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J Cueto García

Publications and source records attributed to J Cueto García.

6 recordsLinked to original sources
PubMed1998

[Usefulness of the trans-umbilical incision in laparoscopic surgery].

Most surgeons induces pneumoperitoneum with the Verres' needle via an infra or a supraumbilical route; only a reduced group does it true the umbilicus. This paper reports the authors experience using the trans-umbilical route emphasizing its differences and advantages over the conventional umbilical approach. The files of our last 100 laparoscopic cholecystectomies performed in different hospitals were reviewed. Trans-umbilical route was used in 93 cases. Four patients were found to have an umbilical hernia with no content in its sac and it did not compromised the approach. In 7 cases the semi-open technique had to be used because of previous abdominal surgery. There were no major complications during the induction of the pneumoperitoneoum; no hematomas infections or post-operative umbilical hernias either, just a mild pneumopreperitoneum occurred in 5 patients. Trans-umbilical approach for pneumoperitoneum induction is useful, safe, easy to repair, has a low infection rate, and provide better cosmetic results; scar is almost invisible deep in the umbilicus. This approach has several advantages over the ordinary umbilical approaches by been cautious and by using the authors' technique, mini-invasive procedures can be initiated quick and safely.

Cholecystectomy, Laparoscopic↗
PubMed1994

Laparoscopic treatment of pancreatic serous cystadenoma.

A 69-year-old man with multiple medical pathology had a cystic neoplasm of the pancreas with obstructive symptoms and abdominal pain. Diagnosis and treatment were done by laparoscopy with total relief of symptoms. Sonograms every 3 months and a computed tomography scan performed 12 months after the procedure report no refilling of the cyst, and 18 months later the patient is free of symptoms. The last sonogram showed no changes. We consider laparoscopic diagnosis and treatment of serous cystadenoma of the pancreas to be a useful alternative in the management of this neoplasm.

Aged↗
PubMed1993

Double gallbladder treated successfully by laparoscopy.

A rare case of true duplication of the gallbladder is herein reported on a young male patient with other congenital abnormalities. Both gallbladders had unequivocal signs of chronic inflammatory disease and lithiasis. The patient was diagnosed preoperatively as having acute cholecystitis but the diagnosis of an accessory gallbladder was made only at the time of surgery. Emphasis is placed on the use of a complete cholangiographic evaluation before proceeding with the operation in order to prevent inadvertent damage to the biliary ductal system. The accessory gallbladder must then be removed to avoid an unnecessary reoperation. All of this can be accomplished readily by laparoscopic surgery.

Adult↗
PubMedDate not supplied

[Prevention of post appendectomy incision abscess with the use of polyvinilpyrrolidone iodine (prospective study)].

365 appendicectomy cases performed from 1972 to 1976 were studied prospectively. In 135 control cases the wound was not lavaged. In 102 cases the wound was lavaged with normal saline solution. En 108 cases the wound was lavaged with PVP-I. Wound abscess formation rate in the first group was 28.8%, in the second group was 21.35% and in the third group was 18.5%. Patients operated after 1974 and treated with PVP-I showed a 4.2% abscess formation. Morbility and mortality in appendicitis are best reduced if early diagnosis and surgical treatment are backed by a faultless technic.

Adolescent↗
PubMedDate not supplied

[Morbidity and mortality of appendicitis].

A retrospective analysis of the case histories of 238 patients who were hospitalized with acute appendicitis in the Clinical Hospital 60 of the Instituto Mexicano del Seguro Social from 1970 to 1971 revealed the following: 36% of the patients were operated in the earliest stage of acute appendicitis, 21.8% presented with perforated appendix and 32.6% with local and systemic septic complications. The group with perforated appendix presented most frequently with high levels of leucocytes and abscesses in incisions. All the cases of residual abscesses were found in this group and also two deaths were reported. It was interesting to find that routine drenage of the apendicectomy did in result in a decrease in local and systemic complications; in fact, they were found to be increased. Similarly it was found that the irrational use of antibiotics did not prevent abscess formation in the incision in the less seriously ill group and only served to confuse the clinical picture and impede the initiation of opportune treatment. Generally the diagnosis can be established from the clinical picture, but ocasionally it is necessary to operate in order to accurately evaluate the gravity of the lesion.

Acute Disease↗