<?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>S0034-74932022000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia de la impronta citológica peritoneal para decidir cuándo detener los lavados peritoneales programados]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of Peritoneal Cytological Imprinting in Deciding When to Stop Scheduled Peritoneal Lavages]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Borges]]></surname>
<given-names><![CDATA[Yordan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca Sosa]]></surname>
<given-names><![CDATA[Fernando Karel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas La O]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Provincial Clínico-Quirúrgico Docente &#8220;Celia Sánchez Manduley&#8221; Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La no existencia de un parámetro preestablecido que permita determinar el momento preciso para suspender los lavados peritoneales programados, conlleva a que muchas veces se realice un número insuficiente de ellos, o tal vez estos se prolonguen de forma innecesaria y aumentan las probabilidades de fallecimiento del paciente.  Objetivo: Determinar la eficacia de la impronta citológica peritoneal para decidir cuándo detener los lavados peritoneales programados.  Métodos:  Se realizó un estudio descriptivo de exactitud diagnóstica, en una serie de casos, con recogida prospectiva de datos desde enero de 2010 hasta diciembre de 2014, en el Hospital Provincial Clínico-Quirúrgico Docente &#8220;Celia Sánchez Manduley. La muestra quedó conformada por 42 pacientes que fueron tratados por peritonitis secundaria persistente. Se clasificaron según cuatro categorías de correlación y se tomó como estándar de referencia a la biopsia por parafina.  Resultados:  Las muestras con inflamación aguda peritoneal y curación de la inflamación peritoneal se identificaron correctamente en 39/42 casos, por lo tanto, el porcentaje predictivo global de la impronta citológica fue del 92,86 %. La sensibilidad en el diagnóstico de inflamación aguda peritoneal fue del 100 %, la especificidad del 92,68 %, el valor predictivo positivo fue del 24,99 % y el valor predictivo negativo del 100 %. Las razones de verosimilitudes positiva y negativa fueron 13,67 y 0, respectivamente. El coeficiente (&#954;) fue de 0,376.  Conclusiones: La impronta citológica peritoneal constituye un método diagnóstico eficaz para descartar inflamación aguda peritoneal cuando el resultado es negativo y se consideró de gran utilidad para detener los lavados peritoneales programados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The lack of a pre-established parameter that allows determining the precise moment to suspend the scheduled peritoneal lavages, often leads to performing insufficient number of them, or perhaps these are unnecessarily prolonged, increasing the probability of the patient´s death.  Objective:  To determine the efficacy of peritoneal cytological imprinting in deciding when to stop scheduled peritoneal lavages.  Methods:  A descriptive study of diagnostic accuracy was carried out, in a series of cases, with prospective data collection in the five-year period from 2010 to 2014 at Celia Sánchez Manduley Provincial Clinical-Surgical Teaching Hospital. The sample was made up of 42 patients who were treated for persistent secondary peritonitis. They were classified according to four correlation categories, taking paraffin biopsy as reference standard.  Results:  Samples with acute peritoneal inflammation and healing of peritoneal inflammation were correctly identified in 39/42 cases. Therefore, the global predictive percentage of the cytological imprint was 92.86%. The sensitivity in the diagnosis of acute peritoneal inflammation was 100%, the specificity was 92.68%, the positive predictive value was 24.99%, and the negative predictive value was 100%. The positive and negative likelihood ratios were 13.67 and 0, respectively. Cohen's kappa coefficient (&#954;) was 0.376.  Conclusions:  The peritoneal cytological imprint is an effective diagnostic method to rule out acute peritoneal inflammation when the result is negative and it was considered very useful to stop scheduled peritoneal lavages.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[impronta citológica peritoneal]]></kwd>
<kwd lng="es"><![CDATA[eficacia diagnóstica]]></kwd>
<kwd lng="es"><![CDATA[lavado peritoneal programado]]></kwd>
<kwd lng="en"><![CDATA[peritoneal cytological imprint]]></kwd>
<kwd lng="en"><![CDATA[diagnostic efficacy]]></kwd>
<kwd lng="en"><![CDATA[scheduled peritoneal lavage]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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