A5025233851- Health and Medical Education
- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma Management and Diagnosis
- Esophageal and GI Pathology
- Innovations in Medical Education
- Appendicitis Diagnosis and Management
- Gastric Cancer Management and Outcomes
- Esophageal Cancer Research and Treatment
- Abdominal Surgery and Complications
- Trauma and Emergency Care Studies
- Pancreatitis Pathology and Treatment
- Hernia repair and management
- Global Health and Surgery
- Abdominal Trauma and Injuries
- Pediatric Hepatobiliary Diseases and Treatments
- Intestinal and Peritoneal Adhesions
- Higher Education Teaching and Evaluation
- Cardiac Arrest and Resuscitation
- Intestinal Malrotation and Obstruction Disorders
- Congenital Diaphragmatic Hernia Studies
- Biliary and Gastrointestinal Fistulas
- Lung Cancer Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
Universidad del Rosario
2016-2025
Hospital Universitario Mayor, Mederi
2022-2023
Hospital Universitario San Ignacio
2017-2022
Hospital Universitario Nacional de Colombia
2021
Fundacion Favaloro Hospital Universitario
2017
Departamento de Salud
2017
Municipality of Medellín
2016
Pontificia Universidad Javeriana
2012
Fundación Instituto de Inmunología de Colombia
2011
Colombian Association of Surgery
2004
The use of simulation in medical education has been widely accepted. There are different types simulators that vary both accuracy to emulate the real world (fidelity) and cost development or acquisition. is significant evidence supports high-fidelity (i.e. mannequins dummies) prepare students for clinical environments, less attention given low-fidelity simulators. This article aims present regarding effectiveness a simulator: Virtual Patient (VP), which develops several interactive...
Trauma characteristics and its management is influenced by socioeconomic context. Cardiac trauma constitutes a challenge for surgeons, outcomes depend on multiple factors including initial care, of the wounds, surgical management. This retrospective cross-sectional case series patients with penetrating cardiac injuries (PCI) from January 1999 to October 2009 who underwent surgery in referral center Bogotá, Colombia. Demographic variables, characteristics, treatment, were analyzed. The study...
It is important to establish the difficulty of a cholecystectomy preoperatively improve outcomes. There are multiple risk factors for difficult that may depend on patient, disease, or extrinsic factors. The aim this study evaluate predictive capacity with preoperative scale. A diagnostic trial was designed performance scale predict laparoscopic cholecystectomy, considering as reference standard intraoperative findings evaluated according an ROC curve performed and used estimate value score...
Background: Multiple scores have been created in order to predict difficult cholecystectomy, nonetheless there is not a consensuated standard on which use. The importance of predictive score be able establish cholecystectomy would relevant instrument better inform the patient, properly call for help when needed, choose correct staff, and schedule plan surgical procedure accordingly. Methods: A diagnostic trial study was performed. All different were calculated each patient. correlation...
Textbook outcome has been proposed as a tool for the assessment of oncological surgical care. However, an international in patients undergoing oesophagectomy oesophageal cancer not reported. This study aimed to assess textbook setting.
Abstract Subtotal cholecystectomy is one of the most frequent bail-out procedures performed during difficult cholecystectomy. A common complication to this procedure bile leak, and thus multiple strategies have been created avoid its appearance. This study aims evaluate effectivity using an omental patch as leak prevention in patients undergoing subtotal retrospective cohort including who underwent between 2014 2022 was performed. 17 had patch, while 378 did not; latter were included...
Abstract Background Using Virtual Patients (VPs) in medical education has gained popularity, especially during the SARS-CoV-2 pandemic, which restricted traditional clinical training. VPs provide a learning platform for students to refine their reasoning and decision-making skills risk-free environment. Although educational benefits of are well known, there is still need validated tools assess student perceptions, key optimizing outcomes. The Patient Integration Rating Scale (VPIRS) made...
The utility of procalcitonin for detecting anastomotic leaks after colorectal surgery in older adults has not been well documented. As the immune system undergoes changes with age, levels may differ at baseline, and its diagnostic performance could vary when an leak occurs adult patients cancer. aim this study is to evaluate on postoperative day 3 We conducted a test basis delayed-type cross-sectional design (≥65 years old) Postoperative were tested. reference standard was leak. calculated...
Abstract Background Nonagenarian patients are an age group in progressive growth. In this group, indications for surgical procedures, including cholecystectomy, will be increasingly frequent, as biliary pathology and its complications frequent population group. The main objective of study was to analyze the safety outcomes laparoscopic cholecystectomy older than 90 years. Methods A retrospective observational cohort designed. This involved 600 that were classified 4 groups analysis (under 50...
The aim of this study is to evaluate morbidity and mortality in patients taken conversion open procedure (CO) subtotal laparoscopic cholecystectomy (SLC) as bailout procedures when performing difficult cholecystectomy.
The relationship between students' withdrawal and educational variables has generated a considerable number of publications. As the explosion information in sciences integration theories led to creating different curriculum designs, it been assumed that differences among designs explain academic success and, therefore, retention. However, little attention given examine explicitly how diverse influence dropout rates practice, which questions if decisions reform curricula are sufficiently...
Postoperative pancreatic fistula (POPF) is one of the most feared and common complications following pancreatoduodenectomies. This study aims to evaluate performance different scales in predicting POPF using magnetic resonance imaging (MRI), including estimation duct diameter, texture, main index, relation portal vein, intra-abdominal fat thickness. A retrospective diagnostic test was designed. Between January 2017 December 2021, 133 pancreatoduodenectomies were performed at our institution....
Bacterial translocation (BT) describes the passage of bacteria residing into gastrointestinal tract, through intestinal mucosa barrier to sterile tissues such as mesenteric lymph nodes (MLN) and other organs. This phenomenon has not been thoroughly studied in patients with trauma date, an association between BT postoperative infection well established so far.MLNs from 36 abdominal were removed during laparotomy cultured detect BT. Postoperative infectious complications these registered, both...
La Revista Ciencias de la Salud es el órgano oficial difusión Escuela Medicina y Universidad del Rosario. Se acoge al Acuerdo sobre Requisitos Uniformes para Preparar los Manuscritos Enviados a Revistas Biomédicas, elaborado por Comité Internacional Directores Médicas. Publica manuscritos fundamentados en disciplinas básicas, clínicas o sociales, relacionadas con campo salud. Otorga relevancia estudios cuantitativos diseño analítico relacionados métodos diagnósticos epidemiológicos. También...
Abstract Background The number of older patients with multiple comorbidities in the emergency service is increasingly frequent, which implies risk incurring futile surgical interventions. Some interventions generate false expectations survival or quality life and families represent a negligible therapeutic benefit whose chances are minimal. In order to address this dilemma, we describe mortality cohort undergoing laparotomy ≥ 75% per ACS NSQIP Surgical Risk Calculator. Methods A...
Abstract Background Laparoscopic cholecystectomy (LC) is the standard of care for acute calculous cholecystitis; however, in patients at high risk surgery, particularly elderly, insertion a percutaneous catheter drainage (PCD) gallbladder recommended. Current evidence suggests that PCD may have less favorable outcomes than LC, but also LC-associated complications increase direct relation to patient age. There no recommendation supported by robust decide between one or other procedure super...
Acute pancreatitis is the recurrent reason for gastrointestinal admission in a clinical urgent setting, it happens secondary to wide array of pathologies out which biliary disease stands as one most frequent causes its presentation. Approximately 20% are moderate or severe severity. Currently, there not clear recommendation on timing cholecystectomy, either early delayed. CHISPA randomized controlled, parallel-group, superior trial. An intention-to-treat analysis will be performed. It seeks...
Abstract Purpose Our group has proposed that aspiration of gastric contents leads to exposure normally sequestered lung self-antigens (SAgs), specifically collagen-V (Col-V) and K-α-1-tubulin (Kα1T), which elicits an immune response characterized by increasing concentrations self-antibodies (SAbs) anti-Col-V anti-Kα1T. We sought establish the point prevalence abnormally elevated SAbs among patients with pathological gastroesophageal reflux disease (GERD) and/or hiatal hernia undergoing...
Although traditional and cultural health practices are widely used in Colombia, physicians not trained to address intercultural tensions that arise clinical practice. Cultural safety encourages practitioners examine how their own culture shapes practice respect patients' culture. It requires inviting patients of non-dominant cultures co-design culturally safe care. We co-designed a curriculum for training Colombian professionals.A sequential-consensual qualitative study defined the learning...