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O Cortés

Publications and source records attributed to O Cortés.

10 recordsLinked to original sources
PubMed2006

[Complications of laparoscopic urological procedures].

Laparoscopic urology has evolved considerably during last decade as well as number and spectrum of surgical related complications. Experiences reported by laparoscopic trained groups allow preventing, promptly recognizing, and safe and efficient management of the laparoscopic related complications. We present our complications in all patients undergoing urological laparoscopic procedures from November 1992 to June 2005. A literature search was conduced to evaluate complications of every laparoscopic procedure.

Humans↗
PubMed2006

[Complications in laparoscopic nephrectomy].

OBJECTIVE: To report the complications and their respective management in our series of laparoscopic nephrectomy. MATERIAL AND METHODS: Between November 1992 and March 2004, 319 patients underwent laparoscopic ablative renal surgery: 152 were women and 167 were men, mean age was 45 years (range: 0,5-82 years). There were 70 radical nephrectomies, 16 radical nephroureterectomies, 63 partial nephrectomies, 124 simples nephrectomies, 15 simples nephroureterectomies, 8 heminephrectomies and 23 living donor nephrectomies. RESULTS: The complication rate was 5.64%. The most frequent complications were bleeding (2.5%) and retroperitoneal haematoma (1.2%). There was not statically difference in complications rate by age, sex, or approach via: transperitoneal versus retroperitoneal. Complication rate was alike with laparoscopic or hand assisted technique. There was not mortality in the series. CONCLUSIONS: We have a low complication rate in laparoscopic nephrectomy. We believe that laparoscopy is a safe technique for patients that require ablative renal surgery when the surgical team has experience in advanced laparoscopic surgery.

Adolescent↗
PubMed2006

[Laparoscopic surgery in the treatment of adrenal pathology: experience with 200 cases].

OBJECTIVE: We report our experience in laparoscopic adrenalectomy, after adopting the laparoscopic technique for 10 years as a primary option for suprarenal surgery. METHODS: We included 200 laparoscopic adrenal surgeries performed consecutively in 183 patients with surgical adrenal pathology between November 1994 and November 2005. Sixty-seven (36.6%) patients were male and 116 (63.4%) were female, with an average age of 49.1 years (age range 8 months to 78 years). RESULTS: The most frequents clinical diagnosis were hyperaldosteronism (17.5%), metastatic cancer (15.8%), pheochromocytoma (15.3%), Cushing syndrome (7.1%), adrenal cyst (4.9%) and myelolipoma (2.7%). A total of 164 total adrenalectomies, 29 partial adrenalectomies and 7 marsupializations of adrenal cysts were performed. Mean surgical time was 82.6 minutes (range 25 to 240 minutes) and mean hospitalization time was 2.5 days (range 1-10 days). The size of the suprarenal gland and/or tumor varied between 1 and 14 cm (average 5.6 cm). The rate of complication was 6%. In 8 of the patients, there was another laparoscopic procedure besides the adrenal surgery: cholecystectomies (2), marsupialization of a renal cyst (2), block nephrectomy (2), partial nephrectomy for a tumor (1) and pancreatic cystectomy (1). One patient underwent a right laparoscopic adrenalectomy and an ipsilateral percutaneous nephrolithotomy. CONCLUSION: The accumulated experience with 200 laparoscopic adrenal procedures has allowed the management of endocrine pathologies, such as, aldosteroma, pheochromocytoma, Cushing syndrome and rare entities, such as, cysts, myelolipomas in a suitable manner. Additionally, it has permitted us to extend the benefits of a minimally invasive procedure for large adrenal masses and selected oncology cases.

Adolescent↗
PubMed2004

Bond strength and micro morphology of a self-etching primer versus a standard adhesive system with varying etching times in primary teeth.

AIMS: These were to firstly evaluate the shear bond strength of a composite resin to primary dental enamel treated with a standard adhesive system but with varying phosphoric acid etching times along with a self-etching prime, secondly to analyse the etching patterns using SEM. METHODS: Forty primary molars were used. In the first three groups, following acid etching, a layer of Prime & Bond NT adhesive was employed, and in group 4 the self-etching adhesive system (Prompt-L-Pop) was used. A composite cylinder (Spectrum, Denstply, Germany) was then applied. After processing of the samples, the teeth were subjected to shear stress using an Instrom universal machine. The study of primary enamel morphology after etching for different time periods and using different etching systems was carried out with a scanning electron microscope. STATISTICS: Data were analysed using one way ANOVA, followed by Scheffé, test to determine differences between groups. RESULTS: In the groups subjected to acid etching for 5 and 15 seconds significant differences were recorded versus the self-etching group (p<0.0001). Regarding the SEM study of primary enamel morphology, there was predominately a clear and marked type 2 etching pattern. CONCLUSIONS: Longer acid etching times for primary enamel do not appear necessary, as 15 seconds suffice to obtain retentive etching patterns, and the bonding strengths obtained with the traditional etching technique followed by two-step adhesive application are sufficient to ensure good composite resin bonding to the enamel surface. However, the self-etching adhesive system employed yields less than optimum bonding strength to primary enamel surfaces.

Composite Resins↗
PubMed2003

The acute nephrotoxicity of systemically administered formaldehyde in rats.

AIM: The purpose of this study was to assess the acute nephrotoxicity of formaldehyde, as it is believed to be the toxic component of formocresol. METHODS: A sample of 24 Sprague-Dawley rats was used in the study and divided into 3 groups of 8 rats each. The following procedures were performed: group A) formaldehyde equivalent dose to 20 pulpotomies, injected into the main vein of each rat's tail; group B) formaldehyde equivalent dose to 100 pulpotomies injected; group C) control group with a saline solution injected. Blood analyses were performed after 24 and 48 hours to assess urea and creatinine levels. Urine samples were taken after 24 hours to analyse for LDH protein levels. Rats were sacrificed after 48 hours and histology samples of renal tissue were studied for any pathological defects. RESULTS: Evaluation of histological samples of kidney tissue did not show any inflammation or other tissue lesions. No significant differences were found, using an ANOVA test procedure, among the variables of LDH protein or creatinine levels after 24 and 48 hours. Significant differences were found between the levels of urea and creatinine after 48 hours between the control group and the other test groups. CONCLUSION: The use of formaldehyde at the usual clinical doses or with an amount equivalent to 100 pulpotomies did not produce renal tissue damage and the blood and urine factors analysed did not show significant changes after 48 hours in the experimental model used.

Animals↗
PubMed2000

Pulpal evaluation of two adhesive systems in rat teeth.

Formocresol is the agent most frequently used with pulpotomies in primary teeth, but its use is currently under discussion in regard to its possible toxic effects. Some current works suggest the use of dentinal adhesives in cavities with minimal dentinal thickness and even in small pulpal exposures. Our objective was to evaluate pulpal response to the application of two dentinal adhesives Syntac and Prime & Bond NT in pulpal exposures in rat teeth. Sprague Dawley rats were used, male, 150 to 200 gm in weight. The maxillary first molar, left and right, was employed in each case, a total of twelve teeth. Duration of the study was 45 days. Sections were evaluated using a light microscope in order to determine pulpal response to the two adhesives. In both groups the persistence of chronic inflammation was associated with the absence of dentinal bridges in the affected specimens. Areas of necrosis and absence of regularity of the odontoblastic layer could also be seen.

Animals↗
PubMed1993

Slow, gradual external fixation distraction for treatment of postburn knee flexion contracture.

Although surgical release and reconstruction have been used extensively to treat severe postburn knee flexion contractures, the degree of correction is sometimes unsatisfactory, and the procedure is not exempt from significant complications. Based on the principle of slow, gradual external fixation distraction, we have designed a triangular articulated frame to be mounted with the ASIF-BM fixator to deal with joint flexion contractures. One successfully treated patient is reported. This is a percutaneous surgery, with very mild aggression to the patient and very low iatrogenic risks. The technique is easy, the degree of correction may be almost complete, and the hospital stay is very short because it is an ambulatory surgery.

Burns↗
PubMedDate not supplied

[Lumboscopic drainage of retroperitoneal abscess. Case report].

Existing reports evaluate the management of infected pancreatic necrosis. Most of the authors choose between percutaneous and retroperitoneoscopic drainage. The high morbidity and mortality of this pathology distorts the objective evaluation of the treatment employed. With present a case of infected pancreatic collection favorably resolved with retroperitoneoscopic drainage evidencing the low morbidity of this technique.

Abscess↗
PubMedDate not supplied

A comparison of the bond strength to enamel and dentin of two compomers: an in vitro study.

The aim of this study was to evaluate the bond strength of two resin-reinforced glass ionomer cements to etched and unetched enamel and to dentin. Thirty-six noncarious human premolar teeth were used. Flat buccal and lingual surfaces were prepared. Dyract and Compoglass were used. The teeth were distributed at random into six groups of six teeth each. The materials were handled according to manufacturers' instructions. In groups 1 and 3 the enamel was etched with 37 percent phosphoric acid. All samples were sheared with an Autograph AG5 machine at a crosshead speed of 0.5 mm/min. Two way ANOVA and comparison with the Tukey test were used to evaluate the results. These showed that on etched enamel Dyract had a significantly higher bond strength (p = 0.02); on unetched enamel Compoglass had a statistically higher bond strength (p = 0.003), and on dentin the materials provided the same bond strength. Overall, disregarding surfaces, there was no difference between the two materials.

Acid Etching, Dental↗