[Alternatives for closure of the rectal "stump" in Hartmann's operation. A comparative experimental study which includes the resorbable mechanical suture (polysorb)]. / Alternativas de cierre de "muñón" rectal en la operación de Hartmann. Estudio experimental comparativo que incluye sutura mecánica reabsorbible (polisorb).

Five different kinds of sutures which can be used for closure of the rectal stump in Hartmann's operation are evaluated in the same animal. They are compared at six different phases of the cicatrization process: 7-30-45-60-90 and 150 days. In the analysis, the degree of complete cicatrization is considered as well as the thickness of the cicatriced tissue, and other factors such as persistence of suture material and the result of it. All of the sutures involved accomplished the goal of a good joint of the planes of intestinal suture. Although, two of them, the metal stapler and Polyglactin (Vicryl) in extramucosal surgery fulfill almost in an ideal way the goals concerning security, rare reaction to suture material, and consequently less thickness in the cicatriced tissue (2 x 2 and 1 x 1 mm respectively) as well as complete cicatrization in ninety days. Stapler is performed quicker and in a more aseptic way, but the scar resulting from Polyglactin is smaller. In separate extramucosal points, silk produces a more important tissue reaction with a thicker scar (3 x 3 mm) coming to an end in 150 days. "Albert Lembert" type suture is really far away from being a good mean because it creates an important tissue reaction with a thick scar (3 x 3 mm), with late consolidation (150 days) and granulomatous reaction. Resorbable stapler--Polisorb--has a considerable volume and it causes an important tissue reaction which determines a very thick (4.5 x 4.5 mm) and "unfinished" scar within 150 days; really far away for practical use.

[European medicine in the conquest of America]. / La medicina Europea en la conquista de America.

The author hold up America's discovery is the most important event in mankind history, because of the transcendental changes in all aspects of the thought, culture and social development it originated. The study displays the most important aspects of the process: aboriginal medicine, invisible enemy, withholding conquest, first medical doctors, medical practice, medicine man clinical assistance and medical education.

Alternativas de cierre de [quot ]muñón[quot ] rectal en la operación de Hartmann. Estudio experimental comparativo que incluye sutura mecánica reabsorbible (polisorb). / [Alternatives for closure of the rectal [quot ]stump[quot ] in Hartmanns operation. A comparative experimental study which includes the resorbable mechanical suture (polysorb)]

Five different kinds of sutures which can be used for closure of the rectal stump in Hartmanns operation are evaluated in the same animal. They are compared at six different phases of the cicatrization process: 7-30-45-60-90 and 150 days. In the analysis, the degree of complete cicatrization is considered as well as the thickness of the cicatriced tissue, and other factors such as persistence of suture material and the result of it. All of the sutures involved accomplished the goal of a good joint of the planes of intestinal suture. Although, two of them, the metal stapler and Polyglactin (Vicryl) in extramucosal surgery fulfill almost in an ideal way the goals concerning security, rare reaction to suture material, and consequently less thickness in the cicatriced tissue (2 x 2 and 1 x 1 mm respectively) as well as complete cicatrization in ninety days. Stapler is performed quicker and in a more aseptic way, but the scar resulting from Polyglactin is smaller. In separate extramucosal points, silk produces a more important tissue reaction with a thicker scar (3 x 3 mm) coming to an end in 150 days. [quot ]Albert Lembert[quot ] type suture is really far away from being a good mean because it creates an important tissue reaction with a thick scar (3 x 3 mm), with late consolidation (150 days) and granulomatous reaction. Resorbable stapler--Polisorb--has a considerable volume and it causes an important tissue reaction which determines a very thick (4.5 x 4.5 mm) and [quot ]unfinished[quot ] scar within 150 days; really far away for practical use.

Alternativas de cierre de [quot ]muñón[quot ] rectal en la operación de Hartmann. Estudio experimental comparativo que incluye sutura mecánica reabsorbible (polisorb). / [Alternatives for closure of the rectal [quot ]stump[quot ] in Hartmanns operation. A comparative experimental study which includes the resorbable mechanical suture (polysorb)]

Five different kinds of sutures which can be used for closure of the rectal stump in Hartmanns operation are evaluated in the same animal. They are compared at six different phases of the cicatrization process: 7-30-45-60-90 and 150 days. In the analysis, the degree of complete cicatrization is considered as well as the thickness of the cicatriced tissue, and other factors such as persistence of suture material and the result of it. All of the sutures involved accomplished the goal of a good joint of the planes of intestinal suture. Although, two of them, the metal stapler and Polyglactin (Vicryl) in extramucosal surgery fulfill almost in an ideal way the goals concerning security, rare reaction to suture material, and consequently less thickness in the cicatriced tissue (2 x 2 and 1 x 1 mm respectively) as well as complete cicatrization in ninety days. Stapler is performed quicker and in a more aseptic way, but the scar resulting from Polyglactin is smaller. In separate extramucosal points, silk produces a more important tissue reaction with a thicker scar (3 x 3 mm) coming to an end in 150 days. [quot ]Albert Lembert[quot ] type suture is really far away from being a good mean because it creates an important tissue reaction with a thick scar (3 x 3 mm), with late consolidation (150 days) and granulomatous reaction. Resorbable stapler--Polisorb--has a considerable volume and it causes an important tissue reaction which determines a very thick (4.5 x 4.5 mm) and [quot ]unfinished[quot ] scar within 150 days; really far away for practical use.

Morbimortalidad y pronóstico en pacientes sometidas a vulvectomía por cáncer de vulva primario / Morbimortality and pronostic in patients submissive vulvectomy by vulvar primary cancer

En el presente trabajo analiza la morbimortalidad y el pronóstico en las pacientes sometidas a vulvectomía por cáncer de vulva primario. Se analizan 30 casos que se presentaron durante el período 1970-1987. Las variables estudiadas se correlacionan entre sí siguiendo criterios preestablecidos con el fin de conocer los resultados y efectos de la cirugía con respecto a las variables morbilidad, mortalidad y pronóstico. Se logra determinar que existe una sobrevida a los cinco años de un 50 por ciento de los casos. La principal causa de morbilidad es el desfacelo de la herida quirúrgica. Se comprobó estadísticamente que existe relación entre la positividad de los ganglios y la recurrencia del tumor, igualmente existe relación entre la incidencia de ganglios positivos y la sobrevida a cinco años.

Dismenorrea en la adolescencia / Dysmenorrhea in the adolescent

1. A mayor edad ginecológica de aparición de la dismenorrea, mayor probabilidad de patología. 2. No en todos los casos de dismenorrea primaria, el aumento de prostaglandinas es la causa. 3. Un alto porcentaje de pacientes con dismenorrea en la adolescencia, pueden presentar patología de fondo.

Estudio retrospectivo del parto pélvivo por vía vaginal vrs. cesárea: su repercusión sobre la morbimortal fetal / A retrospective study of pelvic vaginal births vs. cesarean section: effects on fetal morbi-mortality

1. No existen diferencias significativas en los Apgar de los productos en presentación pélvica, según vía de parto, entre los pesos > 2500 gramos a < 3800 gramos. 2. Se deben crear protocolos de manejo para las pacientes con productos pélvicos, con indicaciones específicas para cesárea, con el fin de minimizar el riesgo de morbimortalidad, tanto para la madre como para el producto. 3. Toda paciente con producto pélvico debe ser evaluada adecuadamente, de acuerdo a los diferentes protocolos de manejo. Si no es posible realizar esto por labor avanzada, es mejor realizar una cesárea

[Leprosy in Guatemala 1982]. / Lepra en Guatemala 1982.

Leprosy is an endemic disease in Guatemala. The author presents a brief account of the Leprosy situation, from the year of 1527 to January first, 1982. During the early years of the Guatemala's colonial epoch, Leprosy was also named "Lazarus illness". From the years of 1530 to 1874, the leprosy patients, were successively attended in the following hospitals: 1) "The Mercy Hospital" in 1530; 2) "The Saint Lazarus Hospital" in 1638; 3) "The Piety Asylum" in 1874; and 4) "The Ramiro Galvez Leprosarium" in 1972. In 1973, was founded the "Guatemala Leprosy Patronage" and also, it created the the INSTITUTE OF DERMATOLOGY, also named INDERMA. From January first of 1973 to January first of 1982, INDERMA taked care and and treated, in its Guatemala city hospital and out patients clinics, the following cases: I. Patients with diseases of the skin, 79,241, II. New leprosy patients plus periodical consults (every 3 months) of old and known leprosy patients, during 9 consecutive years, 3,685, III. Clinical controls and consults of suspicious contacts, 6,188, IV. The INDERMA's rural anti leprosy campaign and their mobil units, take care and clinically examined healthy persons, 12,096, Among this group, were discovered 137 new leprosy patients. The total amount of INDERMA's health services, til I/82, 101,206. The rural anti leprosy campaign, has confirmed that the north oriental zone is the endemic area of Guatemala (Photo 7). Until today (I/1982) there are 410 verified cases of Leprosy in Guatemala. Among them, the predominant leprosy type, is the lepromatous one, with 49,04%. 62,43% of the leprosy patients are male. Of the age group, the 30 to 39 year old, predominates with 19,24%. The prevalence and density leprosy index, were verified only in the endemic zone with 24 257 square kilometers and 0,564% and 1 441 290 population = 0,345%. Actually, as the endemic leprosy area is controlled, INDERMA has continued the study and care of the leprosy patients in the rest of the Guatemala republic.