Sunday, March 6, 2011

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sleeve gastrectomy: Analysis of a complication at a local clinic

03/04/1911
operate a young father and left in a coma
Malpractice "? You had operation to reduce stomach staple is not lit. Wife shall at the courts and medical experts who attended Victor Lopez. Medical reports that operation was successful.
Consuelo Alonzo C.

Diabetes him that his father suffered Victor Lopez Tume warned that should lower its 111 kilos in weight as soon as possible, if they did not want to suffer the same disease at 32 years. So after much thought, decided to undergo an intervention that will reduce the stomach, the sleeve gastrectomy or also known as sleeve gastrectomy.

hoped it would be okay, because his brother, months ago, had undergone the same operation with optimal results.

Thus it was that committed, surrendered to the expert hands of the doctor José Javier Pérez Ramírez, who scheduled her operation (via laparoscopy) for 21 February at the Institute of Gynecology and Reproduction, and Minimally Invasive Surgery (IGYR) Groove.

Moreover, as reported by his wife Hope Farm Cordova (29), safety in the process increased when the surgical risk indicated no problems. However, after the operation ended if a complication had an x-ray confirmed that air in the lungs, so we placed a drain to remove.

pains and complications

The next day, Victor was strong pain in the abdomen, respiratory distress and an increase in temperature.

The anesthesiologist and cousin of Victor, Marcos Antonio Jacinto Chapilliquén, reports that on Wednesday 23 February we did some tests that confirmed the presence of an infection. "Doctors suspected of respiratory problems followed without thinking that the problems were the result of the operation, despite its bloating, fever, tachycardia and pain," he said.

from bad to worse

Over the hours, the health of young father just got worse. The fever continued to increase and pain were unbearable Chapilliquén Jacinto added.

exactly why on Friday, three days after the operation, Victor reenter the operating room to check her abdominal cavity and detect a hole in the stomach and purulent fluid with a very bad smell around that body.

Following that discussion Victor's body could take no more and had a cardiac arrest.

"The clinical history began only states that basic and advanced cardiac resuscitation at 5:30 pm, but did not say how long they lasted," said Chapilliquén.

After that, and closing the hole that had in the stomach, doctors induced the coma patient to a drug (drug induced).

not until Feb. 28, Lopez moved to Tume Care Unit Intesa San Pablo clinic, the family said, because the institute did not have the capacity to handle a case as complex and delicate. Probable

brain death

This ensures Chapilliquén Jacinto, was detected in a timely manner with a simple manual scan.

If they had, his cousin today, he says, would not be on the verge of death or be on the verge of leaving their small children orphaned. "Yesterday (the Tuesday) I went to see him and had no reflection in the pupils. There is a high suspicion of brain death, but we have said we have to wait. But it also has a septicemia (infection) generally. But we still have hope because his youth is an advantage. " For now only hope.

NEGLIGENCE. Esperanza Cordova Farm (29), wife of Victor Ramírez Pérez reports that said that perhaps a group of ruling came staple factory and that's why there were complications. "This is negligence. It is not fair. This operation is made to improve your health not for me to deliver it well. Are supposed to be professionals, " said.

"The patient knew the risks"

The surgeon José Javier Pérez Ramírez, speaking to The Republic, argued that the patient knew of the risks inherent in the operation so much so that he signed, accompanied by his wife , informed consent.

On the causes that led to the delicate state of his patient, said the problem would have been a staple wine failed. He indicated that the patient has been drug induced coma to protect the brain from injury. He added that the pupils did have Tume Lopez reaction, indicating that there was brain dead.

In turn, the medical director and anesthesiologist at the Institute of Gynecology and Fertility and Minimally Invasive Surgery, Jorge Basurto Lavender, said that what happened to Lopez was a situation that doctors are always exposed. "I deeply regret this situation. Everything takes a risk in life, when we have something added the risk is higher. We have done our best in the best conditions and unfortunately there has been an event beyond our control. "

also remarked that the institute is covering all expenses incurred in improving the health of López Tume.


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