Letter to the Editor
Reply to the special article “Taurine surgery in the 21st century from glory to contempt”
Respuesta al artículo especial “Cirugía Taurina en el siglo XXI. De la gloria al desprecio”
Beatriz Montejo Maillo
Servicio de Cirugía General y del Aparato Digestivo, Complejo Asistencial de Zamora, Zamora, Spain
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De la gloria al desprecio”" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I would like to thank Dr. Ríos for raising awareness about the reality of bullfighting surgery in Spain. I would also like to provide some further reflections to his excellent article, whose publication is already a success.<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1.</span><p id="par0010" class="elsevierStylePara elsevierViewall">Medical importance of bullfighting surgery. Due to the large number of bullfighting festivities in Spain<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and in Castilla y León<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>, in 2018 more polytrauma patients were treated by the Surgery Service of the Zamora Hospital with bull-related etiology than for other causes. This includes farm hands injured by <span class="elsevierStyleItalic">bravo</span> bulls and other types of cattle (<span class="elsevierStyleItalic">morucho</span>, <span class="elsevierStyleItalic">limusín</span>, etc.) as well as by other ‘horned’ animals (deer). To clarify, the Spanish term “bull antler” is semantically incorrect: cervids have antlers, which come from the bone, while bovids have horns, which originate in the epidermis<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>.</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2.</span><p id="par0015" class="elsevierStylePara elsevierViewall">The type of injuries. Double training is essential: on the one hand, we need to understand the specifics of bull-related trauma<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4–7</span></a>, while on the other hand adapting these to the treatment protocols for trauma patients to improve prognosis and survival<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8–13</span></a>. Remember that in professional bullfights, healthcare professionals have the advantage of being able to witness how the injury occurs (kinematic analysis)<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,6,7</span></a> and predict potential injuries. In addition, a qualified medical team and a well-equipped infirmary allow surgeons to perform damage control surgery<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> at the bullring<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4–7</span></a>, increasing guarantees for success.</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3.</span><p id="par0020" class="elsevierStylePara elsevierViewall">Medical teams and volume of activity. It should be noted that for many bullfighting event promoters, hiring a medical team is a legal requirement and an added expense, so the professional expertise of the team is an afterthought. For this reason, it is common for these teams to consist of young inexperienced doctors or even untrained doctors due to lack of activity, as they have the availability that practicing doctors lack.</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4.</span><p id="par0025" class="elsevierStylePara elsevierViewall">Poorly paid activity. There are hardly any unemployed surgeons. The poor remuneration, added to the fact that it requires great responsibility and dedication, often far from a hospital, are dissuasive. Interest in bullfighting and polytrauma are the only attractions for the generational change. It is a miracle when a vascular surgeon agrees to be part of a bullring medical team.</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">5.</span><p id="par0030" class="elsevierStylePara elsevierViewall">The abandonment by institutions and lack of a body of doctrine. In our hospital, despite the numerous final degree projects published about bull-related polytrauma<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14–16</span></a>, in 2017 our public university decided not to offer an optional subject on this subject (at no additional cost), thereby depriving students of the freedom to decide whether they wanted to partake in this training opportunity. Commitment to providing the best possible care for these patients through specific and regulated teaching is reduced to the personal effort made by certain surgeons<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a>, while academic<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18–21</span></a> and institutional<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> support is residual.</p></li></ul></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: Montejo Maillo B. Respuesta al artículo especial “Cirugía Taurina en el siglo XXI. De la gloria al desprecio”. Cir Esp. 2022;100:256–257.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estadística de asuntos taurinos 2012–2018. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 0 | 2 |
| 2024 October | 17 | 2 | 19 |
| 2024 September | 7 | 2 | 9 |
| 2024 August | 17 | 8 | 25 |
| 2024 July | 11 | 7 | 18 |
| 2024 June | 13 | 4 | 17 |
| 2024 May | 12 | 4 | 16 |
| 2024 April | 13 | 3 | 16 |
| 2024 March | 32 | 4 | 36 |
| 2024 February | 20 | 6 | 26 |
| 2024 January | 22 | 2 | 24 |
| 2023 December | 27 | 2 | 29 |
| 2023 November | 25 | 8 | 33 |
| 2023 October | 24 | 9 | 33 |
| 2023 September | 24 | 3 | 27 |
| 2023 August | 13 | 1 | 14 |
| 2023 July | 8 | 6 | 14 |
| 2023 June | 23 | 9 | 32 |
| 2023 May | 30 | 17 | 47 |
| 2023 April | 18 | 3 | 21 |
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