<?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>S0034-74932019000200003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados terapéuticos en pacientes con traumas de colon y recto tratados con sutura primaria o colostomía]]></article-title>
<article-title xml:lang="en"><![CDATA[Therapeutic Results in patients with Colon and Rectal Traumas Treated with Primary Suture or Colostomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinilla González]]></surname>
<given-names><![CDATA[Rafael Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Martínez]]></surname>
<given-names><![CDATA[Nikkinpaler Amos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez García]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Joaquín Albarrán&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El trauma de abdomen tiene alta incidencia y con frecuencia afecta el colon y el recto, se aboga por el tratamiento mediante sutura primaria.  Objetivo:  Identificar diferencias en las características clínico-quirúrgicas y resultados terapéuticos de pacientes con lesiones traumáticas de colon y recto, tratados con sutura primaria y técnicas derivativas.  Método:  Se realizó un estudio multicéntrico descriptivo ambispectivo para determinar características clínico-quirúrgicas y resultados terapéuticos en pacientes con lesiones traumáticas de colon y recto en los hospitales &#8220;Carlos J. Finlay&#8221;, &#8220;Joaquín Albarrán&#8221;, &#8220;Calixto García&#8221; y &#8220;Enrique Cabrera&#8221; de La Habana, en el periodo 2010-2015. El universo estuvo conformado por todos los pacientes intervenidos quirúrgicamente por trauma de colon y/o recto.  Resultados:  La colostomía fue el proceder más frecuente (53,1 %). Los pacientes en edades medias de la vida (promedio: 43,5 años), sexo masculino (71,4 %), evolución hasta el tratamiento quirúrgico menor de 12 horas (73,4 %); causadas por empalamientos y otros (49 %) y heridas con arma blanca (38,8 %). La magnitud del daño de colon y recto fue baja, con mayor afectación de colon izquierdo. La frecuencia de complicaciones graves y mortalidad fue alta en la colostomía.  Conclusiones:  La sutura primaria muestra mejores resultados terapéuticos y debe ser la técnica de elección en las lesiones traumáticas de colon y recto intraperitoneal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Abdominal trauma presents high incidence and often affects the colon and rectum; primary suture is the preferred treatment.  Objective:  To identify differences between the clinical-surgical characteristics and the therapeutic outcomes in patients with traumatic lesions of the colon and rectum, treated with primary suture and derivative techniques.  Method:  A multicentric, descriptive and ambispective study was carried out to determine the clinical-surgical characteristics and the therapeutic outcomes in patients with traumatic colon and rectal lesions in Carlos J. Finlay, Joaquín Albarrán, Calixto García and Enrique Cabrera Hospitals in Havana, in the period from 2010 to 2015. The study population was made up of all patients surgically intervened for colon and/or rectal trauma.  Results:  The colostomy was the most frequent procedure (53.1%). Patients in middle ages of life (average: 43.5 years), male sex (71.4%), evolution to surgical treatment under 12 hours (73.4%); caused by impalement and others (49%) and cutting wounds (38.8%). The magnitude of colon and rectum damage was low, with greater involvement of the left colon. The frequency of serious complications and mortality was high in the colostomy.  Conclusions:  Primary suture shows better therapeutic results and should be the technique of choice in traumatic lesions of the intraperitoneal colon and rectum.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trauma de colon]]></kwd>
<kwd lng="es"><![CDATA[trauma de recto]]></kwd>
<kwd lng="es"><![CDATA[sutura primaria]]></kwd>
<kwd lng="es"><![CDATA[colostomía]]></kwd>
<kwd lng="en"><![CDATA[colon trauma]]></kwd>
<kwd lng="en"><![CDATA[rectum trauma]]></kwd>
<kwd lng="en"><![CDATA[primary suture]]></kwd>
<kwd lng="en"><![CDATA[colostomy]]></kwd>
</kwd-group>
</article-meta>
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