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\"\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 active\"\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 Pie diab\u00e9tico\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 data-bs-auto-close=\"outside\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-12.svg\"\n alt=\"condiciones-15\"\n class=\"img-procedis\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Pie Diab\u00e9tico<\/p>\n <\/div><\/a\n >\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?<br \/>\u00bfPor qu\u00e9 ocurre?<br \/>\u00bfC\u00f3mo se ve?<\/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 >Clasificaci\u00f3n,<br \/>Diagn\u00f3stico,<br \/>\u00bfCu\u00e1ndo es\n Urgencia?<\/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, Prevenci\u00f3n,<br \/>\u00bfQu\u00e9 pasa si no se trata a\n tiempo?,<br \/>\u00bfCu\u00e1ndo consultar?<\/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 >REFERENCIAS BIBLIOGR\u00c1FICAS<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n \n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. \u00bfQu\u00e9 es el Pie Diab\u00e9tico?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El <b>pie diab\u00e9tico<\/b> es una de las complicaciones m\u00e1s\n serias de la diabetes.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n <br \/>Se define como cualquier\n <b\n >lesi\u00f3n, herida, infecci\u00f3n, \u00falcera o cambio\n estructural<\/b\n >\n en el pie de una persona con diabetes, causada por:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Da\u00f1o en los nervios (<b>neuropat\u00eda<\/b>).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Mala circulaci\u00f3n (<b>arteriopat\u00eda perif\u00e9rica<\/b>).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Infecciones que progresan r\u00e1pidamente.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Deformidades \u00f3seas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Perdida de la sensibilidad protectora.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n El pie diab\u00e9tico no es solo \u00abuna herida\u00bb: es una condici\u00f3n\n compleja que puede avanzar r\u00e1pidamente y poner en riesgo\n <b>el pie, la pierna y la vida<\/b>.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. \u00bfPor qu\u00e9 se produce?<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Neuropat\u00eda diab\u00e9tica (da\u00f1o a los nervios):<\/b> La\n p\u00e9rdida de sensibilidad hace que el paciente:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n No perciba dolor.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n No sienta heridas, quemaduras o rozaduras.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Camine sobre lesiones sin notarlo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Esto permite que las heridas progresen sin ser\n detectadas.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Mala circulaci\u00f3n (isquemia):<\/b> La diabetes da\u00f1a los\n vasos sangu\u00edneos, reduciendo el flujo de sangre. Sin una\n buena irrigaci\u00f3n:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n La piel pierde resistencia.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Las heridas no cicatrizan.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Las bacterias avanzan con facilidad.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Infecci\u00f3n:<\/b> Las bacterias pueden invadir\n r\u00e1pidamente los tejidos blandos y el hueso\n (<b>osteomielitis<\/b>).<br \/>En algunos casos, la\n infecci\u00f3n avanza en <b>horas<\/b>.<br \/><br \/>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Deformidades del pie:<\/b> Neuropat\u00eda + mala\n biomec\u00e1nica \u2192 puntos de presi\u00f3n.<br \/>Ejemplos:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Dedos en garra.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Juanetes.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Pie de Charcot.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n Estos puntos de presi\u00f3n favorecen heridas cr\u00f3nicas.\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. \u00bfC\u00f3mo se ve un Pie Diab\u00e9tico? \u2013 Signos cl\u00ednicos\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Callos profundos que esconden \u00falceras\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Heridas que no duelen\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">Mal olor<\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Enrojecimiento o inflamaci\u00f3n\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Salida de l\u00edquido o pus\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Puntos negros (necrosis)\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Piel fr\u00eda o sin pulso\n <\/li>\n <li class=\"item-drop-inter item-drop-inter8\">\n Cambios de forma del pie\n <\/li>\n <li class=\"item-drop-inter item-drop-inter9\">\n Fiebre o malestar (infecci\u00f3n avanzada)\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n <b>Importante:<\/b> que \u00abno duela\u00bb no significa que no sea\n grave.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n \n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. Clasificaci\u00f3n del Pie Diab\u00e9tico\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Las clasificaciones permiten definir riesgos y\n tratamiento. Las m\u00e1s utilizadas:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Clasificaci\u00f3n de Wagner<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Grado 0:<\/b> pie de riesgo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Grado 1:<\/b> \u00falcera superficial.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Grado 2:<\/b> \u00falcera profunda.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Grado 3:<\/b> absceso u osteomielitis.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>Grado 4:<\/b> gangrena localizada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n <b>Grado 5:<\/b> gangrena extensa.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Clasificaci\u00f3n PEDIS (m\u00e1s actualizada):<\/b> Eval\u00faa:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>P<\/b>erfusi\u00f3n.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>E<\/b>xtensi\u00f3n.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>D<\/b>epth (profundidad).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>I<\/b>nfecci\u00f3n.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>S<\/b>ensaci\u00f3n.\n <\/li>\n <\/ul>\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. Diagn\u00f3stico<\/h3>\n\n <p class=\"txt-drop-inter\">Incluye:<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Examen f\u00edsico completo:<\/b> sensibilidad, pulsos,\n temperatura, deformidades, heridas.<br \/><br \/>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Cultivos:<\/b> De la herida profunda (no de la\n superficie).<br \/><br \/>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Estudios de imagen:<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Rayos X:<\/b> descartar gas o da\u00f1o \u00f3seo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Ultrasonido:<\/b> buscar abscesos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>TAC o MRI:<\/b> evaluar osteomielitis o\n infecciones profundas.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Evaluaci\u00f3n vascular<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n \u00cdndice tobillo-brazo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Doppler arterial.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Angiotomograf\u00eda si hay isquemia severa.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>Laboratorios<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Glucosa.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Hemoglobina glucosilada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Marcadores inflamatorios.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Leucocitos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Funci\u00f3n renal.\n <\/li>\n <\/ul>\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. \u00bfCu\u00e1ndo es una urgencia?<\/h3>\n\n <p class=\"txt-drop-inter\">Urgencia cuando hay:<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Infecci\u00f3n con pus o mal olor.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Fiebre o escalofr\u00edos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Ampollas inesperadas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Zonas negras o moradas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Inflamaci\u00f3n r\u00e1pida.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Dolor intenso (en diab\u00e9ticos s\u00ed puede existir dolor).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Gas en tejidos (crepitaci\u00f3n).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter8\">\n Falta de pulso en el pie.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n <b>Estos pacientes deben ser atendidos inmediatamente.<\/b>\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\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 del Pie Diab\u00e9tico\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El manejo es <b>multidisciplinario<\/b>, pero como cirujano\n mi papel es esencial.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n <br \/>El tratamiento se divide en:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Control de la infecci\u00f3n:<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Antibi\u00f3ticos intravenosos o orales seg\u00fan gravedad.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Cirug\u00eda para eliminar tejido muerto\n (<b>desbridamiento<\/b>).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Drenaje de abscesos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Limpiezas quir\u00fargicas repetidas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n En infecciones profundas se requiere\n hospitalizaci\u00f3n.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Manejo de la circulaci\u00f3n (si hay isquemia)<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Evaluaci\u00f3n vascular.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Revascularizaci\u00f3n endovascular (angioplast\u00eda).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Cirug\u00eda arterial (en casos seleccionados).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Sin buena irrigaci\u00f3n, no hay cicatrizaci\u00f3n posible.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Cuidado de las heridas<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Curaciones avanzadas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Despresurizaci\u00f3n del \u00e1rea afectada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Ap\u00f3sitos especiales (hidrocoloides, espumas,\n alginatos).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Terapia de presi\u00f3n negativa (VAC).\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Cirug\u00eda seg\u00fan el caso<\/b> Desbridamiento quir\u00fargico\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Correcci\u00f3n de deformidades.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Limpieza de tejido infectado.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Amputaci\u00f3n parcial cuando es necesario para salvar\n la extremidad.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Reconstrucci\u00f3n de tejidos en etapas avanzadas.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>Control metab\u00f3lico:<\/b> Indispensable:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Glucosa.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Insulina seg\u00fan protocolo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Control estricto de infecciones asociadas.\n <\/li>\n <\/ul>\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. Prevenci\u00f3n \u2014 La parte m\u00e1s importante\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n La mayor\u00eda de amputaciones se pueden prevenir con cuidados\n simples:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Revisar los pies <b>todos los d\u00edas.<\/b>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Lavar y secar bien entre los dedos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n No caminar descalzo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Usar calzado adecuado.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Cortar las u\u00f1as con cuidado. Evitar remedios caseros.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Controlar la glucosa estrictamente.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Consultar por cualquier herida, por peque\u00f1a que parezca.\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. \u00bfQu\u00e9 pasa si no se trata a tiempo?\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Infecci\u00f3n avanzada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Gangrena.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Amputaci\u00f3n parcial o completa.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Infecci\u00f3n en la sangre (sepsis).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Muerte en casos extremos.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n El pie diab\u00e9tico <b>no espera<\/b>. Cada hora de retraso\n puede cambiar el pron\u00f3stico.\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 4. \u00bfCu\u00e1ndo consultar a un especialista?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Consultar inmediatamente si hay:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n \u00dalcera que no cicatriza.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Mal olor.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Piel negra o morada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Inflamaci\u00f3n r\u00e1pida.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">Fiebre.<\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Dolor o cambio en la forma del pie.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Cualquier herida en un paciente con diabetes.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n \n <div class=\"dropdown-menu drop-inter drop-inter4\">\n <div class=\"cont-drop-inter\">\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Armstrong DG, Boulton AJM, Bus SA.\n <b>Diabetic foot ulcers and their recurrence.<\/b> N Engl\n J Med. 2017;376(24):2367\u20132375.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Lipsky BA, Arag\u00f3n-S\u00e1nchez J, Diggle M, et al.\n <b\n >IWGDF Guidance on the diagnosis and management of\n foot infections in persons with diabetes.<\/b\n >\n Diabetes Metab Res Rev. 2016;32(S1):45\u201374.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Schaper NC, van Netten JJ, Apelqvist J, et al.\n <b\n >Practical guidelines on the prevention and management\n of diabetic foot disease.<\/b\n >\n Diabetes Metab Res Rev. 2020;36(S1):e3266.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Hingorani A, LaMuraglia GM, Henke P, et al.\n <b\n >The management of diabetic foot: A clinical practice\n guideline.<\/b\n >\n J Vasc Surg. 2016;63(2 Suppl):3S\u201321S.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Lavery LA, Davis KE, Berriman SJ, et al.\n <b\n >WHILE Study: Effect of intensive treatment on\n outcomes of diabetic foot ulcers.<\/b\n >\n Lancet. 2018;391(10117):1619\u20131628.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Edmonds M, Foster A.\n <b>The use of antibiotics in the diabetic foot.<\/b> Am J\n Surg. 2004;187(5):25S\u201328S.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Wukich DK, Raspovic KM, Suder NC.\n <b\n >Medical and surgical management of diabetic foot\n infections.<\/b\n >\n Clin Podiatr Med Surg. 2019;36(2):281\u2013298.\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 <div class=\"btn-colapse\">\n <div class=\"collapse colaps-faq\" id=\"collapseExample\">\n <div class=\"head-faq\">\n <img decoding=\"async\"\n src=\"https:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/05\/chat-bot-1.webp\"\n alt=\"#\"\n class=\"img-faq\"\n \/>\n <\/div>\n\n <div id=\"accordion\">\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingOne\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato\"\n 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 <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 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n <div class='gform_heading'>\n <h2 class=\"gform_title\">citas dr julio<\/h2>\n <p class='gform_description'><\/p>\n <\/div><form method='post' enctype='multipart\/form-data' id='gform_1' action='\/en\/wp-json\/wp\/v2\/pages\/9869' 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 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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 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<\/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 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{"id":9869,"date":"2026-05-14T21:02:50","date_gmt":"2026-05-14T21:02:50","guid":{"rendered":"https:\/\/drjulioestrada.com\/?page_id=9869"},"modified":"2026-06-02T22:19:31","modified_gmt":"2026-06-02T22:19:31","slug":"condiciones-quirurgicas-pie-diabetico","status":"publish","type":"page","link":"https:\/\/drjulioestrada.com\/en\/condiciones-quirurgicas\/condiciones-quirurgicas-pie-diabetico\/","title":{"rendered":"Condiciones quir\u00fargicas \u2014 Pie diab\u00e9tico"},"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\"\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 active\"\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 Pie diab\u00e9tico\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 data-bs-auto-close=\"outside\"\n >\n <div class=\"int-procedi int-procedi1\">\n <img decoding=\"async\"\n src=\"http:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/03\/condiciones-12.svg\"\n alt=\"condiciones-15\"\n class=\"img-procedis\"\n \/>\n <\/div>\n\n <div class=\"int-procedi int-procedi2\">\n <p class=\"txt-procedis\">Pie Diab\u00e9tico<\/p>\n <\/div><\/a\n >\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?<br \/>\u00bfPor qu\u00e9 ocurre?<br \/>\u00bfC\u00f3mo se ve?<\/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 >Clasificaci\u00f3n,<br \/>Diagn\u00f3stico,<br \/>\u00bfCu\u00e1ndo es\n Urgencia?<\/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, Prevenci\u00f3n,<br \/>\u00bfQu\u00e9 pasa si no se trata a\n tiempo?,<br \/>\u00bfCu\u00e1ndo consultar?<\/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 >REFERENCIAS BIBLIOGR\u00c1FICAS<\/a\n >\n <\/div>\n <\/div>\n\n <div class=\"contain-drops\">\n \n <div class=\"dropdown-menu drop-inter drop-inter1\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. \u00bfQu\u00e9 es el Pie Diab\u00e9tico?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El <b>pie diab\u00e9tico<\/b> es una de las complicaciones m\u00e1s\n serias de la diabetes.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n <br \/>Se define como cualquier\n <b\n >lesi\u00f3n, herida, infecci\u00f3n, \u00falcera o cambio\n estructural<\/b\n >\n en el pie de una persona con diabetes, causada por:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Da\u00f1o en los nervios (<b>neuropat\u00eda<\/b>).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Mala circulaci\u00f3n (<b>arteriopat\u00eda perif\u00e9rica<\/b>).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Infecciones que progresan r\u00e1pidamente.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Deformidades \u00f3seas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Perdida de la sensibilidad protectora.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n El pie diab\u00e9tico no es solo \u00abuna herida\u00bb: es una condici\u00f3n\n compleja que puede avanzar r\u00e1pidamente y poner en riesgo\n <b>el pie, la pierna y la vida<\/b>.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">2. \u00bfPor qu\u00e9 se produce?<\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Neuropat\u00eda diab\u00e9tica (da\u00f1o a los nervios):<\/b> La\n p\u00e9rdida de sensibilidad hace que el paciente:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n No perciba dolor.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n No sienta heridas, quemaduras o rozaduras.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Camine sobre lesiones sin notarlo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Esto permite que las heridas progresen sin ser\n detectadas.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Mala circulaci\u00f3n (isquemia):<\/b> La diabetes da\u00f1a los\n vasos sangu\u00edneos, reduciendo el flujo de sangre. Sin una\n buena irrigaci\u00f3n:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n La piel pierde resistencia.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Las heridas no cicatrizan.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Las bacterias avanzan con facilidad.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Infecci\u00f3n:<\/b> Las bacterias pueden invadir\n r\u00e1pidamente los tejidos blandos y el hueso\n (<b>osteomielitis<\/b>).<br \/>En algunos casos, la\n infecci\u00f3n avanza en <b>horas<\/b>.<br \/><br \/>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Deformidades del pie:<\/b> Neuropat\u00eda + mala\n biomec\u00e1nica \u2192 puntos de presi\u00f3n.<br \/>Ejemplos:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Dedos en garra.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Juanetes.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Pie de Charcot.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n Estos puntos de presi\u00f3n favorecen heridas cr\u00f3nicas.\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. \u00bfC\u00f3mo se ve un Pie Diab\u00e9tico? \u2013 Signos cl\u00ednicos\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Callos profundos que esconden \u00falceras\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Heridas que no duelen\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">Mal olor<\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Enrojecimiento o inflamaci\u00f3n\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Salida de l\u00edquido o pus\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Puntos negros (necrosis)\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Piel fr\u00eda o sin pulso\n <\/li>\n <li class=\"item-drop-inter item-drop-inter8\">\n Cambios de forma del pie\n <\/li>\n <li class=\"item-drop-inter item-drop-inter9\">\n Fiebre o malestar (infecci\u00f3n avanzada)\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n <b>Importante:<\/b> que \u00abno duela\u00bb no significa que no sea\n grave.\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n \n <div class=\"dropdown-menu drop-inter drop-inter2\">\n <div class=\"cont-drop-inter\">\n <h3 class=\"titu-drop-inter\">\n 1. Clasificaci\u00f3n del Pie Diab\u00e9tico\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Las clasificaciones permiten definir riesgos y\n tratamiento. Las m\u00e1s utilizadas:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Clasificaci\u00f3n de Wagner<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Grado 0:<\/b> pie de riesgo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Grado 1:<\/b> \u00falcera superficial.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Grado 2:<\/b> \u00falcera profunda.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Grado 3:<\/b> absceso u osteomielitis.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>Grado 4:<\/b> gangrena localizada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n <b>Grado 5:<\/b> gangrena extensa.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Clasificaci\u00f3n PEDIS (m\u00e1s actualizada):<\/b> Eval\u00faa:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>P<\/b>erfusi\u00f3n.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>E<\/b>xtensi\u00f3n.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>D<\/b>epth (profundidad).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>I<\/b>nfecci\u00f3n.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>S<\/b>ensaci\u00f3n.\n <\/li>\n <\/ul>\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. Diagn\u00f3stico<\/h3>\n\n <p class=\"txt-drop-inter\">Incluye:<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Examen f\u00edsico completo:<\/b> sensibilidad, pulsos,\n temperatura, deformidades, heridas.<br \/><br \/>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Cultivos:<\/b> De la herida profunda (no de la\n superficie).<br \/><br \/>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Estudios de imagen:<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Rayos X:<\/b> descartar gas o da\u00f1o \u00f3seo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Ultrasonido:<\/b> buscar abscesos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>TAC o MRI:<\/b> evaluar osteomielitis o\n infecciones profundas.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Evaluaci\u00f3n vascular<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n \u00cdndice tobillo-brazo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Doppler arterial.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Angiotomograf\u00eda si hay isquemia severa.<br \/><br \/>\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>Laboratorios<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Glucosa.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Hemoglobina glucosilada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Marcadores inflamatorios.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Leucocitos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Funci\u00f3n renal.\n <\/li>\n <\/ul>\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. \u00bfCu\u00e1ndo es una urgencia?<\/h3>\n\n <p class=\"txt-drop-inter\">Urgencia cuando hay:<\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Infecci\u00f3n con pus o mal olor.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Fiebre o escalofr\u00edos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Ampollas inesperadas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Zonas negras o moradas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Inflamaci\u00f3n r\u00e1pida.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Dolor intenso (en diab\u00e9ticos s\u00ed puede existir dolor).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Gas en tejidos (crepitaci\u00f3n).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter8\">\n Falta de pulso en el pie.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n <b>Estos pacientes deben ser atendidos inmediatamente.<\/b>\n <\/p>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\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 del Pie Diab\u00e9tico\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n El manejo es <b>multidisciplinario<\/b>, pero como cirujano\n mi papel es esencial.\n <\/p>\n\n <p class=\"txt-drop-inter\">\n <br \/>El tratamiento se divide en:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n <b>Control de la infecci\u00f3n:<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Antibi\u00f3ticos intravenosos o orales seg\u00fan gravedad.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Cirug\u00eda para eliminar tejido muerto\n (<b>desbridamiento<\/b>).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Drenaje de abscesos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Limpiezas quir\u00fargicas repetidas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n En infecciones profundas se requiere\n hospitalizaci\u00f3n.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n <b>Manejo de la circulaci\u00f3n (si hay isquemia)<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Evaluaci\u00f3n vascular.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Revascularizaci\u00f3n endovascular (angioplast\u00eda).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Cirug\u00eda arterial (en casos seleccionados).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Sin buena irrigaci\u00f3n, no hay cicatrizaci\u00f3n posible.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n <b>Cuidado de las heridas<\/b>\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Curaciones avanzadas.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Despresurizaci\u00f3n del \u00e1rea afectada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Ap\u00f3sitos especiales (hidrocoloides, espumas,\n alginatos).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Terapia de presi\u00f3n negativa (VAC).\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n <b>Cirug\u00eda seg\u00fan el caso<\/b> Desbridamiento quir\u00fargico\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Correcci\u00f3n de deformidades.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Limpieza de tejido infectado.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Amputaci\u00f3n parcial cuando es necesario para salvar\n la extremidad.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Reconstrucci\u00f3n de tejidos en etapas avanzadas.\n <\/li>\n <\/ul>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n <b>Control metab\u00f3lico:<\/b> Indispensable:\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Glucosa.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Insulina seg\u00fan protocolo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Control estricto de infecciones asociadas.\n <\/li>\n <\/ul>\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. Prevenci\u00f3n \u2014 La parte m\u00e1s importante\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n La mayor\u00eda de amputaciones se pueden prevenir con cuidados\n simples:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Revisar los pies <b>todos los d\u00edas.<\/b>\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Lavar y secar bien entre los dedos.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n No caminar descalzo.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Usar calzado adecuado.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Cortar las u\u00f1as con cuidado. Evitar remedios caseros.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Controlar la glucosa estrictamente.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Consultar por cualquier herida, por peque\u00f1a que parezca.\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. \u00bfQu\u00e9 pasa si no se trata a tiempo?\n <\/h3>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Infecci\u00f3n avanzada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Gangrena.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Amputaci\u00f3n parcial o completa.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Infecci\u00f3n en la sangre (sepsis).\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Muerte en casos extremos.\n <\/li>\n <\/ul>\n\n <p class=\"txt-drop-inter\">\n El pie diab\u00e9tico <b>no espera<\/b>. Cada hora de retraso\n puede cambiar el pron\u00f3stico.\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 4. \u00bfCu\u00e1ndo consultar a un especialista?\n <\/h3>\n\n <p class=\"txt-drop-inter\">\n Consultar inmediatamente si hay:\n <\/p>\n\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n \u00dalcera que no cicatriza.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Mal olor.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Piel negra o morada.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Inflamaci\u00f3n r\u00e1pida.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">Fiebre.<\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Dolor o cambio en la forma del pie.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Cualquier herida en un paciente con diabetes.\n <\/li>\n <\/ul>\n\n <div class=\"borde-inter\"><\/div>\n <\/div>\n <\/div>\n\n \n <div class=\"dropdown-menu drop-inter drop-inter4\">\n <div class=\"cont-drop-inter\">\n <ul class=\"list-drop-inter\">\n <li class=\"item-drop-inter item-drop-inter1\">\n Armstrong DG, Boulton AJM, Bus SA.\n <b>Diabetic foot ulcers and their recurrence.<\/b> N Engl\n J Med. 2017;376(24):2367\u20132375.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter2\">\n Lipsky BA, Arag\u00f3n-S\u00e1nchez J, Diggle M, et al.\n <b\n >IWGDF Guidance on the diagnosis and management of\n foot infections in persons with diabetes.<\/b\n >\n Diabetes Metab Res Rev. 2016;32(S1):45\u201374.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter3\">\n Schaper NC, van Netten JJ, Apelqvist J, et al.\n <b\n >Practical guidelines on the prevention and management\n of diabetic foot disease.<\/b\n >\n Diabetes Metab Res Rev. 2020;36(S1):e3266.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter4\">\n Hingorani A, LaMuraglia GM, Henke P, et al.\n <b\n >The management of diabetic foot: A clinical practice\n guideline.<\/b\n >\n J Vasc Surg. 2016;63(2 Suppl):3S\u201321S.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter5\">\n Lavery LA, Davis KE, Berriman SJ, et al.\n <b\n >WHILE Study: Effect of intensive treatment on\n outcomes of diabetic foot ulcers.<\/b\n >\n Lancet. 2018;391(10117):1619\u20131628.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter6\">\n Edmonds M, Foster A.\n <b>The use of antibiotics in the diabetic foot.<\/b> Am J\n Surg. 2004;187(5):25S\u201328S.\n <\/li>\n <li class=\"item-drop-inter item-drop-inter7\">\n Wukich DK, Raspovic KM, Suder NC.\n <b\n >Medical and surgical management of diabetic foot\n infections.<\/b\n >\n Clin Podiatr Med Surg. 2019;36(2):281\u2013298.\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 <div class=\"btn-colapse\">\n <div class=\"collapse colaps-faq\" id=\"collapseExample\">\n <div class=\"head-faq\">\n <img decoding=\"async\"\n src=\"https:\/\/drjulioestrada.com\/wp-content\/uploads\/2026\/05\/chat-bot-1.webp\"\n alt=\"#\"\n class=\"img-faq\"\n \/>\n <\/div>\n\n <div id=\"accordion\">\n <div class=\"card carta-faq\">\n <div class=\"card-header\" id=\"headingOne\">\n <h5 class=\"mb-0\">\n <button\n class=\"btn_faq btn btn-link font-creato\"\n 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 <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 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n <div class='gform_heading'>\n <h2 class=\"gform_title\">citas dr julio<\/h2>\n <p class='gform_description'><\/p>\n <\/div><form method='post' enctype='multipart\/form-data' id='gform_1' action='\/en\/wp-json\/wp\/v2\/pages\/9869' 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 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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. 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<\/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 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