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Ex-Hacienda el Hospital, Mexico

Bernet L.,Patologia | Urruticoechea A.,Onkologikoa | Vicente F.,Cirugia
Revista de Senologia y Patologia Mamaria | Year: 2014

Objectives The importance of obtaining free margins in breast-conserving surgery is well known. However, there are no uniform criteria on when to perform a reexcision. Therefore, the Breast Study Group decided to identify current practice in Spain through a survey. Materials and method An online survey was developed consisting of 28 items divided into the following 4 data sections: General information, perioperative information and decisions, postoperative information and decisions, and other factors. Questionnaires were sent to 87 centers, and responses were obtained from 55 (63.2%). Results Margins were always examined intraoperatively in 60% of the centers and occasionally in 22%. Close margins were defined as those 1 mm away from the margin by 58% of participants. Most centers opted for reexcision when information on involved margins or close margins was obtained intraoperatively. If the information was obtained postoperatively, reexcision was performed in 70-100% of cases of involved margins but in only 18-29% of cases of close margins. In cases of involved margins without reexcision, 50% of respondents increased the radiation dose. Conclusion In Spain, reexcision is usually performed in cases of involved margins. However, there is an appreciable variation in this decision in cases of close margins. © 2014 SESPM. Published by Elsevier España, S.L. All rights reserved. Source

Blugerman G.,Clinica BandS | Schavelzon D.,Clinica BandS | D'Angelo S.,Clinica BandS | D'Angelo W.,Cirugia | Meirino A.,UNNE
Prensa Medica Argentina | Year: 2010

Introduction: The surgical dermoabration consists in the removal of the superficial dermis through out an abrasive process with sandpaper and/or diamonds drills that intends the attenuation of facial wrinkles, acne sequels and skin hiperpigmentation. The platelets rich plasma (PRP) is an autologous, nontoxic, nonalergenic product obtained from the patient's blood centrifugation, it contains 95% of platelet and it can be used topically over the post dermoabration wound and it accelerates the repair and healing of the wounds. Material and method: We treated 32 patients (12 male and 20 female) of 38 years average: 15 with acne sequels, 13 with facial wrinkles and 4 because of facial rejuvenation. We did the surgical dermoabration with local tumescent anesthesia infiltration using sandpaper and/or diamonds drill. The PRP is obtained from the patient's autologous venous blood centrifugation. Results: All the patients had satisfactory results with less scar formation and a faster reepitelization process Conclusion: In cosmetic and esthetic medicine there are many ways of uses the PRP. This paper shows our experience in the topical use of PRP in patients submitted to a surgical dermoabration. It's observed that when placing PRP in the wound the process of reepitelization of the wound is accelerated, allowing a better healing which is noticed as a shorter recovery time, avoiding infections and hematomas. It has not contraindications because is an autologous, nontoxic, nonalergenic product obtained by the patient blood centrifugation. Source

Herrera C.B.,Hospital Pediatrico Mocte Zuma | Herrera C.B.,National Autonomous University of Mexico | Romero Rivera E.A.,Cirugia | Sanchez O.A.T.,Cirugia | Hernandez C.R.I.,Cirugia
Revista Mexicana de Pediatria | Year: 2013

Alimentary tract duplication is a structural defect characterized by arising of the antimesenteric surface and occasionally heterotopic mucosa is present. It is more common in terminal ileum and frequently is asymptomatic. Synchronous volvulus is a rare complication. Reported case: We present a fíveyear and four months male patient who suddenly suffered an acute abdominal syndrome. Laparotomy showed an ileum duplication and volvulus. A resection and intestinal anastomosis was performed. Clinical course was uneventful. Source

Rios A.,Proyecto Colaborativo Internacional Donante International Collaborative Donor Project | Rios A.,Hospital Clinico Universitario Virgen Of La Arrixaca | Rios A.,University of Murcia | Lopez-Navas A.,Proyecto Colaborativo Internacional Donante International Collaborative Donor Project | And 19 more authors.
Cirugia Espanola | Year: 2014

Introduction: Hospital personnel are a group which has an influence on the opinion of the rest of the population about healthcare matters. Any unfavorable attitude of this group would be an obstacle to an increase in organ donation. Objective: To analyze the attitude of hospital workers toward the donation of one's own organs in Spanish and Latin American hospitals and to determine the factors affecting this attitude. Material and method: Eleven hospitals from the «International Collaborative Donor Project» were selected, 3 in Spain, 5 in Mexico, 2 in Cuba and one in Costa Rica. A random sample was stratified by the type of service and job category. Attitude toward donation and transplantation was assessed using a validated survey. The questionnaire was completed anonymously and was self-administered. Statistical analysis: Student's t-test, the χ2 test and logistic regression analysis. Results: Of the 2,785 workers surveyed, 822 were from Spain, 1,595 from Mexico, 202 from Cuba and 166 from Costa Rica and 79% (n. = 2,191) were in favor of deceased organ donation. According to country, 94% (n. = 189) of Cubans were in favor, compared to 82% (n. = 1,313) of the Mexicans, 73% (n. = 121) of the Costa Ricans and 69% (n. = 568) of the Spanish (P<.001).In the multivariate analysis, the following variables had the most specific weight: 1) originating from Cuba (odds ratio. = 8.196; P<. .001); 2) being a physician (OR. = 2.544; P<. .001); 3) performing a job related to transplantation (OR= 1.610; P= .005); 4) having discussed the subject of donation and transplantation within the family (OR. = 3.690; P<. .001); 5) having a partner with a favorable attitude toward donation and transplantation (OR. = 3.289; P<. .001); 6) a respondent's belief that his or her religion is in favor of donation and transplantation (OR. = 3.021; P= .001); 7) not being concerned about the possible mutilation of the body after donation (OR. = 2.994; P<. .001); 8) the preference for other options apart from burial for treating the body after death (OR. = 2.770; P<. .001); and 9) acceptance of carrying out an autopsy if one were needed (OR. = 2.808; P<. .001). Conclusions: Hospital personnel in Spanish and Latin American healthcare centers had a favorable attitude toward donation, although 21% of respondents were not in favor of donating. This attitude was more favorable among Latin American workers and was very much conditioned by job-related and psychosocial factors. © 2013 AEC. Source

Martinez-Mier G.,Corporativo San Gabriel Alacio Perez 928 | Canas-Acar J.,Cirugia Pediatrica | Gomez-Dorantes S.,Pediatria Oncologica | Santos-Aguilar U.,Cirugia | And 2 more authors.
Cirugia y Cirujanos | Year: 2012

Background: mesenchymal hamartoma of the liver is a rare benign liver tumor in children, usually arising from the right liver lobe and represents about 5 to 6% of all primary hepatic tumors. Complete surgical resection of the tumor is curative. Clinical case: a 30 months old male presented with epigastrium abdominal pain and a palpable mass over a period of two days with no other symptom. The mass was excised completely. Postoperatively the patient recovered with an uneventful course and was discharge 13 days following surgery. All microscopic findings were consistent with the diagnosis of mesenchymal hamartoma of the liver. Conclusions: approximately 75% of mesenchymal hamartoma of the liver occur in the right lobe of the liver. Several diagnostic considerations should be elucidated to differentiate these type of tumors in the left lobe from other benign liver tumors. Sometimes a multidisciplinary approach is necessary to complete a successful complete surgical excision. Our case exemplifies a rare entity in a rare location, an adequate treatment in a third level reference hospital setting. Source

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