Biomedical subjects

Carlos Moreno-Sanz

Publications and source records attributed to Carlos Moreno-Sanz.

3 recordsLinked to original sources

PubMed2006

[Intestinal perforation secondary to impaction of a retained endoscopic capsule].

We present the first documented case of intestinal perforation due to impaction of an endoscopic capsule. The capsule was used to investigate anemia in an 80-year-old woman and was retained in the intestinal lumen for 2 months without producing symptoms. The patient presented to the emergency service with sudden, intense, diffuse abdominal pain. Hollow viscus perforation was suspected and surgery was performed. The diagnosis was distal ileum perforation secondary to an impacted endoscopic capsule in an area of severe postsurgical adhesions under a subcostal cholecystectomy incision performed 10 years previously. After reviewing the literature, we believe it important to report this exceptional complication of capsule endoscopy and suggest the possible management of capsules retained in the digestive tract.

Aged, 80 and over↗

PubMed2006

Experience with a Spanish-language laparoscopy website.

INTRODUCTION: Although there are no clearly defined electronic tools for continuing medical education (CME), new information technologies offer a basic platform for presenting training content on the internet. Due to the shortage of websites about minimally invasive surgery in the Spanish language, we set up a topical website in Spanish. MATERIALS AND METHODS: This study considers the experience with the website between April 2001 and January 2005. To study the activity of the website, the registry information was analyzed descriptively using the log files of the server. To study the characteristics of the users, we searched the database of registered users. RESULTS: We found a total of 107,941 visits to our website and a total of 624,895 page downloads. Most visits to the site were made from Spanish-speaking countries. The most frequent professional profile of the registered users was that of general surgeon. CONCLUSION: The development, implementation, and evaluation of Spanish-language CME initiatives over the internet is promising but presents challenges.

Internet↗

PubMed2005

[Laparoscopic appendicectomy and pregnancy. Personal experience and review of the literature].

INTRODUCTION: Pregnancy has been considered to be an absolute contraindication to the laparoscopic approach because of the theoretical effects of the pneumoperitoneum on the fetus and the occupation of the working space by the gravid uterus. Despite the growing literature on the subject, experience with frequent entities, such as acute appendicitis, is limited. OBJECTIVE: The aim of this study was to report our experience with laparoscopic appendicectomy in pregnancy, to review the scientific evidence available on the safety of this procedure, and to establish the most relevant practical features for the use of this approach during pregnancy. MATERIAL AND METHODS: We retrospectively reviewed six laparoscopic appendectomies performed in pregnant women. We also reviewed the available literature on well documented laparoscopic appendectomies during pregnancy. RESULTS: All the procedures were laparoscopically completed. The mean operating time was 46 min. All patients were discharged within the first 48 postoperative hours. There were no surgical complications. All patients delivered healthy infants with appropriate weight for gestational age. For the literature review, 17 references were collected that included data on 94 laparoscopic appendectomies performed in pregnant women. There was only one fetal death associated with the surgical approach and the overall fetal mortality rate was less than that classically registered in the literature for the open approach. CONCLUSIONS: Laparoscopic appendectomy in pregnant women is as safe and effective as the open approach and confers all the benefits of minimally invasive surgery.

Acute Disease↗