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Armando Vargas-Domínguez

Publications and source records attributed to Armando Vargas-Domínguez.

4 recordsLinked to original sources
PubMedDate not supplied

[Open-groin hernia repair utilizing E-PTF mesh technique].

BACKGROUND: At present, utilization of mesh is best option for surgical groin hernia treatment. Affirmation must be corroborated in hernia clinics of a national concentration hospital to ascertain which is the most recommendable with regard to technique therapeutics and economic factors. PLACE: A tertiary level concentration general hospital. MATERIAL: There were 61 groin hernia repairs in 59 patients, 54 males 91.5% and five females (8.5%). Average 43 age was, minimum 17, maximum 81, median 41 mode 55 years. Plain mesh of expanded polytetrafluoroethylene was used. METHODS: A prospective, descriptive, and longitudinal study was conducted in a 1-year. Inclusion criteria included patients who accepted the mesh proceeding and bought the mesh. We made a date gathering sheet with age, gender, hospital stay, surgical time, pain scale and complications. Patients underwent follow-up at 7, 14, 21, and 30 days after each month. RESULTS: Average surgical time was 53 min average hospital stay 52 h. Five patients had complications, urine retention was present in two, and serosity in one there was case of rejection of surgical absorbable suture not related with mesh. There was no prolonged hospital stay, and no relapses. Pain measurement was performed at two different times; Average pain index was 3.76 for first and 2.48 for second on a 1-10 scale. On average, there were two doses of analgesics per patient. In this group, surgery was well accepted without severe complications and with low scale of pain.

Adolescent↗
PubMedDate not supplied

[Clinical guides in Mexico, emission of the Academia Mexicana de Cirugia].

Today, these exist worldwide organizations related with the practice of medicine that are interested in marking recommendations and in formulating guidelines for better performance of physicians and health professionals. These organizations are headed by universities, associations, colleges, research center, and work groups and are made up of well-known physicians with academic prestige from the private and public sectors. This report presents a brief overview concerning the development of three clinical guides related with illnesses frequently observed in the physician's office: rhinosinusitis gastroesophageal reflux diseases (GERD), and prostate benign hyperplasia. These guides are issued by one of the most important academic institutions in the country. In the above-mentioned works, the efforts of specialist who are opinion leaders in these topics form different states of the country converge. Likewise, critical points to consider for producing clinical guides are provided mechanisms of diffusion, consultation, feedback and updating of these documents, have already been provided and focus on national medical practice quality of services, and the manner in which to carry out diagnosis and therapy at the different levels of medical care, with emphasis on preventing complications.

Gastroesophageal Reflux↗
PubMedDate not supplied

[Sutureless thyroidectomy with local anesthesia plus conscious sedation. Two clinical cases].

OBJECTIVE: We proposed a modification of thyroid surgery and have reported two operations carried out with sutureless surgery and local anesthesia. Our study setting was Unit 305 of the General Hospital of Mexico in Mexico City. With regard to study design, two patients are presented with sutureless thyroid surgery in what we believe is the first publication of its kind in Mexico and probably the first publication in the world that reports the combination of both sutureless technique and local anesthesia. MATERIAL AND METHODS: Patient number 1 is 41 years of age with a 10-year history. Fine-needle biopsy denoted nodular goiter but definitive diagnosis was Hashimoto thyroiditis, for which we performed subtotal resection. Patient number 2 is 46 years of age, and has a history of 1 year of thyroid mass; final diagnosis was colloid goiter. Lobectomy and isthmus resection was done. We proceeded under local anesthesia plus sedation with the patient conscious, in combination with no stitches for hemostasia using a tissue-sealing system ligasure. RESULTS: Both patients had good results without postoperative complications. Surgical time was 120 min in first case and 71 min for the second. Patient 1 had transient hoarseness for 3 weeks, and the healing was spontaneous. CONCLUSION: Outcome was adequate in these two cases with local anesthesia and no stitches.

Adult↗