At Laparoscopic Solutions we are dedicated to provide the necessary surgical treatment for patients without health insurance or to those who do have an insurance that is not willing to cover their procedure or simply want to skip all the hassle of the authorization process.

Our goal is to help patients who have had trouble finding the care they need in their city or country. Or they are simply looking for affordable treatment with same quality of care.

Our Mission
The well being and excellent outcomes, at affordable costs, is the primary goal of the Laparoscopic Solutions Staff. In order to achieve this, the care provided, the bedside manners will be the best you could ask for yourself or for your family member.

Why us?
Reliable top-notch technology, materials, facilities and, of course, care. The technology and medical supplies (material) used to perform the procedures are of first quality, the fact that there are much more affordable to you (even less than half price than in the U.S.) it has no relation to quality nor skills.

No Hidden Fees: once your case is thoroughly analyzed and studied by Dr. Rosales; he and the staff, will gladly walk you through all the process since the first time you contact Laparoscopic Solutions.

Experienced Surgeon, with over 7 years of experience, Dr. Rosales has performed thousands of laparoscopic general surgery procedures.

No delays, we'll do our best to book your surgery as soon as possible if you are a candidate for the desired procedure.

Location: It is a privileged one, we are located in Piedras Negras, Coahuila, Mexico, which is a convenient destination for medical tourism for anyone, mainly for U.S. and Canada citizens because it is a border town with Eagle Pass, Texas; Piedras Negras, is a medium size, calm and safe to visit town.

Our facilities are just a mile away from the border, so you’ll feel “at home” if crossing from the States. And we are geographically located exactly at the middle of the U.S. border with Mexico so it makes us easier and cheaper to get you to our location, arriving to San Antonio, Texas and then us driving you up to our facilities.

Hospital Facilities
The hospital where our surgical team performs the procedures is located on the Eagle Pass Texas/Piedras Negras Mexico border, less than 1 mile from the border. This hospital is considered the best in the region. The equipment in the operating room is brand new and state-of-art technology is a common practice for our team.

Our experience and equipment far surpasses the standards used in Mexico. The operating room is equipped with an emergency power plant in case of an emergency that guarantees continuous electrical supply, in case of an uncommon blackout. The hospital has a wide variety of diagnostic/therapeutic equipment that is found in large hospitals in the states, such as a MRI, Helicoidal CT Scan, Doppler Sonogram, Intensive Care Unit, etc. This hospital would qualify as a level II trauma center.

Treatments Offered:

• Gallstones (Laparoscopic Gallbladder Surgery)
• Inguinal/Groin Hernia (Laparoscopic Groin Hernia Repair)
• Incisional/Ventral Hernia (Laparoscopic Incisional/Ventral Hernia Repair)
• Hiatal Hernia (Laparoscopic Hiatal Hernia Repair)
• Gastroesophageal Reflux Disease/GERD (Laparoscopic Antireflux Surgery)
• And Alot more..

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Why healthcare is much more affordable in Mexico compared to U.S. prices? 

• In the States, lawyers and lawsuits are out of control. Doctors in the U.S. are forced to pay upwards of $100,000 annually for medical malpractice insurance to protect themselves against fraudulent lawsuits. They are also forced to practice defensive medicine to protect against lawsuits so they run numerous, unnecessary and costly tests just to make sure that they are 100% covered. In Mexico all of our hospitals, clinics, and Doctors carry insurance but their annual premiums are usually under $10,000.
• The salaries in Mexico (Physicians, Nurses, and staff) are about 20% of U.S. salaries for similar occupations even though they are required to have the same level of education, dedication and skills for the profession. 
• In Mexico, building costs, rent, land costs, etc... are only a fraction of what they are in the United States. All these savings are passed on to you – "the patient".
• The U.S. dollar is strong and the average exchange rate is approximately 11 pesos per dollar.
  Mexico currently ranks as one of most popular countries to have surgical procedures coming from medical tourism.

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Treatments Offered:
Gallstones (Laparoscopic Gallbladder Surgery)
The gallbladder is an important organ, but it is not essential for life. Therefore, the standard treatment for symptomatic patients who suffer from gallstones or acute/chronic cholecystitis is to surgically remove the gallbladder and the gallstones.

For over 100 years the cholecystectomy technique evolved little and required a generous abdominal incision but with the advent of laparoscopy, the laparoscopic cholecystectomy has become the "gold standard" in the treatment of gallbladder disease and more than 90% are done using this minimally invasive approach with very low risks.

Inguinal/Groin Hernia (Laparoscopic Groin Hernia Repair)
All groin hernia types (inguinal and femoral) are repaired using the same principles. In the past, sutured tissue repairs approximating them to close the defect were popular, but now, it is more of historical interest, this technique is being widely abandoned in the present, because of the high recurrence rates and intense postoperative pain.

The best option out there is the "tension-free "repair (open or laparoscopic), using prosthetic material (a mesh) to widely overlap all of the potential sites of herniation, without trying to close the defect with the weakened patient’s own tissues, thus, leading to less recurrence and much less pain; adding this concept to the laparoscopic approach, has made the groin hernia repair to evolve enormously in the last 15 years.

Incisional/Ventral Hernias (Laparoscopic Incisional/Ventral Hernia Repair)

• A ventral hernia is defined by a protrusion through the anterior abdominal wall fascia. These defects can be categorized as spontaneous or acquired or by their location on the abdominal wall.
• Epigastric Hernias occur from the xyphoid process (below the sternum) to the umbilicus.
• Umbilical Hernias occur at the umbilicus.
• Hypogastric Hernias are rare spontaneous hernias that occur below the umbilicus in the midline (uncommon).
• Incisional Hernias occur after surgical incisions.
  Treatment
• Varies, depending on the specific type of hernia you have. In summary umbilical, epi and hypogastric hernias are repaired with the traditional “open” approach. And incisional hernias Dr. Rosales prefers to repair them, in almost every case, by the laparoscopic approach.

Hiatal Hernia (Laparoscopic Hiatal Hernia Repair)
A hiatal hernia is a condition in which the upper portion of the stomach protrudes into the chest cavity through an opening of the diaphragm called the esophageal hiatus. This opening usually is large enough to accommodate the esophagus alone. With progressive weakening and enlargement, this opening can allow upward passage or even entrapment of the upper stomach above the diaphragm.

The presence of a hiatal hernia increases the risk of having GERD, and when GERD is treated surgically, patients who have accompanying hiatal hernias, need surgical repair for this also; That is the reason why some patients and doctors use the term hiatal hernia to mean GERD indistinctly, even though they are two separate problems. BUT there are many patients with GERD who do not have hiatal hernia, and many patients with hiatal hernia that do not have GERD at all.

A hiatal hernia is a common condition; by age 60, up to 60% of people have it at some degree.

Gastroesophageal Reflux Disease/GERD (Laparoscopic Antireflux Surgery)
The role of operative treatment for Hiatal Hernias and Gastroesophageal Reflux Disease (GERD) changed dramatically during the 1990s. Today, laparoscopic antireflux surgery has assumed a major role in the treatment of both of these diseases.

The principles for laparoscopic Nissen Fundoplication (which is the most common and effective type of antireflux surgery) are exactly the same as in open surgery, but the benefits of being performed by minimally invasive means do not have point of comparison. Laparoscopic fundoplication is considered nowadays the "gold standard" for the surgical treatment of GERD.

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Dr. Gabriel Rosales Perez
Dr. Gabriel Rosales and his team are highly skilled surgeons, board certified and in continuous training. Dr. Rosales is in constant pursue of learning the latest innovations in minimal invasive surgery in order to offer his patients the best care possible. He is also member of various recognized associations.

He specializes in general laparoscopic surgery only, even thought his training was an all-around training in general surgery, he has dedicated to perform the specific laparoscopic procedures he offers, in order to achieve the best results.

Resume

School of Medicine
Universidad De Monterrey (UDEM) in Monterrey, Mexico which is accredited by the University Commission: SACS (Southern Association of Colleges and Schools) in the U.S.

• General Surgery Residency Christus Muguerza High Specialty Hospital. Monterrey, Mexico. Accredited by the Joint Commission in the U.S.
• Advanced Laparoscopy Christus Muguerza High Specialty Hospital, Monterrey, Mexico. Accredited by the Joint Commission in the U.S.
• Member of the Mexican Association of Endoscopic Surgery, AMCE

Board Certified Surgeon
American College of Surgeons (ACS) Certified for Advanced Trauma and Life Support

Member of medical staff as a General Laparoscopic Surgeon in various hospitals accredited by the Joint Commission in the U.S. such as:

• Christus Muguerza High Specialty Hospital,
• Christus Muguerza South Hospital
• Christus Muguerza Conchita Hospital
• San Jose Tec de Monterrey Hospital
• OCA Hospital

Other Accomplishments
95% Fluent English (TOEFL Approved)
Chief Resident in his General and Advanced Laparoscopic Surgical Training Courses, Symposiums, Conferences:

• March 2004 Attendance to15th International Course on General Surgery, by General Surgery Specialty College of Nuevo Leon
• March 2004  American College of Surgeons (ACS) Certified for Advanced Trauma and Life Support
• March 2005  Attendance to16th International Course on General Surgery, by General Surgery Specialty College of Nuevo Leon
• May 2005  16th International Congress on Endoscopic Surgery Diploma, by Mexican Endoscopic Surgical Association
• March 2006  Attendance to17th International Course on General Surgery, by General Surgery Specialty College of Nuevo Leon
• May 2006 17th International Congress on Endoscopic Surgery Diploma, by Mexican Endoscopic Surgical Association
• May 2006  Member of the Mexican Endoscopic Surgical Association, AMCE
• August 2006  Rotation in Minimally Invasive Surgery Department - Central Military Hospital of Mexico, Mexico City
• February 2007  Chief Resident Diploma in General and Advanced Laparoscopic Surgical Training
• March 2007  Member of the Mexican Council of General Surgery
• March 2007  Board Certified by the Mexican Council of General Surgery
• February 2008 Bariatric Surgery Surgical Assistant along with his friend and colleague Dr. Guillermo Alvarez
• April 2009 Participant in the educational activity in the SAGES Scientific Session and Postgraduate Courses, granted by the Society of American Gastrointestinal and Endoscopic Surgeons
• April 2009 Attendance to the SAGES Laparoscopic Foregut Surgery Hands On Course, granted by the Society of American Gastrointestinal and Endoscopic Surgeons

Non-International activities/accomplishments not considered here.

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