<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552020000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia de la técnica Halsted II en pacientes geriátricos con hernia inguinal]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of the Halsted II technique in geriatric patients with inguinal hernia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Agüero]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiroga-Meriño]]></surname>
<given-names><![CDATA[Luis Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estrada-Brizuela]]></surname>
<given-names><![CDATA[Yarima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Agüero]]></surname>
<given-names><![CDATA[Evelyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco-Téllez]]></surname>
<given-names><![CDATA[Francisco Lorenzo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Basulto]]></surname>
<given-names><![CDATA[Maurice José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital Militar Clínico Quirúrgico Docente Dr. Octavio de la Concepción y de la Pedraja Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias de Camagüey Hospital Militar Clínico Quirúrgico Docente Dr. Octavio de la Concepción y de la Pedraja Servicio de Anestesiología y Reanimación]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Docente Ignacio Agramonte y Loynaz Servicio de Medicina General Integral ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital Docente de Oncología María Curie. Servicio de Medicina Nuclear ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552020000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  el tratamiento ideal de la hernia inguinal en pacientes geriátricos siempre ha sido un reto.  Objetivo:  evaluar la eficacia de la técnica de Halsted II en pacientes geriátricos con hernia inguinal.  Métodos: se realizó un estudio descriptivo transversal, con el objetivo de demostrar la eficacia de la técnica de Halsted II en pacientes geriátricos con hernia inguinal en el Servicio de Cirugía General del Hospital Militar Clínico Quirúrgico Docente Octavio de la Concepción y de la Pedraja, Camagüey desde julio de 2014 a julio 2017. El universo estuvo constituido por 84 adultos mayores con hernia inguinal y la muestra fue de 72 pacientes.  Resultados:  en el estudio predominaron los hombres caucásicos entre 60 y 74 años de edad, con hernia indirecta con aumento del anillo interno, además del tabaquismo y las enfermedades pulmonares obstructivas crónicas. La infección de la herida quirúrgica fue la complicación temprana más frecuente, sin ser significativo el número de rechazo al material de sutura no absorbible y recurrencia de la hernia.  Conclusiones: la hernia inguinal en el adulto mayor, es más frecuente en los hombres blancos en edades comprendidas entre los 60 y 74 años. El tabaquismo y las enfermedades pulmonares obstructivas crónicas son factores de riesgo para padecer de hernia inguinal y a su vez son agentes asociados a la menor eficacia de la técnica. La herniorrafía de Halsted II es una técnica segura y eficiente en el adulto mayor, con escasa recurrencia y complicaciones postoperatorias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  the ideal treatment of inguinal hernia in geriatric patients remains a challenge.  Objective: to evaluate the effectiveness of the Halsted II technique in geriatric patients with inguinal hernia.  Methods: a cross-sectional descriptive study was carried out, with the objective of demonstrating the effectiveness of the Halsted II technique in geriatric patients with inguinal hernia in the General Surgery Service of the Teaching Surgical Clinical Military Hospital Octavio de la Concepción y La Pedraja, Camagüey, in the period from July 2014 to July 2017. The universe consisted of 84 older adults with inguinal hernia and the sample was 72 patients.  Results: the study was dominated by Caucasian men between 60 and 74 years of age, with indirect hernia with increased internal ring, in addition to smoking and chronic obstructive pulmonary diseases. Infection of the surgical wound was the most frequent early complication, without being significant the number of rejection to the non-absorbable suture material and recurrence of the hernia.  Conclusions: inguinal hernia in the elderly is more common in white men between the ages of 60 and 74. Smoking and chronic obstructive pulmonary diseases are risk factors for suffering from inguinal hernia and in turn are agents associated with the lower efficacy of the technique. Halsted II herniorrhaphy is a safe and efficient technique in the elderly, with low recurrence and postoperative complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[HERNIA INGUINAL/complicaciones]]></kwd>
<kwd lng="es"><![CDATA[HERNIA INGUINAL/terapia]]></kwd>
<kwd lng="es"><![CDATA[HERNIA INGUINAL/cirugía]]></kwd>
<kwd lng="es"><![CDATA[GERIATRÍA]]></kwd>
<kwd lng="es"><![CDATA[ESTUDIOS TRANSVERSALES]]></kwd>
<kwd lng="en"><![CDATA[HERNIA, INGUINAL/complications]]></kwd>
<kwd lng="en"><![CDATA[HERNIA, INGUINAL/therapy]]></kwd>
<kwd lng="en"><![CDATA[HERNIA, INGUINAL/surgery]]></kwd>
<kwd lng="en"><![CDATA[GERIATRICS]]></kwd>
<kwd lng="en"><![CDATA[CROSS-SECTIONAL STUDIES]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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