Papers by Guillermo Padron
Bookmarks Related papers MentionsView impact
American Journal of Medical and Clinical ReseaRCH, 2024
Acute genital ulcer, also referred to as "Lipschütz ulcer", is a relatively uncommon non-sexually... more Acute genital ulcer, also referred to as "Lipschütz ulcer", is a relatively uncommon non-sexually transmitted condition characterized by the rapid onset of a necrotic and painful ulcer within the vulvar region. This condition predominantly affects adolescents and young women, irrespective of sexual activity, and may manifest with symptoms resembling those of influenza or mononucleosis. Notably, acute genital ulcers have been linked to Epstein-Barr virus (EBV) infection as well as other viral or bacterial infections; nonetheless, the etiology often remains elusive. The case under consideration involves a 13year-old girl who, devoid of preceding vaginal or oral ulceration and without a history of sexual contact, presented with a rapidly progressive vulvar ulcer accompanied by episodic low-grade fever and upper respiratory tract infection, commencing two days prior. Following the exclusion of infectious causative factors, the lesion spontaneously resolved, with Epstein-Barr serology yielding indeterminate results, culminating in the diagnosis of Lipschütz ulcer.
Bookmarks Related papers MentionsView impact
International journal of medical science and clinical research studies, Mar 8, 2024
Bookmarks Related papers MentionsView impact
International archives of orthopaedic surgery, Jun 30, 2024
Bookmarks Related papers MentionsView impact
American Journal of Medical and Clinical Research & Reviews, Dec 31, 2022
Bookmarks Related papers MentionsView impact
International journal of surgery research and practice, Dec 30, 2023
Bookmarks Related papers MentionsView impact
Zenodo (CERN European Organization for Nuclear Research), Oct 3, 2023
Bookmarks Related papers MentionsView impact
Journal of Biomedical Engineering and Medical Imaging, Sep 16, 2023
Introduction: The robot-assisted surgery system has overcome some technical bottlenecks of laparo... more Introduction: The robot-assisted surgery system has overcome some technical bottlenecks of laparoscopy and dramatically improves the flexibility and precision of liver operation. It can also provide the magnified field of surgery and the threedimensional view, facilitating intracorporeal sutures and visualization of delicate an earlier return of sexual function compared with conventional laparoscopic surgery, attributed to a more remarkable ability to preserve the cavernous nerve. Conclusion: Drainage of a giant liver abscess has not been reported to date resolved by robotic surgery.
Bookmarks Related papers MentionsView impact
American Journal of Medical and Clinical Research & Reviews, Dec 31, 2022
Bookmarks Related papers MentionsView impact
Journal of Biomedical Engineering and Medical Imaging, Jan 21, 2024
Chronic appendicitis represents a rare surgical pathological entity, which is also tricky for fir... more Chronic appendicitis represents a rare surgical pathological entity, which is also tricky for first-contact physicians to consider as a differential diagnosis when faced with a patient with abdominal pain. There are currently well-described diagnostic criteria for it. The case of a 24-year-old female patient with no significant medical history presented with a picture of abdominal pain over three weeks of evolution. Moreover, diagnosed by contrast-enhanced computerized axial tomography with appendicitis, an open appendectomy was performed, and the histological examination confirmed the diagnosis of chronic appendicitis associated with fecalith obstruction.
Bookmarks Related papers MentionsView impact
Gastroenterology & hepatology, Mar 29, 2022
Bookmarks Related papers MentionsView impact
American Journal of Medical and Clinical Research & Reviews, 2024
INTRODUCTION. A variety of maternal risks and complications can occur during pregnancy or deliver... more INTRODUCTION. A variety of maternal risks and complications can occur during pregnancy or delivery in women with advanced maternal age have been examined. These include an increased risk of developing diabetes, gestational hypertension, preeclampsia, eclampsia, and HELLP syndrome. The correlation of advanced maternal age with placental dysfunction such as placenta previa or placental abruption has also been frequently reported. MATERIAL AND METHODS. A descriptive, observational, cross-sectional study was carried out in 52 patients aged 35 years and older attended during the period January 2022-December 2022 in the Gynecology and Obstetrics Service of the General Hospital Playa del Carmen. RESULTS. Only the increase in cesarean sections was statistically significant, obesity as a risk factor, although refusal of family planning was also important, as well as obesity as a risk factor in this group of pregnant women. Gestational diabetes was not important in this group over 35 years of age. DISCUSSION. During the last three decades, pregnancy at advanced maternal age has been increasing in frequency. According to a report from the Center for Disease Control and Prevention, the prevalence of births among women aged 35 years or older in the United States increased 23% (7% to 9%) between 2000 and 2014. From 2006 to 2015, the proportion of births increased 5% for women aged 35 to 39 years, 8%. Many studies have demonstrated increased risk of adverse outcomes in older patients. However, few studies stratified these risks by maternity older than 35 years, and few studies examined neonatal outcomes.
Bookmarks Related papers MentionsView impact
International Journal of Medical Science and Clinical Research Studies, 2024
The scrotum is a covering of skin that covers and protects the testicles. Although it is not comm... more The scrotum is a covering of skin that covers and protects the testicles. Although it is not common, some bacterial infections of this skin can extend to deep tissues and produce a severe entity known as Fournier's gangrene. Clinical case: A 62-year-old male patient arrives at the Emergency Department due to increased scrotal volume with extension to the perineal region associated with purulent discharge and fever for one week. The patient has type 2 diabetes mellitus of 10 years duration, with poor control despite consuming oral hypoglycemic agents. He has also had high blood pressure for two years, managed with Losartan 50 mg/day. They observed secretion from perianal fistula drainage and uncomplicated external hemorrhoids. Laboratories: Glucose 260 mg/dL, BUN 23 mg/dL, Urea 49.5 mg/dL, Cr 1.50 mg/dL, Leukocytosis 33.39 x 109/L, Hb 9.9 g/dL, Hct. 30.3%. Discussion: The management of Fournier's gangrene includes both pharmacological measures, such as the use of antibiotic therapy and surgical management. Autologous partial skin graft is one of the most used techniques due to its safety and versatility and the extensive availability of donor areas. The process consists of obtaining a portion of skin taken from a donor area, preferably the thighs, which is obtained with a dermatome, after which the graft is meshed, increasing its extension and increasing the surface to be covered. As for negative aspects, there is possibly an unaesthetic result and possible retractions. Despite this, most authors point to a good result with this technique.
Bookmarks Related papers MentionsView impact
British Journal of Healthcare and Medical Research, 2024
Chronic appendicitis represents a rare surgical pathological entity, which is also tricky for fir... more Chronic appendicitis represents a rare surgical pathological entity, which is also tricky for first-contact physicians to consider as a differential diagnosis when faced with a patient with abdominal pain. There are currently well-described diagnostic criteria for it. The case of a 24-year-old female patient with no significant medical history presented with a picture of abdominal pain over three weeks of evolution. Moreover, diagnosed by contrast-enhanced computerized axial tomography with appendicitis, an open appendectomy was performed, and the histological examination confirmed the diagnosis of chronic appendicitis associated with fecalith obstruction.
Bookmarks Related papers MentionsView impact
International Archives of Orthopaedic Surgery, 2024
Introduction: Epidemiological studies suggest that proximal humerus fractures are very common, re... more Introduction: Epidemiological studies suggest that proximal humerus fractures are very common, representing 4-10% of all fractures. This proportion is increased when surgical intervention cases are examined, as approximately 30% of proximal humerus fractures are treated surgically.
Bookmarks Related papers MentionsView impact
British Journal of Healthcare and Medical Research, 2023
Chronic appendicitis represents a rare surgical pathological entity, which is also tricky for fir... more Chronic appendicitis represents a rare surgical pathological entity, which is also tricky for first-contact physicians to consider as a differential diagnosis when faced with a patient with abdominal pain. There are currently well-described diagnostic criteria for it. The case of a 24-year-old female patient with no significant medical history presented with a picture of abdominal pain over three weeks of evolution. Moreover, diagnosed by contrast-enhanced computerized axial tomography with appendicitis, an open appendectomy was performed, and the histological examination confirmed the diagnosis of chronic appendicitis associated with fecalith obstruction.
Bookmarks Related papers MentionsView impact
American Journal of Medical and Clinical Research & Reviews, 2023
INTRODUCTION. Leiomyosarcoma (LMS) of the uterus is a rare soft-tissue tumor of the female pelvis... more INTRODUCTION. Leiomyosarcoma (LMS) of the uterus is a rare soft-tissue tumor of the female pelvis with <1% of uterine tumor. It usually arises from the uterine myometrium de novo or is very rarely transformed from a preexisting benign leiomyoma. These tumors are found mainly in females 40-60 years of age. Leiomyomas seen in the reproductive age group and a strong suspicion of LMS should be in mind in cases of fibroid with postmenopausal bleeding. CLINICAL CASE. A 39-year-old female came to the emergency room complaining of pelvic pain of 8 days duration, treated symptomatically with NSAIDs. It has the following background: hereditary family history, which is unimportant to the case. Gynecobstetric history: menarche 11 years old, regular cycles five to seven days, reports two months with uncontrolled cycle with heavy menstrual bleeding, start active sexual life 24 years old. Papanicolaou: last year reported normal; colposcopy last one and a half ago reported normal. DISCUSSION. Approximately 40-80% of women may develop leiomyomas, the most common benign gynecological disease, during their lifetime. Uterine sarcoma, on the other hand, is a rare disease with an incidence ranging from 1.55 to 1.95 per 100,000 women per year. According to the WHO, in 2011, a LMS is a specific type of rare sarcoma that accounts for over 60% of all cases of uterine sarcoma. It is
Bookmarks Related papers MentionsView impact
International Journal of Surgery Research and Practice, 2023
Introduction: The etiology of hernias involves changes in the expression of different components ... more Introduction: The etiology of hernias involves changes in the expression of different components of the extracellular matrix, which especially affect the fascia transversalis (FT), such as collagen, the elastic component and metalloproteinases (MMP). On the other hand, there is an overexpression of MMP-2 in the FT of young patients with direct inguinal hernia, correlated with an increase in TGF-beta1 that shows an attempt to counteract an increased process of degradation of the extracellular matrix in these patients. Clinical case: A 63-year-old female with a family history of maternal grandmother with bilateral and umbilical inguinal hernia, father with retinal detachment and inguinal hernia, pathological personal history of essential arterial hypertension, dyslipidemia, and multiple hemangiomas distributed throughout the body. She comes to consult due to increased volume in the right inguinal region for 3 years, in the left inguinal region for two years, both without treatment, which increased with the Valsalva maneuver and currently one in the umbilical region, denying nausea, vomiting, fever, pain or constipation. Physical examination, skin color unchanged, reducible, not incarcerated, not strangled. The diagnostic protocol was started where the presence of bilateral inguinal and umbilical hernia was evidenced, for which a surgical programming was decided to perform abdominal wall plasty. Right and left inguinal plasty with mesh and umbilical plasty without mesh were performed. Discussion: In the last 30 years, research on the etiopathogenesis of abdominal wall hernias has revealed that one of the causes is due to multifactorial systemic tissue disease, currently known as herniosis.
Bookmarks Related papers MentionsView impact
American Journal of Medical and Clinical Research & Reviews, 2023
INTRODUCTION. Since 1808, umbilical hernias were registered based on existing data, in such a way... more INTRODUCTION. Since 1808, umbilical hernias were registered based on existing data, in such a way that 4716 scientific articles were registered in the last two centuries. About 6 to 14% of all abdominal wall hernias in adults are umbilical hernias with a prevalence of 2%. CLINICAL CASE. A 47-year-old male came to the emergency room presenting with a giant umbilical hernia, liver cirrhosis and increased abdominal girth, fluid retention (ascites) to perform paracentesis of approximately 5 Liters, presenting confusion, asterixis, dyslalia, aphasia, upon admission. no coordination of walking. On physical examination, she was found to be hemodynamically unstable with the presence of ascitic fluid leakage through an ulcer caused by tension in the umbilical region; feverish peaks, for which reason a liquid sample was taken by puncture in the left iliac fossa, yellow in color and cloudy in appearance with glucose 106 mg/dL, LDH 239 mg/ml, presence of Hb (+++), and leukocytosis. He was evaluated for general surgery. Where a non-reducible incarcerated umbilical hernia was observed, it was decided to treat the complicated hernia, partial omentectomy plus ventral plasty with the Rives-Stoppa technique plus omphaloplasty with Drenovac-type closed drainage was performed without complications. DISCUSSION. Cirrhotic patients who do not respond to medical treatments for ascites will require treatment such as serial therapeutic paracentesis. Large volume paracentesis (LVP), defined as the removal of more than 5 L of ascitic fluid, is an effective therapy for patients with tense ascites.
Bookmarks Related papers MentionsView impact
SCIREA Journal of Clinical Medicine
hypertension, cesarean delivery, postpartum weight retention, macrosomia, and childhood obesity. ... more hypertension, cesarean delivery, postpartum weight retention, macrosomia, and childhood obesity. Materials and Methods. An observational, cross-sectional study in 15 pregnant women in 2022 at the Playa del Carmen General Hospital. Results. Were completed variables of interest in prenatal control. Discussion. The short interval between pregnancies is a public health problem because it leads to adverse perinatal outcomes such as postpartum hemorrhage, anemia, preterm delivery, low birth weight, and perinatal deaths. Ineffective or no contraception after one pregnancy contributes to a subsequent pregnancy. Conclusion. It is essential to detect gestational Diabetes mellitus as well as gestational hypertension, and prenatal control should be improved because although pregnant women report carrying it out, it is not reflected in cases of preeclampsia that remains high in pregnant women.
Bookmarks Related papers MentionsView impact
Uploads
Papers by Guillermo Padron
Abstract Background. Acute abdominal diseases in children are a frequent presentation and diagnosis and treatment are different from that in adults. Being aware of abdominal disorders in children can make management easy and surgical resolution is the cornerstone for most cases. Material and methods. A retrospective cohort study of pediatric patients undergoing surgery for appendicitis in a period of 3.5 years was performed. We investigated, among other things, age of onset, days of hospital stay, time of evolution and morbidity. Results. During the study period, 166 patients were operated; male sex predominated (2:1); the average age was 5 to 14 years and had the highest frequency (75%); the months with the highest incidence were March, October and December with 18 cases each; we had 17 cases (10.2%) with a diagnosis of appendicitis in children under 5 years; evolution time was between 1 to 24 hours (69%); 10-20000 leukocyte counts were between 10,000 and 20,000 in 73% of the cases; hospital stay was between 1-3 days in 55% of the children. We had only thirteen postoperative complications. Conclusion. The diagnosis of acute appendicitis in childhood is more diffi cult and in children under fi ve there is more diagnostic failure. In our Hospital, we perform more frequently early surgery. We found a high prevalence of resistance to E. coli, so we insist on conducting routine culture of purulent material.