<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932018000400001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Herniorrafia de Mohan P. Desarda modificada en la reparación de hernia inguinal sin prótesis]]></article-title>
<article-title xml:lang="en"><![CDATA[Modified Mohan P. Desarda herniorraphy in inguinal hernia repair with no prosthesis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Rodríguez]]></surname>
<given-names><![CDATA[Pedro Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Danta Fundora]]></surname>
<given-names><![CDATA[Luis Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León González]]></surname>
<given-names><![CDATA[Olga Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Satorre Rocha]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Castillo]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario "Enrique Cabrera"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>57</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932018000400001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932018000400001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932018000400001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La afección herniaria es uno de los procesos mejor estudiados y cuyo tratamiento persigue la excelencia, aunque todavía quedan muchas controversias por resolver.  Objetivo:  Valorar los resultados de la aplicación de la técnica del Dr. Mohan P. Desarda modificada en el Servicio de Cirugía del Hospital General Docente &#8220;Enrique Cabrera&#8221;.  Métodos: Se realizó un estudio prospectivo aleatorio de 1 010 pacientes intervenidos quirúrgicamente con el diagnóstico de hernia inguinal desde enero del 2004 hasta diciembre del 2017. A estos pacientes se les realizó la técnica quirúrgica del Dr. Mohan P. Desarda modificada, los cuales fueron evolucionados por consulta externa y finalmente por teléfono.  Resultados:  La mayor incidencia ocurrió en el sexo masculino con 915 (90,6 %) pacientes y la edad promedio fue de 58,3 años. La localización más frecuente fue la derecha en 497 (49,0 %) pacientes. Se aplicó la anestesia local a 690 (68,3 %) pacientes. Se trataron de manera ambulatoria 783 (77,4 %) pacientes. En 46 (34,5 %) pacientes se diagnosticaron complicaciones. La recidiva se observó en 6 pacientes (0,6 %) del total.  Conclusiones:  Con la herniorrafia de Mohan P. Desarda modificada, se obtienen resultados satisfactorios al igual que con las técnicas protésicas, aportando ahorros económicos importantes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Hernia is one of the best studied processes in order to achieve treatment of excellence, but there are still many pending controversies to be solved.  Objective: To determine the results of the modified Mohan P. Desarda technique in the surgical service of &#8220;Enrique Cabrera&#8221; general teaching hospital.  Method: A prospective randomized study was performed on 1010 surgical patients with the diagnosis of inguinal hernia from January 2004 to December 2017. These patients were operated on by using modified Dr Mohan P. Desarda&#8217;s technique and they were followed up in the outpatient service and finally by phone.  Results: The highest incidence rate was found in males, with 915 (90.6%) patients and the average age was 58.3 years. The most common location was on the right side of 497 (49%) patients. Local anesthesia was used in 690 (68.3%) patients and 783 (77.4%) were treated as outpatients. Forty six (34.5%) patients suffered complications. Recurrence occurred in 6 patients, which accounted for 0.6% of the total number.  Conclusions: Modified Mohan P. Desarda herniorraphy achieves satisfactory results as well as the other prosthetic techniques, thus contributing important economic savings.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[herniorrafia]]></kwd>
<kwd lng="es"><![CDATA[hernioplastia]]></kwd>
<kwd lng="es"><![CDATA[anestesia local]]></kwd>
<kwd lng="es"><![CDATA[tratamiento ambulatorio]]></kwd>
<kwd lng="en"><![CDATA[herniorraphy]]></kwd>
<kwd lng="en"><![CDATA[hernioplasty]]></kwd>
<kwd lng="en"><![CDATA[local anesthesia]]></kwd>
<kwd lng="en"><![CDATA[outpatient treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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