Enteroatmospheric fistulas in open abdomen in trauma associated with abdominal reintervention and VAC therapy.

Background: Open abdomen is an alternative for the management of trauma patient, and negative pressure therapy of the wound using VAC device is a genuine sort of treatment. Although the device poses technical advantages, risks are present and a critical complication is the enteroatmospheric fistula formation (EAF).

Objective: To analize the role of negative pressure therapy length and VAC device number of changes on the EAF formation in trauma patients udergoing open abdomen.

Donación renal pareada: beneficio de este programa en la tasa de trasplantes y sobrevida del injerto.

Objective: To demonstrate the experience since the transplant program under paired kidney donation implementation; program that increases the donation rate by 25-30% in hospitals with no inferior graft survival compared to directed living donor kidney transplantation.

Method: Observational, analytical, longitudinal and prospective study from December 2018 to July 2021. All G5 KDIGO chronic kidney patients who were HLA or ABO incompatible with their original donors in the pretransplant protocol and who were transplanted under the paired kidney donation program, were included.

Burnout Syndrome in a Military Tertiary Hospital Staff during the COVID-19 Contingency.

(1) Background: Burnout syndrome (BOS) is defined as a psychological state of physical and mental fatigue associated with work. The COVID-19 pandemic greatly impacted the physical and mental wellbeing of health professionals. The objective of this work was to determine the impact on personnel, monitoring the frequency of BOS throughout the pandemic.

Epidemiology of hospitalized patients with COVID-19 in a tertiary care hospital.

Introduction: COVID-19, caused by the betacoronavirus SARS-CoV-2, has overwhelmed the world's health systems.

Objective: To describe the epidemiological characteristics of patients treated in a tertiary care hospital.

Methods: A retrospective cohort study of patients diagnosed with or suspected of having COVID-19 from March 23 to July 31, 2020 was conducted.

Shotgun injuries. Need for a special point of view.

Background: Shotgun injuries (SGI) are infrequent, but due its special ballistics, are related to adverse outcomes.

Objective: To analyze operative and administrative variables, critical for the institution.

Method: Demographics and health-care related variables from SGI patients admitted to Military Central Hospital (Mexico City) between July 2006 and August 2019, were retrospectively studied.

[Educación quirúrgica: el proceso multicanal de enseñanza-aprendizaje y la adquisición de competencias].

Background: Nowadays, there are few differences between civilian and military trauma, requiring to surgeons serving at urban hospitals, the acquisition of competences leading to implementation of management strategies for these cases. For their training, instructional designs related to surgical education, incorporating multimedia resources and favoring the multichannel teaching-learning process, have demonstrated remarkable benefits on competences acquisition by participants.

Method: Using an instructional design sustained on problems based learning and problems resolution, a digital video and its associated flat text were reviewed by the General Surgery residents, with the further application of a wide-answer problem-resolution questionnaire.

Management of acute bacterial skin and skin structure infections with a focus on patients at high risk of treatment failure.

Over the last 25 years, the terminology of skin and soft tissue infections, as well as their classification for optimal management of patients, has changed. The so-called and recently introduced term 'acute bacterial skin and skin structure infections' (ABSSSIs), a cluster of fairly common types of infection, including abscesses, cellulitis, and wound infections, require an immediate effective antibacterial treatment as part of a timely and cautious management. The extreme level of resistance globally to many antibiotic drugs in the prevalent causative pathogens, the presence of risk factors of treatment failure, and the high epidemic of comorbidities (e.

[Non-surgical management after blunt traumatic liver injuries: A review article].

Hepatic trauma is a common cause for admissions in the Emergency Room. Currently, non-surgical management is the standard treatment in haemodynamically stable patients with a success rate of around 85 to 98%. This haemodynamic stability is the most important factor in selecting the appropriate patient.