Clinic San Fernando S.A. is a multispecialty hospital in Cali, Colombia. Founded in 1949, it focuses on plastic surgery, cardiovascular surgery, and otorhinolaryngology. It treats patients of medium and high complexity. Its team has performed over 200,000 surgeries. Dr. Eduardo Salazar Hurtado, with 30 years of experience, leads plastic surgery.
The hospital has 34 beds, three operating rooms, and an intensive care unit. A 24-hour laboratory runs on site. Specialists use the Renuvion J-Plasma system for skin tightening and liposuction. It holds membership in the Colombian Society of Plastic Surgery. International patients often travel here from Europe and North, Central, and South America.
","text_type":"short_description","reviews":[],"clinic":{"id":9718,"alias":"clinic-san-fernando-s-a","name":"clinic San Fernando S.A.","short_description":"Clinic San Fernando S.A. is a multispecialty hospital in Cali, Colombia. Founded in 1949, it focuses on plastic surgery, cardiovascular surgery, and otorhinolaryngology. It treats patients of medium and high complexity. Its team has performed over 200,000 surgeries. Dr. Eduardo Salazar Hurtado, with 30 years of experience, leads plastic surgery.
The hospital has 34 beds, three operating rooms, and an intensive care unit. A 24-hour laboratory runs on site. Specialists use the Renuvion J-Plasma system for skin tightening and liposuction. It holds membership in the Colombian Society of Plastic Surgery. International patients often travel here from Europe and North, Central, and South America.
","images":[{"base_url":"clinic/6ae355e7f1648","title":"Vista exterior de la clínica San Fernando S.A. en Colombia, edificio moderno de varios pisos"},{"base_url":"clinic/6ae355e9997b0","title":"Área de recepción en Clínica San Fernando con farmacia e interior moderno"},{"base_url":"clinic/6ae355eb54dc6","title":"Fachada de la clínica San Fernando S.A., edificio médico moderno de ladrillo en Panamá"},{"base_url":"clinic/6ae355eced3b0","title":"Área de recepción en la clínica San Fernando S.A. con interior moderno y sala de espera"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Colombia","id":204,"alias":"colombia","iso_code":"CO"},"city":{"name":"Cali","id":2523,"alias":"cali"},"address":"Calle 5 #38-48, Cali, Valle del Cauca, Colombia"},"rating":{"rating":0,"google":3.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":1949},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":98},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"Existen las siguientes indicaciones para CABG:
\n\nAntes de realizar la operación, los médicos examinan el historial médico del paciente. Algunos factores pueden dar lugar a complicaciones durante el período de intervención o rehabilitación. Existen las siguientes contraindicaciones para CABG:
\n\nEl injerto de derivación de arteria coronaria se divide en:
\n\nEn algunos casos se requieren varias derivaciones. Descubra cuánto cuesta un bypass cardíaco triple enviando una solicitud en el sitio de Bookimed. Nuestro Coordinador Médico se comunicará con usted a la brevedad para brindarle una consulta.
\n\nEl costo de la cirugía de bypass de arteria coronaria se calcula para los pacientes individualmente en cada caso particular.
\n\nEl procedimiento de injerto de bypass de arteria coronaria se puede realizar de 3 maneras. La elección de un tipo particular de injerto depende de la ubicación del área bloqueada, el tamaño del área dañada y el diámetro de la arteria.
\n\nLos \"injertos\" son venas y arterias que actúan como una anastomosis, creando un bypass en los vasos cardíacos obstruidos y restaurando el flujo sanguíneo normal. La vena generalmente se toma de la pierna de un paciente, mientras que la arteria se reubica de la pared torácica. Durante la operación, un cirujano cose el vaso original del paciente a la arteria coronaria cerca del área de estrechamiento. Eso permite que el flujo de sangre \"desvíe\" el área bloqueada.
\n\nProceso de injerto
\n\nLa arteria torácica interna es un injerto de uso común ya que tiene los mejores resultados a largo plazo: es menos probable que las venas se bloqueen con el tiempo. Un cirujano extrae la arteria de su área y cose sus extremos en la arteria coronaria desviando el segmento obstruido.
\n\nLa arteria radial se encuentra en la mano junto con la arteria cubital. Teniendo en cuenta que la arteria cubital es el principal proveedor de sangre de la mano, la extracción de la arteria radial durante la operación no representa una amenaza para el organismo.
\n\nLa gran vena safena se utiliza a menudo como injerto. Es un vaso largo que corre a lo largo del lado interno de la pierna. Para tomar la vena, un cirujano hace una incisión o varias incisiones pequeñas a lo largo de su ubicación.
\nUn paciente es hospitalizado 3-5 días antes de la cirugía. Se someten a los exámenes necesarios y se preparan para la operación en el departamento de pacientes hospitalizados. Las siguientes pruebas y exámenes se llevan a cabo antes de la cirugía:
\n\npremedicación
\n\nAntes de la operación, al paciente se le administra anestesia general. También se introducen otros medicamentos en el cuerpo del paciente para reducir la demanda de oxígeno del corazón mediante la reducción de la presión arterial y la frecuencia cardíaca. El flujo sanguíneo miocárdico mejora con el uso de vasodilatadores.
\n\nEn caso de CABG sin bomba, se administrarán medicamentos que detienen temporalmente el corazón después de la incisión en el esternón.
\n\nCada paciente se compara con al menos 2 unidades de sangre para compensar la pérdida de sangre durante o después de la operación.
\n\nProceso de operación
\n\nLa cirugía dura de 3 a 5 horas. La duración depende de la cantidad de arterias desviadas y de las particularidades de salud de un paciente. Durante la cirugía, un dispositivo de circulación extracorpórea lleva a cabo las funciones del corazón y los pulmones. Es vital si los médicos optaron por operar el corazón que no late. Al terminar la CABG, un médico instala tubos de drenaje en el tórax para drenar el líquido del área operada. Luego se sutura la herida y se envía al paciente a la unidad de cuidados intensivos donde permanece hasta la estabilización completa.
\nrecuperación en el hospital
\n\nUn paciente permanece en la unidad de cuidados intensivos durante 1-3 días después de la operación. Este período puede tomar más tiempo si se presentan complicaciones, la duración de la hospitalización influye en cuánto cuesta un bypass cardíaco. Los signos vitales del paciente serán monitoreados constantemente. Varios medicamentos que controlan la circulación sanguínea y la presión se administrarán por vía intravenosa. Se inserta un catéter especial para drenar la orina. En algunos casos, se utiliza terapia de oxígeno (oxígeno administrado a través de una máscara o tubos nasales) y/o un marcapasos temporal. Un médico puede proporcionarle al paciente medias de compresión. Aplican una presión suave sobre las piernas para evitar que la sangre se acumule y se coagule.
\n\nDurante los primeros días después de la operación, el paciente debe seguir estrictamente estas recomendaciones:
\n\nrecuperación en casa
\n\nAntes de dar de alta a un paciente, un médico le da instrucciones y pautas específicas para la recuperación, que incluyen:
\n\nUn paciente también recibe información sobre cómo lidiar con varios efectos secundarios que pueden aparecer después de la cirugía. Incluyen:
\n\nLa recuperación completa suele tardar hasta 3 meses. Un médico proporcionará más información sobre el estado de recuperación, pero las actividades físicas habituales se pueden volver a realizar después de aproximadamente 6 semanas de rehabilitación.
\n\npanorama
\n\nUn paciente puede volver al trabajo sedentario dentro de 1,5 meses después del alta del hospital. El trabajo físico más pesado puede requerir un período más largo de recuperación. Los pacientes después de CABG pueden llevar su estilo de vida habitual. Caminar y subir escaleras son particularmente útiles durante el período de rehabilitación. Los pacientes deben evitar las caminatas prolongadas en climas muy fríos o demasiado calurosos que agotan el organismo.
\n\nSe deben abandonar los malos hábitos: fumar y/o beber puede provocar un infarto. Un paciente debe controlar constantemente su presión arterial. Hay que revisar la dieta: se debe minimizar el consumo de sal, grasas y productos ricos en colesterol. Se desea control de peso.
\nEl costo de la cirugía de bypass de arteria coronaria depende de los siguientes factores:
\n\nPara someterse a una operación CABG en el extranjero, envíe una solicitud en el sitio Bookimed. En el menor aviso, nuestro Coordinador Médico se comunicará con usted por teléfono. Podrá hacer cualquier pregunta sobre el procedimiento, incluso cuánto cuesta la cirugía de derivación cardíaca en su caso particular. Bookimed procesará su documentación y organizará su tratamiento en el extranjero, incluido el traslado desde y hacia un hospital.
\nDía 1
Dia 2
Día 3
Día 4
Día 5 - Día 7
Semana 1 - Semana 3
Semana 4
Semana 6
semana 12
Recuerde, el proceso de recuperación de cada paciente es único y depende de varios factores, como la edad, el estado general de salud y la complejidad de la cirugía. Siga siempre los consejos de su médico para obtener el mejor resultado de recuperación.
"},"overview":{"text":"Este procedimiento quirúrgico mejora el flujo sanguíneo al corazón redirigiendo la sangre alrededor de una sección de una arteria obstruida o parcialmente obstruida en el corazón.
La operación mejora el flujo de sangre al corazón al evitar las arterias bloqueadas mediante un injerto de vaso sanguíneo.
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heavy manual work takes longer, depending on sternal healing."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any major postoperative complication in hospital, mostly atrial fibrillation; death, stroke, or dialysis each under 3%."},"contraindications":["Unsuitable coronary anatomy, such as tiny diffuse vessels without targets","Severe irreversible comorbidity with very limited life expectancy","Very high operative risk; stenting or medical therapy preferred (relative)","Active systemic infection or sepsis (relative; usually postponed)","Severe uncontrolled bleeding disorder (relative)","Recent stroke or severe neurological injury (relative, timing individualized)","Non-viable myocardium in the territory to be grafted (relative)"],"days_in_clinic":{"min":5,"max":9,"unit":"nights","qualifier":"Typical uncomplicated isolated CABG including 1-2 nights in intensive care or step-down unit; longer if complications occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walking starts immediately; 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