
Oriol Crusellas MañaHospital de Sant Joan Despí Moisès Broggi | MOISESBROGGI · Department of General Surgery
Oriol Crusellas Maña
Bachelor of Medicine
About
124
Publications
4,033
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109
Citations
Citations since 2017
Introduction
Oncological and abdominal wall surgeon.
Additional affiliations
March 2015 - present
May 2005 - May 2010
Publications
Publications (124)
Aim
We present a case of a recurrent parastomal hernia with enterocutaneous fistula and subcutaneous abscesses and their management.
Material & Methods
79-year-old patient with history of pT4b low rectal cancer treated with an abdominoperineal resection with adjuvant chemo-radiotherapy in 2000.
Parastomal hernia repair was performed in 2016 with P...
Aim
Report an unusual late complication after laparoscopic IPOM
Material & Methods
Description of a clinical case
Results
An 84 years old patient who had previously undergone laparoscopic IPOM with ePTFE mesh in 2012 for supraumbilical primary hernia, arrived to the emergency room in March 2022 with a small bowel obstruction due to an intralumina...
Objective
To study the effect of the incidence of parastomal hernia (PSH) through the prophylactic placement of a preformed intraperitoneal mesh in patients who must undergo a definitive colostomy. The comparison is made with a homogeneous control group that did not receive prophylactic mesh.
Material and methods
Unicentric, prospective, non-rando...
Purpose
Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS + HIPEC) treatment has classically presented a percentage of associated complications that have limited its expansion. The aim of this study is to describe the morbimortality results obtained from a referral center implemented with the support of a governmental health...
Introduction:
Surgical planning for repair of giant hernias with loss of domain needs to
consider patient comorbidities, potential risks and possible postoperative complications. Some postoperative complications are related to the increase in intra-abdominal pressure caused by the reintroduction of abdominal contents into the peritoneal space. Pre...
The treatment of peritoneal metastases (PM) from colorectal cancer (CRC) has been revolutionized by the availability of cytoreductive surgery (CRS), traditionally coupled with Hyperthermic Intraperitoneal Peroperative Chemotherapy (HIPEC). The impact of HIPEC itself, over the effect of surgery is poorly understood and the presence of various HIPEC...
Background:
Gastrointestinal complications, predominantly anastomotic leak (AL), are the most frequent source of severe morbidity after cytoreductive surgery (CRS).
Objective:
The aim of this study was to present the technical standards for colorectal anastomoses developed and systematically applied to all patients undergoing CRS in a high-volum...
36
Background: Surgical resection of peritoneal metastases of colorectal cancer (CRC PM) may benefit some patients similar to hepatic metastases. This approach remains controversial in part due to inconsistent selection criteria and reported outcomes. The impact of preoperative clinical characteristics and tumor molecular profiles on survival among...
To describe a novel end-to-end “true” reinforced stapling colorectal anastomosis and to assess surgical outcomes
in a large case series of advanced cancer patients undergoing this procedure.
Objective
To describe a novel end-to-end “true” reinforced stapling colorectal anastomosis and to assess surgical outcomes in a large case series of advanced cancer patients undergoing this procedure.Summary background dataAnastomotic leakage (AL) remains the main concern following surgery for colorectal cancer.Methods
Between September 2006 and Ma...
Introduction
There has been an increase in the implantation of subcutaneous reservoirs in recent years. The objective of this study is to compare puncture techniques against venous dissection.
Methods
Retrospective cohort study. It included patients who required a Port-a-Cath. Patients were divided into two groups: venous puncture (PV) and venous...
Background:
Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis.
Methods...
Introduction:
There has been an increase in the implantation of subcutaneous reservoirs in recent years. The objective of this study was to compare puncture techniques against venous dissection.
Methods:
This retrospective cohort study included patients who required a Port-a-Cath and were divided into two groups: venous puncture (PV) and venous...
CRS+HIPEC is a multimodal aggressive treatment usually performed on multitreated and weakened patients with a potential risk of complication. From this description a number of objections to its use have raised:: results of Sugarbaker difficult to reproduce, limited levels of evidence, highly aggressive, complex and expensive therapy, negative reper...
In 25% of colon cancer patients, peritoneal metastasis (PM) will be detected during follow up. Recent studies in selected group of patients with colorectal PM, treated with CRS+HIPEC and postoperative chemotherapy, report 5-y survival of 30-52%. Correct patient selection and surgical team experience are determining factors in the efficacy and safet...
PM from gastric origin is a rather frequent presentation. It is diagnosed at the time of initial surgical treatment in 15-50% of patients with gastric serosal involvement. Once it is present, it is associated with poor survival, with mean survivals from 3 to 9 months, and 0% survival at 5y.
PM is the most common cause of therapeutic failure during...
Currently, about 75% of patients treated from an epithelial ovarian cancer relapse from their disease. Most of the recurrences will present on the peritoneum and these patients usually die despite the therapeutic protocol applied.
Conventional treatments for recurrent ovarian cancer, systemic chemotherapy or chemotherapy and surgery, have shown a m...
Cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) is the gold standard for curative treatment of peritoneal metastasis (PM) arising from colorectal cancer, peritoneal mesothelioma and peritoneal pseudomyxoma peritonei (PMP). The results of HIPEC remain controversial in PM originated from ovarian cancer, gastric canc...
Video presentation
Aim: CRS + HIPEC offers clinical benefits 0ver conventional treatment in certain types of Peritoneal Surface Malignancies (PSM). This type of treatment is performed with curative intent, and considered standard therapy in pseudomyxoma peritonei, peritoneal mesothelioma and PC from colorectal and appendiceal tumors. It is recommended in primary as w...
Aim: Up to 25% of colorectal cancer patients will present PC during follow up. Numerous recent studies in selected group of patients with colorectal PC, treated with CRS + HIPEC and postoperative chemotherapy, report a 5-year survivals of 30-52%. The aggressiveness and surgical risk related to this treatment modality should outweigh the benefits ac...
Aim: PC from gastric origin is a quite frequent manifestation. It is diagnosed at the time of initial surgical treatment in 15-50% of pt with gastric serosal involvement. Once it is present, it is associated with poor survival, with mean survival of 3-9 months, and 0% survival at 5y. PC is the most common cause of therapeutic failure during curativ...
Introducción
La CP ha sido considerada una manifestación neoplasica terminal asociada a mala calidad de vida y tratada de forma paliativa con resultados de supervivencia muy escasos.
En las últimas decadas han surgido nuevos enfoques terapéuticos de carácter radical que combinan la Cirugía Radical mediante los procedimientos de peritonectomías des...