To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score for mortality in surgical patients with SARS-CoV-2. We found that patient rather than operation factors were the best predictors and used these to create the COVIDsurg Mortality Score (https://covidsurgrisk.app). Our data demonstrates that it is safe to restart a wide range of surgical services for selected patients.
La hernia obturatriz es una causa rara de obstrucción intestinal. Es frecuente en mujeres multíparas, con pérdida de peso marcada. El diagnóstico preoperatorio es un reto y su manejo es quirúrgico, pero dada su poca frecuencia no existen recomendaciones sobre una técnica universal. Se presenta el caso de una mujer con obstrucción intestinal y diagnóstico tomográfico de hernia obturatriz. Se realiza abordaje mediante laparotomía infraumbilical, con reducción exitosa de la hernia y reparación con malla sin resección intestinal.
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