<?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>1682-0037</journal-id>
<journal-title><![CDATA[Revista Cubana de Angiología y Cirugía Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1682-0037</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1682-00372021000100005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Safeno-varicectomía convencional como alternativa de tratamiento de la insuficiencia venosa en Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Conventional Saphenous Varicectomy as an Alternative Treatment in Colombia for venous insufficiency]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras Correa]]></surname>
<given-names><![CDATA[Laura María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berrio Villa]]></surname>
<given-names><![CDATA[Ana Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Hernandez]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa Posada]]></surname>
<given-names><![CDATA[Martha Ofelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Vélez]]></surname>
<given-names><![CDATA[John Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Buitrago Salazar]]></surname>
<given-names><![CDATA[Jesy Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>22</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1682-00372021000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1682-00372021000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1682-00372021000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La insuficiencia venosa impacta en la calidad de vida de los pacientes y del sistema de salud de países poco desarrollados, donde las técnicas endovasculares tienen uso limitado por su alto costo, lo que favorece el amplio uso de los métodos quirúrgicos convencionales.  Objetivo:  Valorar la utilidad de la safeno-varicectomía como alternativa de tratamiento en Colombia para la enfermedad por várices.  Métodos: Se realizó un estudio observacional, descriptivo y retrospectivo de corte transversal en 477 pacientes sometidos a stripping superior y/o flebo-extracción en un centro especializado para el manejo de patologías venosas en la ciudad de Medellín, Colombia, entre 2016 y 2018. Las variables estudiadas se dividieron en perioperatorias y posoperatorias, y sus valores se resumieron en las frecuencias absoluta y relativa.  Resultados:  El 70,4 % de los pacientes correspondió al sexo femenino, el 48 % tenía más de 51 años, y la mayoría se encontraba en sobrepeso (49,5 %) y el 15,1 % en obesidad. El procedimiento más realizado fue la extracción de la safena mayor más varicectomía (72,3 %), principalmente del lado izquierdo (43,8 %). La mayoría de los pacientes refirió dolor moderado y 92,7 % tuvo adherencia a la media compresiva. La mejoría global y estética resultó satisfactoria en el 86,6 %. El 64,7 % reinició sus actividades diarias entre el primer y el tercer día; y el 72,5 % tuvo incapacidad laboral entre 8 y 12 días.  Conclusiones: La cirugía convencional tiene excelentes resultados clínicos con poca tasa de complicaciones, lo que puede ser una alternativa de manejo en países con recursos limitados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Venous insufficiency impacts the quality of life of patients and the health system of less developed countries, where endovascular techniques are limitedly used, due to their high cost, which favors the wide usage of conventional surgical methods.  Objective:  To identify the usefulness of saphenous varicectomy as an alternative treatment in Colombia for varicose vein disease.  Methods:  An observational, descriptive and retrospective cross-sectional study was carried out with 477 patients undergoing superior stripping and/or phlebextraction in a specialized center for the management of venous pathologies in Medellín City, Colombia, between 2016 and 2018. The variables studied were divided into perioperative and postoperative ones, and their values &#8203;&#8203;were summarized in absolute and relative frequencies.  Results:  70.4% of the patients were female, 48% were over 51 years old, the majority were overweight (49.5%), and 15.1% were obese. The most performed procedure was extraction of the greater saphenous vein plus varicectomy (72.3%), mainly on the left side (43.8%). Most of the patients reported moderate pain and 92.7% had adherence to compression stocking. Overall and aesthetic improvement was satisfactory in 86.6%. 64.7% resumed their daily activities between the first and third days, and 72.5% had a work disability of 8-12 days.  Conclusions:  Conventional surgery showed excellent clinical outcomes with a low rate of complications, a reason why it can be a management alternative in countries with limited resources.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[índice de masa corporal]]></kwd>
<kwd lng="es"><![CDATA[várices]]></kwd>
<kwd lng="es"><![CDATA[complicaciones posoperatorias]]></kwd>
<kwd lng="es"><![CDATA[procedimientos quirúrgicos vasculares]]></kwd>
<kwd lng="es"><![CDATA[enfermedades vasculares]]></kwd>
<kwd lng="en"><![CDATA[body mass index]]></kwd>
<kwd lng="en"><![CDATA[varices]]></kwd>
<kwd lng="en"><![CDATA[postoperative complications]]></kwd>
<kwd lng="en"><![CDATA[vascular surgical procedures]]></kwd>
<kwd lng="en"><![CDATA[vascular diseases]]></kwd>
</kwd-group>
</article-meta>
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