[Cell saver].

The blood retrievers are instruments increasingly used in operating rooms. They are especially useful in operations where there is a high risk of bleeding and transfusion requirements are high. In paediatrics is of great importance in complex interventions in order to avoid allogeneic transfusion (blood collected from donors).

[Robotic surgery: first pediatric series in Spain].

Objectives: Despite several surgical robots operating in Spain, the experience in pediatric pathology is limited. We found interesting to review the first full pediatric series in our country. We would like to share as well our views on the transition from conventional to robotic laparoscopy.

Complete pathological remission in a patient with hormone-receptor positive and c-erbB-2 expression-negative breast cancer treated with FAC chemotherapy during pregnancy.

We describe the case of a pregnant woman diagnosed with breast cancer at 26 weeks' gestation. The tumor was positive for estrogen and progesterone receptors and negative for overexpression of c-erbB-2 protein. Neoadjuvant FAC (fluorouracil, adriamycin, cytoxan) chemotherapy was started at 29 weeks' gestation.

[Anesthesia for cesarean section in a patient with recessive dystrophic epidermolysis bullosa].

Recessive dystrophic epidermolysis bullosa is inherited as a rare autosomal disorder which causes blisters to form in the skin. We describe the treatment of a 39-year-old parturient with this condition. She was scheduled for elective cesarean section at 37 weeks' gestation.

[Psycho-pathological disturbance in HIV-AIDS patients].

Since it began, HIV infection has been closely related to psycho-pathological disturbances, either upon knowing the diagnosis, an adaptive disturbance, due to the virus itself, AIDS associated dementia or organic psychosis, due to the appearance of opportunistic diseases such as encephalitis, or due to the existence of collateral problems which include drug addiction or personality disturbances due to being marginalized. Diverse studies show a prevalence of mental disturbances among HIV positive patients, including the abuse of addictive substances, which have rates near 50%, rates much higher than those expected among the general population. The authors determine the prevalence of psychiatric morbidity among our patients, as well as possible factors which can be associated with the development of the aforementioned mental disturbances by means of a prospective study on HIV positive patients treated by our service between December 2007 and April 2008.

Effect of an ibuprofen-releasing foam dressing on wound pain: a real-life RCT.

Objective: To compare an ibuprofen-releasing foam dressing (Biatain Ibu, ColoplastA/S) with local best practice in the treatment of painful exuding wounds.

Method: In this large-scale randomised comparative study, 853 patients were randomised to either ibuprofen-releasing foam (test) dressing (n=467) or local best practice (n=386). Primary endpoint was wound pain relief from day 1-7, assessed by the patients twice daily using a five-point verbal rating scale.

[Late pathology advances in the diagnosis and prognosis of prostate cancer].

This review article presents the late advances in the pathologic diagnosis of prostate cancer, new concepts and predictive factors, emphasizing the new biomolecular markers in prostate cancer.

[Bone mineral density evaluation: a new tool for the urologist].

Objectives: To familiarize the urologist with the various diagnostic tests currently available for bone mineral density measurement, as well as to perform an update on bone mineral densitometry.

Methods: We review the currently available methods for the evaluation of bone mineral density, with special focus on dual energy X-ray ab-sorptiometry (DXA), considered the standard technique for the diagnosis of osteoporosis. We also review the role of peripheral densitometry and the use of ultrasounds for the evaluation of bone mass status.

[Peripheral access venous catheter].

The author reviews the classifications of different peripheral access venous catheters, analyzing the criteria to select each type of catheter, their indications for use, and the advantages and inconveniences of each one.

Decreased MMP-9 production in primary progressive multiple sclerosis patients.

Background: An increase in MMP-9 levels has been found in relapsing-remitting (RR) multiple sclerosis (MS) showing correlation with magnetic resonance (MR) parameters mainly during relapses. However, data regarding primary progressive (PP) MS is scarce.

Objectives: To determine both the pro and active forms of MMP-9 in PPMS and transitional progressive (TP) MS, RRMS and healthy controls (HC), and to assess the relationship between MMP-9 levels and clinical and radiological variables in PP/TPMS.