Dr. Francisco Javier Prado Fregoso graduated from the Universidad Autonoma de Guadalajara (UAG), Guadalajara, Jalisco, Mexico in 1991 as General Surgeon. in 1984, Dr. Prado completed his graduate studies and internship as a Specialist in Gastroenterology and Laparoscopic Surgery. In 2002 he completed his studies for qualification in Biliary Tract Endoscopy.

The Doctor's continuing education includes a minimum of 3 courses per year, classes and/or seminars each year in Mexico or the the US. This keeps him abreast of the latest techniques and technology available.

Dr. Prado is also very active with his professional associations, like; Asociacion Mexicana de Cirugia Gral, Asociacion Mexicana de Cirugia Endoscopica, Asociacion de Ciruganos of Nogales, Asociacion de Medicos Ciruganos of Nogales, Asociacion de Gastroenterologia of Mexico, Federacion Latinoamericana de Cirugia and the Cirujanos de Sonora.

Dr. Prado lives in Nogales, Sonora with his beautiful wife, Fabida and their two children. They have made Nogales their home for over 20 years. 

Practice:

The Doctor's Clinic is located in the Endomedica de Nogales building, 2 buildings North of his old office at the Nogales Clinic. The doctor built the new facility to his specification and opened it in July of 2008.  The doctor's offices are in a space about three times the size of his old office. The new clinic allows Dr. Prado to have immediate access to other physicians for consultations in his building as well as the old clinic. 

New to his clinic is the his state-of-the-art Olympus Evis Exera II HDTV Endoscopy System, shown to right (see more information below.) The Endoscopy System allows Dr. Prado to diagnosis and treat patients using High Definition Television Monitoring and with a the latest in diagnostic and Laparoscopic equipment. Their examination and procedure room is well equipped for diagnostics, minor Laparoscopic Surgery and Endoscopic Procedures.

The clinic is small and well suited for the specialized care that the Doctor does. He is assisted by his highly trained technician, Veronica. She also assists him in the management and reception duties of his office.

The reception area has ample room for the patient's companions with magazines and a bilingual television. Normally, there is not any waiting time for the patient and the diagnostics and treatment are performed in an efficient manner.

Leticia Lopez, to the right, runs the Laboratory in the Endomedica de Nogales Clinic assuring quick and accurate analysis and tests for Dr. Prado.

The Endomedica de Nogales Clinic is less than a mile from the border, a real easy, safe walk. Buses are 40 pesos (40 cents) or taxis for about $8 US are available at the border, see map below. If you are driving, there is usually ample parking, but a taxi is probably easiest.

Most of the ambulatory procedures are done in Nogales in his complete office clinic or at the local hospital. Dr. Prado has privileges at the local hospital and any major surgery requiring recovery will be arranged there.

 

 

Services:

Gastroenterology	Endoscopy
Laparoscopic Surgery	Diagnostics & Treatment
Biliary Tract Endoscopy	General Surgery
General Digestive Tract Problems
For more information, Click on Bold, Underlined Service Email about Special Services that you may need.

For Your Information: 

Laparoscopic Surgery, also called keyhole surgery (when natural body openings are not used), bandaid surgery, or minimally invasive surgery (MIS), is a surgical technique. Medically, laparoscopic surgery refers only to operations within the abdomen or pelvic cavity. Laparoscopic surgery belongs to the field of endoscopy. consists of a Hopkins rod lens system, that is usually connected to a videocamera- single chip or three chip, a fibre optic cable system connected to a 'cold' light source, halogen or xenon, to illuminate the operative field, inserted through a 5 mm or 10 mm canula to view the operative field. Additional 5- 10 mm thin instruments can be introduced by the surgeon through side ports. Rather than a 20 cm cut as in traditional cholecystectomy, two to five cuts of 5-15 mm will be sufficient to perform a laparoscopic removal of a gallbladder. The abdomen is usually insufflated with carbon dioxide gas to create a working and viewing space.

It is difficult to credit one individual with the pioneering of laparoscopic approach. In 1902 Georg Kelling of Dresden performed the first laparoscopic procedure in dogs and in 1910 Jacobaeus of Sweden reported the first laparoscopic operation in humans. In the ensuing several decades, numerous individuals refined and popularized the approach further, but the field of laparoscopy as a whole remained limited to diagnostic rather than therapeutic procedures, mainly due to lack of adequate technology. It was not untill 1985 when, with the advent of new a specialized computer chip television camera by Circon Corporation, the approach was broadened in scope to include surgical resection of organs such as gall bladder.

The approach is intended to minimize post-operative pain and speed up recovery times, while maintaining an enhanced visual field for surgeons. Due to improved patient outcomes, in the last two decades, laparoscopic surgery has been adopted by various surgical sub-specialties including gastrointestinal surgery, gyneacologic surgery and urology. Based on numerous prospective randomized controlled trials, the approach has proven to be benefitial in reducing post-operative morbidites such as wound infections and incisional hernias (especially in morbidly obese patients), and is now deemed safe when applied to surgery for cancers such as cancer of colon.

In some cases the pain caused by the carbon dioxide left in the peritoneal cavity at the termination of the procedure is severe and painkillers may not be very effective. The restricted vision, difficult handling of the instruments (hand-eye coordination), lack of tactile perception and the limited working area can increase the possibility of damage to surrounding organs and vessels, either accidentally or through the difficulty of procedures. For these reasons, minimally invasive surgery has emerged as a competitive new sub-specialty within various fields of surgery. Surgical residents who wish to focus on this area of surgery, gain additional training during one or two years of fellowship after completing their basic surgical residency.

The first transatlantic surgery (Lindbergh Operation) ever performed was a laparoscopic gallbladder removal.

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Endoscopy & Pancreatic-Biliary Disorders

Endoscopes are flexible tubes that can be passed through the mouth or rectum, and allow direct viewing of the surfaces of the esophagus (food pipe), stomach, intestine and colon. Endoscopic examinations allow physicians to diagnose and treat a variety of intestinal disorders, including abdominal pain, vomiting, and bleeding from the intestinal tract. In addition, benign growths of the colon which can be precursors of colon cancer may be detected and removed. Special adaptations of the endoscope allow stones to be removed from the bile duct (drainage tube for digestive juices of the liver and gallbladder) and pancreas. A new technique, known as endoscopic ultrasound, allows very high detailed views of the gastrointestinal tract, as well as neighboring structures such as the pancreas.

Pancreatic disease may manifest itself in many ways, including painful masses, acute intermittent attacks of pain, or chronic inability to digest food due to insufficient production of pancreatic digestive enzymes.

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Office Hours: 

Office Hours: Please Call for an Appointment
Day	Open	Lunch		Close
Monday	9:00 AM	1:00 PM	4:00 PM	7:00 PM
Tuesday	9:00 AM	1:00 PM	4:00 PM	7:00 PM
Wednesday	9:00 AM	1:00 PM	4:00 PM	7:00 PM
Thursday	9:00 AM			1:00 PM
Friday	9:00 AM	1:00 PM	4:00 PM	7:00 PM
Saturday	9:00 AM			1:00 PM
Sunday	Closed

Acceptable Methods Payments: 

Traveler's Checks, Money Order, and Cash
MasterCard, Visa, Discover and American Express

            Financing Options

Contact Us:

Dr. Francisco Javier Prado Fregoso English Is Spoken
Endomedica de Nogales Clinic

San Martin 840
Nogales, Sonora, Mexico 84000
MX Tel No.: 011-52-631-313-3133 ***
MX Tel No.: 011-52-631-320-0126 (English) ***
Email: 
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