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Introduction: Patient satisfaction is the degree of conformity with the healthcare they receive. It is real evidence and one of the most important factors in determining the effectiveness and quality of healthcare systems., Objective: To identify the quality of care in the Urology outpatient department of a third-level hospital., Materials and Methods: The NHS (National Health Service) 2018 quality of care questionnaire with 11 sections, 133 items, and duration of approximately 25min was randomly administered to 250 patients attending Urology outpatients at a third-level public hospital in Mexico., Results: According to responses, 92% (n=230) knew the reason for the consultation. 64.8% (n=162) had a consultation with the same physician by whom they were initially seen. The longest reported hospital wait time before being seen was more than 2h in 29.6% (n=74). As for consultation time, 212 patients responded and the duration was 11-20min in 52.8% (n=112). Finally, 33.2% (n=83) considered the quality of service to be good., Conclusions: The use of the NHS 2018 survey in the Urology service at a third-level public hospital in Mexico is feasible, since we managed to obtain a significant and continuous improvement in all its indicators which is satisfactory for all., (Copyright © 2023 AEU. Published by Elsevier España, S.L.U. All rights reserved.)

Background: RYDG is the second most prevalent bariatric operation worldwide in terms of surgical treatment for the management of obesity and its comorbidities; however, one of its complications is the development of Petersen's space hernia. Currently there is no specific cause for their development since, based on studies published worldwide, they have an unpredictable behavior in each individual., Objective: To establish the prevalence of Petersen's hernia and risk factors for its development., Material and Methods: Retrospective cohort study that included patients who underwent laparoscopic gastric bypass from January 2015 to December 2020. All procedures were performed by a single surgeon using antecolic and retrogastric configuration. Study variables: weight, BMI, mesenteric gap closure, suture material used, post-surgical complications., Results: 00 patients were included, 64 women and 36 men, age 40.33 ± 2.08 years. The prevalence of Petersen's space hernia was 3% with a mean presentation time of 18 ± 7.54 months. The variables related to its development in the 3 cases were closure of the mesenteric gap, height, body mass index (BMI) and weight after the surgical procedure. All patients underwent reoperation, reducing the content and closing the mesenteric gap with non-absorbable suture material., Conclusion: The development of the hernia not only depends on the closure of the mesenteric gap, but also on the reduction of weight and loss of volume of the mesentery with the reopening of the space., (Licencia CC 4.0 (BY-NC-ND) © 2024 Revista Médica del Instituto Mexicano del Seguro Social.)

Background : Breastfeeding is a characteristic process of mammals that ensures delivery of an adequate nutritional supply to infants. It is the gold standard food source during an infant's first months of life. Since the onset of the COVID-19 pandemic in 2020, people in quarantine have experienced a wide range of feelings, which may make isolation challenging in terms of maternal health. This study focused on the prevalence of breastfeeding practices and postpartum depression (PPD) among Mexican women during the COVID-19 pandemic. Materials and Methods : This cross-sectional study included 586 postpartum women who completed an online survey 4-8 weeks after delivery from April to December 2020 in Guadalajara, Mexico. The aim was to identify potentially depressed mothers according to the Edinburgh Postnatal Depression Scale (EPDS) and describe their breastfeeding practices. Results : The mean maternal age was 30.4 ± 4.6 years, the mean EPDS score was 9.6 ± 5.0, and the PPD prevalence according EPDS scores was 27.1%. Exclusive breastfeeding (EBF) was reported by 32.3% of mothers in the first 48 h and by 70.3% of mothers 48 h after delivery. EBF was associated with a lower prevalence of PPD during the first 48 h ( p = 0.015) and after the first 48 h ( p = 0.001) after delivery. Skin-to-skin contact (SSC) was reported by 385 (65.7%) mothers. PPD was less frequent in mothers practicing SSC (20.3%) than it was in those not practicing SSC (40.3%) ( p = 0.001). A higher percentage of mothers practiced SSC breastfed (66.9%) and used EBF (150, 79.4%) ( p = 0.012 and 0.001, respectively). Conclusions : Results suggest that the pandemic emergency and restrictions imposed on the population significantly affected the well-being of mothers after birth, and that these effects may have posed risks to the mental health and emotional stability of postpartum mothers. Therefore, encouraging BF or EBF and SSC may improve or limit depressive symptoms in postpartum mothers.