Dr. Julio Estrada – Cirug\u00eda General y Laparosc\u00f3pica<\/title>\n \n \n \n <link\n href=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/font-awesome\/6.4.0\/css\/all.min.css\"\n rel=\"stylesheet\"\n \/>\n\n \n \n\n \n \n <\/head>\n\n <body>\n \n <nav class=\"navbar navbar-expand-lg sticky-top navbar-light\">\n <div class=\"container\">\n <a class=\"navbar-brand\" href=\"https:\/\/drjulioestrada.com\/\">\n <img decoding=\"async\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/05\/logo-header.webp\"\n alt=\"logo-header\"\n \/>\n <\/a>\n\n <button\n class=\"navbar-toggler\"\n type=\"button\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#navbarNav\"\n >\n <span class=\"navbar-toggler-icon\"><\/span>\n <\/button>\n\n <div class=\"collapse navbar-collapse\" id=\"navbarNav\">\n <ul class=\"navbar-nav ms-auto align-items-lg-center\">\n <li class=\"nav-item\">\n <a class=\"nav-link\" href=\"https:\/\/drjulioestrada.com\/\"\n >Inicio<\/a\n >\n <\/li>\n\n <li class=\"nav-item\">\n <a class=\"nav-link\" href=\"https:\/\/drjulioestrada.com\/somos\/\"\n >Somos<\/a\n >\n <\/li>\n\n <div class=\"nav-item dropdown\">\n <a\n href=\"#\"\n class=\"nav-link dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n >Procedimientos<\/a\n >\n\n <div class=\"dropdown-menu m-0\">\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#apendice\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Apendice<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#vesicula\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Ves\u00edcula<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#hernias\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Hernias\n Abdominales<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#exploracion\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Exploraci\u00f3n<\/span> de la V\u00eda\n Biliar<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#ercp\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">ERCP<\/span> (Endoscopic\n Retrograde Cholangiopancreatography) – Colangiopancreatograf\u00eda\n Retr\u00f3grada Endosc\u00f3pica) – Colangiopancreatograf\u00eda Retr\u00f3grada\n Endosc\u00f3pica<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#colangiografia\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Colangiograf\u00eda<\/span>\n Intraoperatoria<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#emergencia\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Emergencia<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#abdomen-agudo\"\n class=\"dropdown-item\"\n >Abdomen Agudo no\n <span class=\"font-acent-ub\">Traum\u00e1tico<\/span><\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#obstruccion-intestinal\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Obstrucci\u00f3n<\/span> Intestinal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#perforacion\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Perforaci\u00f3n<\/span> de Viscera\n Hueca<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#pancreatitis\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Pancreatitis<\/span> Aguda\n Grave<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#diverticulitis\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Diverticulitis<\/span> Aguda\n Complicada<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#trauma-abdominal\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Trauma<\/span> Abdominal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#abdomen-abierto\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Abdomen Abierto<\/span> y\n <span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Control de\n Da\u00f1os<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#catastrofe-abdominal\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cat\u00e1strofe<\/span> Abdominal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#abdomen-agudo-pediatria\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Abdomen Agudo<\/span> en\n Pediatr\u00eda<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"nav-item dropdown\">\n <a\n href=\"#\"\n class=\"nav-link dropdown-toggle active\"\n data-bs-toggle=\"dropdown\"\n >Condiciones quir\u00fargicas<\/a\n >\n\n <div class=\"dropdown-menu m-0\">\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-apendice\/\"\n class=\"dropdown-item\"\n >Ap\u00e9ndice (Apendicitis)<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-vesicula\/\"\n class=\"dropdown-item\"\n >Ves\u00edcula Biliar<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-hernias-de-la-pared-abdominal\/\"\n class=\"dropdown-item active\"\n >Hernias de la Pared Abdominal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-diastasis-de-rectos\/\"\n class=\"dropdown-item\"\n >Di\u00e1stasis de rectos Abdominales<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-pie-diabetico\/\"\n class=\"dropdown-item\"\n >Pie diab\u00e9tico<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-cirugia-menor\/\"\n class=\"dropdown-item\"\n >Cirug\u00eda menor<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-suturas\/\"\n class=\"dropdown-item\"\n >Suturas<\/a\n >\n <\/div>\n <\/div>\n\n <li class=\"nav-item\">\n <a\n class=\"nav-link\"\n href=\"https:\/\/drjulioestrada.com\/informacion-para-el-paciente\/\"\n >Informaci\u00f3n del paciente<\/a\n >\n <\/li>\n\n <div class=\"nav-item dropdown\">\n <a\n href=\"#\"\n class=\"nav-link dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n >Gu\u00eda para Estudiantes<\/a\n >\n\n <div class=\"dropdown-menu m-0\">\n <a\n href=\"https:\/\/drjulioestrada.com\/guia-para-estudiantes\/abc-de-laparoscopia\/\"\n class=\"dropdown-item\"\n >ABC de Laparoscop\u00eda<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/guia-para-estudiantes\/guia-para-estudiantes-de-pregrado\/\"\n class=\"dropdown-item\"\n >Gu\u00eda para estudiantes de pregrado<\/a\n >\n <\/div>\n <\/div>\n\n <li class=\"nav-item\">\n <a\n class=\"d-tlf nav-link\"\n href=\"https:\/\/drjulioestrada.com\/agendar\/\"\n >Agendar Cita<\/a\n >\n <\/li>\n <\/ul>\n\n <div class=\"btn-head\">\n <a\n class=\"d-desk nav-link btn-nav\"\n href=\"https:\/\/drjulioestrada.com\/agendar\/\"\n >Agendar Cita<\/a\n >\n <\/div>\n <\/div>\n <\/div>\n <\/nav>\n\n \n <section id=\"procedis\">\n <div class=\"container\">\n <div class=\"contain-hero-procedis\">\n <div class=\"row row-hero-procedis\">\n <div class=\"col-hero-procedis col-hero-procedis1\"><\/div>\n\n <div class=\"col-hero-procedis col-hero-procedis2\">\n <h4 class=\"font-creato titu-hero-procedi\">condiciones<\/h4>\n\n <h3 class=\"font-creato titus-hero-procedi\">\n Quir\u00fargicas \u2014 Heridas de la Pared Abdominal\n <\/h3>\n\n \n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section id=\"info-procedis\">\n <div class=\"container my-5 py-4\">\n <div class=\"contain-procedis\">\n <div class=\"item-procedis item-procedis1\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/procedi-03.svg\"\n alt=\"condiciones-7\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernias<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQu\u00e9 es? \u00bfDonde aparecen? \u00bfPor qu\u00e9 aparecen?<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQu\u00e9 s\u00edntomas producen? \u00bfCu\u00e1ndo es Peligrosa? \u00bfSe pueden\n tratar sin cirug\u00eda?<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis3\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Tratamiento, Uso de malla, Recuperaci\u00f3n<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis4\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQu\u00e9 pasa si no se operan? \u00bfRegresan? Factores de riesgo<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis5\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Hernias en ni\u00f1os \u00bfCuando consultar?<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis6\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >REFERENCIAS BIBLIOGR\u00c1FICAS<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. \u00bfQu\u00e9 es una hernia?<\/h3>\n\n <p class=\"txt-drop-inter\">\n Una <b>hernia<\/b> es la salida o protrusi\u00f3n de un \u00f3rgano o\n tejido (generalmente grasa o intestino) a trav\u00e9s de un\n punto d\u00e9bil en la pared muscular que normalmente lo\n contiene.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Puede presentarse como un <b>bulto visible<\/b>, dolor,\n sensaci\u00f3n de \u00abpesadez\u00bb o molestia al realizar esfuerzos.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Las hernias <b>no desaparecen solas<\/b> y tienden a\n aumentar con el tiempo.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfD\u00f3nde aparecen las hernias? \u2013 Tipos m\u00e1s frecuentes\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Hernia inguinal (la m\u00e1s com\u00fan):<\/b> Ocurre en la\n ingle. Afecta a hombres y mujeres, pero es m\u00e1s frecuente\n en varones.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia umbilical:<\/b> Aparece alrededor del ombligo,\n com\u00fan despu\u00e9s de embarazos o aumento de peso.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia epig\u00e1strica:<\/b> Entre el ombligo y el\n estern\u00f3n, causada por un defecto peque\u00f1o de la l\u00ednea\n media.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia femoral:<\/b> En la parte alta del muslo. M\u00e1s\n frecuente en mujeres y con mayor riesgo de\n encarcelamiento.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia ventral o incisional:<\/b> Ocurre sobre\n cicatrices de cirug\u00edas previas. La pared abdominal\n pierde fuerza y el contenido se hernia.\n <\/li>\n <li class=\"item-drop-inter\">\n Hernias poco comunes: Spiegel.\n <\/li>\n <li class=\"item-drop-inter\">Lumbar.<\/li>\n <li class=\"item-drop-inter\">Obturatriz.<\/li>\n <li class=\"item-drop-inter\">\n Diafragm\u00e1ticas traum\u00e1ticas.\n <\/li>\n <li class=\"item-drop-inter\">Richter.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. \u00bfPor qu\u00e9 aparecen las hernias? \u2013 Causas\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Las hernias ocurren cuando se combina:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Cuando la presi\u00f3n interna supera la resistencia de la\n pared, aparece la hernia.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Debilidad de la pared abdominal:<\/b> Cirug\u00edas\n previas.\n <\/li>\n <li class=\"item-drop-inter\">Envejecimiento.<\/li>\n <li class=\"item-drop-inter\">Defectos cong\u00e9nitos.<\/li>\n <li class=\"item-drop-inter\">Embarazos m\u00faltiples.<\/li>\n <li class=\"item-drop-inter\">\n P\u00e9rdida o aumento brusco de peso.\n <\/li>\n <li class=\"item-drop-inter\">Trastornos del col\u00e1geno.<\/li>\n <li class=\"item-drop-inter\">\n Aumento de presi\u00f3n dentro del abdomen: Levantar peso.\n <\/li>\n <li class=\"item-drop-inter\">Tos cr\u00f3nica.<\/li>\n <li class=\"item-drop-inter\">Estre\u00f1imiento.<\/li>\n <li class=\"item-drop-inter\">\n Esfuerzo excesivo al orinar.\n <\/li>\n <li class=\"item-drop-inter\">\n Deportistas de alto rendimiento.\n <\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. \u00bfQu\u00e9 s\u00edntomas producen?<\/h3>\n\n <p class=\"txt-drop-inter\">Los s\u00edntomas m\u00e1s comunes son:<\/p>\n\n <p class=\"txt-drop-inter\">\n Al inicio pueden ser intermitentes, pero siempre progresan\n con el tiempo.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfCu\u00e1ndo una hernia es peligrosa?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Dos complicaciones requieren atenci\u00f3n inmediata:\n <\/p>\n\n <p class=\"txt-drop-inter\">ACUDA A EMERGENCIAS<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Encarcelamiento:<\/b> Cuando el contenido herniado\n queda atrapado y no puede regresar. Causa dolor intenso\n y aumento del volumen.\n <\/li>\n <li class=\"item-drop-inter\">\n Estrangulaci\u00f3n (emergencia): El tejido atrapado pierde\n irrigaci\u00f3n. Es una urgencia quir\u00fargica porque puede\n producir: Necrosis del intestino.\n <\/li>\n <li class=\"item-drop-inter\">Sepsis.<\/li>\n <li class=\"item-drop-inter\">Peritonitis.<\/li>\n <li class=\"item-drop-inter\">Riesgo de muerte.<\/li>\n <li class=\"item-drop-inter\">\n Signos de alarma: Dolor intenso y constante.\n <\/li>\n <li class=\"item-drop-inter\">\n Bulto duro y no reducible.\n <\/li>\n <li class=\"item-drop-inter\">N\u00e1useas y v\u00f3mitos.<\/li>\n <li class=\"item-drop-inter\">Fiebre.<\/li>\n <li class=\"item-drop-inter\">\n Cambio de coloraci\u00f3n en la piel de la hernia.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. \u00bfSe pueden tratar sin cirug\u00eda?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n No. Las hernias <b>no se curan solas<\/b>, no existe\n medicina que cierre el defecto, y \u00absobadores\u00bb, fajas o\n masajes solo empeoran el da\u00f1o.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n La \u00fanica soluci\u00f3n definitiva es la <b>cirug\u00eda<\/b>.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter3\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. Tratamiento \u2013 \u00bfC\u00f3mo se operan las hernias?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El tratamiento es quir\u00fargico. Existen dos enfoques\n modernos:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n T\u00e9cnica 1: Cirug\u00eda Abierta (convencional): Se realiza una\n incisi\u00f3n en la zona del defecto y se coloca una\n <b>malla<\/b> para reforzar la pared.\n <\/p>\n\n <p class=\"txt-drop-inter\"><b>Indicada en:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Ventajas:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Desventajas:<\/b><\/p>\n\n <p class=\"txt-drop-inter\">\n T\u00e9cnica 2: Cirug\u00eda Laparosc\u00f3pica o Videolaparosc\u00f3pica: La\n t\u00e9cnica m\u00e1s moderna, menos dolorosa y con mejor\n recuperaci\u00f3n.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n El cirujano introduce una c\u00e1mara y coloca la malla desde\n adentro, reforzando toda la pared.\n <\/p>\n\n <p class=\"txt-drop-inter\"><b>Indicada en:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Ventajas:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Desventajas:<\/b><\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Hernias peque\u00f1as.<\/li>\n <li class=\"item-drop-inter\">Incisiones peque\u00f1as.<\/li>\n <li class=\"item-drop-inter\"><b>Menos dolor.<\/b><\/li>\n <li class=\"item-drop-inter\">Recuperaci\u00f3n m\u00e1s r\u00e1pida.<\/li>\n <li class=\"item-drop-inter\">\n Menor riesgo de infecciones.\n <\/li>\n <li class=\"item-drop-inter\">\n Menos recurrencias en manos expertas.\n <\/li>\n <li class=\"item-drop-inter\">\n Regreso m\u00e1s r\u00e1pido al trabajo o deporte.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfSe usa siempre una malla?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n En la mayor\u00eda de hernias s\u00ed, porque:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Solo se omite en hernias muy peque\u00f1as (<1\u20132 cm) o en\n cirug\u00edas contaminadas.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. Recuperaci\u00f3n despu\u00e9s de la cirug\u00eda\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n En cirug\u00eda laparosc\u00f3pica, la recuperaci\u00f3n es m\u00e1s r\u00e1pida.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Caminar el mismo d\u00eda.<\/li>\n <li class=\"item-drop-inter\">\n Dolor leve a moderado los primeros 3\u20135 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Actividades suaves en 48\u201372h.\n <\/li>\n <li class=\"item-drop-inter\">\n Retorno a trabajo de oficina: 5\u20137 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicio ligero: 3\u20134 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Levantar peso: 6\u20138 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Deporte intenso \/ gimnasio completo: 8\u201312 semanas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter4\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. \u00bfQu\u00e9 pasa si no se opera una hernia?\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Crece con el tiempo.<\/li>\n <li class=\"item-drop-inter\">El dolor aumenta.<\/li>\n <li class=\"item-drop-inter\">\n Aumenta el riesgo de encarcelamiento y estrangulaci\u00f3n.\n <\/li>\n <li class=\"item-drop-inter\">\n Puede requerir cirug\u00eda de urgencia.\n <\/li>\n <li class=\"item-drop-inter\">\n Puede comprometer intestino y generar complicaciones\n graves.\n <\/li>\n <li class=\"item-drop-inter\">\n La reparaci\u00f3n de emergencia es m\u00e1s riesgosa que la\n electiva.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfLas hernias regresan despu\u00e9s de operarse?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El riesgo de recurrencia existe, pero es bajo cuando:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Las t\u00e9cnicas laparosc\u00f3picas modernas reducen a\u00fan m\u00e1s este\n riesgo.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. Factores de riesgo para que aparezcan hernias\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">Tabaquismo.<\/li>\n <li class=\"item-drop-inter\">Embarazo m\u00faltiple.<\/li>\n <li class=\"item-drop-inter\">\n Cirug\u00edas abdominales previas.\n <\/li>\n <li class=\"item-drop-inter\">\n Enfermedades pulmonares con tos cr\u00f3nica.\n <\/li>\n <li class=\"item-drop-inter\">Trabajos f\u00edsicos pesados.<\/li>\n <li class=\"item-drop-inter\">Estre\u00f1imiento cr\u00f3nico.<\/li>\n <li class=\"item-drop-inter\">Diabetes mal controlada.<\/li>\n <li class=\"item-drop-inter\">Envejecimiento natural.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter5\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Hernias en ni\u00f1os<\/h3>\n\n <p class=\"txt-drop-inter\">\n En ni\u00f1os las hernias inguinales siempre requieren cirug\u00eda\n porque no se cierran solas y pueden estrangularse.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n La hernia umbilical en ni\u00f1os puede cerrarse sola hasta los\n 3\u20135 a\u00f1os.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfCu\u00e1ndo consultar a un cirujano?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Debe evaluarse pronto cuando existe:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Y de inmediato si hay s\u00edntomas de alarma.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter6\">\n <div class=\"cont-drop-inter\">\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Simons MP, Aufenacker T, Bay-Nielsen M, et al. European\n Hernia Society guidelines on the treatment of inguinal\n hernia in adult patients. Hernia. 2009;13(4):343\u2013403.\n <\/li>\n <li class=\"item-drop-inter\">\n Bittner R, Schwarz J. Inguinal hernia repair: current\n surgical techniques. Langenbecks Arch Surg.\n 2012;397(2):271\u2013282.\n <\/li>\n <li class=\"item-drop-inter\">\n Muysoms FE, Miserez M, Berrevoet F, et al.\n Classification of primary and incisional abdominal wall\n hernias. Hernia. 2009;13(4):407\u2013414.\n <\/li>\n <li class=\"item-drop-inter\">\n Berrevoet F, Prevention of Incisional Hernias After Open\n Abdominal Surgery: A Review.\n <b>Acta Chir Belg.<\/b> 2010;110(2):158\u2013163.\n <\/li>\n <li class=\"item-drop-inter\">\n Lange JF, et al. Laparoscopic vs. open repair of ventral\n hernia: systematic review and meta-analysis. Surg\n Endosc. 2013;27:1\u201312.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis2\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-5.svg\"\n alt=\"condiciones-8\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Inguinal<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfPor qu\u00e9 ocurre? S\u00edntomas, Riesgos<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Diagn\u00f3stico, Tratamiento, Recuperaci\u00f3n, Cu\u00e1ndo consultar<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. \u00bfPor qu\u00e9 ocurre?<\/h3>\n\n <p class=\"txt-drop-inter\">\n La <b>hernia inguinal<\/b> aparece cuando el intestino o\n grasa abdominal protruye a trav\u00e9s del canal inguinal, una\n zona naturalmente d\u00e9bil en la ingle.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Debilidad cong\u00e9nita del canal inguinal.\n <\/li>\n <li class=\"item-drop-inter\">Envejecimiento natural.<\/li>\n <li class=\"item-drop-inter\">\n Levantar peso repetidamente.\n <\/li>\n <li class=\"item-drop-inter\">Tos cr\u00f3nica o EPOC.<\/li>\n <li class=\"item-drop-inter\">Estre\u00f1imiento.<\/li>\n <li class=\"item-drop-inter\">Embarazo.<\/li>\n <li class=\"item-drop-inter\">Deportes de alto impacto.<\/li>\n <li class=\"item-drop-inter\">\n Alteraciones del col\u00e1geno.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto en la ingle que aumenta al toser o hacer fuerza.\n <\/li>\n <li class=\"item-drop-inter\">Dolor o ardor.<\/li>\n <li class=\"item-drop-inter\">Sensaci\u00f3n de \u201cjal\u00f3n\u201d.<\/li>\n <li class=\"item-drop-inter\">\n Molestia al caminar o correr.\n <\/li>\n <li class=\"item-drop-inter\">\n En hombres: molestia que irradia al test\u00edculo.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Riesgos si no se opera<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Encarcelamiento del intestino.\n <\/li>\n <li class=\"item-drop-inter\">\n Estrangulaci\u00f3n (p\u00e9rdida de irrigaci\u00f3n \u2014 emergencia).\n <\/li>\n <li class=\"item-drop-inter\">Peritonitis.<\/li>\n <li class=\"item-drop-inter\">Obstrucci\u00f3n intestinal.<\/li>\n <li class=\"item-drop-inter\">\n Cirug\u00edas de urgencia m\u00e1s riesgosas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Examen f\u00edsico (generalmente suficiente).\n <\/li>\n <li class=\"item-drop-inter\">\n Ecograf\u00eda en casos dudosos.\n <\/li>\n <li class=\"item-drop-inter\">\n TAC si es recurrente o compleja.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Tratamiento<\/h3>\n\n <p class=\"txt-drop-inter\">\n Cirug\u00eda laparosc\u00f3pica (TAPP o TEP): La opci\u00f3n m\u00e1s moderna\n y recomendada.<br \/><b>Ventajas:<\/b>\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Tama\u00f1o \u226510 mm.<\/li>\n <li class=\"item-drop-inter\">\n Crecimiento en controles seriados.\n <\/li>\n <li class=\"item-drop-inter\">\n P\u00f3lipos s\u00e9siles (sin tallo).\n <\/li>\n <li class=\"item-drop-inter\">Edad >50 a\u00f1os.<\/li>\n <li class=\"item-drop-inter\">\n Antecedentes de colangitis esclerosante primaria.\n <\/li>\n <li class=\"item-drop-inter\">\n Engrosamiento concomitante de la pared vesicular.\n <\/li>\n <li class=\"item-drop-inter\">\n Coexistencia con c\u00e1lculos y ves\u00edcula atr\u00f3fica cr\u00f3nica.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n <b>Cirug\u00eda abierta (Lichtenstein):<\/b> \u00datil cuando no se\n puede usar anestesia general o en algunas hernias muy\n localizadas.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Recuperaci\u00f3n<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Caminar el mismo d\u00eda. aumenta.\n <\/li>\n <li class=\"item-drop-inter\">\n Trabajo de oficina: 5\u20137 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicio ligero: 3\u20134 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Pesos pesados: 6\u20138 semanas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 4. Cu\u00e1ndo consultar inmediatamente\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Dolor intenso.<\/li>\n <li class=\"item-drop-inter\">\n Bulto duro que no se puede reducir.\n <\/li>\n <li class=\"item-drop-inter\">\n N\u00e1useas, v\u00f3mitos o fiebre.\n <\/li>\n <li class=\"item-drop-inter\">\n Cambio de color en la piel de la hernia.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis3\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-6.svg\"\n alt=\"condiciones-9\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Umbilical<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Causas, S\u00edntomas, Riesgos<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Diagn\u00f3stico, Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Causas<\/h3>\n\n <p class=\"txt-drop-inter\">\n La hernia umbilical ocurre cuando el contenido abdominal\n protruye a trav\u00e9s del anillo umbilical, una zona\n naturalmente d\u00e9bil.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Embarazos m\u00faltiples.<\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">\n L\u00edquido en el abdomen (ascitis).\n <\/li>\n <li class=\"item-drop-inter\">Esfuerzos repetidos.<\/li>\n <li class=\"item-drop-inter\">\n Cicatriz umbilical previa.\n <\/li>\n <li class=\"item-drop-inter\">Aumento r\u00e1pido de peso.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto alrededor del ombligo.\n <\/li>\n <li class=\"item-drop-inter\">Dolor con esfuerzos.<\/li>\n <li class=\"item-drop-inter\">\n Molestia despu\u00e9s de comer.\n <\/li>\n <li class=\"item-drop-inter\">\n Crecimiento progresivo del defecto.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Riesgos si no se trata<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Estrangulaci\u00f3n (especialmente en defectos peque\u00f1os).\n <\/li>\n <li class=\"item-drop-inter\">\n Colecciones o infecciones.\n <\/li>\n <li class=\"item-drop-inter\">\n Aumento del tama\u00f1o del defecto con el tiempo.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Examen f\u00edsico.<\/li>\n <li class=\"item-drop-inter\">\n Ecograf\u00eda abdominal en casos dudosos.\n <\/li>\n <li class=\"item-drop-inter\">\n TAC si es ventral compleja o recidiva.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Tratamiento<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Defectos <2 cm:<\/b> reparaci\u00f3n primaria (sin\n malla) en pacientes seleccionados.\n <\/li>\n\n <li class=\"item-drop-inter\">\n <b>Defectos >2 cm o sintom\u00e1ticos:<\/b> colocaci\u00f3n de\n <b>malla<\/b>, preferiblemente <b>laparosc\u00f3pica<\/b>.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Recuperaci\u00f3n<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Actividades suaves: 24h.<\/li>\n <li class=\"item-drop-inter\">\n Trabajo de oficina: 4-5 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicio ligero: 3-4 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Pesos pesados: 6-8 semanas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis4\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-7.svg\"\n alt=\"condiciones-8\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Epig\u00e1strica<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Causas, S\u00edntomas, Diagn\u00f3stico<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Causas<\/h3>\n\n <p class=\"txt-drop-inter\">\n Es un defecto en la l\u00ednea alba, entre el ombligo y el\n estern\u00f3n, donde protruye grasa o epipl\u00f3n.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Defecto cong\u00e9nito de la l\u00ednea alba.\n <\/li>\n <li class=\"item-drop-inter\">\n Aumento de presi\u00f3n abdominal.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicios intensos (levantamiento de pesas).\n <\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">\n Tensi\u00f3n repetida en el abdomen.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto en la parte media del abdomen.\n <\/li>\n <li class=\"item-drop-inter\">\n Dolor punzante o quemante.\n <\/li>\n <li class=\"item-drop-inter\">\n Molestia al hacer abdominales.\n <\/li>\n <li class=\"item-drop-inter\">\n Incremento de tama\u00f1o progresivo.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Exploraci\u00f3n cl\u00ednica.<\/li>\n <li class=\"item-drop-inter\">\n Ecograf\u00eda o TAC si es m\u00faltiple o asociada a di\u00e1stasis.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Tratamiento<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Reparaci\u00f3n quir\u00fargica siempre indicada, especialmente si\n es sintom\u00e1tica.\n <\/li>\n <li class=\"item-drop-inter\">\n Defectos >1-2 cm requieren <b>malla<\/b> para evitar\n recurrencias.\n <\/li>\n <li class=\"item-drop-inter\">\n T\u00e9cnicas disponibles: abierta o laparosc\u00f3pica seg\u00fan\n tama\u00f1o.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Recuperaci\u00f3n<\/h3>\n\n <p class=\"txt-drop-inter\">Similar a la hernia umbilical.<\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis5\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-8.svg\"\n alt=\"condiciones-9\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Femoral<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQui\u00e9n la sufre m\u00e1s? Importancia, S\u00edntomas<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Diagn\u00f3stico, Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. S\u00edntomas<\/h3>\n\n <p class=\"txt-drop-inter\">\n Hernia que aparece debajo del ligamento inguinal, en el\n canal femoral.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Mujeres.<\/li>\n <li class=\"item-drop-inter\">\n Pacientes con aumento cr\u00f3nico de presi\u00f3n abdominal.\n <\/li>\n <li class=\"item-drop-inter\">\n Pacientes con m\u00faltiples embarazos.\n <\/li>\n <li class=\"item-drop-inter\">Personas mayores.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Importancia<\/h3>\n\n <p class=\"txt-drop-inter\">\n Es la hernia con mayor riesgo de estrangulaci\u00f3n entre las\n hernias comunes.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto en la parte alta del muslo.\n <\/li>\n <li class=\"item-drop-inter\">Dolor intenso al caminar.<\/li>\n <li class=\"item-drop-inter\">Molestia persistente.<\/li>\n <li class=\"item-drop-inter\">\n Puede confundirse con hernia inguinal.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Diagn\u00f3stico<\/h3>\n\n <p class=\"txt-drop-inter\">\n Aparece sobre una cicatriz previa de cirug\u00eda.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Infecci\u00f3n de la herida quir\u00fargica.\n <\/li>\n <li class=\"item-drop-inter\">Mala cicatrizaci\u00f3n.<\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">Diabetes.<\/li>\n <li class=\"item-drop-inter\">\n Esfuerzo temprano tras cirug\u00eda.\n <\/li>\n <li class=\"item-drop-inter\">\n Falta de soporte muscular adecuado.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Tratamiento<\/h3>\n\n <p class=\"txt-drop-inter\">Siempre quir\u00fargico:<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Laparosc\u00f3pica: TAPP (ideal para definir la anatom\u00eda).\n <\/li>\n <li class=\"item-drop-inter\">\n Abierta: t\u00e9cnica cl\u00e1sica en emergencias.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Recuperaci\u00f3n<\/h3>\n\n <p class=\"txt-drop-inter\">R\u00e1pida con laparoscop\u00eda.<\/p>\n\n <p class=\"txt-drop-inter\">\n Mayor restricci\u00f3n si hubo estrangulaci\u00f3n y se repar\u00f3\n intestino.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis6\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-9.svg\"\n alt=\"condiciones-8\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Ventral \/ Incisional<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Causas, S\u00edntomas, Diagn\u00f3stico<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Causas<\/h3>\n\n <p class=\"txt-drop-inter\">\n Aparece sobre una cicatriz previa de cirug\u00eda.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Infecci\u00f3n de la herida quir\u00fargica.\n <\/li>\n <li class=\"item-drop-inter\">Mala cicatrizaci\u00f3n.<\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">Diabetes.<\/li>\n <li class=\"item-drop-inter\">\n Esfuerzo temprano tras cirug\u00eda.\n <\/li>\n <li class=\"item-drop-inter\">\n Falta de soporte muscular adecuado.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Bulto sobre la cicatriz.<\/li>\n <li class=\"item-drop-inter\">\n Dolor o sensaci\u00f3n de presi\u00f3n.\n <\/li>\n <li class=\"item-drop-inter\">Asimetr\u00eda del abdomen.<\/li>\n <li class=\"item-drop-inter\">\n Molestia al estar de pie por mucho tiempo.\n <\/li>\n <li class=\"item-drop-inter\">\n Avance progresivo del tama\u00f1o.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Examen f\u00edsico.<\/li>\n <li class=\"item-drop-inter\">\n TAC (lo m\u00e1s \u00fatil): define tama\u00f1o, n\u00famero de defectos y\n contenido herniario.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Tratamiento<\/h3>\n\n <p class=\"txt-drop-inter\">La t\u00e9cnica depende del tama\u00f1o:<\/p>\n\n <p class=\"txt-drop-inter\">Hernias peque\u00f1as (<4 cm)<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Laparosc\u00f3pica o abierta con malla.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">Hernias medianas (4-8 cm)<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Laparosc\u00f3pica IPOM (malla intraperitoneal).\n <\/li>\n <li class=\"item-drop-inter\">\n O reparaci\u00f3n abierta con malla sublay.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">Hernias grandes (>8-10 cm)<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Liberaci\u00f3n de componentes.<\/b>\n <\/li>\n <li class=\"item-drop-inter\">Mallas de mayor soporte.<\/li>\n <li class=\"item-drop-inter\">\n En casos seleccionados, t\u00e9cnicas h\u00edbridas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Recuperaci\u00f3n<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Movimiento temprano.<\/li>\n <li class=\"item-drop-inter\">\n Restricci\u00f3n de peso 6-12 semanas seg\u00fan tama\u00f1o.\n <\/li>\n <li class=\"item-drop-inter\">\n Caminar diariamente para evitar trombosis.\n <\/li>\n <li class=\"item-drop-inter\">\n Uso de faja abdominal (opcional, no indispensable).\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n Es importante resaltar que esto no es lo mismo que una\n DI\u00c1STASIS DE RECTOS ABDOMINALES.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis7\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-10.svg\"\n alt=\"condiciones-9\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernias Raras<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Hernia de Spiegel, Hernia Lumbar, Hernia Obturatriz<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >REFERENCIAS BIBLIOGR\u00c1FICAS<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Hernia de Spiegel<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Aparece en el margen lateral del recto.\n <\/li>\n <li class=\"item-drop-inter\">\n Requiere TAC para diagn\u00f3stico.\n <\/li>\n <li class=\"item-drop-inter\">\n Tratamiento ideal: laparosc\u00f3pico.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Hernia Lumbar<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Ocurre en puntos d\u00e9biles de la pared lumbar (tri\u00e1ngulos\n de Grynfelt o Petit).\n <\/li>\n <li class=\"item-drop-inter\">\n Frecuente en traumatismos o cirug\u00edas previas.\n <\/li>\n <li class=\"item-drop-inter\">\n Tratamiento: malla + refuerzo muscular.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Hernia Obturatriz<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Protruye a trav\u00e9s del canal obturador.\n <\/li>\n <li class=\"item-drop-inter\">\n Puede causar dolor irradiado al muslo (signo de\n Howship\u2013Romberg).\n <\/li>\n <li class=\"item-drop-inter\">\n Tratamiento: casi siempre cirug\u00eda laparosc\u00f3pica o\n abierta.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Simons MP, Aufenacker T, Bay-Nielsen M, et al. European\n Hernia Society guidelines on the treatment of inguinal\n hernia in adult patients. Hernia. 2009;13(4):343-403.\n <\/li>\n <li class=\"item-drop-inter\">\n Bittner R, Schwarz J. Inguinal hernia repair: current\n surgical techniques. Langenbecks Arch Surg.\n 2012;397(2):271-282.\n <\/li>\n <li class=\"item-drop-inter\">\n Muysoms FE, Miserez M, Berrevoet F, et al.\n Classification of primary and incisional abdominal wall\n hernias. Hernia. 2009;13(4):407-414.\n <\/li>\n <li class=\"item-drop-inter\">\n Lange JF, et al. Laparoscopic vs open repair of ventral\n hernia: a systematic review and meta-analysis. Surg\n Endosc. 2013;27:1-12.\n <\/li>\n <li class=\"item-drop-inter\">\n Berrevoet F. Prevention of incisional hernias after open\n abdominal surgery: a review. Acta Chir Belg.\n 2010;110(2):158-163.\n <\/li>\n <li class=\"item-drop-inter\">\n Kingsnorth A, LeBlanc K. Management of abdominal\n hernias. Springer; 2003.\n <\/li>\n <li class=\"item-drop-inter\">\n Miserez M, et al. The European guidelines on ventral\n hernia repair. Hernia. 2015;19(1):1-12.\n <\/li>\n <li class=\"item-drop-inter\">\n K\u00f6ckerling F, et al. Recurrent Incisional Hernia\n Repair\u2014A Systematic Review. Front Surg. 2019;6:26.\n <\/li>\n <li class=\"item-drop-inter\">\n Belyansky I, et al. A novel approach using the\n enhanced-view totally extraperitoneal (eTEP) technique\n for incisional hernia. Hernia. 2018;22:837-848.\n <\/li>\n <li class=\"item-drop-inter\">\n <b\n >Deerenberg EB, et al. The use of mesh in hernia\n repair: proof of concept or evidence-based? Hernia.\n 2015;19(1):1-7.<\/b\n >\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section id=\"contacto\">\n <div class=\"container\">\n <div class=\"row row-contain-agendar justify-content-evenly\">\n <div class=\"col-lg-6 col-agendar col-agendar1\">\n <div\n class=\"cont-horario-agendar d-flex justify-content-evenly align-items-center\"\n >\n <div class=\"col-horario-agenda col-horario-agenda1\">\n <p class=\"font-creato txt-dias-agenda\">\n Lunes \u2014 Viernes<br \/>Emergencia\n <\/p>\n <\/div>\n\n <div class=\"col-horario-agenda col-horario-agenda2\">\n <p class=\"font-creato txt-horas-agenda\">10AM – 5PM<br \/>24\/7<\/p>\n <\/div>\n <\/div>\n\n <div class=\"cont-horario-img\"><\/div>\n <\/div>\n\n <div class=\"col-lg-6 col-agendar col-agendar2\">\n <h4 class=\"titu-agendar\">AGENDAR UNA CITA<\/h4>\n\n <h3 class=\"titus-agendar\">\n PanaMed – Panajachel<br \/>El Pimental – Antigua Guatemala\n <\/h3>\n\n <div class=\"cont-formulario\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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id='gform_1' action='\/en\/wp-json\/wp\/v2\/pages\/9827' data-formid='1' novalidate>\n <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nombre completo<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n \n <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-required='false' placeholder='Nombre' \/>\n <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n <\/span>\n \n <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-required='false' placeholder='Apellido' \/>\n <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n <\/span>\n \n <\/div><\/fieldset><div id=\"field_1_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_3'>Correo electr\u00f3nico<\/label><div class='ginput_container ginput_container_email'>\n <input name='input_3' id='input_1_3' type='email' value='' class='large' placeholder='Correo' aria-invalid=\"false\" \/>\n <\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_9'>Tel\u00e9fono<\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_1_9' type='tel' value='' class='large' placeholder='Su n\u00famero' aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_1_4\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_4'>Procedimiento<\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_1_4' class='large gfield_select' aria-invalid=\"false\" ><option value='Consulta' >Consulta<\/option><option value='Agendar cirug\u00eda' >Agendar cirug\u00eda<\/option><\/select><\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_6'>Fecha<\/label><div class='ginput_container ginput_container_date'>\n <input name='input_6' id='input_1_6' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon' placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_6_date_format\" aria-invalid=\"false\" \/>\n <span id='input_1_6_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n <\/div>\n <input type='hidden' id='gforms_calendar_icon_input_1_6' class='gform_hidden' value='https:\/\/drjulioestrada.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_1_8\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Hora<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_1_8'>\n <input type='number' maxlength='2' name='input_8[]' id='input_1_8_1' value='' min='0' max='12' step='1' placeholder='HH' aria-required='false' \/> \n <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_1_8_1'>Hours<\/label>\n <\/div>\n <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n <div class='gfield_time_minute ginput_container 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data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseOne\"\n aria-expanded=\"false\"\n aria-controls=\"collapseOne\"\n >\n Tengo dolor, pero no s\u00e9 si realmente necesito un cirujano.<br \/>\u00bfPuedo\n consultarte igual?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseOne\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingOne\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed, claro. No todo dolor termina en cirug\u00eda. La consulta sirve\n precisamente para evaluar qu\u00e9 est\u00e1 pasando y decidir si se\n trata de algo quir\u00fargico o no, y cu\u00e1l es el mejor manejo en tu\n caso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwo\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwo\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwo\"\n >\n Me dijeron que \u201ctengo piedras en la ves\u00edcula\u201d, pero no<br \/>siempre\n me duele. \u00bfIgual deber\u00eda operarme?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwo\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwo\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Es v\u00e1lido. Mi trabajo es explicarte las opciones, los riesgos\n y beneficios de cada una. La decisi\u00f3n final siempre la tomas\n t\u00fa, con informaci\u00f3n clara y honesta.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingThree\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseThree\"\n aria-expanded=\"false\"\n aria-controls=\"collapseThree\"\n >\n \u00bfY si prefiero no operarme por ahora?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseThree\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingThree\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n No siempre es obligatorio operar de inmediato. Todo depende de\n tus s\u00edntomas, la frecuencia del dolor y el riesgo de\n complicaciones. En consulta evaluamos si es momento de operar\n o si a\u00fan es seguro observar.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFour\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFour\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFour\"\n >\n \u00bfC\u00f3mo s\u00e9 si mi caso es urgente o puede esperar?\n <\/button>\n <\/h5>\n <\/div>\n\n <div\n id=\"collapseFour\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFour\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Hay s\u00edntomas que indican urgencia, como dolor intenso y\n persistente, fiebre, v\u00f3mitos continuos o empeoramiento r\u00e1pido.\n Si tienes duda, lo mejor es evaluarte a tiempo para no correr\n riesgos innecesarios.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFive\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFive\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFive\"\n >\n Me da miedo la anestesia, \u00bfes normal?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseFive\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFive\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Es completamente normal. Antes de cualquier cirug\u00eda se hace\n una evaluaci\u00f3n anest\u00e9sica para reducir riesgos al m\u00e1ximo y\n resolver todas tus dudas. No est\u00e1s solo en ese proceso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSix\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSix\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSix\"\n >\n \u00bfDespu\u00e9s de la cirug\u00eda voy a tener mucho dolor?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSix\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSix\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n La mayor\u00eda de pacientes refiere dolor leve a moderado,\n especialmente cuando se utiliza cirug\u00eda m\u00ednimamente invasiva.\n Adem\u00e1s, el manejo del dolor forma parte importante del\n tratamiento.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSeven\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSeven\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSeven\"\n >\n \u00bfCu\u00e1ntos d\u00edas tendr\u00eda que estar hospitalizado?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSeven\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSeven\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Depende del procedimiento y de tu evoluci\u00f3n. Muchas cirug\u00edas\n laparosc\u00f3picas permiten egreso temprano, incluso el mismo d\u00eda\n o al d\u00eda siguiente.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingEight\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseEight\"\n aria-expanded=\"false\"\n aria-controls=\"collapseEight\"\n >\n \u00bfCu\u00e1ndo podr\u00eda volver a trabajar o hacer mi vida normal?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseEight\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingEight\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Var\u00eda seg\u00fan la cirug\u00eda y tu tipo de trabajo, pero en general\n la recuperaci\u00f3n es m\u00e1s r\u00e1pida con t\u00e9cnicas m\u00ednimamente\n invasivas. En consulta te doy tiempos realistas para tu caso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingNine\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseNine\"\n aria-expanded=\"false\"\n aria-controls=\"collapseNine\"\n >\n \u00bfSi ya me dijeron que necesito cirug\u00eda, igual tengo que\n consultarte?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseNine\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingNine\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed. Cada cirujano eval\u00faa el caso de forma individual. La\n consulta permite confirmar el diagn\u00f3stico, discutir opciones y\n resolver dudas antes de tomar una decisi\u00f3n.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTen\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTen\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTen\"\n >\n \u00bfQu\u00e9 pasa si dejo pasar el tiempo y no me opero?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTen\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTen\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Depende del diagn\u00f3stico. Algunas condiciones pueden mantenerse\n estables, pero otras pueden complicarse. Por eso es importante\n valorar riesgos y no decidir solo con miedo o suposiciones.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingEleven\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseEleven\"\n aria-expanded=\"false\"\n aria-controls=\"collapseEleven\"\n >\n \u00bfPuedo hacerte preguntas sin sentir que \u201cmolesto\u201d?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseEleven\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingEleven\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Por supuesto. Entender tu diagn\u00f3stico y sentirte tranquilo es\n parte del tratamiento. No hay preguntas incorrectas cuando se\n trata de tu salud.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwelve\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwelve\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwelve\"\n >\n \u00bfLa cirug\u00eda siempre es la primera opci\u00f3n?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwelve\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwelve\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n No. Muchas veces se puede intentar manejo m\u00e9dico o\n conservador. La cirug\u00eda se indica cuando realmente aporta\n beneficio o evita complicaciones.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingThirtee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseThirtee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseThirtee\"\n >\n \u00bfQu\u00e9 pasa si durante la cirug\u00eda encuentran algo diferente?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseThirtee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingThirtee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Antes del procedimiento se habla de los posibles escenarios.\n Las decisiones se toman pensando siempre en tu seguridad y en\n resolver el problema de la mejor manera posible.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFourtee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFourtee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFourtee\"\n >\n \u00bfPuedo operarme aunque tenga otras enfermedades?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseFourtee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFourtee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed, pero primero se hace una evaluaci\u00f3n completa. El objetivo\n es optimizar tu estado de salud antes de la cirug\u00eda para\n reducir riesgos.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFiftee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFiftee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFiftee\"\n >\n \u00bfQui\u00e9n me explica todo antes de operarme?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseFiftee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFiftee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Yo mismo. Me tomo el tiempo para explicarte el diagn\u00f3stico, el\n procedimiento, los riesgos y el proceso de recuperaci\u00f3n, de\n forma clara y sin prisas.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSixtee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSixtee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSixtee\"\n >\n \u00bfY si cambio de opini\u00f3n despu\u00e9s de la consulta?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSixtee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSixtee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n No hay problema. La consulta es para informarte y orientarte.\n Puedes tomarte el tiempo que necesites para decidir.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSeventee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSeventee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSeventee\"\n >\n \u00bfPuedo escribir si despu\u00e9s de la consulta me surgen m\u00e1s dudas?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSeventee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSeventee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed. Es normal que surjan preguntas despu\u00e9s. Mi equipo y yo\n estamos para orientarte durante todo el proceso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingEightee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseEightee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseEightee\"\n >\n \u00bfEste chat sirve para saber si me tengo que operar ya?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseEightee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingEightee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Este chat ayuda a orientarte, pero no reemplaza una valoraci\u00f3n\n m\u00e9dica. Para tomar decisiones importantes siempre es necesaria\n una consulta presencial.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingNinetee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseNinetee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseNinetee\"\n >\n \u00bfAtiendes casos que otros m\u00e9dicos consideran \u201cdif\u00edciles\u201d?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseNinetee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingNinetee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Cada caso merece una evaluaci\u00f3n individual. En consulta\n revisamos tu situaci\u00f3n con calma para definir la mejor\n estrategia.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen\"\n >\n \u00bfQu\u00e9 es lo m\u00e1s importante que deber\u00eda saber antes de una\n cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Que la cirug\u00eda es solo una parte del proceso. La evaluaci\u00f3n,\n la preparaci\u00f3n, el seguimiento y la recuperaci\u00f3n son igual de\n importantes para un buen resultado.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen1\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen1\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen1\"\n >\n \u00bfLa anestesia es diferente si la cirug\u00eda es abierta o\n laparosc\u00f3pica?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen1\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen1\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed, puede variar seg\u00fan el tipo de cirug\u00eda y tu condici\u00f3n de\n salud. En ambos casos la anestesia se elige pensando en tu\n seguridad, comodidad y una buena recuperaci\u00f3n.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen2\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen2\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen2\"\n >\n \u00bfVoy a estar completamente dormido durante la cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen2\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen2\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n En la mayor\u00eda de cirug\u00edas abdominales s\u00ed, utilizamos anestesia\n general para que no sientas dolor ni tengas recuerdos del\n procedimiento. El anestesi\u00f3logo te eval\u00faa previamente y te\n explica todo con detalle.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen3\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen3\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen3\"\n >\n \u00bfEs m\u00e1s riesgosa la anestesia que la cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen3\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen3\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n En pacientes evaluados correctamente, el riesgo anest\u00e9sico\n suele ser bajo. Por eso es tan importante la valoraci\u00f3n\n previa, donde se revisan tus antecedentes y se optimiza todo\n antes del procedimiento.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen4\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen4\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen4\"\n >\n \u00bfPuedo despertarme durante la cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen4\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen4\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Es una preocupaci\u00f3n com\u00fan, pero extremadamente rara. La\n anestesia moderna se monitoriza de forma continua para\n mantenerte dormido y seguro durante todo el procedimiento.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen5\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen5\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen5\"\n >\n \u00bfDespu\u00e9s de la anestesia me sentir\u00e9 muy mal o desorientado?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen5\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen5\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Al despertar puedes sentir somnolencia, mareo leve o n\u00e1useas,\n pero suele ser temporal. El equipo se encarga de controlar\n estos s\u00edntomas para que tu recuperaci\u00f3n sea lo m\u00e1s c\u00f3moda\n posible.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n \n\n <button\n class=\"btn-colapso btn\"\n type=\"button\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseExample\"\n aria-expanded=\"false\"\n aria-controls=\"collapseExample\"\n >\n <div class=\"row row-tooltip justify-content-center align-items-center\">\n <div class=\"col-tooltip1 col-tooltip\">\n <i class=\"fa-regular fa-comment-dots\" style=\"color: white\"><\/i>\n <\/div>\n <div class=\"col-tooltip2 col-tooltip\">\n <p class=\"font-creato\">Chatea con nosotros<\/p>\n <\/div>\n <\/div>\n <\/button>\n <\/div>\n\n \n <footer>\n <div class=\"container\">\n <div class=\"row g-4 mb-4 row-footer-top\">\n <div class=\"col-footer col-footer1\">\n <a class=\"logo-footer\" href=\"#\">\n <img decoding=\"async\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/05\/logo-footer.webp\"\n alt=\"logo-header\"\n \/>\n <\/a>\n <\/div>\n\n <div class=\"col-footer col-footer2\">\n <h5>Mi web<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#\" class=\"small font-creato\">Inicio<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Somos<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Procedimientos<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\"\n >Condiciones quir\u00fargicas<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\"\n >Informaci\u00f3n para el paciente<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Gu\u00eda para estudiantes<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Agendar cita<\/a>\n <\/li>\n <\/ul>\n <\/div>\n\n <div class=\"col-footer col-footer3\">\n <h5 class=\"font-creato\">Mis redes<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#inicio\" class=\"small font-creato\"\n ><i class=\"fa-brands fa-instagram\"><\/i>\n @cirujanodrjulioestrada<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#sobre-mi\" class=\"small font-creato\"\n ><i class=\"fa-brands fa-facebook-f\"><\/i> Dr Julio Estrada<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#servicios\" class=\"small font-creato\"\n ><i class=\"fa-brands fa-youtube\"><\/i> Dr Julio Estrada<\/a\n >\n <\/li>\n <\/ul>\n <\/div>\n\n <div class=\"col-footer col-footer4\">\n <div class=\"cont-contacto-foot cont-contacto-foot1\">\n <h5 class=\"font-creato\">Cont\u00e1ctame<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#\" class=\"small font-creato\">+502 77620324<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">+502 78321756<\/a>\n <\/li>\n <\/ul>\n <\/div>\n\n <div class=\"cont-contacto-foot cont-contacto-foot2\">\n <h5 class=\"font-creato\">Mi correo<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#\" class=\"small font-creato\"\n >drjulioestrada@panamed.com.gt<\/a\n >\n <\/li>\n <\/ul>\n <\/div>\n <\/div>\n <\/div>\n\n <hr class=\"border-footer opacity-50\" \/>\n\n <div\n class=\"row row-footer-bot justify-content-evenly align-items-center\"\n >\n <div class=\"col-foot-bot col-foot-bot1\">\n <p class=\"small font-creato text-muted mb-0 txt-foot txt-foot1\">\n © 2025-2026 Dr. Julio Estrada. Todos los derechos reservados.\n <\/p>\n <\/div>\n\n <div class=\"col-foot-bot col-foot-bot2\">\n <p class=\"small font-creato text-muted mb-0 txt-foot txt-foot2\">\n Desarrollado por\n <a href=\"#\" class=\"text-muted\">Enfoca2’s Studios<\/a>\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n <\/footer>\n\n \n \n\n \n \n\n <script>\n \/\/ Soluci\u00f3n JS para m\u00faltiples dropdowns con sub\u2011men\u00fas animados\n \/\/ SIN modificar la estructura HTML. Funciona con cualquier n\u00famero de .item-procedis\n\n document.addEventListener(\"DOMContentLoaded\", function () {\n \/\/ Selecciona todos los contenedores principales de cada dropdown\n const items = document.querySelectorAll(\".item-procedis\");\n\n items.forEach((item) => {\n \/\/ Obtener el toggle principal (el que abre el men\u00fa Bootstrap)\n const mainToggle = item.querySelector(\".btn-procedi\");\n if (!mainToggle) return;\n\n \/\/ El men\u00fa principal (dropdown-menu) es el siguiente hermano del toggle\n const parentMenu = mainToggle.nextElementSibling;\n if (!parentMenu || !parentMenu.classList.contains(\"dropdown-menu\"))\n return;\n\n \/\/ Buscar todos los sub\u2011toggles y sus respectivos sub\u2011men\u00fas dentro de .contain-drops\n const subToggles = parentMenu.querySelectorAll(\n \".sub-dropdown-toggle\",\n );\n const subMenus = parentMenu.querySelectorAll(\n \".contain-drops .drop-inter\",\n );\n\n \/\/ Funci\u00f3n para quitar la clase 'activo' de todos los 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targetMenu.classList.remove(\"show\");\n toggle.classList.remove(\"activo\");\n } else {\n \/\/ Cerramos cualquier otro y abrimos el actual\n closeAllSubMenus();\n targetMenu.classList.add(\"show\");\n \/\/ Agregamos la clase 'activo' al enlace que abri\u00f3 el sub\u2011dropdown\n toggle.classList.add(\"activo\");\n }\n };\n toggle.addEventListener(\"click\", handler);\n toggle._handler = handler; \/\/ Guardar referencia para posible remoci\u00f3n\n });\n\n \/\/ Cerrar sub\u2011men\u00fas al hacer clic en el men\u00fa padre (pero no sobre los sub\u2011toggles ni los sub\u2011men\u00fas)\n parentMenu.addEventListener(\"click\", function (e) {\n if (\n !e.target.closest(\".sub-dropdown-toggle\") &&\n !e.target.closest(\".drop-inter\")\n ) {\n closeAllSubMenus();\n }\n });\n\n \/\/ Cuando el dropdown principal se cierra (por clic fuera o ESC), limpiar sub\u2011men\u00fas y clases activo\n mainToggle.addEventListener(\"hidden.bs.dropdown\", closeAllSubMenus);\n });\n });\n <\/script>\n <\/body>\n<\/html>\n\n","protected":false},"excerpt":{"rendered":"<p>Dr. Julio Estrada – Cirug\u00eda General y Laparosc\u00f3pica Inicio Somos Procedimientos Cirug\u00eda de Apendice Cirug\u00eda de Ves\u00edcula Cirug\u00eda de Hernias […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9795,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"disabled","ast-banner-title-visibility":"disabled","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"disabled","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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{"id":9827,"date":"2026-05-14T21:02:50","date_gmt":"2026-05-14T21:02:50","guid":{"rendered":"https:\/\/drjulioestrada.com\/?page_id=9827"},"modified":"2026-06-02T22:19:08","modified_gmt":"2026-06-02T22:19:08","slug":"condiciones-quirurgicas-hernias-de-la-pared-abdominal","status":"publish","type":"page","link":"https:\/\/drjulioestrada.com\/en\/condiciones-quirurgicas\/condiciones-quirurgicas-hernias-de-la-pared-abdominal\/","title":{"rendered":"Condiciones quir\u00fargicas \u2014 Hernias de la Pared Abdominal"},"content":{"rendered":"\n\n\n \n \n \n Dr. Julio Estrada – Cirug\u00eda General y Laparosc\u00f3pica<\/title>\n \n \n \n <link\n href=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/font-awesome\/6.4.0\/css\/all.min.css\"\n rel=\"stylesheet\"\n \/>\n\n \n \n\n \n \n <\/head>\n\n <body>\n \n <nav class=\"navbar navbar-expand-lg sticky-top navbar-light\">\n <div class=\"container\">\n <a class=\"navbar-brand\" href=\"https:\/\/drjulioestrada.com\/\">\n <img decoding=\"async\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/05\/logo-header.webp\"\n alt=\"logo-header\"\n \/>\n <\/a>\n\n <button\n class=\"navbar-toggler\"\n type=\"button\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#navbarNav\"\n >\n <span class=\"navbar-toggler-icon\"><\/span>\n <\/button>\n\n <div class=\"collapse navbar-collapse\" id=\"navbarNav\">\n <ul class=\"navbar-nav ms-auto align-items-lg-center\">\n <li class=\"nav-item\">\n <a class=\"nav-link\" href=\"https:\/\/drjulioestrada.com\/\"\n >Inicio<\/a\n >\n <\/li>\n\n <li class=\"nav-item\">\n <a class=\"nav-link\" href=\"https:\/\/drjulioestrada.com\/somos\/\"\n >Somos<\/a\n >\n <\/li>\n\n <div class=\"nav-item dropdown\">\n <a\n href=\"#\"\n class=\"nav-link dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n >Procedimientos<\/a\n >\n\n <div class=\"dropdown-menu m-0\">\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#apendice\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Apendice<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#vesicula\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Ves\u00edcula<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#hernias\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Hernias\n Abdominales<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#exploracion\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Exploraci\u00f3n<\/span> de la V\u00eda\n Biliar<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#ercp\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">ERCP<\/span> (Endoscopic\n Retrograde Cholangiopancreatography) – Colangiopancreatograf\u00eda\n Retr\u00f3grada Endosc\u00f3pica) – Colangiopancreatograf\u00eda Retr\u00f3grada\n Endosc\u00f3pica<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#colangiografia\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Colangiograf\u00eda<\/span>\n Intraoperatoria<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#emergencia\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Emergencia<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#abdomen-agudo\"\n class=\"dropdown-item\"\n >Abdomen Agudo no\n <span class=\"font-acent-ub\">Traum\u00e1tico<\/span><\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#obstruccion-intestinal\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Obstrucci\u00f3n<\/span> Intestinal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#perforacion\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Perforaci\u00f3n<\/span> de Viscera\n Hueca<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#pancreatitis\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Pancreatitis<\/span> Aguda\n Grave<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#diverticulitis\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Diverticulitis<\/span> Aguda\n Complicada<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#trauma-abdominal\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Trauma<\/span> Abdominal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#abdomen-abierto\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Abdomen Abierto<\/span> y\n <span class=\"font-acent-ub\">Cirug\u00eda<\/span> de Control de\n Da\u00f1os<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#catastrofe-abdominal\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Cat\u00e1strofe<\/span> Abdominal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/procedimientos\/#abdomen-agudo-pediatria\"\n class=\"dropdown-item\"\n ><span class=\"font-acent-ub\">Abdomen Agudo<\/span> en\n Pediatr\u00eda<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"nav-item dropdown\">\n <a\n href=\"#\"\n class=\"nav-link dropdown-toggle active\"\n data-bs-toggle=\"dropdown\"\n >Condiciones quir\u00fargicas<\/a\n >\n\n <div class=\"dropdown-menu m-0\">\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-apendice\/\"\n class=\"dropdown-item\"\n >Ap\u00e9ndice (Apendicitis)<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-vesicula\/\"\n class=\"dropdown-item\"\n >Ves\u00edcula Biliar<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-hernias-de-la-pared-abdominal\/\"\n class=\"dropdown-item active\"\n >Hernias de la Pared Abdominal<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-diastasis-de-rectos\/\"\n class=\"dropdown-item\"\n >Di\u00e1stasis de rectos Abdominales<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-pie-diabetico\/\"\n class=\"dropdown-item\"\n >Pie diab\u00e9tico<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-cirugia-menor\/\"\n class=\"dropdown-item\"\n >Cirug\u00eda menor<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/condiciones-quirurgicas\/condiciones-quirurgicas-suturas\/\"\n class=\"dropdown-item\"\n >Suturas<\/a\n >\n <\/div>\n <\/div>\n\n <li class=\"nav-item\">\n <a\n class=\"nav-link\"\n href=\"https:\/\/drjulioestrada.com\/informacion-para-el-paciente\/\"\n >Informaci\u00f3n del paciente<\/a\n >\n <\/li>\n\n <div class=\"nav-item dropdown\">\n <a\n href=\"#\"\n class=\"nav-link dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n >Gu\u00eda para Estudiantes<\/a\n >\n\n <div class=\"dropdown-menu m-0\">\n <a\n href=\"https:\/\/drjulioestrada.com\/guia-para-estudiantes\/abc-de-laparoscopia\/\"\n class=\"dropdown-item\"\n >ABC de Laparoscop\u00eda<\/a\n >\n\n <a\n href=\"https:\/\/drjulioestrada.com\/guia-para-estudiantes\/guia-para-estudiantes-de-pregrado\/\"\n class=\"dropdown-item\"\n >Gu\u00eda para estudiantes de pregrado<\/a\n >\n <\/div>\n <\/div>\n\n <li class=\"nav-item\">\n <a\n class=\"d-tlf nav-link\"\n href=\"https:\/\/drjulioestrada.com\/agendar\/\"\n >Agendar Cita<\/a\n >\n <\/li>\n <\/ul>\n\n <div class=\"btn-head\">\n <a\n class=\"d-desk nav-link btn-nav\"\n href=\"https:\/\/drjulioestrada.com\/agendar\/\"\n >Agendar Cita<\/a\n >\n <\/div>\n <\/div>\n <\/div>\n <\/nav>\n\n \n <section id=\"procedis\">\n <div class=\"container\">\n <div class=\"contain-hero-procedis\">\n <div class=\"row row-hero-procedis\">\n <div class=\"col-hero-procedis col-hero-procedis1\"><\/div>\n\n <div class=\"col-hero-procedis col-hero-procedis2\">\n <h4 class=\"font-creato titu-hero-procedi\">condiciones<\/h4>\n\n <h3 class=\"font-creato titus-hero-procedi\">\n Quir\u00fargicas \u2014 Heridas de la Pared Abdominal\n <\/h3>\n\n \n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section id=\"info-procedis\">\n <div class=\"container my-5 py-4\">\n <div class=\"contain-procedis\">\n <div class=\"item-procedis item-procedis1\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/procedi-03.svg\"\n alt=\"condiciones-7\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernias<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQu\u00e9 es? \u00bfDonde aparecen? \u00bfPor qu\u00e9 aparecen?<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQu\u00e9 s\u00edntomas producen? \u00bfCu\u00e1ndo es Peligrosa? \u00bfSe pueden\n tratar sin cirug\u00eda?<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis3\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Tratamiento, Uso de malla, Recuperaci\u00f3n<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis4\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQu\u00e9 pasa si no se operan? \u00bfRegresan? Factores de riesgo<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis5\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Hernias en ni\u00f1os \u00bfCuando consultar?<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis6\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >REFERENCIAS BIBLIOGR\u00c1FICAS<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. \u00bfQu\u00e9 es una hernia?<\/h3>\n\n <p class=\"txt-drop-inter\">\n Una <b>hernia<\/b> es la salida o protrusi\u00f3n de un \u00f3rgano o\n tejido (generalmente grasa o intestino) a trav\u00e9s de un\n punto d\u00e9bil en la pared muscular que normalmente lo\n contiene.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Puede presentarse como un <b>bulto visible<\/b>, dolor,\n sensaci\u00f3n de \u00abpesadez\u00bb o molestia al realizar esfuerzos.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Las hernias <b>no desaparecen solas<\/b> y tienden a\n aumentar con el tiempo.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfD\u00f3nde aparecen las hernias? \u2013 Tipos m\u00e1s frecuentes\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Hernia inguinal (la m\u00e1s com\u00fan):<\/b> Ocurre en la\n ingle. Afecta a hombres y mujeres, pero es m\u00e1s frecuente\n en varones.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia umbilical:<\/b> Aparece alrededor del ombligo,\n com\u00fan despu\u00e9s de embarazos o aumento de peso.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia epig\u00e1strica:<\/b> Entre el ombligo y el\n estern\u00f3n, causada por un defecto peque\u00f1o de la l\u00ednea\n media.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia femoral:<\/b> En la parte alta del muslo. M\u00e1s\n frecuente en mujeres y con mayor riesgo de\n encarcelamiento.\n <\/li>\n <li class=\"item-drop-inter\">\n <b>Hernia ventral o incisional:<\/b> Ocurre sobre\n cicatrices de cirug\u00edas previas. La pared abdominal\n pierde fuerza y el contenido se hernia.\n <\/li>\n <li class=\"item-drop-inter\">\n Hernias poco comunes: Spiegel.\n <\/li>\n <li class=\"item-drop-inter\">Lumbar.<\/li>\n <li class=\"item-drop-inter\">Obturatriz.<\/li>\n <li class=\"item-drop-inter\">\n Diafragm\u00e1ticas traum\u00e1ticas.\n <\/li>\n <li class=\"item-drop-inter\">Richter.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. \u00bfPor qu\u00e9 aparecen las hernias? \u2013 Causas\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Las hernias ocurren cuando se combina:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Cuando la presi\u00f3n interna supera la resistencia de la\n pared, aparece la hernia.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Debilidad de la pared abdominal:<\/b> Cirug\u00edas\n previas.\n <\/li>\n <li class=\"item-drop-inter\">Envejecimiento.<\/li>\n <li class=\"item-drop-inter\">Defectos cong\u00e9nitos.<\/li>\n <li class=\"item-drop-inter\">Embarazos m\u00faltiples.<\/li>\n <li class=\"item-drop-inter\">\n P\u00e9rdida o aumento brusco de peso.\n <\/li>\n <li class=\"item-drop-inter\">Trastornos del col\u00e1geno.<\/li>\n <li class=\"item-drop-inter\">\n Aumento de presi\u00f3n dentro del abdomen: Levantar peso.\n <\/li>\n <li class=\"item-drop-inter\">Tos cr\u00f3nica.<\/li>\n <li class=\"item-drop-inter\">Estre\u00f1imiento.<\/li>\n <li class=\"item-drop-inter\">\n Esfuerzo excesivo al orinar.\n <\/li>\n <li class=\"item-drop-inter\">\n Deportistas de alto rendimiento.\n <\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. \u00bfQu\u00e9 s\u00edntomas producen?<\/h3>\n\n <p class=\"txt-drop-inter\">Los s\u00edntomas m\u00e1s comunes son:<\/p>\n\n <p class=\"txt-drop-inter\">\n Al inicio pueden ser intermitentes, pero siempre progresan\n con el tiempo.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfCu\u00e1ndo una hernia es peligrosa?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Dos complicaciones requieren atenci\u00f3n inmediata:\n <\/p>\n\n <p class=\"txt-drop-inter\">ACUDA A EMERGENCIAS<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Encarcelamiento:<\/b> Cuando el contenido herniado\n queda atrapado y no puede regresar. Causa dolor intenso\n y aumento del volumen.\n <\/li>\n <li class=\"item-drop-inter\">\n Estrangulaci\u00f3n (emergencia): El tejido atrapado pierde\n irrigaci\u00f3n. Es una urgencia quir\u00fargica porque puede\n producir: Necrosis del intestino.\n <\/li>\n <li class=\"item-drop-inter\">Sepsis.<\/li>\n <li class=\"item-drop-inter\">Peritonitis.<\/li>\n <li class=\"item-drop-inter\">Riesgo de muerte.<\/li>\n <li class=\"item-drop-inter\">\n Signos de alarma: Dolor intenso y constante.\n <\/li>\n <li class=\"item-drop-inter\">\n Bulto duro y no reducible.\n <\/li>\n <li class=\"item-drop-inter\">N\u00e1useas y v\u00f3mitos.<\/li>\n <li class=\"item-drop-inter\">Fiebre.<\/li>\n <li class=\"item-drop-inter\">\n Cambio de coloraci\u00f3n en la piel de la hernia.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. \u00bfSe pueden tratar sin cirug\u00eda?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n No. Las hernias <b>no se curan solas<\/b>, no existe\n medicina que cierre el defecto, y \u00absobadores\u00bb, fajas o\n masajes solo empeoran el da\u00f1o.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n La \u00fanica soluci\u00f3n definitiva es la <b>cirug\u00eda<\/b>.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter3\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. Tratamiento \u2013 \u00bfC\u00f3mo se operan las hernias?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El tratamiento es quir\u00fargico. Existen dos enfoques\n modernos:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n T\u00e9cnica 1: Cirug\u00eda Abierta (convencional): Se realiza una\n incisi\u00f3n en la zona del defecto y se coloca una\n <b>malla<\/b> para reforzar la pared.\n <\/p>\n\n <p class=\"txt-drop-inter\"><b>Indicada en:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Ventajas:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Desventajas:<\/b><\/p>\n\n <p class=\"txt-drop-inter\">\n T\u00e9cnica 2: Cirug\u00eda Laparosc\u00f3pica o Videolaparosc\u00f3pica: La\n t\u00e9cnica m\u00e1s moderna, menos dolorosa y con mejor\n recuperaci\u00f3n.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n El cirujano introduce una c\u00e1mara y coloca la malla desde\n adentro, reforzando toda la pared.\n <\/p>\n\n <p class=\"txt-drop-inter\"><b>Indicada en:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Ventajas:<\/b><\/p>\n\n <p class=\"txt-drop-inter\"><b>Desventajas:<\/b><\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Hernias peque\u00f1as.<\/li>\n <li class=\"item-drop-inter\">Incisiones peque\u00f1as.<\/li>\n <li class=\"item-drop-inter\"><b>Menos dolor.<\/b><\/li>\n <li class=\"item-drop-inter\">Recuperaci\u00f3n m\u00e1s r\u00e1pida.<\/li>\n <li class=\"item-drop-inter\">\n Menor riesgo de infecciones.\n <\/li>\n <li class=\"item-drop-inter\">\n Menos recurrencias en manos expertas.\n <\/li>\n <li class=\"item-drop-inter\">\n Regreso m\u00e1s r\u00e1pido al trabajo o deporte.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfSe usa siempre una malla?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n En la mayor\u00eda de hernias s\u00ed, porque:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Solo se omite en hernias muy peque\u00f1as (<1\u20132 cm) o en\n cirug\u00edas contaminadas.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. Recuperaci\u00f3n despu\u00e9s de la cirug\u00eda\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n En cirug\u00eda laparosc\u00f3pica, la recuperaci\u00f3n es m\u00e1s r\u00e1pida.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Caminar el mismo d\u00eda.<\/li>\n <li class=\"item-drop-inter\">\n Dolor leve a moderado los primeros 3\u20135 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Actividades suaves en 48\u201372h.\n <\/li>\n <li class=\"item-drop-inter\">\n Retorno a trabajo de oficina: 5\u20137 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicio ligero: 3\u20134 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Levantar peso: 6\u20138 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Deporte intenso \/ gimnasio completo: 8\u201312 semanas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter4\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. \u00bfQu\u00e9 pasa si no se opera una hernia?\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Crece con el tiempo.<\/li>\n <li class=\"item-drop-inter\">El dolor aumenta.<\/li>\n <li class=\"item-drop-inter\">\n Aumenta el riesgo de encarcelamiento y estrangulaci\u00f3n.\n <\/li>\n <li class=\"item-drop-inter\">\n Puede requerir cirug\u00eda de urgencia.\n <\/li>\n <li class=\"item-drop-inter\">\n Puede comprometer intestino y generar complicaciones\n graves.\n <\/li>\n <li class=\"item-drop-inter\">\n La reparaci\u00f3n de emergencia es m\u00e1s riesgosa que la\n electiva.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfLas hernias regresan despu\u00e9s de operarse?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El riesgo de recurrencia existe, pero es bajo cuando:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Las t\u00e9cnicas laparosc\u00f3picas modernas reducen a\u00fan m\u00e1s este\n riesgo.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 3. Factores de riesgo para que aparezcan hernias\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">Tabaquismo.<\/li>\n <li class=\"item-drop-inter\">Embarazo m\u00faltiple.<\/li>\n <li class=\"item-drop-inter\">\n Cirug\u00edas abdominales previas.\n <\/li>\n <li class=\"item-drop-inter\">\n Enfermedades pulmonares con tos cr\u00f3nica.\n <\/li>\n <li class=\"item-drop-inter\">Trabajos f\u00edsicos pesados.<\/li>\n <li class=\"item-drop-inter\">Estre\u00f1imiento cr\u00f3nico.<\/li>\n <li class=\"item-drop-inter\">Diabetes mal controlada.<\/li>\n <li class=\"item-drop-inter\">Envejecimiento natural.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter5\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Hernias en ni\u00f1os<\/h3>\n\n <p class=\"txt-drop-inter\">\n En ni\u00f1os las hernias inguinales siempre requieren cirug\u00eda\n porque no se cierran solas y pueden estrangularse.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n La hernia umbilical en ni\u00f1os puede cerrarse sola hasta los\n 3\u20135 a\u00f1os.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 2. \u00bfCu\u00e1ndo consultar a un cirujano?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Debe evaluarse pronto cuando existe:\n <\/p>\n\n <p class=\"txt-drop-inter\">\n Y de inmediato si hay s\u00edntomas de alarma.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter6\">\n <div class=\"cont-drop-inter\">\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Simons MP, Aufenacker T, Bay-Nielsen M, et al. European\n Hernia Society guidelines on the treatment of inguinal\n hernia in adult patients. Hernia. 2009;13(4):343\u2013403.\n <\/li>\n <li class=\"item-drop-inter\">\n Bittner R, Schwarz J. Inguinal hernia repair: current\n surgical techniques. Langenbecks Arch Surg.\n 2012;397(2):271\u2013282.\n <\/li>\n <li class=\"item-drop-inter\">\n Muysoms FE, Miserez M, Berrevoet F, et al.\n Classification of primary and incisional abdominal wall\n hernias. Hernia. 2009;13(4):407\u2013414.\n <\/li>\n <li class=\"item-drop-inter\">\n Berrevoet F, Prevention of Incisional Hernias After Open\n Abdominal Surgery: A Review.\n <b>Acta Chir Belg.<\/b> 2010;110(2):158\u2013163.\n <\/li>\n <li class=\"item-drop-inter\">\n Lange JF, et al. Laparoscopic vs. open repair of ventral\n hernia: systematic review and meta-analysis. Surg\n Endosc. 2013;27:1\u201312.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis2\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-5.svg\"\n alt=\"condiciones-8\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Inguinal<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfPor qu\u00e9 ocurre? S\u00edntomas, Riesgos<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Diagn\u00f3stico, Tratamiento, Recuperaci\u00f3n, Cu\u00e1ndo consultar<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. \u00bfPor qu\u00e9 ocurre?<\/h3>\n\n <p class=\"txt-drop-inter\">\n La <b>hernia inguinal<\/b> aparece cuando el intestino o\n grasa abdominal protruye a trav\u00e9s del canal inguinal, una\n zona naturalmente d\u00e9bil en la ingle.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Debilidad cong\u00e9nita del canal inguinal.\n <\/li>\n <li class=\"item-drop-inter\">Envejecimiento natural.<\/li>\n <li class=\"item-drop-inter\">\n Levantar peso repetidamente.\n <\/li>\n <li class=\"item-drop-inter\">Tos cr\u00f3nica o EPOC.<\/li>\n <li class=\"item-drop-inter\">Estre\u00f1imiento.<\/li>\n <li class=\"item-drop-inter\">Embarazo.<\/li>\n <li class=\"item-drop-inter\">Deportes de alto impacto.<\/li>\n <li class=\"item-drop-inter\">\n Alteraciones del col\u00e1geno.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto en la ingle que aumenta al toser o hacer fuerza.\n <\/li>\n <li class=\"item-drop-inter\">Dolor o ardor.<\/li>\n <li class=\"item-drop-inter\">Sensaci\u00f3n de \u201cjal\u00f3n\u201d.<\/li>\n <li class=\"item-drop-inter\">\n Molestia al caminar o correr.\n <\/li>\n <li class=\"item-drop-inter\">\n En hombres: molestia que irradia al test\u00edculo.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Riesgos si no se opera<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Encarcelamiento del intestino.\n <\/li>\n <li class=\"item-drop-inter\">\n Estrangulaci\u00f3n (p\u00e9rdida de irrigaci\u00f3n \u2014 emergencia).\n <\/li>\n <li class=\"item-drop-inter\">Peritonitis.<\/li>\n <li class=\"item-drop-inter\">Obstrucci\u00f3n intestinal.<\/li>\n <li class=\"item-drop-inter\">\n Cirug\u00edas de urgencia m\u00e1s riesgosas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Examen f\u00edsico (generalmente suficiente).\n <\/li>\n <li class=\"item-drop-inter\">\n Ecograf\u00eda en casos dudosos.\n <\/li>\n <li class=\"item-drop-inter\">\n TAC si es recurrente o compleja.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Tratamiento<\/h3>\n\n <p class=\"txt-drop-inter\">\n Cirug\u00eda laparosc\u00f3pica (TAPP o TEP): La opci\u00f3n m\u00e1s moderna\n y recomendada.<br \/><b>Ventajas:<\/b>\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Tama\u00f1o \u226510 mm.<\/li>\n <li class=\"item-drop-inter\">\n Crecimiento en controles seriados.\n <\/li>\n <li class=\"item-drop-inter\">\n P\u00f3lipos s\u00e9siles (sin tallo).\n <\/li>\n <li class=\"item-drop-inter\">Edad >50 a\u00f1os.<\/li>\n <li class=\"item-drop-inter\">\n Antecedentes de colangitis esclerosante primaria.\n <\/li>\n <li class=\"item-drop-inter\">\n Engrosamiento concomitante de la pared vesicular.\n <\/li>\n <li class=\"item-drop-inter\">\n Coexistencia con c\u00e1lculos y ves\u00edcula atr\u00f3fica cr\u00f3nica.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n <b>Cirug\u00eda abierta (Lichtenstein):<\/b> \u00datil cuando no se\n puede usar anestesia general o en algunas hernias muy\n localizadas.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Recuperaci\u00f3n<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Caminar el mismo d\u00eda. aumenta.\n <\/li>\n <li class=\"item-drop-inter\">\n Trabajo de oficina: 5\u20137 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicio ligero: 3\u20134 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Pesos pesados: 6\u20138 semanas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 4. Cu\u00e1ndo consultar inmediatamente\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Dolor intenso.<\/li>\n <li class=\"item-drop-inter\">\n Bulto duro que no se puede reducir.\n <\/li>\n <li class=\"item-drop-inter\">\n N\u00e1useas, v\u00f3mitos o fiebre.\n <\/li>\n <li class=\"item-drop-inter\">\n Cambio de color en la piel de la hernia.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis3\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-6.svg\"\n alt=\"condiciones-9\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Umbilical<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Causas, S\u00edntomas, Riesgos<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Diagn\u00f3stico, Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Causas<\/h3>\n\n <p class=\"txt-drop-inter\">\n La hernia umbilical ocurre cuando el contenido abdominal\n protruye a trav\u00e9s del anillo umbilical, una zona\n naturalmente d\u00e9bil.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Embarazos m\u00faltiples.<\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">\n L\u00edquido en el abdomen (ascitis).\n <\/li>\n <li class=\"item-drop-inter\">Esfuerzos repetidos.<\/li>\n <li class=\"item-drop-inter\">\n Cicatriz umbilical previa.\n <\/li>\n <li class=\"item-drop-inter\">Aumento r\u00e1pido de peso.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto alrededor del ombligo.\n <\/li>\n <li class=\"item-drop-inter\">Dolor con esfuerzos.<\/li>\n <li class=\"item-drop-inter\">\n Molestia despu\u00e9s de comer.\n <\/li>\n <li class=\"item-drop-inter\">\n Crecimiento progresivo del defecto.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Riesgos si no se trata<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Estrangulaci\u00f3n (especialmente en defectos peque\u00f1os).\n <\/li>\n <li class=\"item-drop-inter\">\n Colecciones o infecciones.\n <\/li>\n <li class=\"item-drop-inter\">\n Aumento del tama\u00f1o del defecto con el tiempo.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Examen f\u00edsico.<\/li>\n <li class=\"item-drop-inter\">\n Ecograf\u00eda abdominal en casos dudosos.\n <\/li>\n <li class=\"item-drop-inter\">\n TAC si es ventral compleja o recidiva.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Tratamiento<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Defectos <2 cm:<\/b> reparaci\u00f3n primaria (sin\n malla) en pacientes seleccionados.\n <\/li>\n\n <li class=\"item-drop-inter\">\n <b>Defectos >2 cm o sintom\u00e1ticos:<\/b> colocaci\u00f3n de\n <b>malla<\/b>, preferiblemente <b>laparosc\u00f3pica<\/b>.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Recuperaci\u00f3n<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Actividades suaves: 24h.<\/li>\n <li class=\"item-drop-inter\">\n Trabajo de oficina: 4-5 d\u00edas.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicio ligero: 3-4 semanas.\n <\/li>\n <li class=\"item-drop-inter\">\n Pesos pesados: 6-8 semanas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis4\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-7.svg\"\n alt=\"condiciones-8\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Epig\u00e1strica<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Causas, S\u00edntomas, Diagn\u00f3stico<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Causas<\/h3>\n\n <p class=\"txt-drop-inter\">\n Es un defecto en la l\u00ednea alba, entre el ombligo y el\n estern\u00f3n, donde protruye grasa o epipl\u00f3n.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Defecto cong\u00e9nito de la l\u00ednea alba.\n <\/li>\n <li class=\"item-drop-inter\">\n Aumento de presi\u00f3n abdominal.\n <\/li>\n <li class=\"item-drop-inter\">\n Ejercicios intensos (levantamiento de pesas).\n <\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">\n Tensi\u00f3n repetida en el abdomen.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto en la parte media del abdomen.\n <\/li>\n <li class=\"item-drop-inter\">\n Dolor punzante o quemante.\n <\/li>\n <li class=\"item-drop-inter\">\n Molestia al hacer abdominales.\n <\/li>\n <li class=\"item-drop-inter\">\n Incremento de tama\u00f1o progresivo.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Exploraci\u00f3n cl\u00ednica.<\/li>\n <li class=\"item-drop-inter\">\n Ecograf\u00eda o TAC si es m\u00faltiple o asociada a di\u00e1stasis.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Tratamiento<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Reparaci\u00f3n quir\u00fargica siempre indicada, especialmente si\n es sintom\u00e1tica.\n <\/li>\n <li class=\"item-drop-inter\">\n Defectos >1-2 cm requieren <b>malla<\/b> para evitar\n recurrencias.\n <\/li>\n <li class=\"item-drop-inter\">\n T\u00e9cnicas disponibles: abierta o laparosc\u00f3pica seg\u00fan\n tama\u00f1o.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Recuperaci\u00f3n<\/h3>\n\n <p class=\"txt-drop-inter\">Similar a la hernia umbilical.<\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis5\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-8.svg\"\n alt=\"condiciones-9\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Femoral<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >\u00bfQui\u00e9n la sufre m\u00e1s? Importancia, S\u00edntomas<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Diagn\u00f3stico, Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. S\u00edntomas<\/h3>\n\n <p class=\"txt-drop-inter\">\n Hernia que aparece debajo del ligamento inguinal, en el\n canal femoral.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Mujeres.<\/li>\n <li class=\"item-drop-inter\">\n Pacientes con aumento cr\u00f3nico de presi\u00f3n abdominal.\n <\/li>\n <li class=\"item-drop-inter\">\n Pacientes con m\u00faltiples embarazos.\n <\/li>\n <li class=\"item-drop-inter\">Personas mayores.<\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Importancia<\/h3>\n\n <p class=\"txt-drop-inter\">\n Es la hernia con mayor riesgo de estrangulaci\u00f3n entre las\n hernias comunes.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Bulto en la parte alta del muslo.\n <\/li>\n <li class=\"item-drop-inter\">Dolor intenso al caminar.<\/li>\n <li class=\"item-drop-inter\">Molestia persistente.<\/li>\n <li class=\"item-drop-inter\">\n Puede confundirse con hernia inguinal.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Diagn\u00f3stico<\/h3>\n\n <p class=\"txt-drop-inter\">\n Aparece sobre una cicatriz previa de cirug\u00eda.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Infecci\u00f3n de la herida quir\u00fargica.\n <\/li>\n <li class=\"item-drop-inter\">Mala cicatrizaci\u00f3n.<\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">Diabetes.<\/li>\n <li class=\"item-drop-inter\">\n Esfuerzo temprano tras cirug\u00eda.\n <\/li>\n <li class=\"item-drop-inter\">\n Falta de soporte muscular adecuado.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Tratamiento<\/h3>\n\n <p class=\"txt-drop-inter\">Siempre quir\u00fargico:<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Laparosc\u00f3pica: TAPP (ideal para definir la anatom\u00eda).\n <\/li>\n <li class=\"item-drop-inter\">\n Abierta: t\u00e9cnica cl\u00e1sica en emergencias.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Recuperaci\u00f3n<\/h3>\n\n <p class=\"txt-drop-inter\">R\u00e1pida con laparoscop\u00eda.<\/p>\n\n <p class=\"txt-drop-inter\">\n Mayor restricci\u00f3n si hubo estrangulaci\u00f3n y se repar\u00f3\n intestino.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis6\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-9.svg\"\n alt=\"condiciones-8\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernia Ventral \/ Incisional<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Causas, S\u00edntomas, Diagn\u00f3stico<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Tratamiento, Recuperaci\u00f3n<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Causas<\/h3>\n\n <p class=\"txt-drop-inter\">\n Aparece sobre una cicatriz previa de cirug\u00eda.\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Infecci\u00f3n de la herida quir\u00fargica.\n <\/li>\n <li class=\"item-drop-inter\">Mala cicatrizaci\u00f3n.<\/li>\n <li class=\"item-drop-inter\">Obesidad.<\/li>\n <li class=\"item-drop-inter\">Diabetes.<\/li>\n <li class=\"item-drop-inter\">\n Esfuerzo temprano tras cirug\u00eda.\n <\/li>\n <li class=\"item-drop-inter\">\n Falta de soporte muscular adecuado.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. S\u00edntomas<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Bulto sobre la cicatriz.<\/li>\n <li class=\"item-drop-inter\">\n Dolor o sensaci\u00f3n de presi\u00f3n.\n <\/li>\n <li class=\"item-drop-inter\">Asimetr\u00eda del abdomen.<\/li>\n <li class=\"item-drop-inter\">\n Molestia al estar de pie por mucho tiempo.\n <\/li>\n <li class=\"item-drop-inter\">\n Avance progresivo del tama\u00f1o.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Diagn\u00f3stico<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Examen f\u00edsico.<\/li>\n <li class=\"item-drop-inter\">\n TAC (lo m\u00e1s \u00fatil): define tama\u00f1o, n\u00famero de defectos y\n contenido herniario.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Tratamiento<\/h3>\n\n <p class=\"txt-drop-inter\">La t\u00e9cnica depende del tama\u00f1o:<\/p>\n\n <p class=\"txt-drop-inter\">Hernias peque\u00f1as (<4 cm)<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Laparosc\u00f3pica o abierta con malla.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">Hernias medianas (4-8 cm)<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Laparosc\u00f3pica IPOM (malla intraperitoneal).\n <\/li>\n <li class=\"item-drop-inter\">\n O reparaci\u00f3n abierta con malla sublay.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">Hernias grandes (>8-10 cm)<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n <b>Liberaci\u00f3n de componentes.<\/b>\n <\/li>\n <li class=\"item-drop-inter\">Mallas de mayor soporte.<\/li>\n <li class=\"item-drop-inter\">\n En casos seleccionados, t\u00e9cnicas h\u00edbridas.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Recuperaci\u00f3n<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">Movimiento temprano.<\/li>\n <li class=\"item-drop-inter\">\n Restricci\u00f3n de peso 6-12 semanas seg\u00fan tama\u00f1o.\n <\/li>\n <li class=\"item-drop-inter\">\n Caminar diariamente para evitar trombosis.\n <\/li>\n <li class=\"item-drop-inter\">\n Uso de faja abdominal (opcional, no indispensable).\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n Es importante resaltar que esto no es lo mismo que una\n DI\u00c1STASIS DE RECTOS ABDOMINALES.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"item-procedis item-procedis7\">\n <a\n href=\"#\"\n class=\"btn-procedi dropdown-toggle\"\n data-bs-toggle=\"dropdown\"\n data-bs-display=\"static\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n class=\"img-procedis\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-10.svg\"\n alt=\"condiciones-9\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Hernias Raras<\/p>\n <\/div>\n <\/a>\n\n <div class=\"dropdown-menu m-0\">\n <div class=\"row row-int-procedis\">\n <div class=\"col-int-procedis col-int-procedis1\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >Hernia de Spiegel, Hernia Lumbar, Hernia Obturatriz<\/a\n >\n <\/div>\n\n <div class=\"col-int-procedis col-int-procedis2\">\n <a\n href=\"#\"\n class=\"dropdown-toggle-inter sub-dropdown-toggle btn-inter-procedi\"\n >REFERENCIAS BIBLIOGR\u00c1FICAS<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">1. Hernia de Spiegel<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Aparece en el margen lateral del recto.\n <\/li>\n <li class=\"item-drop-inter\">\n Requiere TAC para diagn\u00f3stico.\n <\/li>\n <li class=\"item-drop-inter\">\n Tratamiento ideal: laparosc\u00f3pico.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. Hernia Lumbar<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Ocurre en puntos d\u00e9biles de la pared lumbar (tri\u00e1ngulos\n de Grynfelt o Petit).\n <\/li>\n <li class=\"item-drop-inter\">\n Frecuente en traumatismos o cirug\u00edas previas.\n <\/li>\n <li class=\"item-drop-inter\">\n Tratamiento: malla + refuerzo muscular.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">3. Hernia Obturatriz<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Protruye a trav\u00e9s del canal obturador.\n <\/li>\n <li class=\"item-drop-inter\">\n Puede causar dolor irradiado al muslo (signo de\n Howship\u2013Romberg).\n <\/li>\n <li class=\"item-drop-inter\">\n Tratamiento: casi siempre cirug\u00eda laparosc\u00f3pica o\n abierta.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter\">\n Simons MP, Aufenacker T, Bay-Nielsen M, et al. European\n Hernia Society guidelines on the treatment of inguinal\n hernia in adult patients. Hernia. 2009;13(4):343-403.\n <\/li>\n <li class=\"item-drop-inter\">\n Bittner R, Schwarz J. Inguinal hernia repair: current\n surgical techniques. Langenbecks Arch Surg.\n 2012;397(2):271-282.\n <\/li>\n <li class=\"item-drop-inter\">\n Muysoms FE, Miserez M, Berrevoet F, et al.\n Classification of primary and incisional abdominal wall\n hernias. Hernia. 2009;13(4):407-414.\n <\/li>\n <li class=\"item-drop-inter\">\n Lange JF, et al. Laparoscopic vs open repair of ventral\n hernia: a systematic review and meta-analysis. Surg\n Endosc. 2013;27:1-12.\n <\/li>\n <li class=\"item-drop-inter\">\n Berrevoet F. Prevention of incisional hernias after open\n abdominal surgery: a review. Acta Chir Belg.\n 2010;110(2):158-163.\n <\/li>\n <li class=\"item-drop-inter\">\n Kingsnorth A, LeBlanc K. Management of abdominal\n hernias. Springer; 2003.\n <\/li>\n <li class=\"item-drop-inter\">\n Miserez M, et al. The European guidelines on ventral\n hernia repair. Hernia. 2015;19(1):1-12.\n <\/li>\n <li class=\"item-drop-inter\">\n K\u00f6ckerling F, et al. Recurrent Incisional Hernia\n Repair\u2014A Systematic Review. Front Surg. 2019;6:26.\n <\/li>\n <li class=\"item-drop-inter\">\n Belyansky I, et al. A novel approach using the\n enhanced-view totally extraperitoneal (eTEP) technique\n for incisional hernia. Hernia. 2018;22:837-848.\n <\/li>\n <li class=\"item-drop-inter\">\n <b\n >Deerenberg EB, et al. The use of mesh in hernia\n repair: proof of concept or evidence-based? Hernia.\n 2015;19(1):1-7.<\/b\n >\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section id=\"contacto\">\n <div class=\"container\">\n <div class=\"row row-contain-agendar justify-content-evenly\">\n <div class=\"col-lg-6 col-agendar col-agendar1\">\n <div\n class=\"cont-horario-agendar d-flex justify-content-evenly align-items-center\"\n >\n <div class=\"col-horario-agenda col-horario-agenda1\">\n <p class=\"font-creato txt-dias-agenda\">\n Lunes \u2014 Viernes<br \/>Emergencia\n <\/p>\n <\/div>\n\n <div class=\"col-horario-agenda col-horario-agenda2\">\n <p class=\"font-creato txt-horas-agenda\">10AM – 5PM<br \/>24\/7<\/p>\n <\/div>\n <\/div>\n\n <div class=\"cont-horario-img\"><\/div>\n <\/div>\n\n <div class=\"col-lg-6 col-agendar col-agendar2\">\n <h4 class=\"titu-agendar\">AGENDAR UNA CITA<\/h4>\n\n <h3 class=\"titus-agendar\">\n PanaMed – Panajachel<br \/>El Pimental – Antigua Guatemala\n <\/h3>\n\n <div class=\"cont-formulario\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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id='gform_1' action='\/en\/wp-json\/wp\/v2\/pages\/9827' data-formid='1' novalidate>\n <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nombre completo<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n \n <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-required='false' placeholder='Nombre' \/>\n <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n <\/span>\n \n <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-required='false' placeholder='Apellido' \/>\n <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n <\/span>\n \n <\/div><\/fieldset><div id=\"field_1_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_3'>Correo electr\u00f3nico<\/label><div class='ginput_container ginput_container_email'>\n <input name='input_3' id='input_1_3' type='email' value='' class='large' placeholder='Correo' aria-invalid=\"false\" \/>\n <\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_9'>Tel\u00e9fono<\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_1_9' type='tel' value='' class='large' placeholder='Su n\u00famero' aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_1_4\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_4'>Procedimiento<\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_1_4' class='large gfield_select' aria-invalid=\"false\" ><option value='Consulta' >Consulta<\/option><option value='Agendar cirug\u00eda' >Agendar cirug\u00eda<\/option><\/select><\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_6'>Fecha<\/label><div class='ginput_container ginput_container_date'>\n <input name='input_6' id='input_1_6' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon' placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_6_date_format\" aria-invalid=\"false\" \/>\n <span id='input_1_6_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n <\/div>\n <input type='hidden' id='gforms_calendar_icon_input_1_6' class='gform_hidden' value='https:\/\/drjulioestrada.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_1_8\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Hora<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_1_8'>\n <input type='number' maxlength='2' name='input_8[]' id='input_1_8_1' value='' min='0' max='12' step='1' placeholder='HH' aria-required='false' \/> \n <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_1_8_1'>Hours<\/label>\n <\/div>\n <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n <input type='number' maxlength='2' name='input_8[]' id='input_1_8_2' value='' min='0' max='59' step='1' placeholder='MM' aria-required='false' \/>\n <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_1_8_2'>Minutes<\/label>\n <\/div>\n <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n \n <select name='input_8[]' id='input_1_8_3' >\n <option value='am' >AM<\/option>\n <option value='pm' >PM<\/option>\n <\/select> \n <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_1_8_3'>AM\/PM<\/label> \n <\/div>\n <\/div><\/fieldset><div id=\"field_1_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_7'>Cl\u00ednica<\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='large gfield_select' aria-invalid=\"false\" ><option value='clinicas_panamed' >PanaMed Cl\u00ednicas y Hospital de Especialidades<\/option><option value='clinicas_pimental' >Cl\u00ednicas de Especialidades M\u00e9dicas El Pimental<\/option><\/select><\/div><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" ><label class='gfield_label gform-field-label' for='input_1_5'>Motivo de la consulta<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_1_5' class='textarea medium' placeholder='Explique el motivo de la consulta' aria-invalid=\"false\" rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Agendar' \/> \n <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n \n <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n <input type='hidden' class='gform_hidden' name='state_1' 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data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseOne\"\n aria-expanded=\"false\"\n aria-controls=\"collapseOne\"\n >\n Tengo dolor, pero no s\u00e9 si realmente necesito un cirujano.<br \/>\u00bfPuedo\n consultarte igual?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseOne\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingOne\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed, claro. No todo dolor termina en cirug\u00eda. La consulta sirve\n precisamente para evaluar qu\u00e9 est\u00e1 pasando y decidir si se\n trata de algo quir\u00fargico o no, y cu\u00e1l es el mejor manejo en tu\n caso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwo\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwo\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwo\"\n >\n Me dijeron que \u201ctengo piedras en la ves\u00edcula\u201d, pero no<br \/>siempre\n me duele. \u00bfIgual deber\u00eda operarme?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwo\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwo\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Es v\u00e1lido. Mi trabajo es explicarte las opciones, los riesgos\n y beneficios de cada una. La decisi\u00f3n final siempre la tomas\n t\u00fa, con informaci\u00f3n clara y honesta.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingThree\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseThree\"\n aria-expanded=\"false\"\n aria-controls=\"collapseThree\"\n >\n \u00bfY si prefiero no operarme por ahora?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseThree\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingThree\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n No siempre es obligatorio operar de inmediato. Todo depende de\n tus s\u00edntomas, la frecuencia del dolor y el riesgo de\n complicaciones. En consulta evaluamos si es momento de operar\n o si a\u00fan es seguro observar.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFour\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFour\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFour\"\n >\n \u00bfC\u00f3mo s\u00e9 si mi caso es urgente o puede esperar?\n <\/button>\n <\/h5>\n <\/div>\n\n <div\n id=\"collapseFour\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFour\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Hay s\u00edntomas que indican urgencia, como dolor intenso y\n persistente, fiebre, v\u00f3mitos continuos o empeoramiento r\u00e1pido.\n Si tienes duda, lo mejor es evaluarte a tiempo para no correr\n riesgos innecesarios.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFive\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFive\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFive\"\n >\n Me da miedo la anestesia, \u00bfes normal?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseFive\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFive\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Es completamente normal. Antes de cualquier cirug\u00eda se hace\n una evaluaci\u00f3n anest\u00e9sica para reducir riesgos al m\u00e1ximo y\n resolver todas tus dudas. No est\u00e1s solo en ese proceso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSix\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSix\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSix\"\n >\n \u00bfDespu\u00e9s de la cirug\u00eda voy a tener mucho dolor?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSix\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSix\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n La mayor\u00eda de pacientes refiere dolor leve a moderado,\n especialmente cuando se utiliza cirug\u00eda m\u00ednimamente invasiva.\n Adem\u00e1s, el manejo del dolor forma parte importante del\n tratamiento.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSeven\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSeven\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSeven\"\n >\n \u00bfCu\u00e1ntos d\u00edas tendr\u00eda que estar hospitalizado?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSeven\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSeven\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Depende del procedimiento y de tu evoluci\u00f3n. Muchas cirug\u00edas\n laparosc\u00f3picas permiten egreso temprano, incluso el mismo d\u00eda\n o al d\u00eda siguiente.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingEight\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseEight\"\n aria-expanded=\"false\"\n aria-controls=\"collapseEight\"\n >\n \u00bfCu\u00e1ndo podr\u00eda volver a trabajar o hacer mi vida normal?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseEight\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingEight\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Var\u00eda seg\u00fan la cirug\u00eda y tu tipo de trabajo, pero en general\n la recuperaci\u00f3n es m\u00e1s r\u00e1pida con t\u00e9cnicas m\u00ednimamente\n invasivas. En consulta te doy tiempos realistas para tu caso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingNine\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseNine\"\n aria-expanded=\"false\"\n aria-controls=\"collapseNine\"\n >\n \u00bfSi ya me dijeron que necesito cirug\u00eda, igual tengo que\n consultarte?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseNine\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingNine\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed. Cada cirujano eval\u00faa el caso de forma individual. La\n consulta permite confirmar el diagn\u00f3stico, discutir opciones y\n resolver dudas antes de tomar una decisi\u00f3n.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTen\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTen\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTen\"\n >\n \u00bfQu\u00e9 pasa si dejo pasar el tiempo y no me opero?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTen\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTen\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Depende del diagn\u00f3stico. Algunas condiciones pueden mantenerse\n estables, pero otras pueden complicarse. Por eso es importante\n valorar riesgos y no decidir solo con miedo o suposiciones.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingEleven\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseEleven\"\n aria-expanded=\"false\"\n aria-controls=\"collapseEleven\"\n >\n \u00bfPuedo hacerte preguntas sin sentir que \u201cmolesto\u201d?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseEleven\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingEleven\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Por supuesto. Entender tu diagn\u00f3stico y sentirte tranquilo es\n parte del tratamiento. No hay preguntas incorrectas cuando se\n trata de tu salud.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwelve\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwelve\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwelve\"\n >\n \u00bfLa cirug\u00eda siempre es la primera opci\u00f3n?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwelve\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwelve\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n No. Muchas veces se puede intentar manejo m\u00e9dico o\n conservador. La cirug\u00eda se indica cuando realmente aporta\n beneficio o evita complicaciones.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingThirtee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseThirtee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseThirtee\"\n >\n \u00bfQu\u00e9 pasa si durante la cirug\u00eda encuentran algo diferente?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseThirtee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingThirtee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Antes del procedimiento se habla de los posibles escenarios.\n Las decisiones se toman pensando siempre en tu seguridad y en\n resolver el problema de la mejor manera posible.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFourtee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFourtee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFourtee\"\n >\n \u00bfPuedo operarme aunque tenga otras enfermedades?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseFourtee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFourtee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed, pero primero se hace una evaluaci\u00f3n completa. El objetivo\n es optimizar tu estado de salud antes de la cirug\u00eda para\n reducir riesgos.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingFiftee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseFiftee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseFiftee\"\n >\n \u00bfQui\u00e9n me explica todo antes de operarme?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseFiftee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingFiftee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Yo mismo. Me tomo el tiempo para explicarte el diagn\u00f3stico, el\n procedimiento, los riesgos y el proceso de recuperaci\u00f3n, de\n forma clara y sin prisas.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSixtee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSixtee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSixtee\"\n >\n \u00bfY si cambio de opini\u00f3n despu\u00e9s de la consulta?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSixtee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSixtee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n No hay problema. La consulta es para informarte y orientarte.\n Puedes tomarte el tiempo que necesites para decidir.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingSeventee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseSeventee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseSeventee\"\n >\n \u00bfPuedo escribir si despu\u00e9s de la consulta me surgen m\u00e1s dudas?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseSeventee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingSeventee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed. Es normal que surjan preguntas despu\u00e9s. Mi equipo y yo\n estamos para orientarte durante todo el proceso.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingEightee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseEightee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseEightee\"\n >\n \u00bfEste chat sirve para saber si me tengo que operar ya?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseEightee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingEightee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Este chat ayuda a orientarte, pero no reemplaza una valoraci\u00f3n\n m\u00e9dica. Para tomar decisiones importantes siempre es necesaria\n una consulta presencial.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingNinetee\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseNinetee\"\n aria-expanded=\"false\"\n aria-controls=\"collapseNinetee\"\n >\n \u00bfAtiendes casos que otros m\u00e9dicos consideran \u201cdif\u00edciles\u201d?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseNinetee\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingNinetee\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Cada caso merece una evaluaci\u00f3n individual. En consulta\n revisamos tu situaci\u00f3n con calma para definir la mejor\n estrategia.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen\"\n >\n \u00bfQu\u00e9 es lo m\u00e1s importante que deber\u00eda saber antes de una\n cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Que la cirug\u00eda es solo una parte del proceso. La evaluaci\u00f3n,\n la preparaci\u00f3n, el seguimiento y la recuperaci\u00f3n son igual de\n importantes para un buen resultado.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen1\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen1\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen1\"\n >\n \u00bfLa anestesia es diferente si la cirug\u00eda es abierta o\n laparosc\u00f3pica?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen1\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen1\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n S\u00ed, puede variar seg\u00fan el tipo de cirug\u00eda y tu condici\u00f3n de\n salud. En ambos casos la anestesia se elige pensando en tu\n seguridad, comodidad y una buena recuperaci\u00f3n.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen2\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen2\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen2\"\n >\n \u00bfVoy a estar completamente dormido durante la cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen2\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen2\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n En la mayor\u00eda de cirug\u00edas abdominales s\u00ed, utilizamos anestesia\n general para que no sientas dolor ni tengas recuerdos del\n procedimiento. El anestesi\u00f3logo te eval\u00faa previamente y te\n explica todo con detalle.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen3\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen3\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen3\"\n >\n \u00bfEs m\u00e1s riesgosa la anestesia que la cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen3\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen3\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n En pacientes evaluados correctamente, el riesgo anest\u00e9sico\n suele ser bajo. Por eso es tan importante la valoraci\u00f3n\n previa, donde se revisan tus antecedentes y se optimiza todo\n antes del procedimiento.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen4\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen4\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen4\"\n >\n \u00bfPuedo despertarme durante la cirug\u00eda?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen4\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen4\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Es una preocupaci\u00f3n com\u00fan, pero extremadamente rara. La\n anestesia moderna se monitoriza de forma continua para\n mantenerte dormido y seguro durante todo el procedimiento.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingTwen5\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato collapsed\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseTwen5\"\n aria-expanded=\"false\"\n aria-controls=\"collapseTwen5\"\n >\n \u00bfDespu\u00e9s de la anestesia me sentir\u00e9 muy mal o desorientado?\n <\/button>\n <\/h5>\n <\/div>\n <div\n id=\"collapseTwen5\"\n class=\"collapse colapso-faq\"\n aria-labelledby=\"headingTwen5\"\n data-bs-parent=\"#accordion\"\n >\n <div class=\"card-body\">\n <p class=\"font-creato\">\n Al despertar puedes sentir somnolencia, mareo leve o n\u00e1useas,\n pero suele ser temporal. El equipo se encarga de controlar\n estos s\u00edntomas para que tu recuperaci\u00f3n sea lo m\u00e1s c\u00f3moda\n posible.\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n \n\n <button\n class=\"btn-colapso btn\"\n type=\"button\"\n data-bs-toggle=\"collapse\"\n data-bs-target=\"#collapseExample\"\n aria-expanded=\"false\"\n aria-controls=\"collapseExample\"\n >\n <div class=\"row row-tooltip justify-content-center align-items-center\">\n <div class=\"col-tooltip1 col-tooltip\">\n <i class=\"fa-regular fa-comment-dots\" style=\"color: white\"><\/i>\n <\/div>\n <div class=\"col-tooltip2 col-tooltip\">\n <p class=\"font-creato\">Chatea con nosotros<\/p>\n <\/div>\n <\/div>\n <\/button>\n <\/div>\n\n \n <footer>\n <div class=\"container\">\n <div class=\"row g-4 mb-4 row-footer-top\">\n <div class=\"col-footer col-footer1\">\n <a class=\"logo-footer\" href=\"#\">\n <img decoding=\"async\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/05\/logo-footer.webp\"\n alt=\"logo-header\"\n \/>\n <\/a>\n <\/div>\n\n <div class=\"col-footer col-footer2\">\n <h5>Mi web<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#\" class=\"small font-creato\">Inicio<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Somos<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Procedimientos<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\"\n >Condiciones quir\u00fargicas<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\"\n >Informaci\u00f3n para el paciente<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Gu\u00eda para estudiantes<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">Agendar cita<\/a>\n <\/li>\n <\/ul>\n <\/div>\n\n <div class=\"col-footer col-footer3\">\n <h5 class=\"font-creato\">Mis redes<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#inicio\" class=\"small font-creato\"\n ><i class=\"fa-brands fa-instagram\"><\/i>\n @cirujanodrjulioestrada<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#sobre-mi\" class=\"small font-creato\"\n ><i class=\"fa-brands fa-facebook-f\"><\/i> Dr Julio Estrada<\/a\n >\n <\/li>\n\n <li>\n <a href=\"#servicios\" class=\"small font-creato\"\n ><i class=\"fa-brands fa-youtube\"><\/i> Dr Julio Estrada<\/a\n >\n <\/li>\n <\/ul>\n <\/div>\n\n <div class=\"col-footer col-footer4\">\n <div class=\"cont-contacto-foot cont-contacto-foot1\">\n <h5 class=\"font-creato\">Cont\u00e1ctame<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#\" class=\"small font-creato\">+502 77620324<\/a>\n <\/li>\n\n <li>\n <a href=\"#\" class=\"small font-creato\">+502 78321756<\/a>\n <\/li>\n <\/ul>\n <\/div>\n\n <div class=\"cont-contacto-foot cont-contacto-foot2\">\n <h5 class=\"font-creato\">Mi correo<\/h5>\n\n <ul class=\"list-unstyled list-footer\">\n <li>\n <a href=\"#\" class=\"small font-creato\"\n >drjulioestrada@panamed.com.gt<\/a\n >\n <\/li>\n <\/ul>\n <\/div>\n <\/div>\n <\/div>\n\n <hr class=\"border-footer opacity-50\" \/>\n\n <div\n class=\"row row-footer-bot justify-content-evenly align-items-center\"\n >\n <div class=\"col-foot-bot col-foot-bot1\">\n <p class=\"small font-creato text-muted mb-0 txt-foot txt-foot1\">\n © 2025-2026 Dr. Julio Estrada. Todos los derechos reservados.\n <\/p>\n <\/div>\n\n <div class=\"col-foot-bot col-foot-bot2\">\n <p class=\"small font-creato text-muted mb-0 txt-foot txt-foot2\">\n Desarrollado por\n <a href=\"#\" class=\"text-muted\">Enfoca2’s Studios<\/a>\n <\/p>\n <\/div>\n <\/div>\n <\/div>\n <\/footer>\n\n \n \n\n \n \n\n <script>\n \/\/ Soluci\u00f3n JS para m\u00faltiples dropdowns con sub\u2011men\u00fas animados\n \/\/ SIN modificar la estructura HTML. Funciona con cualquier n\u00famero de .item-procedis\n\n document.addEventListener(\"DOMContentLoaded\", function () {\n \/\/ Selecciona todos los contenedores principales de cada dropdown\n const items = document.querySelectorAll(\".item-procedis\");\n\n items.forEach((item) => {\n \/\/ Obtener el toggle principal (el que abre el men\u00fa Bootstrap)\n const mainToggle = item.querySelector(\".btn-procedi\");\n if (!mainToggle) return;\n\n \/\/ El men\u00fa principal (dropdown-menu) es el siguiente hermano del toggle\n const parentMenu = mainToggle.nextElementSibling;\n if (!parentMenu || !parentMenu.classList.contains(\"dropdown-menu\"))\n return;\n\n \/\/ Buscar todos los sub\u2011toggles y sus respectivos sub\u2011men\u00fas dentro de .contain-drops\n const subToggles = parentMenu.querySelectorAll(\n \".sub-dropdown-toggle\",\n );\n const subMenus = parentMenu.querySelectorAll(\n \".contain-drops .drop-inter\",\n );\n\n \/\/ Funci\u00f3n para quitar la clase 'activo' de todos los .btn-inter-procedi dentro de este men\u00fa padre\n function removeActivoFromAll() {\n const allBtns = parentMenu.querySelectorAll(\".btn-inter-procedi\");\n allBtns.forEach((btn) => btn.classList.remove(\"activo\"));\n }\n\n \/\/ Funci\u00f3n para cerrar todos los sub\u2011men\u00fas y quitar la clase activo\n function closeAllSubMenus() {\n subMenus.forEach((menu) => menu.classList.remove(\"show\"));\n removeActivoFromAll();\n }\n\n \/\/ Asignar evento a cada sub\u2011toggle\n subToggles.forEach((toggle, index) => {\n \/\/ Eliminar eventos previos para evitar duplicados\n toggle.removeEventListener(\"click\", toggle._handler);\n const handler = function (e) {\n e.preventDefault();\n e.stopPropagation(); \/\/ Evita que Bootstrap cierre el dropdown padre\n\n const targetMenu = subMenus[index];\n if (!targetMenu) return;\n\n if (targetMenu.classList.contains(\"show\")) {\n \/\/ Si ya est\u00e1 abierto: lo cerramos y quitamos la clase activo de este toggle\n 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