Dr. Enrique Pliego, MD, FACS, Spesialis Bedah Bariatrik adalah pusat medis swasta dengan satu spesialisasi di Cancún, Meksiko. Klinik ini mengkhususkan diri dalam bidang gastroenterologi, bedah, dan bedah penurunan berat badan. Dr. Enrique Pliego, MD, FACS, melayani hanya pasien dewasa. Setiap tahun, 500 pasien memilih klinik Dr. Enrique Pliego untuk perawatan medis. Klinik ini paling sering menerima pasien dari Eropa & Persemakmuran, Amerika Latin, Amerika Serikat, Kanada, dan Australia.
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Dr. Enrique Pliego Esquivel adalah ahli bedah bariatrik dan gastrointestinal di Cancún. Beliau adalah salah satu dari sedikit ahli bedah di Meksiko yang menjadi anggota ASMBS. Dr. Pliego Esquivel disertifikasi oleh Dewan Bedah Obesitas Meksiko. Beliau berfokus pada operasi penurunan berat badan dan penanganan kondisi terkait obesitas.
Dr. Enrique Pliego, MD, FACS, Spesialis Bedah Bariatrik adalah pusat medis swasta dengan satu spesialisasi di Cancún, Meksiko. Klinik ini mengkhususkan diri dalam bidang gastroenterologi, bedah, dan bedah penurunan berat badan. Dr. Enrique Pliego, MD, FACS, melayani hanya pasien dewasa. Setiap tahun, 500 pasien memilih klinik Dr. Enrique Pliego untuk perawatan medis. Klinik ini paling sering menerima pasien dari Eropa & Persemakmuran, Amerika Latin, Amerika Serikat, Kanada, dan Australia.
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I felt safe and in good hands throughout the process."},"what_not_like_text":{"id":"Satu-satunya hal yang perlu dicatat adalah bahwa tidak semua staf perawat bisa berbahasa Inggris, jadi penting untuk memiliki pengetahuan dasar tentang bahasa Spanyol.","en":"The only comment would be that the nursing staff didn’t all speak English so having a good introductory knowledge of Spanish was necessary."}},"summary":{"positive":{"id":"Saya merasa berada di tangan yang sangat berkompeten.","en":"I feel I was in very capable hands."}}},{"id":25973,"user":{"id":971132,"name":"Hadil AlAboudy","country_code":"US","country_name":{"id":"Amerika Serikat","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"id":"Saya memberi nilai lebih dari 5. Saya sangat menyukainya—mereka begitu peduli terhadap segala hal. Ini adalah pengalaman terbaik. Saya akan mengucapkan terima kasih kepada semua orang yang telah merawat saya dengan sangat baik: para dokter, perawat, dan semua pihak ❤️❤️❤️","en":"I give rate more the 5 I love it they cared so much about everything it was the best I will thank everyone that took care of me the best care doctors nurses and all ❤️❤️❤️"},"order":{"operation":{"id":507,"name":{"id":"Implan bokong","en":"Butt implants"}}},"clinic_info":{"id":692,"name":"Hospital de la Familia","alias":"hospital-de-la-familia","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-06-23T20:19:06.168+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"coordinator_mentioned","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false}],"summary":{"positive":{"id":"itu adalah yang terbaik","en":"it was the best"}}},{"id":23464,"user":{"id":936266,"name":"Yailena Naklen","country_code":"US","country_name":{"id":"Amerika Serikat","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"id":"Saya sangat menghargai perawatan dan perhatian yang diberikan oleh Dr. Enrique Pliego dan timnya selama operasi saya. 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Beliau bersertifikasi oleh European Society of Coloproctology (FEBS-C) dan telah melakukan lebih dari 500 operasi bariatrik.","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"updatedAt":"2026-11-12T21:00:15.919Z","activeCountries":["MX","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":5},"illness_kind_details":{"requests_processed":7852}},"direction":{"id":33,"name":"Pembedahan","alias":"surgery","name_forms":{"base_form":"Operasi","form_4":"Ahli bedah","form_6":"Ahli bedah","form_11":"Ahli bedah"}},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk or light work after typical mesh repair of a moderate defect; heavy work and complex repairs take longer."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days, mostly wound events and seroma; serious ones under 5%."},"contraindications":["Severe uncontrolled cardiopulmonary disease precluding general anesthesia (relative)","Active abdominal wall infection or sepsis (relative for elective mesh)","Uncontrolled diabetes (relative; optimize glycemic control first)","Uncontrolled coagulopathy or anticoagulation that cannot be safely managed perioperatively","Small asymptomatic hernia in very high-risk patient (relative; watchful waiting)"],"days_in_clinic":{"min":0,"max":3,"unit":"nights","qualifier":"Moderate defect, elective repair; small laparoscopic or open repairs may be same-day, complex ones longer."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walk early; defer heavy lifting and strenuous core exercise until surgeon clearance, longer after larger repairs."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for tissue integration, resolution of swelling and return to full activity; recurrence risk persists beyond this period."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After surgeon clearance and early wound check; shorter for laparoscopic repair, longer for open, larger repairs or thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early wound check before flying home; drain or suture review if applicable."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Routine surgeon review of healing, fluid collection and activity clearance."}}],"indications":["Symptomatic hernia at a prior surgical scar (pain, bulging, discomfort)","Enlarging incisional hernia","Incarceration or strangulation risk, or episodes of incarceration","Skin changes or functional limitation due to the hernia"],"main_risks":["Hernia recurrence","Wound infection, mesh infection","Seroma or hematoma","Chronic postoperative pain","Bowel injury or enterotomy, adhesions, ileus","Bleeding","Skin or wound-healing problems","Thromboembolism and anesthesia-related risks"],"pain":"Moderate postoperative pain for the first several days, managed with oral analgesics and sometimes regional blocks; generally subsiding over 1-3 weeks, with open and larger repairs usually more painful than laparoscopic ones.","preparation":["Preoperative assessment and ultrasound or CT to define defect size","Fasting before general anesthesia as instructed","Smoking cessation and weight and glycemic optimization where relevant","Review of medications with the surgical and anesthesia team","Bowel preparation only if requested by the surgeon","Arrange help at home for the first days"],"recovery_timeline":[{"phase":"Hospital stay (day 0-3)","description":"Pain control, early walking, monitoring of wound and bowel function; abdominal binder may be used.","restrictions":["No lifting","Avoid straining"]},{"phase":"Early recovery (weeks 1-2)","description":"Gradual increase in walking and daily activity; wound care and swelling are expected. Report fever or wound discharge promptly.","restrictions":["No lifting heavy objects"]},{"phase":"Return to light activity (weeks 2-6)","description":"Return to desk work and light activity as comfort allows.","restrictions":["Avoid lifting more than a few kilograms","No strenuous core exercise"]},{"phase":"Full recovery (weeks 6-12)","description":"Gradual return to heavy work and exercise after surgeon clearance.","restrictions":["Increase lifting progressively"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities after a typical moderate-sized repair; no formal physiotherapy is usually required."},"result_longevity":"Intended to be a durable repair, but recurrence can occur months to years later and risk depends on defect size, technique, mesh use and patient factors such as smoking and obesity.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Recurrence or complication requiring reoperation within about 5 years; higher with larger defects, smoking, obesity."},"scars":"Open repair usually uses a scar along or near the prior incision, often several to many centimeters; laparoscopic repair leaves several small port scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a typical uncomplicated repair."},"stages":[{"code":"surgery","label":"Incisional hernia repair operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone single-stage repair; staged approaches for very large or complex hernias are not typical."},"success":{"metric":"Freedom from hernia recurrence after mesh repair","value":90,"unit":"percent of patients","horizon":"2-5 years","population":"Adults with moderate incisional hernia undergoing elective mesh repair","evidence_status":"limited"},"techniques":[{"name":"Open repair with mesh (onlay, sublay/retromuscular)","suits_whom":"Most small to large defects; widely used standard approach, sublay generally preferred.","recovery":"Hospital stay of about 1-3 nights; return to light activity in 2-4 weeks."},{"name":"Laparoscopic or robotic intraperitoneal/IPOM or extended mesh repair","suits_whom":"Selected patients with small to moderate defects and suitable anatomy.","recovery":"Often shorter stay and less wound pain; return to light activity in about 1-3 weeks."},{"name":"Primary suture repair without mesh","suits_whom":"Very small defects only, with higher recurrence risk.","recovery":"Similar to open repair; return to light activity in 2-4 weeks."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Typical elective mesh repair of a moderate defect; very large or complex repairs take longer."},"initial_assessment_documents":["Abdominal CT scan report showing the hernia","Previous abdominal surgery operative reports","Prior hernia repair and mesh details (if available)","List of blood thinners","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days including 1-3 hospital nights and early wound check. Later reviews can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ensure the surgeon discusses surgical and nonsurgical management, including mesh and non-mesh risks","scope":"procedure","source":{"url":"https://rightdecisions.scot.nhs.uk/scottish-health-technologies-group-shtg/elective-surgery-using-mesh-to-repair-primary-or-incisional-hernias-in-adults/","host":"rightdecisions.scot.nhs.uk","quote":"the benefits and risks of surgical and non-surgical approaches to hernia management, including the fact that neither mesh nor non-mesh repair are risk-free procedures","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask the treating team questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon does not discuss mesh and non-mesh risks","scope":"procedure","source":{"url":"https://rightdecisions.scot.nhs.uk/scottish-health-technologies-group-shtg/elective-surgery-using-mesh-to-repair-primary-or-incisional-hernias-in-adults/","host":"rightdecisions.scot.nhs.uk","quote":"the benefits and risks of surgical and non-surgical approaches to hernia management, including the fact that neither mesh nor non-mesh repair are risk-free procedures","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic cannot explain how aftercare will be coordinated after returning home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pus draining from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery","host":"my.clevelandclinic.org","quote":"Pus draining from the incision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sharp abdominal pain and vomiting","urgency":"emergency","general":false,"source":{"url":"https://www.facs.org/for-patients/the-day-of-your-surgery/ventral-hernia-repair/","host":"facs.org","quote":"Sharp abdominal pain and vomiting may mean that the intestine has slipped through the hernia sac and is strangulated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"No bowel movement for three days","urgency":"contact_clinic","general":false,"source":{"url":"https://www.facs.org/for-patients/the-day-of-your-surgery/ventral-hernia-repair/","host":"facs.org","quote":"No bowel movement by 3 days after the operation","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Bleeding, drainage, or redness at surgery site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.niddk.nih.gov/health-information/digestive-diseases/inguinal-hernia?","host":"niddk.nih.gov","quote":"For example, you should call your doctor right away if you have bleeding, drainage, or redness in the area where you had surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your hernia is reducible and not uncomfortable","name":"Watchful waiting","source":{"url":"https://www.facs.org/for-patients/the-day-of-your-surgery/ventral-hernia-repair/","host":"facs.org","quote":"Watchful waiting is an option for adults with hernias that are reducible and not uncomfortable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You want greater comfort without repairing the hernia","name":"Abdominal binder","source":{"url":"https://www.facs.org/for-patients/the-day-of-your-surgery/ventral-hernia-repair/","host":"facs.org","quote":"Abdominal binders (support belt) may help a patient feel more comfortable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"open-repair","name":"Open repair with mesh (onlay, sublay/retromuscular)","how_it_works":{"text":"Surgeons may use mesh to strengthen weak abdominal muscles","source":{"url":"https://my.clevelandclinic.org/health/diseases/incisional-hernia","host":"my.clevelandclinic.org","quote":"A surgeon may use mesh to strengthen weak abdominal muscles.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":3,"unit":"weeks","label":"1–3 weeks","source":{"url":"https://www.facs.org/for-patients/the-day-of-your-surgery/ventral-hernia-repair/","host":"facs.org","quote":"Patients usually take 1 to 3 weeks to return comfortably to normal activity.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laparoscopic-or-robotic-intraperitoneal","name":"Laparoscopic or robotic intraperitoneal/IPOM or extended mesh repair","how_it_works":{"text":"The surgeon makes small cuts and inserts tubes into the abdomen","source":{"url":"https://www.healthdirect.gov.au/surgery/laparoscopic-incisional-hernia-repair","host":"healthdirect.gov.au","quote":"Your surgeon will make several small cuts on your abdomen so they can insert tubes (ports) into your abdomen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"primary-suture-repair-without-mesh","name":"Primary suture repair without mesh","how_it_works":{"text":"The weak tissue is repaired with stitches only, without mesh","source":{"url":"https://www.healthdirect.gov.au/surgery/open-incisional-hernia-repair","host":"healthdirect.gov.au","quote":"They will repair the weak tissue either with stitches only or using a synthetic mesh","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=cancun/procedure=operacia-po-udaleniu-posleoperacionnoj-gryzi/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":3495,"alias":"incisional-hernia","name":"Hernia insisional"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}