[Kidney transplant program: Mexican Institute of Transplants. Model of synergy between private hospital and private assistance foundations].

Introduction: The Mexican Institute of Transplantation (IMT) was created in 1999 in response to the need to meet the demand for transplants in the south of the country for patients with limited resources. Thanks to the synergy with private assistance foundations this task has been accomplished.

Objective: To describe the IMT experience in kidney transplants.

[Determination of creatinine in drained liquid. Urinary leak or lymphocele?].

Background: Liquid collections around the renal graft that are displayed in 51% of cases implicate a diagnostic challenge and a risk for graft function. We undertook this study to determine the usefulness of creatinine concentration measurement in drainage in patients with renal transplantation.

Methods: We selected patients with surgically corrected urinary leak and patients with lymphocele from November 1, 1999, to November 30, 2008, in whom we determined the creatinine concentration in liquid drainage, plasma and urine.

Desensitization and renal transplant: plasmapheresis/IVIG standard dose in patients with high immunological risk.

Background: Patients with high immunological risk have been relegated to the growing waiting list for an immunologically compatible donor. Our objective was to report the experience of a transplant center in desensitization of patients with high immunological risk.

Methods: We carried out a descriptive and retrospective study.

[Endoscopy and bariatric surgery. A new challenge?].

Background: Obesity in Mexico appears with a frequency of 38.4% in men and 43.3% in women.

[Biosimulator training and its impact on skill in laparoscopic cholecystectomy].

Objective: We undertook this study to determinate the educational impact of training in an inanimate biosimulator in terms of effectiveness, time and complications in performing laparoscopic cholecystectomy.

Methods: We used a comparative, experimental cohort, prospective and longitudinal. Three first-postgraduate-year residents and one pre-grade internship physician were trained and assessed in basic laparoscopic skills using a biosimulator (fiberglass "dummy" where animal organs are introduced ex-vivo).