Dr. Diego González Rivas
• More than 15 years of experience• Resident Medical Thoracic Surgery University Hospital Complex of A Coruna. (1999-2004) • Thoracic Surgery Service of the University Hospital Complex of Santiago de Compostela (2004-2005)• Physician Assistant Thoracic Surgery of the University Hospital Complex of A Coruna. ( 2005- present)• Unit of Minimally Invasive Thoracic Surgery ( UCTMI ). ...
• Masterclass on single-port VATS in Taiwan: live surgery from hospital and medical university theorical sessions at Triservice General Hospital National defense and medical center. Taipei, Taiwan. 13th February 2014• Professor at the ESTS School of Surgery: Minimally Invasive Surgery for lung diseases, diaphragm dysfunction and thoracic trauma European Society of Thoracic Surgery. Elancourt center, Paris. 10 to 11 February 2014 • Management and organization of the IV experimental workshop and live surgery VATS UNIPORTAL of training and technological Hospital Center Coruna. 10 to 12 December 2013 La Coruna• Professor at IRCAD advanced course on thoracoscopic surgery ( theory and wetlab ) IRCAD center, Estrasbourg ( France ). 21 to 23 November 2013 ...
• Bachelor of Medicine and Surgery from the University of Santiago de Compostela, promotion 1992-1998.• Medical Resident in the Department of Thoracic Surgery of the Hospital Juan Jinx A Coruna from 1999 to 2004. • Medical Specialist Thoracic Surgery since July 2004.• Many hospital stays internationally recognized as Cedars Sina Hospital, Los Angeles, or New York memorial sloan Kettering cancer center ...
• Member of the Spanish Society of Respiratory Diseases (SEPAR)• Member of the Galician Society of Respiratory Diseases (SOGAPAR) • Member of the Spanish Society of Transplantation (SET)• Member of the European Society of Thoracic Surgeons (ESTS)• Member of the International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS)• Member of the Spanish Society of Thoracic Surgeons (SECT) ...
*Translated with Google translator. We apologize for any imperfection
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Infectious diseases (tuberculosis)
Lung cancer is the progressive growth of malignant cells in this vital organ, causing problems in other lung structures, such as the bronchi. It Lung cancer is the progressive growth of malignant cells in this vital organ, causing problems in other lung structures, such as the bronchi. It is diagnosed in a very high percentage among the smoking population and almost always to present an excess of cough, which may be associated with coughing. The presence of a primary tumor can be characterized by dyspnea or shortness of breath, hemoptysis or bloody sputum, and other less common symptoms, such as chest pain, ringing in the side of the chest, and weight loss hoarseness. There are, however, other conditions that could suggest the spread of the cancer to other organs (metastasis). The diagnostic examination is to conduct a series of tests such as chest X-ray, CT (scan) of the chest and abdomen, respiratory function tests (spirometry), blood tests, and some form of biopsy (bronchoscopy, CT-guided percutaneous puncture, VATS, and toratocomía). The treatment to be applied depend on the stage of the cancer extension and the type and size of the tumor is found. According to each case, the treatment will be surgery to remove the tumor, chemotherapy or radiotherapy, or a combination of all. ...
Within the term mediastinal tumors are grouped a number of cystic lesions and tumors that originate in different tissues and organs mediastinal o Within the term mediastinal tumors are grouped a number of cystic lesions and tumors that originate in different tissues and organs mediastinal or extramediastinales. The most common mediastinal tumors are thymomas, lymphomas, intrathoracic goiters, neurofibromas and teratomas. About a third of mediastinal tumors are asymptomatic. While the presence of symptoms is not synonymous with malignancy, there is evidence that malignant lesions are most frequently symptomatic. For malignant tumors proper extension study and an evaluation of surgical indication, which often must be preceded or followed by other therapeutic means (chemotherapy and radiotherapy) were performed. ...
Tumors of the chest wall are presented as a package and the most common symptom is usually pain. The most common location is in the ribs. Although we Tumors of the chest wall are presented as a package and the most common symptom is usually pain. The most common location is in the ribs. Although we can find tumors in the scapula, sternum or muscle. Surgery is the most effective for tumor treatment parede chest. Surgical treatment depends on the nature of the tumor. In tumors from benign behavior resection of the lesion is usually carried out respecting the surrounding tissues (skin, muscle, rib arches neighbors). In tumors of malignant nature it is fundametnal make an en bloc resection of tissue injury including neighborhood. Sometimes if the tumor removed once the defect remains is large, it is necessary to be reconstructed with a rigid or semi-rigid prosthesis. In the most common cases, it is not uncommon to have to include tumor resection of the lung, thymus, pericardium or other body part or affixed to intrathoracic tumor. Monitoring after surgery is important, especially for the control of relapses. ...
A tracheostomy is a surgical procedure which involves making a hole in the windpipe through the neck and place a tube to function as airway. This type of surgery is indicated for people with respiratory difficulties caused by foreign bodies obstructing the airways, local injuries (neck or mouth), inherited abnormalities, cancer in the neck or aspiration smoke or corrosive materials. If the tracheostomy is temporary, the tube is removed and the wound heals quickly, but if it is permanent, the hole remains open. The patient may need several days to adapt to breathing through the tube and, at first, will struggle to make sounds and communicate. If the tube is permanent, usually require therapy to learn to talk. In addition, the patient and family must learn to take care of the tracheostomy tube (aspiration and cleaning). After surgery, the patient will take about two weeks to fully recover from surgery. ...
VATS or video assisted thoracoscopic surgery (VATS) is a type of chest surgery in which you enter the chest through small incisions. With a camera that allows them to work inside the chest it is placed, following the operation on a screen. ...
Chylothorax is the presence of lymphatic fluid in the pleural cavity, ie between the chest wall and the lung. A rare variant of pleural effusion is considered. It can be traumatic and non-traumatic, depending on the cause of chylothorax. ...
Costochondritis is inflammation of the cartilage that connects the ribs and sternum. It is very painful and causes a sharp pain in the chest that can move into the stomach. One usually disappears within days or weeks. ...
The rib fracture is a break or crack in one of the bones that form the ribs. Such injuries can be very painful and it takes about 6 weeks to heal
Hemothorax is the presence of blood in the pleural cavity that is, between the chest wall and the lung. The most common cause is chest trauma. To perform the treatment, first we have to stabilize the patient and then the bleeding stopped and the blood and air in the pleural space are extracted. ...
Hyperhidrosis is excessive sweating production. Currently, there are different treatments for axillary hyperhidrosis or excessive sweating. The most recommended are laser therapy, which is final, or botox, which requires a session every 9 to 12 months, depending on the case. The operation of hyperhidrosis with laser is performed under local anesthesia from a small incision (about 2mm ) in the armpit, whereby the optical fiber laser, which will destroy most of the structures of the glands is introduced sweat. This intervention prevents bleeding, swelling and bruising. On the other hand, treatment with injections of small doses of botox underarm temporarily block the nerves that stimulate excessive sweating of the armpits. The advantage of this treatment is that it requires anesthesia. ...
Pectus excavatum or pectus excavatum deformity is an abnormal rib cage that gives the chest a sunken throughout the area of the sternum appearance. This deformity is congenital and usually occurs during pregnancy. If this collapse is severe, the patient may experience problems with the heart and lungs, causing difficulties during exercise. ...
Pleural effusion is an accumulation of fluid between the layers of tissue that line the lungs and chest cavity. The body produces pleural fluid in small amounts to lubricate the surfaces of the pleura, the thin tissue that lines the chest cavity and surrounds the lungs. A pleural effusion is an abnormal collection of this fluid. They can be of two types. Transudative pleural effusions are caused by fluid leaking into the pleural space, which is caused by high pressure in the blood vessels or low protein content in the blood. The most common cause is congestive heart failure. Exudative effusions are caused by blocked blood vessels or lymph vessels, inflammation, lung injury and tumors. The goal of treatment is to remove the liquid, it becomes evtiar to accumulate and determine the cause of accumulation. The removal of fluid (thoracentesis) can be performed if there is a lot of this and is causing pressure in the chest, shortness of breath or other breathing problems, such as low oxygen levels. Removing the fluid allows the lung to expand, making breathing easier. ...
Pneumothorax is the presence of air in the space between the lungs (pleural space), causing loss of lung volume and collapse of the affected side. There are different types of this disease: tension pneumothorax, spontaneous, spontaneous secondary to other lung diseases and secondary to trauma. Among them, the most common is the spontaneous pneumothorax occurs without a clear obvious cause. The main symptoms of this disease are shortness of breath and chest tightness, followed by an increase in heart rate and change in skin color, which turns blue due to lack of oxygen. After performing a chest radiograph and arterial blood gas treatment is set to eliminate air in the pleura, allowing the expansion of the lung. Depending on the amount of air present and the degree of compression exerted on the lung will prescribe rest or be placed, via hospital, a chest tube between the ribs to allow the evacuation of air. This drainage can last several days and its control is necessary in a medical center. In cases of recurrent pneumothorax, surgery is required to close the area of the air outlet pleura from the lung. ...
Pulmonary emphysema is an obstructive pulmonary disease (COPD) characterized by curative treatment without destroying the walls of the alveoli (the branches of the lungs where the exchange of oxygen between the inspired air and the blood is performed), which causes a decrease respiratory function and progressive lung destruction. Its main manifestations are shortness of breath shortness of breath (especially when you're active and exercise is done) and cough. Among the most common causes of emphysema are: consumption of snuff extended in time; environmental and occupational factors, such as exposure to chemicals or toxic gas emissions; the elderly, especially in the male, and in the case of a history of chronic bronchitis, asthma and deficiency of a protein called alpha-1antritipsina (responsible for protecting the lungs from inflammation caused by infections or inhalations). Medical treatment is palliative and includes support for smoking cessation, bronchodilators, antibiotics, oxygen therapy, pulmonary rehabilitation exercises, lung volume reduction by surgery, and lung transplantation. ...
Pulmonary fibrosis (or idiopathic pulmonary fibrosis) is a respiratory disease in which the lungs become scarred and stiff, making it difficult to breath. It occurs most frequently in patients between 50-70 years, and among some of the causes for its occurrence include the snuff, the effect of some drugs on the body, acid-gastric reflux, environmental causes and exposure to certain substances toxic. Symptoms vary widely: dyspnoea, cough, fever, decreased body mass, etc., so the diagnosis should clarify its difference from other diseases with similar symptoms. Through a comprehensive examination of the patient (complete analysis, chest X-rays, CT scans and biopsy) based primarily on corticosteroids, cytotoxic and anti-fibrotic, with satisfactory results in most cases treatment is established. ...
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