What is Emergency 24/7?
Abdominal surgical emergencies require immediate attention from an experienced surgeon to prevent serious complications. Dr. Mario Ruvalcaba offers 24/7 availability to handle surgical emergencies in Merida, Yucatan. Among the emergencies he most frequently treats are: acute appendicitis, acute cholecystitis (gallbladder inflammation), incarcerated or strangulated inguinal or ventral hernias, bowel obstruction, perforated ulcers, and intra-abdominal abscesses.
Every minute counts in a surgical emergency. Dr. Ruvalcaba prioritizes rapid and accurate diagnosis, using the imaging and laboratory resources available at the hospitals where he operates to make timely surgical decisions. Whenever patient conditions allow, the laparoscopic (minimally invasive) approach is preferred even in emergency settings, resulting in less postoperative pain, lower infection risk, and faster recovery. The combination of experience, immediate availability, and refined surgical technique ensures the best possible care at the most critical moment.

Benefits
24/7 availability
Emergency surgical care available at any hour of the day or night, 365 days a year. Rapid response time for evaluation and surgical decision-making.
Rapid and accurate diagnosis
Expert clinical evaluation complemented by laboratory and imaging studies for an accurate diagnosis and timely surgical decision-making.
Minimally invasive in emergencies
Whenever possible, laparoscopic technique is used even in emergency surgeries, reducing surgical trauma and accelerating patient recovery.
Proven experience
Board-certified general surgeon with extensive experience managing complex abdominal surgical emergencies.
Who Is a Candidate?
- ✓Patients with severe acute abdominal pain requiring urgent surgical evaluation.
- ✓Individuals diagnosed with or suspected of having acute appendicitis requiring emergency appendectomy.
- ✓Patients with acute cholecystitis (gallbladder inflammation) unresponsive to medical treatment and requiring surgery.
- ✓Individuals with incarcerated or strangulated inguinal or ventral hernias representing a surgical emergency.
- ✓Patients with bowel obstruction, perforated ulcers, or other abdominal emergencies requiring immediate surgical intervention.
Recovery Process
Hospitalization
Depending on the complexity of the emergency, hospital stay ranges from 1 to 5 days. Close monitoring of vital signs, pain control, and postoperative progress surveillance. Early ambulation is encouraged.
First week at home
Relative rest with short walks. Progressive diet depending on the type of surgery performed. Pain managed with oral medications. Surgical wound care and awareness of warning signs.
2-4 weeks
Gradual return to daily activities depending on progress. Office follow-up for wound check and recovery assessment. Avoid intense physical exertion.
1-3 months
Complete recovery in most cases. Return to normal physical activity. Final follow-up to ensure complete resolution of the condition that prompted the emergency.
Frequently Asked Questions about Emergency 24/7
How do I contact Dr. Ruvalcaba in an emergency?
In a surgical emergency, you can reach out directly via the WhatsApp number or office phone, available 24 hours a day. You may also go directly to the emergency department of the hospitals where Dr. Ruvalcaba has surgical privileges in Merida. It is recommended to call first to coordinate care and reduce wait times.
What signs indicate I need emergency surgery?
Warning signs that require urgent surgical evaluation include: severe and progressive abdominal pain, especially if accompanied by fever, persistent vomiting, abdominal distension, absence of bowel movements or gas, or if the abdomen feels rigid to the touch. Redness, intense pain, or sudden growth of a known hernia are also warning signs. If you experience any of these symptoms, seek emergency medical care immediately.
Can laparoscopic surgery be performed in emergencies?
Yes, in most abdominal emergencies, laparoscopic technique can be and is preferred whenever patient conditions allow. Emergency appendectomy and cholecystectomy are routinely performed laparoscopically. Even in cases of complicated hernias and some bowel obstructions, the laparoscopic approach is feasible. Advantages include better visualization of the abdominal cavity, less pain, lower wound infection risk, and faster recovery.
Which hospitals does Dr. Ruvalcaba attend for emergencies?
Dr. Mario Ruvalcaba has surgical privileges at top-tier hospitals in Merida, Yucatan, equipped with 24-hour operating rooms, laparoscopic equipment, intensive care units, and comprehensive diagnostic support services. During the initial consultation or at the time of the emergency, care is coordinated at the most convenient hospital based on the patient's location and availability.