Resumen: La expresión "el giro teológico de la fenomenología" acuñada por Dominique Janicaud en 1991 es verdadera en la medida que por ella se entienda el cambio obrado en el discurso de los últimos fenomenólogos franceses que han recurrido a conceptos de la teología. Sin embargo, la expresión deja en pie la pregunta: ¿a qué responde ese cambio de escritura? Una posible respuesta sería que sosteniendo esa modificación discursiva se encuentra una conversión radical. Podría pensarse que en la inmediatez de la escritura habita una raíz más profunda que exige el uso de términos teológicos. Exigencia de un giro que debería fundarse en un vacío, en un silencio previo a la palabra, en algo que afecta la vida del hombre, y, en consecuencia, su filosofía. La tarea sería encontrar, en lo dicho por los pensadores acusados, aquello que justifica el uso de términos teológicos. A fin de dar forma a estas cuestiones seguiré a dos de ellos: Jean Louis Chrétien y Michel Henry. El primero, para mostrar el uso que hace de los términos teológicos, el segundo, para tocar la Vida que exige una manifestación diferente a la del mundo.Palabras clave: Fenomenología, giro, creencia, inmortalidad, vida. Abstract:The expression "the theological turn of phenomenology" coined by Dominique Janicaud in 1991 is true insofar as it refers to the change in the discourse of the more recent French phenomenologists who have resorted to theological concepts. However, it begs the question: What is the reason for this change in discourse? A possible answer could be that radical conversion can be found in that change. One could assume a more profound root that demands the use of theological terms inhabits the immediacy of writing. It is the need for a turn or twist that should be grounded in emptiness, in a silence prior to the word, in something that touches man's life, and, consequently, his philosophy. The task is to find something in the words of these thinkers that justifies the use of theological terms. To clarify these questions, the author discusses two of them: Jean Louis Chrétien and Michel Henry; the first, to show his use of theological terms and the second, to touch on Life that demands a different manifestation from that of the world. 142Ricardo Oscar Díez Résumé: L'expression «tournant théologique de la phénoménologie» employée pour la première fois par Dominique Janicaud en 1991 est vraie dans la mesure où l'on comprend le changement survenu dans le discours des dernières phénoménologies françaises qui ont eu recours aux concepts de la théologie. Cependant, l'expression ne répond pas à la question : à quoi est dû ce changement d'écriture ? Une possible réponse pourrait être que soutenant cette modification discursive, on trouve alors une conversion radicale. On pourrait penser que dans l'immédiateté de l'écriture réside une racine plus profonde qui exige l'utilisation de termes théologiques. Exigence d'un tournant qui devrait se fonder dans un vide, dans un silence préalable au mot, dans quelque chose qui affecte la vie de l'homme et par ...

Background: There are multiple techniques used for laparoscopic appendectomy (LA): ligature loop (LL), surgical stapler (SS) (Endopath Ets-Flex-Endoscopic Articulating Linear Cutter 33 mm Standard Ref Atb 35. Ethicon, Somerville, New Jersey, US), and hem-o-lok clips (HOL) (Weck Closure System. Triangle Park, NC, USA). The application of the LL usually demands dexterity and training, whilst using HOL may be more advantageous due to its simplicity in terms of application and its low cost in contrast with the SS.The objective of this study is to determine safety and efficacy of the different devices that can be used in the surgical procedure.Methods: From June 2016 to December 2019, 253 consecutive children aged to 1 to 18 years were retrospectively reviewed. They were divided into three groups depending on the device used to secure the appendix: (I) in the first group, the base of the appendix was secured by double LL, (II) in the second group the base of the appendix was secured with SS, and (III) in the third group the base of the appendix was secured with two non-absorbable HOL. The data collected includes age, gender, operative time, device used to ligate the base of the appendix, previous tests (blood analysis, imaging), antibiotic prophylaxis administered, length of hospital stay, intraoperative and postoperative complications, shoulder pain and histological study of the specimen.Results: There were 253 patients that underwent laparoscopic appendectomy during the study time, with a mean age of 10.3±4.1 in the LL group, 9.4±2.7 in the SS group and 10.4±3.3 in the HOL group, P=0.165. Distribution by gender was 77.8% for males in the LL group, 65.2% in the SS group and 61.3% in the HOL group, P=0.559. The mean surgical time with IQR in brackets was 60.0 (10.0) minutes (min), in the first group in which the base of the appendix was secured with LL, in the second group in which the base of the appendix was secured with SS 60.0 (15.0) min and finally in the third in which the base of the appendix was secured with HOL 40.0 (30.0) min, P<0.001. HOL clips have a significantly lower cost than their analogues. Specifically, 5 HOL clips have a cost of EUR 26.75, while three LL have a cost of EUR 53.70 and a single SS has a cost of EUR 276.58. Postoperative complications were found in 14.3% of the LL group, 9.8% in the SS group and 4.6% in the HOL group, P=0.137. Efficacy and safety in controlling the base of appendix were the same in all groups.Conclusions: The HOL are safe and reduce surgical costs during laparoscopic appendectomy in children.

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Sigmoid volvulus is a rare etiology of bowel obstruction in the pediatric population that can be easily misdiagnosed, leading to delayed treatment and potential complications. Given that sigmoid volvulus is a common cause of bowel obstruction in the adult population and the significant lack of literature on its management in children, treatment strategies for pediatric patients often follow standardized protocols for adults. We report the case of a 15-year-old boy who presented with recurrent episodes of sigmoid volvulus over a 1-month period. Computed tomography demonstrated a sigmoid volvulus without evidence of ischemia or bowel infarction. Colonoscopy demonstrated a descending megacolon, and bowel transit studies demonstrated normal transit time. Acute episodes were managed conservatively with colonoscopic decompression. After a complete study, laparoscopic sigmoidectomy was performed. This work demonstrates the importance of early recognition and treatment of sigmoid volvulus in the pediatric population to limit recurrent episodes.

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