British Hospital

About: British Hospital is a healthcare organization based out in Montevideo, Uruguay. It is known for research contribution in the topics: Population & Hazard ratio. The organization has 445 authors who have published 358 publications receiving 7878 citations. The organization is also known as: British Hospital.

Survey of professionals on breast cancer, fertility preservation and pregnancy in Argentina

Abstract: Introduction Medical knowledge regarding preservation of fertility and pregnancy in patients with breast cancer (BC) is of interest We, therefore, decided to conduct a survey on this issue among professionals involved in the treatment of BC in Argentina Materials and methods A survey was conducted and sent by email to 3,412 contacts in the Argentine Mastology Society (Sociedad Argentina de Mastologia, or SAM) database, with responses from 396 physicians The survey design was based on the Lambertini 2017 survey To the author's knowledge, it is the first Argentine survey to address this issue Results The frequency with which the impact of cancer treatment on the fertility of young patients was addressed by the respondent and referred to a fertility specialist was 'always' and 'almost always' in 868% and 785% of cases, respectively Conclusions The level of knowledge is comparable to the data presented by other surveys Membership in a Mastology Unit was associated with more current treatment Continued work on the training of professionals is necessary to facilitate communication, information and guidance of patients of childbearing age who are going to have cancer treatment in order to advise them on fertility preservation, as well as the possibility of pregnancy after diagnosis of BC, and to be able to provide better care to those with BC associated with pregnancy

Laparoscopic Management of Bouveret’s Syndrome after Failed Endoscopic Approach

Abstract: Bouveret's syndrome is a complication of cholelithiasis that presents with gastric outlet obstruction due to an impacted gallstone in the duodenum following cholecystoduodenal fistula. This is a rare presentation of biliary-enteric fistula; therefore, there are no standardized guidelines for the management of this disease. We present a case of a patient with Bouveret's syndrome managed with laparoscopic surgery after an unsuccessful attempt of endoscopic removal.

The scapholunate ligament complex.

Abstract: Although the full pathogenesis of the Scapholunate Ligament-Complex (SLLC) is not yet completely understood and remains a challenging subject, one must consider that a great deal of progress has been made in the recent past, on the comprehension of the different stages of its lesion, and by consequence, on the treatment options available. It also an unavoidable truth, that wrist arthroscopy brought about a clear and sound knowledge of the precise dimension and pattern of the intercarpal lesions, contributing to improved and more accurate classification systems that permit a better definition between attenuation versus instability and the appropriate proposed treatment for its resolution. The excellent articles included in this issue of the Journal of Wrist Surgery, show us that the move is on its way, and the all inside arthroscopic procedures for dorsal/volar or combined SLIL repairs are very promising techniques for the early stages, taking into account the short term results of these procedures. In my view, and if one takes into consideration the importance of wrist proprioception, based on the brilliant work of Elisabeth Hager (Karolinska Institute) and Richard Berger (Mayo Clinic), on the importance of the mechanoreceptors on carpus reflexes, one must believe that arthroscopic procedures may be have a great, beneficial contribution on the preservation of the integrity of these receptors and on the final, expected result. To put it another way, open reconstructive techniques are of great value for more advanced lesions affecting all SLLC, knowing that the carpus disorganization has progressed in such way that a multiple ligament approach for carpus anatomy repositioning and function, is imperative. In this respect, and due to the magnitude of these reconstructive procedures, residual limitations are expected as far as range of wrist movement is concerned, although a good subjective result is generally obtained. In closing, and knowing that in principle we are in the presence of a progressive lesion, I would like to emphasize the importance of an early diagnosis of an SL lesion. The wrist societies should address the first line on the attendance of wrist injuries, namely traumatology centers, general orthopedic and plastic surgeons, that a minor wrist sprain or a wrist ganglion might be the initial sign of a SL lesion, and a referral to a wrist center, at the appropriate time, might make the all difference between an all inside arthroscopic procedure for an attenuation lesion and an open reconstructive, or even salvage procedure, for an irreversible SLAC wrist. This is a combined work, which we must make together.