Activity

15/49 p less then 0.001) as well as a greater number of cases with some late infection in the ciprofloxacin/metronidazole group (1/49 vs. 10/49, p = 0.010). Conclusion In the post-operative management of CAA, carbapenems represent an important indication to be considered as first-line antibiotic therapy.To present an atypical case of deep intracerebral hemorrhage caused by the rupture of an aneurysm of the distal lenticulostriate artery. PKM2-IN-1 A 42-year-old woman presenting with right-sided mild hemiparesis was diagnosed with an acute left-sided hemorrhage within the basal nuclei. Cerebral angiography revealed a microaneurysm of the distal portion of the left lenticulostriate artery. Conservative treatment under close neurological surveillance was recommended. After a few days of hospital stay, the patient’s neurological symptoms improved, and she was discharged. The patient has remained asymptomatic for more than 6 months. Aneurysms of the distal lenticulostriate artery are extremely rare.Introduction Cervical spine surgery (anterior cervical spine surgery [ACSS]) is a commonly indicated to provide neurological decompression, correct deformity, and preserve stability. Current series report good to excellent results, but a number of patients suffer from dysphagia with reported rates as high as 80%. Materials and methods Retrospective cohort of patients undergoing ACSS (anterior cervical discectomy and fusion [ACDF]; and arthroplasty, total disc replacement [TDR]) from 2013 to 2017 by a single surgeon. We collected demographic data, surgical outcomes, clinical outcomes, and dysphagia incidence and magnitude (visual analog scale [VAS]), we analyzed results with SPSS 22. Results A total of 81 patients operated from 2013 to 2018, ACDF was performed in 70, and TDR was performed in 11, mean surgical time was 156.8, mean neck pain and radicular pain VAS reduced significantly in both groups (p less then 0.01). Dysphagia was encountered in 18 ACDF patients, and one TDR patient. Overall dysphagia rate was 9.1% in day-1 post-operative, with mean 0.27 magnitude (standard deviation [SD] 0.4) in ACDF group and 0.18 (0.6 SD) in TDR group, 1-month follow-up dysphagia rate was 0%. Conclusions Minimally invasive techniques may reduce post-operative dysphagia related to soft-tissue trauma, to 9% in day-1 post-operative (as compared to 39%), and to 0% (as compared to 8.5% reported worldwide) by 1-month follow-up.Objective The objective of the study was to analyze the results of endoscopic laser microsurgery for early glottic carcinoma treatment (Stages I and II) at a Tertiary Center in Mexico City. Materials and methods Descriptive, retrospective review of 40 patients with early glottic carcinoma who were treated with endoscopic laser microsurgery with curative intent at our institution from November 2003 to December 2013. Results The study yielded 4 pTis, 19 pT1a, 8 pT1b, and 9 pT2 patients. Mean patient follow-up time was 7.4 years (range 3-12.9 years). Post-operative bleeding requiring surgical intervention occurred in 1 (2.5%) patient. Kaplan-Meier results at 3 and 5-year estimates were as follows overall survival was 92.5 and 87%, respectively; laser only local control was 94.9 and 91.6%, respectively; and disease specific survival and ultimate local control rate were 97.5% for both time periods. We found a 97.5% (39/40) organ preservation rate. Conclusions Laser microsurgery for glottic carcinoma treatment is an emerging technique in Mexico. Our results are promising as reported by other authors in Europe and United States of America, which support the replicability of the surgical technique refined by Dr. Wolfgang Steiner.Objective To describe the transoperative results of cataract surgeries assisted by femtosecond laser. Method Observational, descriptive, retrospective and cross-sectional study of 420 surgical records made with the LenSx platform from April 2015 to August 2017. The review of records was made through the internal electronic system accessing the preoperative and postoperative note. The information was collected through a database in Excel. The analysis of variables was performed by means of descriptive statistics with measures of central tendency. Results 86 files met inclusion criteria. The average age was 63 years. There was a general frequency of complications of 27.9% (24 surgeries). The most frequent complications were incomplete or impermeable corneal wound (37.5%), incomplete capsulorhexis (25%) and posterior capsule rupture (16.7%). Conclusions The femtosecond laser technology incorporated in cataract surgery can be considered successful because of a low overall frequency of complications.Purpose To analyze indicators of social impact in patients with senile cataract treated with phacoemulsification and intraocular lens (IOL) implant. Material and methods Patients ≥ 60 years, better corrected visual acuity (BCVA) ≥ 0.6 logarithm of the minimum angle of resolution (LogMAR) and senile cataract treated with PHACO + IOL for cases and incipient senile cataract without surgical treatment with MVCA less then 0.6 LogMAR for controls. Exclusion criteria; pathologies that modify the quality of life. The WHOQOL-OLD test was applied presurgical, one postoperative month and three postoperative months. Results 54 controls and 56 cases were included. The preoperative BCVA was 1.57 ± 1.041, third month was 0.68 ± 0.7817 (p less then 0.001). The results of the preoperative WHOQOL-OLD survey vs the third month INT 12.96 versus 11.06 (p less then 0001); DAD, 10.48 versus 6.389 (p less then 0.00001); SOP 12.07 versus 13.76 (p less then 0.0007) and SAB, 13.02 versus 8.648 (p less then 0.0001). The survey of the 3rd month versus the controls INT 9.66 versus 11.06 (p less then 0.001); PPF, 13.89 versus 12.39 (p less then 0.001) and AUT 12.47 versus 10.15 (p less then 0.001). Conclusion Patients, present an improvement in the BCVA that is reflected in the quality of life, this can be interpreted as positive results and should be taken into account to support the surgical indication.Background The evolution of the activity of deceased organ donation and solid organ transplantation in Mexico was analyzed for the period of 2004-2018. Method The information of deceased donation and organ transplantation in Mexico was collected and ordered for said period. When there was no complete information for 2018, the data for 2017 were used instead. Main sources of information The global observatory on donation and transplantation and the National Transplant Center, Centro National de Trasplantes or CENATRA of the Mexican Secretariat of Health (SSA). Results (1) In Mexico, deceased donation rates were 3.2 donations per million population (pmp) in 2007 and 3.94 in 2017, an increase of 23.1%. The rate in 2017 is quite lower than the average reported for Latin America 9.5 donations pmp. (2) The number of patients awaiting a solid organ transplant increased from 4993 in 2007 to 15,448 in 2018, an increase of 309%. (3) In 2017, Mexico reported having 255 authorized centers for renal transplantation, more than any other country in the world.