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"tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "54" "paginaFinal" => "57" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Failed colonic interposition after esophagogastrectomy: What's the next step?" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1354 "Ancho" => 1800 "Tamanyo" => 326819 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A) Descripción de la segunda etapa de la intervención: Colgajo de antebrazo libre (1), fallo de la interposición de colon (2), colgajo yeyunal pediculado supercargado (3), yeyunostomía (4). B) Colgajo yeyunal pediculado supercargado conectado al extremo distal del colgajo de antebrazo radial. C) Laparotomía media. D) Tránsito baritado que muestra un restablecimiento de la continuidad del tubo digestivo, y en el que pueden identificarse tanto el colgajo de antebrazo radial (flecha negra) como el colgajo yeyunal pediculado supercargado (flecha blanca).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mike Dewever, Tiago Gomes, Zoilo Madrazo, Anna López, Leandre Farrán, Joan María Viñals" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Mike" "apellidos" => "Dewever" ] 1 => array:2 [ "nombre" => "Tiago" "apellidos" => "Gomes" ] 2 => array:2 [ "nombre" => "Zoilo" "apellidos" => "Madrazo" ] 3 => array:2 [ "nombre" => "Anna" "apellidos" => "López" ] 4 => array:2 [ "nombre" => "Leandre" "apellidos" => "Farrán" ] 5 => array:2 [ "nombre" => "Joan María" "apellidos" => "Viñals" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173507715003518" "doi" => "10.1016/j.cireng.2014.10.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ 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"cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Brain Calcifications and Primary Hyperparathyroidism" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e5" "paginaFinal" => "e7" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Calcificaciones cerebrales e hiperparatiroidismo primario" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1171 "Ancho" => 990 "Tamanyo" => 86598 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial CT: calcifications observed in bilateral frontal and periventricular basal ganglia.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Roberto de la Plaza Llamas, José Manuel Ramia Ángel, Vladimir Arteaga Peralta, Jaime Hernández Cristóbal, Aylhin Joana López Marcano" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Roberto" "apellidos" => "de la Plaza Llamas" ] 1 => array:2 [ "nombre" => "José Manuel" "apellidos" => "Ramia Ángel" ] 2 => array:2 [ "nombre" => "Vladimir" "apellidos" => "Arteaga Peralta" ] 3 => array:2 [ "nombre" => "Jaime" "apellidos" => "Hernández Cristóbal" ] 4 => array:2 [ "nombre" => "Aylhin Joana" "apellidos" => "López Marcano" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0009739X15002122" "doi" => "10.1016/j.ciresp.2015.08.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X15002122?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507715003543?idApp=UINPBA00004N" "url" => "/21735077/0000009400000001/v1_201601200049/S2173507715003543/v1_201601200049/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173507715003269" "issn" => "21735077" "doi" => "10.1016/j.cireng.2015.02.005" "estado" => "S300" "fechaPublicacion" => "2016-01-01" "aid" => "1456" "copyright" => "AEC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Cir Esp. 2016;94:52-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1541 "formatos" => array:3 [ "EPUB" => 13 "HTML" => 1158 "PDF" => 370 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "Regenerative Multiple Hepatic Nodular Hyperplasia Associated With Oxalyplatin" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "52" "paginaFinal" => "54" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hiperplasia nodular regenerativa hepática múltiple asociada a oxaliplatino" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 825 "Ancho" => 995 "Tamanyo" => 103671 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT: lesion in segment <span class="elsevierStyleSmallCaps">VII</span> (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jose 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"tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "54" "paginaFinal" => "57" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mike Dewever, Tiago Gomes, Zoilo Madrazo, Anna López, Leandre Farrán, Joan María Viñals" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Mike" "apellidos" => "Dewever" "email" => array:1 [ 0 => "dewevermike@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Tiago" "apellidos" => "Gomes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Zoilo" "apellidos" => "Madrazo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Anna" "apellidos" => "López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Leandre" "apellidos" => "Farrán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Joan María" "apellidos" => "Viñals" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Plástica, Hospital Universitario de Bellvitge, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía General y Digestiva, Hospital Universitario de Bellvitge, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fallo de la interposición de colon tras esofagogastrectomía: ¿cuál es el siguiente paso?" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1346 "Ancho" => 1800 "Tamanyo" => 547220 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) First stage of the intervention: forearm free flap (1), saliva collection bag (2), failed interposition of the colon (3) and jejunostomy (4); (B) Dissection of the neck and identification of the pyriform sinus (arrow); (C) Forearm free flap forming a tube used to connect the pyriform sinus with neck skin; (D) Patient with saliva connection bag.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Reconstruction of the oesophagus continues to be a difficult operation that requires the participation of an experienced surgical team. There are few options, and reconstruction has been traditionally done with the stomach or interposition of the colon. In recent years, as a consequence of advances in microsurgery techniques, interposition of the jejunum with the increased vascular flow offered by microsurgery (“supercharged”) has been used more and more often and can be considered a useful option.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The present case illustrates an oesophageal reconstruction in 2 phases, after failed colon interposition, using a radial forearm free flap (first step) and “supercharged” jejunal interposition (second step).</p><p id="par0015" class="elsevierStylePara elsevierViewall">A 58-year-old woman was admitted to the Emergency Department at a third level university hospital after having voluntarily ingested a caustic liquid. After the patient was stabilised, gastroscopy showed grade 3 esophagitis (Zargar classification) and necrosis of the gastric mucosa, with no airway compromise. We performed oesophagogastrectomy, terminal cervical oesophagostomy and jejunostomy with a feeding tube. After 52 days in the Intensive Care Unit (ICU) with prolonged mechanical ventilation, tracheostomy and 21 days in the Hospitalisation Unit, the patient was discharged for transfer to a psychiatric hospital. Eighteen months later, interposition of the right colon was carried out through the retrosternal approach. On the fifth day, the patient presented dehiscence of the proximal anastomosis, mediastinitis and pneumonia, and she was treated in the ICU for 62 days. Once stabilised, the endoscopy showed complete proximal stenosis. Computed tomography showed the incorrect location of the interpositioned colon. Laryngoscopy demonstrated no alterations in vocal cord function. The patient was discharged with jejunostomy feeding and showed normal breathing and speaking.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The General Surgery team then consulted with the Plastic Surgery team for a second reconstruction surgery. In this phase, the patient's main problem was constant drooling and the risk of recurring aspiration pneumonia. She could not sleep more than 2<span class="elsevierStyleHsp" style=""></span>h at a time because she began to drown in her own saliva and needed constant suction while awake. Before planning the surgical treatment, the patient started a multidisciplinary recovery programme, which included optimal nutrition, regular exercise and physiotherapy. The patient demonstrated great motivation throughout this 6 month period, and the surgery was scheduled.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The surgical exploration of the mediastinum to try to re-establish the colonic interposition showed an atrophic colon that was not considered apt for reconstruction, which was expected.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Thus, in an initial stage (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), a forearm free flap was obtained and a tube was created to connect the pyriform sinus to the skin in the neck (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B and C), in order to resolve the drooling problem by collecting the saliva in a bag (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). Partial resection of the manubrium provided wider access. Microsurgical vascular anastomoses were created to the lingual artery, lingual vein and external jugular vein.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">The second stage was completed with the collaboration of the Plastic Surgery Department 10 weeks later. It involved the interposition of a long jejunal section (supercharged), which was connected to the distal end of the radial forearm flap (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A–C). A subcutaneous tunnel was created in the abdominal wall and in the thorax to pull the jejunum up to the neck. Microsurgery was used to create the anastomosis of the vascular pedicle of the jejunum to the internal thoracic vessels to increase blood flow. Finally, the jejunojejunal anastomosis was completed with a Roux-en-Y reconstruction to re-establish intestinal continuity, and a jejunal feeding tube was inserted.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">One week later, a barium swallow test showed that the continuity of the digestive tube had been re-established (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>D) and the patient began to eat. One month after surgery, she presented mild dysphagia but did not need complementary nutrition, so the jejunal tube was withdrawn. Currently, 6 months after the operation, the patient is able to eat, presents no drooling, has had no pneumonia and her quality of life has improved greatly.</p><p id="par0045" class="elsevierStylePara elsevierViewall">This is a special case in which a multidisciplinary team was able to perform a complex oesophageal reconstruction after having previously performed a total esophagogastrectomy with later failure of a colonic interposition. As far as we know, there are very few articles in the literature that describe similar cases. The surgical team evaluated several alternatives to approach this challenge. We contemplated the possibility of a single-stage reconstruction, with interposition of the jejunum and microsurgical anastomosis to the thoracic vessels, according to the “supercharged” method by Swisher et al.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> This, however, was ruled out because the patient had had 2 previous laparotomies and the possibility of multiple adhesions that could complicate mobilisation of the small bowel, while it was foreseen that the distal tension would be excessive to ensure the success of the operation. A 2-stage reconstruction seemed the best option. The forearm free flap was 8<span class="elsevierStyleHsp" style=""></span>cm in length and allowed us to connect the hypopharynx with the lower part of the neck. After this stage, the patient's quality of life improved as the drooling problem had been resolved. After the forearm donor area had healed, the second stage was scheduled. The subcutaneous approach to pull the jejunum up to the neck is not the first option. In fact, the posterior mediastinal and retrosternal approaches are usually preferred, but neither of these was applicable due to the mediastinal fibrosis. We therefore opted to use the subcutaneous method. Partial resection of the manubrium was necessary to widen the access to the neck. Furthermore, this reduces postoperative oedema and provides access to internal thoracic vessels for microsurgery. Before the operation, it is essential for a nutritionist and physical therapist to work with the patient and optimise his/her condition. Caution should be used, because the loss of saliva can lead to hypokalaemia. The nutritionist indicated the use of a high-calorie diet with vitamin B<span class="elsevierStyleInf">12</span> supplements.</p><p id="par0050" class="elsevierStylePara elsevierViewall">The method provides a safe way to re-establish the continuity of the digestive tract when all other options have been ruled out. It requires close collaboration among surgeons as well as careful patient selection and preparation.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1–8</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Dewever M, Gomes T, Madrazo Z, López A, Farrán L, Viñals JM. Fallo de la interposición de colon tras esofagogastrectomía: ¿cuál es el siguiente paso? Cir Esp. 2016;94:54–57.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1346 "Ancho" => 1800 "Tamanyo" => 547220 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) First stage of the intervention: forearm free flap (1), saliva collection bag (2), failed interposition of the colon (3) and jejunostomy (4); (B) Dissection of the neck and identification of the pyriform sinus (arrow); (C) Forearm free flap forming a tube used to connect the pyriform sinus with neck skin; (D) Patient with saliva connection bag.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1354 "Ancho" => 1800 "Tamanyo" => 348409 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Second stage of the procedure: forearm free flap (1), failed interposition of the colon (2), “supercharged” pedunculated jejunal flap (3), jejunostomy (4); (B) “Supercharged” pedunculated jejunal flap connected to the distal end of the forearm radial flap; (C) Midline laparotomy; (D) Barium swallow study showing re-established continuity of the digestive tube, forearm radial flap (black arrow) as well as the “supercharged” pedunculated jejunal flap (white arrow).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Recommended References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Supercharged pedicled jejunal interposition for esophageal replacement: a 10-year experience" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.H. 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Year/Month | Html | Total | |
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2024 October | 4 | 8 | 12 |
2024 September | 28 | 17 | 45 |
2024 August | 18 | 15 | 33 |
2024 July | 25 | 4 | 29 |
2024 June | 14 | 13 | 27 |
2024 May | 7 | 1 | 8 |
2024 April | 11 | 10 | 21 |
2024 March | 29 | 14 | 43 |
2024 February | 23 | 6 | 29 |
2024 January | 36 | 4 | 40 |
2023 December | 37 | 4 | 41 |
2023 November | 49 | 11 | 60 |
2023 October | 66 | 5 | 71 |
2023 September | 35 | 2 | 37 |
2023 August | 31 | 8 | 39 |
2023 July | 59 | 4 | 63 |
2023 June | 58 | 5 | 63 |
2023 May | 81 | 3 | 84 |
2023 April | 53 | 4 | 57 |
2023 March | 52 | 5 | 57 |
2023 February | 60 | 7 | 67 |
2023 January | 46 | 5 | 51 |
2022 December | 40 | 8 | 48 |
2022 November | 31 | 16 | 47 |
2022 October | 26 | 10 | 36 |
2022 September | 28 | 34 | 62 |
2022 August | 24 | 17 | 41 |
2022 July | 18 | 12 | 30 |
2022 June | 27 | 15 | 42 |
2022 May | 28 | 11 | 39 |
2022 April | 37 | 10 | 47 |
2022 March | 59 | 10 | 69 |
2022 February | 53 | 9 | 62 |
2022 January | 68 | 6 | 74 |
2021 December | 50 | 14 | 64 |
2021 November | 37 | 8 | 45 |
2021 October | 45 | 15 | 60 |
2021 September | 29 | 8 | 37 |
2021 August | 25 | 9 | 34 |
2021 July | 22 | 17 | 39 |
2021 June | 16 | 7 | 23 |
2021 May | 29 | 12 | 41 |
2021 April | 57 | 6 | 63 |
2021 March | 38 | 9 | 47 |
2021 February | 15 | 8 | 23 |
2021 January | 26 | 16 | 42 |
2020 December | 34 | 7 | 41 |
2020 November | 30 | 13 | 43 |
2020 October | 30 | 7 | 37 |
2020 September | 17 | 9 | 26 |
2020 August | 24 | 12 | 36 |
2020 July | 13 | 11 | 24 |
2020 June | 11 | 12 | 23 |
2020 May | 33 | 12 | 45 |
2020 April | 16 | 4 | 20 |
2020 March | 29 | 9 | 38 |
2020 February | 26 | 10 | 36 |
2020 January | 25 | 5 | 30 |
2019 December | 19 | 10 | 29 |
2019 November | 19 | 5 | 24 |
2019 October | 28 | 7 | 35 |
2019 September | 21 | 5 | 26 |
2019 August | 14 | 2 | 16 |
2019 July | 36 | 24 | 60 |
2019 June | 28 | 16 | 44 |
2019 May | 58 | 38 | 96 |
2019 April | 33 | 9 | 42 |
2019 March | 16 | 3 | 19 |
2019 February | 13 | 5 | 18 |
2019 January | 8 | 6 | 14 |
2018 December | 12 | 2 | 14 |
2018 November | 8 | 1 | 9 |
2018 October | 20 | 4 | 24 |
2018 September | 4 | 2 | 6 |
2018 August | 4 | 0 | 4 |
2018 July | 13 | 3 | 16 |
2018 June | 9 | 0 | 9 |
2018 May | 16 | 1 | 17 |
2018 April | 10 | 0 | 10 |
2018 March | 8 | 0 | 8 |
2018 February | 14 | 0 | 14 |
2018 January | 14 | 1 | 15 |
2017 December | 13 | 0 | 13 |
2017 November | 11 | 0 | 11 |
2017 October | 12 | 4 | 16 |
2017 September | 9 | 4 | 13 |
2017 August | 11 | 2 | 13 |
2017 July | 14 | 1 | 15 |
2017 June | 16 | 0 | 16 |
2017 May | 33 | 2 | 35 |
2017 April | 15 | 1 | 16 |
2017 March | 15 | 32 | 47 |
2017 February | 24 | 1 | 25 |
2017 January | 36 | 1 | 37 |
2016 December | 37 | 6 | 43 |
2016 November | 29 | 9 | 38 |
2016 October | 31 | 7 | 38 |
2016 September | 37 | 3 | 40 |
2016 August | 18 | 2 | 20 |
2016 July | 18 | 2 | 20 |
2016 June | 34 | 11 | 45 |
2016 May | 18 | 10 | 28 |
2016 April | 7 | 4 | 11 |
2016 February | 0 | 1 | 1 |