General Surgery
General Surgery Resident, Hospital Clinic Barcelona, Spain
Selected publications from PubMed
Systematic review and meta-analysis of diagnostic accuracy of one-step nucleic acid amplification for lymph node metastases of papillary thyroid carcinoma.
Llompart-Coll MM, Domínguez-Garijo P, Manyalich-Blasi M, Domènech-Gómez G, Perales-Galan I, Saavedra-Pérez D, Rodrigo MT, Vidal-Sicart S, Pera-Roman M, Vidal-Pérez O
Langenbecks Arch Surg. 2025 Jun 11;410(1):184 doi: 10.1007/s00423-025-03742-4.
Wilkie's syndrome as a rare upper intestinal obstruction cause.
Besa A, Domínguez-Garijo P, Curell A, Farguell J, Ibarzábal A, Morales X, Momblan D, Turrado V
Surg Open Sci. 2023 Dec;16:155-156 doi: 10.1016/j.sopen.2023.10.010.
Totally extraperitoneal repair of groin hernia in liver transplant patients: a case series study (TOHER).
Domínguez Garijo P, Llompart Coll MM, Ginestà Martí C
Hernia. 2023 Dec;27(6):1601-1606 doi: 10.1007/s10029-023-02910-z.
Comparison of [(18)F]fluorocholine PET/CT with [(99)mTc]sestamibi and ultrasonography to detect parathyroid lesions in primary hyperparathyroidism: a prospective study.
Manyalich-Blasi M, Domínguez-Garijo P, Saavedra-Pérez D, Sánchez-Izquierdo N, Casanueva Eliceiry S, Perissinotti A, Mora Porta M, de Hollanda A, Hanzu FA, López-Boado Serrat MA, Rull Ortuño AR, Ardid J, Vidal-Sicart S, Vidal Pérez Ò
Gland Surg. 2022 Nov;11(11):1764-1771 doi: 10.21037/gs-22-198.
Preperitoneal orchiectomy during hernioplasty by TEP approach.
Domínguez-Garijo P, González-Abós C, Butori E, Ginestà C
Cir Esp (Engl Ed). 2022 Mar;100(3):174 doi: 10.1016/j.cireng.2022.02.002.
Accurate identification of parathyroid glands, usually based on visual inspection and palpation, is crucial to successful thyroid and parathyroid surgery. It can be challenging even for experienced surgeons due to variability on the number and location of the parathyroid glands. Fluorescence imaging techniques are on the rise, as a useful adjunct for the detection of parathyroid glands. Intravenous administration of indocyanine green enables the real‐time direct imaging and assessment of tissue perfusion and vascularization, which is key in the functional intraoperative evaluation of the parathyroid glands. Moreover, although indocyanine green is not specifically bound to the parathyroid parenchyma, it has been suggested that it tends to accumulate in the parathyroid adenomas due to the increased blood flow, allowing intraoperative real time location and determination of perfusion integrity. Moreover, despite the application of fluorescent dyes, parathyroid glands also exhibit a unique autofluorescence signature. The detection of autofluorescence is a dye-free technique that allows noninvasive, real-time identification and precise localization of parathyroid glands, helping its differentiation from adipose tissue and ganglia. It is very useful on ectopic glands. In thyroid surgery fluorescence imaging techniques allow the preservation of the parathyroid glands and the prevention of postoperative hypoparathyroidism, while in parathyroid surgery helps to ensure a successful resection of the adenoma. Fluorescence imaging techniques are safe, require no radiation, and can be easily integrated into the surgical workflow.
Published
Mar 2022
The liver is one of most commonly injured organs in blunt abdominal trauma. Improvement of diagnostic imaging, interventional radiology techniques and intensive care have turned conservative non-operative management into the elective treatment for up to 80-95% of liver trauma. Hemodynamic status, associated injuries, and anatomical liver injury grade are the main criteria for management decision-making. CT scan with intravenous contrast is the gold standard in hemodynamically stable patients, while Focused Assessment with Sonography for Trauma patients (FAST) is a rapid examination detecting intra-abdominal free fluid. Regardless of the grade of the injury, hemodynamically stable patients are candidates for conservative treatment, including angioembolization techniques and interval laparoscopy. Severe injuries must be controlled by intensive surveillance and are at increased risk of conservative treatment failure. By contrast, hemodynamically unstable patients, non-responder patients and transient responder patients without optimal settings should undergo urgent laparotomy and, on many occasions, damage control surgery. Angioembolization may be considered a first-line intervention in hemodynamically stable patients with arterial blush on CT scan. Moreover, post-operative angioembolization is indicated both after initial operative haemostasis in stable patients with contrast blush ad completion CT scan, and as adjunctive haemostatic tool with uncontrolled suspected arterial bleeding despite emergency laparotomy and haemostasis attempt. Recent evidence suggests that routine use of immediate post-damage control hepatic angiography reduces mortality in grade IV and V hepatic injuries. Mandatory late follow-up imaging is not indicated and it should be used only if the patient’s clinical condition and symptoms indicating a complication require it for diagnosis. Complications such as liver abscesses, pseudoaneurysm and biliary fistula may appear in 10-15% of patients, but they can usually be managed with percutaneous or endoscopic procedures.
Published
Oct 2021
Thoracic trauma is responsible for morbidity and mortality in a significant percentage of multiply injured patients. While lung parenchymal and vascular injuries are often the focus of initial trauma management, chest wall injuries are associated with high morbidity and mortality that ranges even to 20%, depending on age, pre-existing pulmonary disease, higher number of rib fractures and flail chest. Depending on the mechanisms involved in chest wall injuries, we may suspect solid organ contusions, fractures, overpressure injuries, tearing injuries and barotrauma. Accurate identification and description thrpugh imaging techniques are essential for their management, with computed tomography being the most sensitive test. Adequate pain control with epidural catheters and intercostal nerve block as well as oxygenation are a mainstay of conservative management. In the context of flail chest, surgical stabilization has been associated with fewer days of mechanical ventilation, decreased rates of chest infection, improved long term respiratory function and less chronic pain. The degree of severity of the injury, the injury mechanisms, and the adequacy of unassisted ventilation will guide the need for surgical management or not.
Published
Jun 2021
Elderly patients with colon cancer are often diagnosed with large-bowel obstruction, being their physical condition usually compromised because of significant weight loss in context of a preceded period of absent defecation with poor oral intake. Nonelective surgery in the treatment for obstructive colon cancer is associated with increased postoperative morbidity, higher anastomotic leakage rates, worse oncological outcome, and increased mortality. Initial decompression of the colon in frail patients with left-sided malignant colonic obstruction is recommended as a bridge to elective surgery that enables their optimization and staging. Self-expandable metal stent (SEMS) placement is in discussion due to oncologic concerns. Decompressing stoma (DS) is proposed as a valid alternative, but there is a lack of evidence comparing both techniques. Hartmann’s procedure remains one of the most common procedures in emergency surgery of the left colon, available for patients with high risk of anastomotic leakage or who are unstable. Resection and Primary Anastomosis will be an option for uncomplicated malignant left-sided large bowel obstruction in absence of other risk factors that may lead to an anastomotic leakage, preferably performed by a colorectal surgeon.
Published
Feb 2021
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