopies were observed.

Evaluation of the laparoscopic component of GESEA Programme in two different groups: Obstetrics and Gynaecology Residents versus Participants in the Annual GESEA Diploma Course in Clermont Ferrand, France.

Background: Structured laparoscopic training courses are important in surgical education. Different programmes have been proposed, but there is currently no evidence available comparing the performance of specialists versus residents in Obstetrics and Gynaecology at these courses.

Objective: To evaluate the impact of the laparoscopic component of Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Training and Certification courses in two different populations.

Effects of bile acid sequestration on hepatic steatosis in obese mice.

BACKGROUND. Bile acid sequestration (BAS) with resins has shown antidiabetic effects in both humans and animals. Since hepatic steatosis is commonly associated with type 2 diabetes mellitus and the effects of BAS on steatosis have not been explored in detail, we evaluated the effects of cholestyramine (CTM) administration on fatty liver development in the leptin-deficient obese mice.

[Successful treatment of thrombotic thrombocytopenic purpura with vincristine report of one case].

Thrombotic thrombocytopenic purpura presents as a multisystemic disease with thrombocytopenia, microangiopathic hemolytic anemia, fever, neurological and renal involvement. We report a 24 years-old male presenting with purpura and a generalized seizure. His blood tests showed an hemolytic anemia, unconjugated hyperbilirubinemia, increased lactated dehydrogenase, thrombocytopenia and impairment of renal function.

[Dementia secondary to thalamic infarct: a case report].

Introduction: The term dementia refers to the deterioration of the intellectual or cognitive functions, with little or no alteration of consciousness, which is capable of interfering with the activities of daily living and the ability to cope by oneself. One infrequent cause of dementia is its being secondary to a thalamic lesion and is normally due to the involvement of both thalami.

Case Report: We report a case of sudden onset dementia caused by lesions affecting only the left thalamus.

[Hepatic resection in localized Caroli disease].

Caroli disease is a cystic congenital malformation of the intrahepatic biliary tract, frequently associated with lithiasis. Commonly, cystic dilatations are bilateral and infrequently they affect only one hepatic lobule or segment. We report six patients with localized Caroli disease, three in the right and three in the left hepatic lobule, that were subjected to a hepatic resection.

[Common bilio pancreatic channel syndrome in adults].

Background: The Common Channel Syndrome (CCS) is defined as the union of the biliary and pancreatic ducts outside of the duodenal wall with a common duct more than 15 mm long. It is classified morphologically in types 1 and 2, whether it is the biliary or the pancreatic duct the one that predominates. CCS is uncommon in Western countries.

[Prevalence of depression in hospitalized patients over 65 years old in a medical service of the Military Hospital of Santiago].

Aim: To study the frequency of depression in elderly patients admitted to the Internal Medicine Service of an Institutional Hospital.

Patients And Methods: Patients over 65 years old admitted to the Internal Medicine Service of the Military Hospital at Santiago. Chile were assessed using the CDS-20 depression questionnaire and the FROMAGE score for dementia.

[The clock test: a simple method to assess dementia].

Aim: to validate an easy and simple test to measure cognitive function: the clock drawing test.

Study Design: 138 hospitalized and free living elders (96 female, mean age 77.9 years) were studied.

[Acute fatty liver of pregnancy: 2 clinical cases].

The clinical evolution and the laboratory pattern of two patients with histopathologically confirmed fatty liver of pregnancy is described. Both babies were delivered vaginally after oxytocic induction and the mothers recovered completely during the puerperium. There was one fetal death in labor secondary to severe abdominal vascular malformation.

[Verrucous carcinoma in the cervix uteri. Report of a case].

One observed case of verrucous carcinoma involving the uterine cervix is presented. Both clinical and pathologic aspects, and pertinent literature are discussed.

[Early puerperium rooming-in: an alternative of optimization of maternal-child care].

The observation that in Chilean Maternities, newborn infants are separated from their mothers during their first hours of life, originated this experience, destined to strengthen the early and permanent mother-infant bonding, where both of them were attended by the same assistant nurse, in a joined observation room. The influence of this method on the neonatal cardiorespiratory adaptation, as well as the initial moment of the lactation, was evaluated. In three groups of healthy newborn infants, full term newborn infants appropriate for gestational age (250), full term newborn infants small for gestational age (94) and preterm newborn infants (38), both vital signs and the initial moment of lactation were registered, during the first hours of life, period in which they remained with their mothers.

[Feeding of healthy premature infants with milk of their own mothers].

An experience of feeding healthy premature infants (< 1,800 g) on their mother's milk is communicated. Feeding starts at an early time (15 hours); achieving maximum volumes at the 12th day. Loss of weight is 10% less than the birth weight and recovery occurs at the 12th day.

[Diagnostic and therapeutic laparoscopy in gynecology: analysis of the first 100 cases in the Hospital Parroquial de San Bernardo].

The first hundred laparoscopies carried out in the "Hospital Parroquial de San Bernardo", between november 1986 and june 1988; were evaluated. The indications for the procedure were: 38% study of infertility, in which a 78% of tubal obstruction or adherencial syndrome was demonstrated; 37% because of ectopic pregnancy, with a diagnostic correlation of 48.6%.