Análisis de la evolución de los operados mediante cirugía de mínimo acceso en nuestro hospital. ¿Presenta mejores resultados que la convencional? / Analysis of the evolution of those operated on with minimal access surgery in our hospital. Does it present better results than the conventional one?

Resumen La estenosis aórtica severa sintomática es la patología quirúrgica más prevalente en cirugía cardiaca y su sustitución aislada se ha realizado históricamente mediante esternotomía media completa. Sin embargo, se ha producido recientemente una gran revolución, especialmente tras la llegada de las prótesis aórticas sin suturas que, unido a un nuevo impulso por la cirugía cardiaca hacia un rumbo menos invasivo, ha provocado que el reemplazo de dicha válvula se lleve a cabo cada vez más frecuentemente por dichas prótesis y por incisiones de mínimo acceso. Por ello, realizamos una revisión de los casos intervenidos en nuestro servicio desde el inicio del programa de cirugía de mínimo acceso comparándolos con los resultados de los casos intervenidos en la misma época mediante cirugía convencional.

Abstract Symptomatic severe aortic stenosis is the most prevalent surgical pathology in cardiac surgery, and its isolated replacement has historically been performed by means of complete middle sternotomy. However, a great revolution has recently taken place, especially after the arrival of sutureless aortic prostheses that, together with a new impulse by cardiac surgery towards a less invasive course, has caused the replacement of said valve to be carried out more and more frequently due to these prostheses and minor access incisions. For this reason, we carried out a review of the cases operated on in our service from the beginning of the minimum access surgery program, comparing them with the results of the cases operated at the same time using conventional surgery.

Mixture optimization of anaerobic co-digestion of tomato and cucumber waste.

Greenhouse cultivation has significantly increased the production of vegetables and reduced dependence on environmental conditions. In Mediterranean areas, vegetable crops are nowadays one of the most important sources of organic waste generation. Anaerobic digestion is among the methods used to treat this type of biodegradable waste. However, the selection of the organic wastes to be subjected to this microbial treatment is a crucial aspect due to seasonality and simultaneity of the original crops. In this sense, as waste does not have frequently the proper nutrient balance, co-digestion with other substrates generated in the same geographical area is recommended to ensure the correct development of the process. This work studies the mesophilic co-digestion of tomato waste (TW) and cucumber waste (CW), which are common greenhouse wastes that do not contain an adequate ratio among nutrients (C/N/P) and are generated simultaneously. The influence of the percentage of both wastes in the mixture on the overall performance of the process was evaluated. The combination of TW and CW was found to be feasible in terms of stability, biodegradability and methane yield, which reached a value of 292 mLSTP CH4/g VS (STP: standard temperature and pressure, 0°C and 760 mmHg) for the percentage of tomato in the mixture, which is considered optimal at 55-75%. The most suitable organic load rate was determined for a percentage of 65% of TW, reaching a value of 1562 kg(waste) m(-3) month(-1).