Publications by authors named "Milton A Munoz-Leija"

Obesity has been regarded as an epidemic in recent years. Various treatments have been developed, with bariatric surgery showing the highest levels of safety and effectiveness. This has increased its popularity and demand not only among young adults but also among elderly patients.

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Introduction: Since the COVID-19 outbreak escalated to pandemic levels, numerous hospitals deferred elective interventions. Studies reporting the incidence, presentation, severity, and outcomes in the surgical management of biliary diseases differ before, during and after the pandemic.

Objective: Evaluate the presentation of biliary pathology by diagnosis and Parkland Grading Scale in patients whose surgeries were postponed due to the pandemic, and who were later surgically intervened.

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Obesity has been recognized as the main pandemic of this century. Multiple treatments have been developed: the use of medications, exercise, diet, and surgery. Bariatric surgery is one of the treatments that has shown the greatest effectiveness.

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Article Synopsis
  • * While SG has few common complications, rare issues such as acute hiatal hernia (AHH) can occur and may need further surgical treatment.
  • * This study presents a case of a female patient in Mexico who developed AHH post-surgery, which was successfully treated through reduction and omentopexy.
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Obesity has long been recognized as a global epidemic. One of the most effective treatments is bariatric surgery. Since the first modern procedure was reported, it has evolved over time, and multiple techniques have emerged.

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Obesity is a pathology that is increasing in incidence globally and threatens public health. Currently, one of its most effective treatments is bariatric surgery, which has shown the best long-term results. One of the most frequently performed surgical procedures in this area is laparoscopic sleeve gastrectomy (LSG) or vertical sleeve.

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Biliary fistula is a rare (less than 8%) cholecystectomy complication, internal fistulae being the most common of them (mainly colonic and duodenal). However, the presence of two fistulas at the same time is extremely rare, with a small number of cases reported in the literature to date. Symptoms tend to be non-specific, leading to a difficult preoperative diagnosis.

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Background: The management of gallbladder perforation (GBP) with fistulous communication (Neimeier type I) is controversial.

Aim: To recommend management options for GBP with fistulous communication.

Methods: A systematic review of studies describing the management of Neimeier type I GBP was performed according to the PRISMA guidelines.

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Article Synopsis
  • * It typically occurs in areas like the trunk and lower limbs, particularly the thigh, perineum, and groin, but the specific risk factors are not well understood.
  • * The preferred treatment is surgery, but due to the likelihood of recurrence and spread, patients need careful monitoring afterward; this synopsis includes a case involving a female Hispanic patient with LGFMS in the abdominal wall.
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Gallstone ileus is a rare presentation of gallbladder disease. It is mostly encountered in female and elderly patients. It occurs when a stone causes a fistula between the gallbladder and the intestinal lumen.

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Background: The optimal management of localized gallbladder perforation (Neimeier type II) has yet to be defined. The aim of this systematic review was to identify factors associated with improved patient outcomes.

Methods: Systematic review of studies that described the management of Neimeier type II perforation, reported complications of the first intervention, necessity of added interventions, resolution of the pathology, and days of hospital stay were included.

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Article Synopsis
  • * A survey was conducted among anatomy research group members at a Mexican medical school, revealing that most students value research for its contribution to new knowledge and the scientific community.
  • * Key motivators for research involvement were found to be professors and peers, while time constraints were the main barrier; however, many students expressed a desire to continue research alongside their clinical practice.
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Aim: During the paranasal sinuses surgery different complications may occur, both vascular and bony. The objective of the present study was to evaluate the ethmoidal roof configuration through the Keros and Yenigun classifications, analyzing results stratified by gender and side.

Materials And Methods: We retrospectively analyzed 120 high-resolution computed tomography paranasal sinus study images and measured the depth of the cribriform plate in a coronal view and the anterior-posterior length in a cross section.

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