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Refuerzo en anastomosis pancreático-yeyunal ducto-mucosa (REDMA)." ] ] "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" => 483 "Ancho" => 1005 "Tamanyo" => 115808 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">After a historical observational and analytical cohort study, we can conclude:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0010" class="elsevierStylePara elsevierViewall">REDMA is a useful, safe and feasible alternative in patients with moderate to high risk of postoperative pancreatic fistula (POPF) for reconstruction after cephalic duodenopancreatectomy (CDP).</p></li></ul></p><p id="par0015" class="elsevierStylePara elsevierViewall">REDMA intraoperatively converts a soft pancreas to a hard pancreas by fitting the Integra biological mesh, SurgiMend®, around the surgical neck (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">REDMA reduces:<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0025" class="elsevierStylePara elsevierViewall">Clinically relevant POPF risk by 95% (Odds Ratio 0.05439, CI95:0.0080681-0.2458175; p = 0.0006214),</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">-</span><p id="par0030" class="elsevierStylePara elsevierViewall">Incidence from stage IIIb onwards (Clavien-Dindo, p = 0.003),</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">-</span><p id="par0035" class="elsevierStylePara elsevierViewall">Hospital stay (p = 0.001) without increasing other complications or altering CT imaging.</p></li></ul></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 483 "Ancho" => 1005 "Tamanyo" => 115808 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010200000010/v1_202410180733/S2173507724000577/v1_202410180733/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010200000010/v1_202410180733/S2173507724000577/v1_202410180733/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507724000577?idApp=UINPBA00004N" ]
Journal Information
Vol. 102. Issue 10.
Pages 561 (October 2024)
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Vol. 102. Issue 10.
Pages 561 (October 2024)
Image of the month
New utility of biological meshes. Reinforced duct-mucosa anastomosis (REDMA)
Nueva utilidad de las mallas biológicas. Refuerzo en anastomosis pancreático-yeyunal ducto-mucosa (REDMA).
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Belén Conde Inarejos
, Antonio Serafín Valero Liñán, Jose Antonio González Masiá, Jose Ignacio Miota De Llama
Corresponding author
Servicio Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
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