<?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>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212020000100037</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía mayor ambulatoria: antecedentes, evolución y logros]]></article-title>
<article-title xml:lang="en"><![CDATA[Major ambulatory surgery: history, evolution and achievements]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Rodríguez]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico-Quirúrgico &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></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>22</volume>
<numero>1</numero>
<fpage>37</fpage>
<lpage>48</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212020000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212020000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212020000100037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La cirugía mayor ambulatoria comprende los procedimientos o intervenciones mayores en los que, con anestesia general o regional y tras un tiempo variable de control y observación, el paciente regresa a su domicilio el mismo día de la intervención.  Objetivo:  Exponer los antecedentes históricos de la cirugía mayor ambulatoria a nivel internacional y en Cuba.  Metodología:  Se realizó una revisión sobre los antecedentes históricos de la cirugía mayor ambulatoria mediante la búsqueda bibliográfica en Infomed, en las bases de datos Pubmed y SciELO, así como en memorias de eventos científicos y tesis.  Resultados: Aunque la cirugía ambulatoria es la forma más antigua de cirugía que se conoce, desde el pasado siglo se ha popularizado y difundido y actualmente representa hasta el 80 % de la cirugía mayor electiva. En Cuba los primeros acercamientos a esta modalidad se realizaron a finales de la década de los 70 del pasado siglo con un desarrollo ascendente. Tanto a nivel internacional como en Cuba una parte de los profesionales de la salud han comprendido la necesidad de la cooperación entre los niveles primario y secundario de atención para esta actividad.  Conclusiones: La cirugía mayor ambulatoria se ha convertido en una modalidad quirúrgica imprescindible en la práctica asistencial cotidiana, que ha perdurado y se ha arraigado por las innegables ventajas que ofrece a todos los involucrados en el proceso de atención y que es perfectible sobre la base de postulados de colaboración entre los niveles de atención primario y secundario de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  Background:  Major ambulatory surgery includes procedures or major interventions in which, with general or regional anesthesia and after a variable time of monitoring and observation, the patient returns home the same day of the intervention.  Objective:  To expose the historical background of major ambulatory surgery internationally and in Cuba.  Methodology:  A review of the historical background of the major ambulatory surgery through the bibliographic searching in Infomed, Pubmed and SciELO databases, as well as in scientific event memories and theses was made.  Results:  Although mayor ambulatory surgery is the oldest form of surgery known, since the last century it has become popular and widespread and it currently represents up to 80 % of elective major surgery. In Cuba the first approaches to this modality were made at the end of the 70s of the last century having an upward development. Both, internationally and in Cuba, the need for cooperation between the primary and secondary health care levels for this activity has been understood by health professionals.  Conclusions:  Major ambulatory surgery has become an essential surgical modality in everyday health care practice, which has endured and grew up due to the undeniable advantages that it offers to all those involved in the care process and which is perfectible based on the collaborative postulates between primary and secondary health care levels.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía mayor ambulatoria]]></kwd>
<kwd lng="es"><![CDATA[historia de la cirugía]]></kwd>
<kwd lng="es"><![CDATA[procedimientos quirúrgicos ambulatorios]]></kwd>
<kwd lng="en"><![CDATA[Major ambulatory surgery]]></kwd>
<kwd lng="en"><![CDATA[surgery history]]></kwd>
<kwd lng="en"><![CDATA[ambulatory surgical procedures]]></kwd>
</kwd-group>
</article-meta>
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