<?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>S0034-74932021000400008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perfil clínico, quirúrgico y epidemiológico de pacientes reintervenidos]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical, Surgical and Epidemiological Profile of Reintervened Patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra Macías]]></surname>
<given-names><![CDATA[Iliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castañeda Urdaneta]]></surname>
<given-names><![CDATA[Frank]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cutié Taquechel]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Santiago de Cuba Hospital Clínico Quirúrgico Docente &#8220;Dr. Ambrosio Grillo Portuondo&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932021000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932021000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932021000400008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Los pacientes reintervenidos quirúrgicamente no se han caracterizado en el Hospital &#8220;Dr. Ambrosio Grillo Portuondo&#8221; de Santiago de Cuba.  Objetivo: Caracterizar a los pacientes reintervenidos quirúrgicamente según variables de interés.  Métodos: Se realizó un estudio transversal, descriptivo y retrospectivo de los pacientes reintervenidos en el citado hospital durante el trienio 2018-2020. La muestra fue de 6279 enfermos. Se analizaron variables epidemiológicas y clínicas quirúrgicas de interés. Los datos se resumieron mediante análisis de frecuencias.  Resultados:  La tasa de reintervenciones fue de 1,7 % respecto al total de operaciones mayores y el 1,6 % correspondió a la cirugía abdominal. Predominó el grupo de edades entre 46 y 60 años y el sexo femenino con 37,8 % y 55 %, respectivamente. La operación inicial fue realizada de urgencia en el 91 % de los casos por apendicitis aguda y oclusión intestinal (21,7 % y 18 %). El 70,2 % de la casuística se reintervino 4 días después por absceso intrabdominal (39,6 %) y dehiscencia de sutura anastomótica (20,7 %). La relaparotomía a demanda (98,1 %) fue la mayormente efectuada con 18 % de aplicación de la técnica de abdomen abierto. La mortalidad fue de 28 % y la causa de muerte fue el choque séptico en un 80,6 %.  Conclusiones: Los pacientes reintervenidos constituyeron un problema de salud hospitalario que impactó en el perfil de morbilidad y mortalidad de la cirugía abdominal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Surgical reintervention patients have not been characterized at Dr. Ambrosio Grillo Portuondo Hospital of Santiago de Cuba.  Objective: To characterize the surgically intervened patients according to variables of interest.  Methods: A cross-sectional, descriptive and retrospective study was carried out with the patients surgically reintervened in the aforementioned hospital during the 2018-2020 triennium. The sample consisted of 6279 patients. Epidemiological and surgical-clinic variables of interest were analyzed. Data were summarized by frequency analysis.  Results:  The reintervention rate was 1.7% compared to the total number of major operations, while 1.6% corresponded to abdominal surgery. There was a predominance of the age group 46-60 years and the female sex predominated, accounting for 37.8% and 55%, respectively. The initial operation was performed urgently in 91% of the cases, due to acute appendicitis and intestinal occlusion, accounting for 21.7% and 18%, respectively. 70.2% of the cases were reintervened four days later for intraabdominal abscess (39.6%) and anastomotic suture dehiscence (20.7%). On-demand relaparotomy (98.1%) was the most performed procedure, with 18% of application of the open-abdomen technique. Mortality represented 28% of cases, while the most frequent cause of death was septic shock, accounting for 80.6% of deaths.  Conclusions: The reintervened patients constituted a hospital health concern that impacted on the morbidity and mortality profile of abdominal surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[reintervención]]></kwd>
<kwd lng="es"><![CDATA[peritonitis]]></kwd>
<kwd lng="es"><![CDATA[infección intrabdominal posoperatoria]]></kwd>
<kwd lng="en"><![CDATA[reintervention]]></kwd>
<kwd lng="en"><![CDATA[peritonitis]]></kwd>
<kwd lng="en"><![CDATA[postoperative intraabdominal infection]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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