Browsing by Autor "Heriberto Garza de la Llave"

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    Profilaxis antibiótica en hernioplastias de pared abdominal
    (2015) Ana Prixila González Vargas; Heriberto Garza de la Llave; Luis Virgilio Ponce Pérez
    En Mexico, las hernias se encuentran entre las principales causas de egreso hospitalario, y la infeccion del sitio quirurgico es una de las complicaciones mas frecuentes de su reparacion; la profilaxis antibiotica es importante para disminuir su incidencia, morbilidad, mortalidad y costos asociados. Material y metodos: Estudio observacional, retrospectivo, transversal para la evaluacion de la profilaxis antibiotica en hernioplastias de pared abdominal de acuerdo con las recomendaciones emitidas por la American Society of Health-System Pharmacists. Resultados: Profilaxis antibiotica en 77% de los pacientes, seleccion correcta del antibiotico en 21.8%, aplicacion oportuna de la primera dosis de antibiotico en 0.5% de los individuos y duracion adecuada del tratamiento en 79%. Discusion: Hay evidencia de la utilizacion suboptima de las guias de profi laxis antibiotica en numerosos centros hospitalarios en todo el mundo, asi como ausencia de logistica para identifi car casos con infeccion del sitio quirurgico. Conclusiones: Existe poco apego a las guias de practica clinica en la seleccion de antibioticos y en el inicio oportuno del tratamiento. Es necesario insistir en la capacitacion y actualizacion de los cirujanos, anestesiologos y personal de enfermeria encargados de llevar a cabo esta tarea
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    Resolution of 2nd, 3rd or 4th interdigital space incomplete, simple syndactyly using a random vascularity flap
    (Medknow, 2017) Heriberto Garza de la Llave; Yusef Jiménez Murat; Alejandro Ángel Corona Figueroa
    Syndactyly consists of a variable fusion of soft tissue or of bone in adjacent fingers. This has important aesthetic and functional impacts on the development of the child due to the abnormal appearance of the hand. When the 1st web space is affected, it compromises grasp and development of the clamp function. Affliction of the 2nd, 3rd or 4th webspaces hinder the independent movement of the fingers adjacent to it. Current syndactyly release techniques have inherent disadvantages such as the use of skin from both the interdigital halves of the syndactylized fingers, the need to skin graft the donor site, postoperative flexion contracture, and need of 2 or more surgical procedures to obtain the desired result. The authors present 7 cases with incomplete simple 2nd, 3rd or 4th webspace syndactylies of multiple etiologies. All cases were treated at the unit of the corresponding author. The flap used in the treatment for all 7 cases did not require skin grafting of the flap donor site and used only skin from one of the fingers, while achieving a webspace dimension similar to normality, with a short recovery period. Furthermore, there were no postoperative finger contractures, diminishing the risk of future relapse.