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Mexico City, Mexico

Alvarez-Martinez M.M.,Hospital Angeles del Pedregal
Acta ortopédica mexicana | Year: 2011

Infantile idiopathic scoliosis (IIS) represents one of the most severe forms of scoliosis. At the time of skeletal maturity the untreated progressive curves are usually over 100 degrees and have an important rotational component. That is why the natural course of IIS is thought to occur until the time that patients are treated, around 10 years of age. A close follow-up is recommended in these cases and, if necessary, starting active treatment in cases of progression. Patients who started treatment at an earlier age had better results than those who started at around 2 years of age. The overall risk of complications of IIS during the treatment period using a construct with rods is 58%. This percent decreases if implant placement is delayed as much as possible until the time of the initial surgery, at around 6 years of age, besides using a double rod instead of a single rod (10 vs 27%) and limiting the number of lengthening procedures (each subsequent lengthening results in a 24% increase in the risk of complications). The complications rate is moderate, but manageable. At present the use of a double rod with scheduled serial lengthenings seems to offer better results than the use of a single rod, due to its better capacity to control the spine. Early-onset scoliosis should be distinguished from other types of scoliosis. There are relevant doubts concerning the etiology and treatment, which should be addressed specifically. Source

Canche-Arenas A.P.,La Salle University at Cuauhtemoc | Reza-Orozco M.,La Salle University at Cuauhtemoc | Rodriguez-Weber F.L.,Hospital Angeles del Pedregal
Medicina Interna de Mexico | Year: 2011

Background: The concept of quality of life has evolved from a conceptual definition to a series of scales to measure general health perception transplant patient. Objective: Evaluating the quality of life of renal transplant patients. Material and method: Retrospective, descriptive study that evaluated the patients transplanted in the last five years in the Angeles del Pedregal Hospital, were collected 30 patients who underwent Fernandez questionnaire and assessment scale Karnosfky before and after transplantation. The information was analyzed based on responses from both questionnaires. Results: showed that renal transplantation improves quality of life of patients who are in chronic renal failure independent of functional status, social, cultural, psychological and economic in that are situated patients before and after transplantation. Source

Ugarte y Romano F.,Hospital Angeles del Pedregal | Gonzalez Serrano A.,National Autonomous University of Mexico
Journal of Sexual Medicine | Year: 2013

Introduction. Disturbances in testicular integrity have the potential to cause severe concerns about masculinity, body image, and sexual function. Testicular volume replacement surgery with prosthesis has been known about since 1941, although esthetic procedures for testicular augmentation have not been satisfactory. Aim. To describe an unprecedented testicular augmentation surgical technique that is specially focused on preserving testicular function and providing a favorable esthetic outcome. Methods. We present a case of a 45-year-old man with body dysmorphic disorder. Surgical treatment using a new technique by placing a chin implant on the testicle was offered and accepted. Results. Good symmetry between both testicles was achieved. No complications were reported. One month after the procedure, the patient started a satisfactory sex life. Functional monitoring was normal during the year after the procedure. Conclusions. This technique is unprecedented in literature, it represents a safe and effective therapeutic alternative; nevertheless, more experience in performing this procedure is needed. © 2012 International Society for Sexual Medicine. Source

Background: The ungual epidermoid carcinoma is a rare entity, it has been related to human papilloma virus infection and often it is previously treated as common warts, which delay the diagnosis. Objective: To communicate the findings in six cases of ungueal epidermoid carcinoma treated in a private consultation. Material and method: A retrospective study of six cases of ungual epidermoid carcinoma, attended from 2007 to 2014 in the private consultation that had been treated previously as vulgar warts with several treatments, without result. Results: Five men and a woman were included, 54 years old on average, thumbs and middle fingers from the right hand and two cases on the toes, which is unusual. All the cases were treated with Tübingen Torte surgery without complications or relapse to the present. Conclusions: Demographic characteristics of our series are very similar to those reported in literature, with predominance in the male gender and average age of 60 years in literature and 54 years in our series. Source

Sobrino-Cossio S.,Hospital Angeles del Pedregal
Revista española de enfermedades digestivas : organo oficial de la Sociedad Española de Patología Digestiva | Year: 2012

The Montreal Definition and Classification divides Gastroesophageal Reflux Disease (GERD) into esophageal symptomatic syndromes (and with mucosal damage) and extraesophageal syndromes (with acid established association and proposed association). In typical GERD symptoms, an 8-week treatment with PPIs is satisfactory in most cases (> 90%). Response rates to PPIs in GERD are highly variable, as they also rely on an appropriate clinical diagnosis of the disease; endoscopy differentiates the macroscopic GERD phenotype. The non-erosive variety (50-70% prevalence) has a different symptomatic response rate, as gastric acid is not the sole etiology of symptoms. The possible explanations of treatment failure include treatment adherence, PPI metabolism alterations and characteristics, and inadequate diagnosis. Refractory symptoms are related to gastric content neutralization by the chronic use of PPIs.Extraesophageal manifestations are associated with other pathophysiological mechanisms where an autonomic nervous system disturbance gives rise to symptoms. In these clinical entities, the relationship between symptoms and acid needs to be established in order to determine the use of PPIs, or consider other drugs. In other words, so as to "custom-tailor the best-fitting therapy" we need to answer the questions for whom, for what, how and for how long. Finally, PPI safety and tolerability are factors to be considered in elderly patients requiring chronic PPI use, who usually have chronic concomitant illnesses. Source

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