All our doctors are certified by the Ministry of Public Health of Cuba. Each of our physicians graduated from medical school in the top 25% of their medical class and each scored in the top 25% on the Surgery qualifying exam. You can put your trust in the knowledge and skills our physicians possess as they care for your health care needs.

General Surgery

Patients and physicians choose Caribbean Surgery Institute for a wide variety of general surgery procedures because of positive clinical results, higher quality care, and a more personalized experience with low nurse-to-patient ratio. Our nursing team and board-certified surgeons are consistently recognized as one of the top hospitals in the nation for excellence in patient safety, prevention of infections, and prevention of medical errors and other complications, all important to consider when choosing a hospital for surgery.

Some of the most commonly performed general surgery procedures at Caribbean Surgery Institute are:

  • Laparoscopic Cholecystectomy (Gallbladder)
  • Endoscopy
  • Hernia repair
  • Colonoscopy

ACADEMIC QUALIFICATION

  • MBBS, GENERAL PHYSCIAN MEDICAL UNIVERSITY OF SCIENCES OF HAVANA CUBA
  • MS, GENERAL SURGERY HOSPITAL UNIVERSITY OF GENERAL CALIXTO GARCIA HAVANA CUBA
  • SUB LAPAROSCOPIC SURGERY, INTITUTE OF MINIMAL INVASIVE SURGERY HAVANA CUBA
  • SUB ENDOSCOPIC PROCEDURES, INSTITUTE OF GASTROENTEROLOGY HAVANA CUBA

INDUSTRY EXPERIENCE

  • Diagnose and treat Emergency surgical diseases
  • Diagnose and treat Critical surgical disease
  • Diagnose and treat all Hernia disease
  • Diagnose and treat Thyroid disease
  • Diagnose and treat Lung diseases
  • Diagnose and treat Esophageal diseases
  • Diagnose and treat Acid reflux disease
  • Diagnose and treat Gastroduodenal diseases
  • Diagnose and treat Gall bladder diseases
  • Diagnose and treat Spleen diseases
  • Diagnose and treat Liver diseases
  • Diagnose and treat Colon diseases
  • Diagnose and treat Gynecology diseases
  • Diagnose and treat benign and Cancer diseases
  • Prescribe medicine and perform surgery when necessary

A competent and friendly General and Laparoscopic Surgeon with a Wide range of experience in treating patients with Clinical and surgical diseases.

Surgical Training

  • Attended international surgery conferences in China and Cuba
  • Worked in Institute with Senior citizens
  • Worked with senior and doctors in super specialty hospital.

Diseases we treat and risk factors

NECK MASS

RISK FACTORS

  1. Age >40yrs
  2. Tabaco
  3. Alcohol

SYMPTOMS

  1. Pain
  2. Dysphgia
  3. Hoarseness
  4. Location of mass front and side of the neck

THORACIC – LUNG NODULE

RISK FACTOR

  1. Age >40yrs
  2. Weight loss
  3. Smoking history
  4. Family History of cancer
  5. Personal History of cancer
  6. Lung disease

SYMPTOMS

  1. Unintentional massive weight loss
  2. Loss of appetite
  3. Cough
  4. Shorth of breath
  5. Chest pain
  6. Hoarseness
  7. Hiccups

MEDIASTINAL TUMORS

RISK FACTORS

  1. Age >40yrs
  2. Weight loss
  3. Smoking history
  4. Family history of cancer
  5. Personal history of cancer

SYMPTOMS

  1. Chest pain
  2. Fever
  3. Cough
  4. Fatigue
  5. Dysphagia
  6. Unintentional massive Weight loss
  7. Loss of appetite

ALIMENTARY TRACT – ACHALASIA

SYMPTOMS

  1. Dysphagia
  2. Regurgitation
  3. Retrosternal pain
  4. Unintentional massive Weight loss

ASTROESOPHAGEAL REFLUX DISEASE

RISK FACTORES

  1. Age >50yrs
  2. Male
  3. Obese
  4. Weight race
  5. Symptoms >5yrs

SYMPTOMS

  1. TYPICAL
  • Heartburn
  • Regurgitation
  1. ATYPICAL
  • Non cardiac chest pain
  • Dental erosion
  • Ear pain
  1. EXTRAESOPHAGEAL
  • Asthma
  • Cough
  • Reflux laryngitis
  • Neumonia (frequent)
  1. ALARM SYMPYTOMS
  • Dysphagia
  • Hematemesis
  • Unintentional weight loss

ESOPHAGEAL DIVERTICULUM

SYMPTOMS

  1. Regurgitation
  2. Aspiration
  3. Dysphagia
  4. Neck pain
  5. Neumonia
  6. Cough
  7. Asthma
  8. Reflux laryngitis

HIATAL HERNIA

SYMPTOMS

  1. Posprandial fullness and pain
  2. Vomiting
  3. Regurgitation
  4. Dysphagia
  5. Bleeding
  6. Pulmonary disease
  7. Gastroesophageal reflux disease

GASTRIC and DUODENAL ULCER

RISK FACTORS

  1. Smokers
  2. Alcohol
  3. NASAID
  4. Ulcer history
  5. Personal history with infection H Pylori

SYMPTOMS

  1. Epigastric pain relief with food
  2. Dyspepsia
  3. Nausea
  4. Vomiting

GALLSTONES

SYMPTOMS

  1. Right upper abdominal pain
  2. Postprandial discomfort
  3. Vomiting
  4. Nausea
  5. Fever

LOWER GASTROINTESTINAL BLEEDING

RISK FACTORS

  1. Nsaid
  2. Anticoagulants
  3. Chronic bowel aliments

SYMPTOMS

  1. Anorectal pain
  2. Abdominal pain
  3. Changed bowel habits.
  4. Fever
  5. Blood mixed with stool.
  6. Chronic abdominal pain

DIVERTICULITIS

SYMPTOMS

  1. Lower left abdominal pain
  2. Fever
  3. Constipation
  4. Diarrhea

GROIN HERNIA

SYMPTOMS

  1. Bulge
  2. Palpable mass
  3. Pain
  4. Fever
  5. Erythema

ESOPHAGEAL CANCER

RISK FACTORES

  1. Tobacco
  2. Alcohol
  3. Obesity

SYMPTOMS

  1. Dysphagia
  2. Odynophagia
  3. Upper GI Bleeding
  4. Unintentional massive weight loss
  5. Fatigue

GASTRIC CANCER

RISK FACTORS

  1. Obesity
  2. H pylori infection history
  3. Nitrite rich diet (hot dogs and bacon)
  4. Family history of cancer
  5. Personal history of cancer

SYMPTOMS

  1. Abdominal pain
  2. Postprandial fullness
  3. Nausea
  4. Vomiting
  5. Unintentional weight loss
  6. Fatigue
  7. Loss of appetite

CHOLANGIOCARCINOMA

RISK FACTORS

  1. Hepatitis
  2. Cirrhosis
  3. Diabetes
  4. Obesity
  5. Nonalcoholic fatty liver
  6. Parasitic infection
  7. Hepatolithiasis
  8. Biliary malformation (Caroli disease or choledochal cyst)
  9. Toxins and chemical agents (thorium, nitrosamines, dioxins, alcohol, tobacco

SYMPTOMS
1.Painless jaundice

  1. Fever
  2. Pain in right upper quadrant
  3. Weight loss
  4. Loss of appetite
  5. Collateral abdominal circulation
  6. Hemorrhoids
  7. Upper gastrointestinal bleeding

HEPATOCELLULAR CARCINOMA

RISK FACTORS

  1. Hepatitis B
  2. Hepatitis C
  3. Obesity
  4. Diabetes
  5. Nonalcoholic steatohepatitis
  6. Cirrhosis
  7. Metabolic disorder (tyrosinemia, alfa 1 antitrypsin deficiency, Wilson disease, hypercitrullinemia, porphyria cutanea tarda, primary or secondary hemochromatosis)
  8. Oral contraceptive
  9. Alfatoxins (thorotrast, vinyl chloride monomer, arsenic)
  10. Prolonged use of steroids

SYMPTOMS

  1. Weight loss
  2. Upper abdominal pain
  3. Ascites
  4. Fever
  5. Varices
  6. Splenomegaly (enlarged spleen)
  7. Gastrointestinal bleeding
  8. Encephalopathy

GALLBLADDER CANCER

RISK FACTORS

  1. Gallstones
  2. Porcelain gallbladder
  3. Gallbladder polyps
  4. Primary sclerosing cholangitis
  5. Chronic infection
  6. Congenital biliary atresia
  7. Anatomic variation of pancreatobiliary duct
  8. Medication
  9. Obesity
  10. Diabetes
  11. Exposure to carcinogen

SYMPTOMS

  1. Pain
  2. Anorexia
  3. Nausea
  4. Vomiting
  5. Weight loss
  6. Jaundice
  7. Palpable painless gallbladder

GASTROINTESTINAL STROMAL TUMORES

SYMPTOMS

  1. Early satiety
  2. Fatigue secondary a anemia
  3. Bleeding
  4. Abdominal discomfort from mass effect
  5. Gastrointestinal bleeding
  6. Intraperitoneal bleeding
  7. Acute abdomen por rupture or obstruction of tumor

PANCREATIC TUMOR

RISK FACTOR

  1. Age > 45yrs
  2. Sex male
  3. History of smoking
  4. Family history

SYMPTOMS

  1. Vague gastrointestinal symptoms
  2. Painless jaundice
  3. Abdominal o back pain
  4. Weight loss
  5. Loss of appetite
  6. Symptoms of diabetes
  7. Fat in stool
  8. Palpable nontender gallbladder
  9. Adenopathy periumbilical
  10. Ascites (liquid in abdomen)

RETROPERITONEAL MASS

SYMPTOMS

  1. Gastrointestinal symptoms
  2. Urinary symptoms
  3. Abdominal fullness
  4. Increasing girth
  5. Early satiety
  6. Back pain
  7. Fatigue
  8. Weight loss
  9. Drenching night sweat
  10. Loss appetite
  11. Abdominal mass

GASTROINTESTINAL LYMPHOMA

SYMPTOMS

  1. Odynophagia
  2. Dysphagia
  3. Pain
  4. Bleeding
  5. Satiety
  6. Weight loss
  7. Nausea
  8. Vomiting
  9. Diarrhea
  10. Malabsorption
  11. Obstruction
  12. Bleeding
  13. Perforation
  14. Palpable anorectal mass

COLON POLYP & COLON CANCER

RISK FACTORS

  1. Age > 50yrs
  2. Polyp >1cm high grade dysplasia
  3. Family history
  4. African American
  5. Obesity
  6. Alcohol
  7. Smoking
  8. Red meat intake
  9. Decreased physical activity
  10. LYNCH syndrome
  11. Hereditary nonpolyposis colorectal cancer

SYMPTOMS

  1. Gastrointestinal bleeding
  2. Occult anemia
  3. Obstruction signs (abdominal distention)
  4. Tenesmus
  5. Fecal urgency
  6. Rectal prolapse
  7. Bright red blood per rectum
  8. Weight loss
  9. Loss appetite
  10. Change in bowel habits

RECTAL CANCER

RISK FACTORS

  1. Family history of Hereditary colorectal cancer syndrome ( Lynch disease, familial adenomatous polyposis

SYMPTOMS

  1. Abdominal, rectal o anal pain
  2. Change in bowel habits
  3. Weight loss
  4. Fatigue
  5. Blood in stool
  6. Digital rectal exam with palpable mass and hypofunctional sphincter
  7. Loss appetite

ANAL CANCER

RISK FACTORS

  1. Human papilloma virus infection
  2. Female gender
  3. History of anogenital wart
  4. History of sexually transmitted diseases, multiple sexual partners, anal intercourse
  5. Chronic immunosuppression
  6. Organ transplantation
  7. Cigarette smoking

SYMPTOMS

  1. Rectal bleeding
  2. Pain or discomfort with defecation
  3. Change in bowel habits
  4. Anal mass
  5. Anal pruritus
  6. Tenesmus
  7. Foul smelling discharge
  8. Digital rectal mass palpated
  9. Inguinal adenopathy palpated

BREAST MASS & BREAST CANCER

RISK FACTORS

  1. History of breast cancer or other cancer in other location
  2. Estrogen exposure
  3. Childbearing
  4. Family history of cancer to breast or other location (ovary)
  5. AGE > 60YRS
  6. Sex female
  7. Radiation exposure during youth
  8. Nulliparity
  9. Hereditary breast and ovarian syndrome (BRCA 1&2) & other (PTEN, STK11/LKB1 AND CDH1)
  10. Early menstruation
  11. Late menopause

SYMPTOMS

  1. Palpable breast mass in one o both breast
  2. Thickening of skin
  3. Dimpling of skin
  4. Erythema (redness of skin)
  5. Nipple discharge
  6. Palpable axillar adenopathy

THYROID NODULE &THYROID CANCER

RISK FACTORS

  1. AGE > 45yrs
  2. Family history of thyroid disease
  3. Gender Women < Men
  4. History of radiation exposure

SYMPTOMS

  1. Stridor
  2. Dysphagia
  3. Voice change
  4. Palpable neck mass, hard and fixed and rapid growth
  5. Hoarseness
  6. Cervical palpable adenopathy
  7. Thyroid disfunction (hyperthyroidism or hypothyroidism)

ADRENAL INCIDENTALOMA

RISK FACTORS

  1. History of cancer to Lungs, colorectal, renal cell carcinoma, melanoma or lymphoma

SYMPTOMS

  1. Cushing syndrome (hypertension, glucose intolerance, osteoporosis)
  2. Weight loss
  3. Abdominal pain
  4. Abdominal fullness
  5. Fever
  6. Feminization or virilization
  7. Cardiovascular disease (hypertension)
  8. Metabolic disease (hyperglycemia, hypokalemia {low potassium}, hypernatremia {high sodium})
  9. Psychiatric disease

PHEOCHROMOCYTOMA

RISK FACTORS

  1. Familial MEN II, VHL and NF1

SYMPTOMS

  1. Hypertension
  2. Headaches
  3. Sweating
  4. Flushing
  5. Palpitations
  6. Hemodynamic instability during angiography, childbirth or surgical intervention
  7. Myocardial infarction
  8. Angina
  9. Cardiomyopathy
  10. Adult respiratory distress