Objetivos: Determinar la sensibilidad y especificidad de la RMN trifásica con gadolinio en la detección de hepatocarcinoma en pacientes cirróticos que fueron a trasplante hepático y su correlación con los hallazgos del estudio patológico del explante hepático. Métodos: Estudio retrospectivo de pacientes con cirrosis y hepatocarcinoma a los que se les realizaron trasplante hepático con donante cadavérico. Resultados: De los 76 trasplantes hepáticos, 29 pacientes presentaban hepatocarcinoma y cirrosis hepática. La RMN detectó el 80.95% de la hepatocarcinoma activos, encontró 25 nódulos (32.1%) y no detectó 53 nódulos (67.9%) de los 78 nódulos con hepatocarcinoma encontrados en el estudio patológico del explante hepático. La sensibilidad de la RMN fue de 32% y la especificidad del 75%. El diámetro promedio del nódulo detectado fue de 16.28 mm ± 13.82 mm y no detectado...

La hepatitis aguda fulminante lleva al fallo hepático agudo, que es una enfermedad multisistémica, con afectación severa de la función hepática de aparición aguda, con o sin encefalopatía debido a una necrosis hepatocelular en un niño sin enfermedad hepática crónica reconocida, con una mortalidad de hasta el 80%. Se presenta un caso de una niña de 3 años con hepatitis aguda fulminante de pronóstico reservado, a la que se le realizó un trasplante hepático con donante vivo de urgencia y evolucionó favorablemente, además se detalla la técnica quirúrgica empleada. DOI: https://doi.org/10.25176/RFMH.v17.n3.1199

Hepatocarcinoma is the second cause of death in the world related to cancer and in our country we find patients with large liver tumors that are unresectable and are only tributaries of palliative treatments with little survival, however with an adequate selection of patients in teams multidisciplinary we can offer an extended hepatectomy to many of these patients, so we present the case of a young adult patient with hepatitis B and giant hepatocarcinoma to which we performed an extended left hepatectomy is disease free survival at 14 months after surgery.   DOI 10.25176/RFMH.v18.n4.1738  

Introduction: Our country has a high prevalence rate of hydatid cyst. The present study, was performed ina national reference center, and it is the first Peruvian study to compare the clinical and economic resultsof surgical techniques for the treatment of this disease. Objective: To compare the clinical and economicresults for laparoscopic surgery and open surgery in the treatment of hepatic hydatid cyst. Methods: Themedical records of all patients who underwent open partial cystectomy and laparoscopic partial cystectomy(2013-2015) were retrospectively reviewed. Morbidity, mortality, recurrence, operative time, length ofhospital stay, postoperative pain, and medical rest were evaluated. The costs per patient were found usingthe ABC costing system. Results: 22 patients were underwent open partial cystectomy (group 1) and 13underwent laparoscopic (group 2). There weren ́t differences in ...

Objective: To determine the level of the technical skills development of the medical student in performing surgical sutures through a virtual teaching model. Methods: A retrospective, descriptive and longitudinal study was carried out that evaluated some skills of 24 undergraduate medical students, without prior surgery knowledge to perform surgical sutures (simple and crossed interrupted suture) through virtual teaching of the course of surgical technique (virtual classrooms, synchronous videoconferences, inanimate and ex vivo simulation models and telementoring). Results: In relation to the simple interrupted suture, there was a significant improvement in the OSATS (objective structured assessment of technical skills) from 6 ± 0.28 to 28 ± 2.6 as well as the rubric of the finished suture from 5 ± 0.28 to 24 ± 1.5 and a decrease in the time to perform the suture from 44 ± 13 second...

Objetivos: Determinar la sensibilidad y especificidad de la RMN trifásica con gadolinio en la detección de hepatocarcinoma en pacientes cirróticos que fueron a trasplante hepático y su correlación con los hallazgos del estudio patológico del explante hepático. Métodos: Estudio retrospectivo de pacientes con cirrosis y hepatocarcinoma a los que se les realizaron trasplante hepático con donante cadavérico. Resultados: De los 76 trasplantes hepáticos, 29 pacientes presentaban hepatocarcinoma y cirrosis hepática. La RMN detectó el 80.95% de la hepatocarcinoma activos, encontró 25 nódulos (32.1%) y no detectó 53 nódulos (67.9%) de los 78 nódulos con hepatocarcinoma encontrados en el estudio patológico del explante hepático. La sensibilidad de la RMN fue de 32% y la especificidad del 75%. El diámetro promedio del nódulo detectado fue de 16.28 mm ± 13.82 mm y no detectado...

La hepatitis aguda fulminante lleva al fallo hepático agudo, que es una enfermedad multisistémica, con afectación severa de la función hepática de aparición aguda, con o sin encefalopatía debido a una necrosis hepatocelular en un niño sin enfermedad hepática crónica reconocida, con una mortalidad de hasta el 80%. Se presenta un caso de una niña de 3 años con hepatitis aguda fulminante de pronóstico reservado, a la que se le realizó un trasplante hepático con donante vivo de urgencia y evolucionó favorablemente, además se detalla la técnica quirúrgica empleada. DOI: https://doi.org/10.25176/RFMH.v17.n3.1199

Hepatocarcinoma is the second cause of death in the world related to cancer and in our country we find patients with large liver tumors that are unresectable and are only tributaries of palliative treatments with little survival, however with an adequate selection of patients in teams multidisciplinary we can offer an extended hepatectomy to many of these patients, so we present the case of a young adult patient with hepatitis B and giant hepatocarcinoma to which we performed an extended left hepatectomy is disease free survival at 14 months after surgery.   DOI 10.25176/RFMH.v18.n4.1738  

Introduction: Our country has a high prevalence rate of hydatid cyst. The present study, was performed ina national reference center, and it is the first Peruvian study to compare the clinical and economic resultsof surgical techniques for the treatment of this disease. Objective: To compare the clinical and economicresults for laparoscopic surgery and open surgery in the treatment of hepatic hydatid cyst. Methods: Themedical records of all patients who underwent open partial cystectomy and laparoscopic partial cystectomy(2013-2015) were retrospectively reviewed. Morbidity, mortality, recurrence, operative time, length ofhospital stay, postoperative pain, and medical rest were evaluated. The costs per patient were found usingthe ABC costing system. Results: 22 patients were underwent open partial cystectomy (group 1) and 13underwent laparoscopic (group 2). There weren ́t differences in ...

Objective: To evaluate the skills achieved by the undergraduate medical student in performing an open appendectomy and purse string in the simulation model created, to evaluate the degree of satisfaction of its use and to determine its costs. Method: Pre-experimental, prospective and longitudinal study. The skills achieved by 24 undergraduate medical students in performing an open appendectomy and purse string in the simulator were evaluated using the OSATS (Objective Structured Assessment of Technical Skills) through virtual teaching. A survey was conducted to the students to evaluate the simulator and its costs were determined. Results: There was a significant increase in the OSATS of the skills achieved, from 7 (pre-test) to 26 ± 5.71 points (final post-test) (p = 0.0001) and reduction in the operative time from 12 ± 3.81 minutes (first post-test) to 8 ± 2.02 minutes (final post-te...

Hepatic cystadenoma is a very rare neoplasm, with less than 250 cases reported in the world literature, which occurs more frequently in women. Due to the difficulty of differentiating the simple cyst and the hydatid cyst with the hepatic cystadenoma; as well as its recurrence and possibility of dysplasia or carcinoma, if it is not treated by complete resection, we present the case of a woman of 56 years old with history of simple hepatic cyst treated on 2 occasions with simple hepatic cyst unroofing and that they relapsed, so it was a hepatic cystadenoma. DOI:10.25176/RFMH.v19.n2.2075

El cistoadenoma hepático es una neoplasia muy rara, con menos de 250 casos reportados en la literatura mundial, que se da con mayor frecuencia en mujeres. Por la dificultad de diferenciar el quiste simple y el quiste hidatídico con el cistoadenoma hepático; así como su recidiva y posibilidad de displasia o carcinoma, si no es tratado mediante resección completa, es que presentamos el caso de una mujer de 56 años con historia de quiste hepático simple tratado en 2 oportunidades con destechamiento simple y que recidivaron, ya que se trataba de un cistoadenoma hepático. DOI:10.25176/RFMH.v19.n2.2075

Objective: To determine the associated factors of organizational communication among health personnel in the physiotherapy department of a private clinic in Lima, Peru. Methods: The research was non-experimental, quantitative, observational, and analytical. The sample was census-based and consisted of 100 healthcare professionals. Information was collected using a questionnaire segmented by sociodemographic and work-related factors, in addition to the organizational communication questionnaire from Portugal; in the same way, the Chi-square test was applied. Results: No factor was found to be signifcantly associated with organizational communication, as the p-value was greater than 0.05. However, personnel withhigh organizational communication were mostly between the ages of 18 and 29 (56.7%), 59.3%were male, and 72.7% were medical doctors, compared to those with medium or low levelsof or...