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V Díaz-Hellín Gude

Publications and source records attributed to V Díaz-Hellín Gude.

5 recordsLinked to original sources
PubMed2004

[Octreotide for conservative management of postoperative chylothorax].

Postoperative chylothorax after lung resection is a major problem leading to morbidity and mortality and requiring reoperation in a large number of cases. The most advisable and least aggressive option is conservative management in progressive stages: a diet rich in medium-chain fatty acids and/or total parenteral nutrition, in addition to chest tube drainage. Including octreotide in this regimen seems to be related to a higher success rate without the need for surgery. We report a case in which the effectiveness and safety of octreotide in the resolution of postoperative chylothorax was excellent.

Aged↗
PubMed1999

[Technical complications in the surgical inspection of the mediastinum in the staging of cancer of the lung].

Between January 1974 and December 1996 we performed exploratory surgery (mediastinoscopies/mediastinotomies) on 1,618 patients diagnosed of bronchogenic carcinoma who were considered functionally operable and whose cancer was believed to be resectable. Findings were positive in 26%. Thirty-four (2.1%) complications were encountered, with a significantly higher incidence of complication among those for whom the results of exploratory surgery were positive (p = 0.004) as follows: only 13 cases (0.8%) of significant bleeding; 12 cases (0.74%) of recurrent left nerve palsy (0.74%), 4 (0.25%) subcutaneous wound infections; 3 cases (0.18%) of pneumothorax; 1 (0.06%) perforated esophagus; and 1 case (0.06%) of chylomediastinum. The rate of morbidity associated with exploratory surgery was within the range reported in the literature. No deaths occurred. Mediastinoscopy, in our experience, is the most effective way of staging mediastinal ganglia. Provided the procedure is performed carefully by experienced surgeons, the risk of complication is minimal.

Adult↗
PubMed1997

[Surgical diagnostic procedures in superior vena cava syndrome].

We evaluate surgical risk and efficacy in a series of 29 patients referred to us over a 22-year period with diagnoses of superior vena cava syndrome (SVCS) requiring surgical removal of histology specimens. We did 34 procedures: 23 mediastinoscopies, 6 mediastinotomies, 2 thoracotomies, 2 sternotomies and 1 Daniel's biopsy procedure. Mean surgical time was 88 minutes. There were no serious surgical complications and no deaths. Histological diagnoses (27 malignant and 2 benign) were obtained for all patients. The efficacy of mediastinoscopy was 82.6% whereas the efficacy of mediastinotomy was 66.6%. We believe that diagnostic surgical procedures in patients with SVCS are safe and effective. The use of blind radiation therapy is unjustified, given that some patients present benign processes or malignant ones that are more responsive to chemotherapy. Moreover, subsequent histologic confirmation can be made more difficult after blind radiation.

Adolescent↗