Publications by authors named "Tovilla-Mercado J"
Background: The goal of this study was to investigate the role of nasogastric drainage in preventing postoperative complications in children with distal elective bowel anastomosis. Nasogastric drainage has been used as a routine measure after gastrointestinal surgery in children and adults to hasten bowel function, prevent postoperative complications, and shorten hospital stay. However, there has been no study that shows in a scientific manner the benefit of nasogastric drainage in children.
View Article and Find Full Text PDFBackground: We report on the effectiveness of a standardized perioperative care process for lowering surgical site infection (SSI) rates among children with stoma closure at a tertiary-care public pediatric teaching hospital in Mexico City.
Methods: All consecutive children with stoma closure operated on between November 2003 and October 2005 were prospectively followed for 30 days postoperatively. We conducted a before-after study to evaluate standardized perioperative bowel- and abdominal-wall care process results on SSI rates.
Article Synopsis
- OLT has been challenging to develop in Mexico, but a pediatric liver transplant program conducted between June 1998 and March 2004 performed 35 transplants with promising outcomes.
- Most recipients were infants or toddlers, and while there were some complications, overall patient survival rates were encouraging, especially in the later cohort (1-year survival of 91.6%).
- This program achieved significant milestones, including the first successful living donor liver transplant and the first simultaneous liver-kidney transplant in a child in Mexico, highlighting its feasibility and success compared to international standards.
Purpose: The aim of this study was to compare the incidence of surgical complications (duodenal perforation, postoperative vomiting, wound infection or dehiscence, incisional hernia) between 2 different surgical techniques for the resolution of hypertrophic pyloric stenosis in children.
Methods: A clinically controlled, randomized study with follow-up from 24 to 36 months was conducted. One hundred children between 15 days and 2 months old, who underwent surgical resolution of hypertrophic pyloric stenosis, were put randomly into 2 groups: I, pyloric traumamyoplasty (n = 43); II, Fredet-Ramstedt pyloromyotomy (n = 57).
Purpose: The aim of this study was to compare the incidence of surgical complications between two different surgical techniques for intestinal anastomosis in children.
Methods: This was a clinically controlled, randomized study with blind follow-up from 18 to 36 months performed at the Reference Government Hospital in Mexico City. Eighty-six children required intestinal anastomosis, ages ranged between 1 month and 16 years, with emergency or elective surgery.