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F Hidalgo

Publications and source records attributed to F Hidalgo.

At least 37 records · Page 2Linked to original sources
PubMed1995

[Reduction of the need for blood derivatives in liver transplantation using aprotinin].

OBJECTIVES: To evaluate the efficacy of aprotinin in reducing the need for blood products in orthotopic liver transplantation. PATIENTS AND METHODS: Blood product needs and coagulation test results were studied in 42 adults with cirrhosis of the liver who received orthotopic liver transplants. The first 16 liver transplants carried out without aprotinin (control group) were compared with the next 26 consecutive transplant patients who received aprotinin. Each of the first 9 received a loading dose of 2 million units that was followed by the infusion of half a million units per hour until the end of surgery. The next 17 received the same infusion dose at the same rate but no loading dose. RESULTS: Patients who received aprotinin required fewer transfusions of blood products (5.3 units of packed red blood cells as opposed to 13 units; 9 units of fresh frozen plasma versus 14.6 units; 1.7 units of platelets versus 4.2 units; and 3.8 units of cryoprecipitates versus 8.8 units). We observed a marked reduction of fibrinolysis (less increase in D dimers after removal of the liver when aprotinin was used. CONCLUSIONS: Prophylactic use of aprotinin during surgery has a beneficial effect on hemostatic mechanisms, reducing the need for blood products. A reduction in fibrinolysis seems to contribute to this effect.

Adult↗
PubMed1995

[Capillary testicular hemangioma: a case report].

Testicular tumors in infants are rare and most of them are malignant. Hemangioma of the testis is an extremely rare tumor in infants. We report on an intratesticular capillary hemangioma that appeared in a 10 month-old child subsequently undergoing orchidectomy and on the patient's evolution at 4 years. The histological characteristics showed proliferation of small blood vessels, lined with endothelial cells. Mitoses and atypias were not found. Permitting differential diagnosis with other vascular tumors: Masson's vegetant intravascular hemangio-endothelioma and angiosarcoma.

Capillaries↗
PubMed1994

Heart rate increases in patients with growth hormone receptor deficiency treated with insulin-like growth factor I.

Cardiac function was measured in 16 prepubertal Ecuadorean patients with growth hormone receptor deficiency given insulin-like growth factor I (IGF-I) during part of a clinical trial. The IGF-I was given subcutaneously twice daily at a dose of 40 micrograms/kg on days 1 and 2, 80 micrograms/kg on days 3 and 4, and 120 micrograms/kg thereafter. Heart rate was determined at baseline (pretreatment) and on days 1-7 by repeated palpation of the radial artery and at baseline and on days 2, 4 and 7 by continuous portable Holter monitoring. Heart rate measured by both methods rose progressively with increasing doses of IGF-I. The mean palpated pulse exceeded baseline on each treatment day and was significantly higher on day 5 than day 4 and significantly higher on day 3 than day 2. The mean Holter heart rate was significantly higher on day 4 than on day 2 and significantly higher on day 2 than at baseline. Non-significant glucose and electrolyte changes did not appear to be associated with the cardiac events.

Adolescent↗
PubMed1994

Randomized study of aprotinin and DDAVP to reduce postoperative bleeding after cardiopulmonary bypass surgery.

BACKGROUND: Patients on cardiopulmonary bypass (CPB) have an increased susceptibility to postoperative bleeding. Previous reports using desmopressin acetate (DDAVP) for the prevention of postoperative bleeding have given contradictory results, whereas the protease inhibitor aprotinin has been shown to reduce blood loss after this type of surgery. This randomized study was performed to assess the efficacy of DDAVP versus aprotinin in the prevention of bleeding after CPB. METHODS AND RESULTS: One hundred nine of 122 eligible patients were randomized to four different groups: Group A (n = 28) received aprotinin starting with a bolus of 2 x 10(6) KIU followed by a continuous infusion of 0.5 x 10(6) KIU/h until the end of surgery; group B (n = 25) received of DDAVP 0.3 micrograms/kg i.v. on completion of CPB; group C (n = 28) received two doses of DDAVP, the first as in group B and an additional dose 6 hours after surgery; group D (n = 28) received no treatment. There was a marked reduction of postoperative blood loss either at 12 hours (P < .01) or 72 hours (P < .02) in the aprotinin group compared with all other groups, whereas no significant effect was observed in either of the two DDAVP regimens. A significant reduction in the amount of blood used was observed only in the aprotinin group (P < .01). Of the plasma fibrinolytic components assayed, there was a significant reduction of the fibrin degradation product generation in the aprotinin group (P < .001), whereas a significant systemic hyperfibrinolysis was observed in both DDAVP-treated groups and the control group. No side effects related to the study drugs were observed in any patient. CONCLUSIONS: Aprotinin inhibited fibrinolysis; this correlated with a significant reduction of postoperative blood loss and need for blood replacement after CPB. Neither one nor two doses of DDAVP had a beneficial effect. Aprotinin offers a better alternative than DDAVP in the prevention of bleeding after CPB.

Aprotinin↗
PubMed1992

Cerebral cysticercosis and stroke.

BACKGROUND AND PURPOSE: In 1985 we initiated a protocol for examining the relationship between cerebral cysticercosis and stroke. METHODS: In 420 stroke patients admitted to our department, our standard protocol of tests included blood tests, cardiac investigations, angiography, and immunologic cerebrospinal fluid measures. We assessed the following possible risk factors: arterial hypertension, diabetes, cardiopathy, high levels of cholesterol and triglycerides, smoking, alcohol abuse, and cerebral cysticercosis. RESULTS: Of the 420 patients with stroke, we found cerebral cysticercosis in 31, five of whom were greater than 65 years of age and 26 of whom were less than or equal to 65 years. We determined that cerebral cysticercosis was the only possible risk factor for stroke in one of the five older patients and 15 of the 26 younger and middle-aged patients. Cortical infarctions were found in five of the 31 patients, with cerebral cysticercosis and lacunar infarctions in nine of these patients. One patient had intracystic hemorrhage. In 16 cases, neurological deficit was related to single or multiple cysts, colloids, granulomas, diffuse lesions, or pericystic edema. All patients with cerebral cysticercosis quickly recovered from their neurological deficit, except one who had a hemorrhagic cyst and died and another who remained disabled. CONCLUSIONS: We established that, in patients with neurocysticercosis, occlusion of the small cortical or penetrating vessels at the base of the brain caused by arteriopathy was the most common mechanism of the stroke. Moreover, there is a probable association between cerebral cysticercosis and the susceptibility to stroke, particularly among young and middle-aged patients.

Adolescent↗
PubMed1991

Case report: uncommon radiological and pathological features of giant colonic diverticula.

A case of multiple giant sigmoid diverticula is described in which a barium enema revealed two giant diverticula communicating with the sigmoid lumen. Both diverticula were located on the mesenteric border of the sigmoid colon, and histologic examination showed mucosal and serosal layers with no evidence of smooth muscle. The pathogenesis, pathology, radiological manifestations and differential diagnosis of this rare condition are discussed.

Aged↗
PubMed1991

[Gigantic diverticulum of the colon. A complication of diverticulosis?].

We present a patient affected of diverticular disease of the colon, with diverticulosis and two giant diverticula of the sigma, both located at the mesenteric edge. We would like to stress the low incidence of reports about this entity in the medical literature, its uncommon location and the fact of a double lesion coinciding in a single patient. We discuss the most important nosocomial aspects and the different diagnoses. Finally, we support the idea of distinguishing three different entities that in the medical literature are usually unified as a single "giant diverticulum of the colon". We reaffirm ourselves on the importance of an early diagnosis and a correct indication for surgery.

Aged↗
PubMed1990

[Simultaneous transvesical adenomectomy and pre-peritoneal hernioplasty].

Fifty-three patients submitted to simultaneous treatment of prostatic disease and herniorhaphy are analyzed herein. These patients underwent 64 herniorhaphy procedures utilizing the Nyhus technique, approximating the inferior border of the transverse muscle aponeurosis to Cooper's ligament for direct hernia repair and narrowing the deep inguinal ring with interrupted sutures between the upper border of the deep inguinal orifice and the iliopubic ligament. A recurrence rate of 16.9% was observed relative to the number of patients and 14% relative to the number of hernioplasty procedures. Recurrence presented at 2 years in 8 cases (88.8%); only 1 patient had recurrence at 10 years. Since the pathologic conditions were corrected in 86% of the patients with one anesthetic and surgical procedure, this approach is advocated because it reduces operative morbidity.

Aged↗
PubMed1984

Enhancement of maximal bilirubin excretion by bile salts in the anaesthetized rabbit.

The influence of glycodeoxycholate, taurocholate and dehydrocholate on the maximal hepatic excretion of bilirubin was investigated in rabbits anaesthetized with sodium pentobarbitone. Biliary secretion of dehydrocholate was much less than that of the other two bile salts, which could be explained by its metabolism in the hepatocytes. Glycodeoxycholate and dehydrocholate had a greater choleretic effect than taurocholate. Only glycodeoxycholate and taurocholate increased the secretion of biliary lipids, suggesting that dehydrocholate or its metabolites were unable to form micelles. All three bile salts, however, increased maximal bilirubin excretion to a similar extent. These results indicate that the action of bile salts on the excretion of bilirubin cannot be fully explained in terms of binding to mixed micelles.

Anesthesia, General↗
PubMed1984

A comparison of the effect of bile salts on maximal hepatic excretion of certain organic anions in the rabbit under urethane and pentobarbitone.

The influence of two different anaesthetics, sodium pentobarbitone and ethyl urethane, on the enhancement of maximal bilirubin and bromosulphthalein (BSP) excretion induced by bile salts was investigated in rabbits. Two micelle-forming (glycodeoxycholate and taurocholate) and one non-micelle-forming (dehydrocholate) bile salts were used. Under urethane anaesthesia the bile flow was lower than with pentobarbitone, and this could be attributed to a smaller bile salt non-dependent fraction of secretion. The effect of bile salts on the maximal excretion of the two organic anions appeared more clearly related to some kind of micelle interaction in rabbits anaesthetized with urethane than in pentobarbitone-anaesthetized animals. Thus, under urethane, infusions of glycodeoxycholate substantially increased the maximal excretion of bilirubin and BSP, taurocholate exerted an intermediate and dehydrocholate only a small effect. Under pentobarbitone, however, the augmenting action of all three bile salts was similar. The influence of bile salts on the endogenous excretion of bile pigments in experiments in which the test anion was BSP showed corresponding differences dependent upon the anaesthetic used. Possible explanations for those results are discussed.

Anesthesia, General↗
PubMed1984

Choleretic response to hydrocortisone in the rabbit.

The influence of i.v. infusion of hydrocortisone sodium succinate on basal biliary secretion and maximal hepatic excretion of bilirubin was investigated in pentobarbitone anesthetized rabbits. Hydrocortisone caused an increase in bile flow and electrolyte secretion in basal conditions. When it was infused after a maximal load of bilirubin, its choleretic effect disappeared and the maximal excretion of bilirubin was not modified. Our data suggest that the effect of hydrocortisone on bile flow and composition takes place at canalicular level and is not directly related to the secretion of bile salts.

Animals↗
PubMed1984

[Segmental dilatation of the ileum].

Three cases of segmental dilatation of ileum surgically are presented. Authors have reviewed medical literature since the first case reported in 1959, and have been able to collect 33 cases. Although it is considered an identical entity involving either colon or small bowel, clinical picture and age of presentation are different. Cases involving the colon have a clinical picture very similar to that of Hirschsprung's disease, usually appearing in the lactancy or later on. Cases involving ileum or jejunum usually are manifested as a neonatal bowel obstruction. Pathological examination shows a bowel wall with all his layers as well as a normal ganglion cells. Surgical resection of dilated intestinal segment is curative.

Dilatation, Pathologic↗
PubMed1983

Effect of biliverdin and bilirubin on the hepatic excretion of bile pigments in the rabbit.

1. A study has been carried out on the effect of i.v. infusion of biliverdin and bilirubin at four different dose strengths in sodium pentobarbital-anaesthetized rabbits. 2. Both pigments show similar values for the maximum excretion rate in bile. 3. At doses of 0.45 and 0.60 mg/kg/min, the infusion of biliverdin does not affect bile flow in the resting state, contrary to the negative effect on flow induced by bilirubin. 4. This negative effect induced by bilirubin on bile flow is explained on the basis of its inhibitory action on the bile salt independent fraction (BSIF).

Animals↗