<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2019000400570</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Herida toracoabdominal izquierda como causa de hernia diafragmática. Presentación de tres casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Left thoraco-abdominal wound as a cause of diaphragmatic hernia. Presentation of three cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lombardo Vaillant]]></surname>
<given-names><![CDATA[Tomás Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Quesada Suarez]]></surname>
<given-names><![CDATA[Leopoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meléndez Estol]]></surname>
<given-names><![CDATA[Aldrin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Freyre de Andrade  ]]></institution>
<addr-line><![CDATA[La Habana La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>4</numero>
<fpage>570</fpage>
<lpage>577</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2019000400570&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2019000400570&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2019000400570&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las lesiones por arma blanca en la región toracoabdominal tienen la posibilidad potencial de dañar dos cavidades anatómicas: tórax y abdomen, con la subsiguiente lesión del músculo diafragma y la producción de una hernia de contenido visceral, asociada o no a lesión visceral. En caso de que esta entidad clínica sea pasada por alto, existe una alta probabilidad de complicaciones que ponen en riesgo la vida; por tanto, realizar un manejo adecuado constituye un reto para el cirujano general, que precisa de un alto índice de sospecha para formular el diagnóstico. Se presentan tres casos de víctimas de agresión con arma perforo-cortante en región toracoabdominal izquierda, atendidos en instalaciones donde se disponía de limitados recursos diagnósticos. Se exponen datos clínicos, pruebas de apoyo al diagnóstico, procedimiento quirúrgico, curso posoperatorio y evolución. El abordaje quirúrgico abdominal es la regla de oro para reparar el diafragma lesionado, y la pleurostomía mínima es eficaz cuando existe compromiso torácico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Injuries caused by white arms in the thoraco-abdominal region have the potential to damage both anatomical cavities: thorax and abdomen, with the subsequent injury of the diaphragm muscle and the production of a visceral hernia, associated or not with visceral injury. In case this clinical entity is overlooked, there is a high probability of life-threatening complications; therefore, adequate management is a challenge for the general surgeon, who needs a high index of suspicion to formulate the diagnosis. Three cases of victims of assault with a perforating-cutting weapon in the left thoraco-abdominal region are presented, attended in facilities where limited diagnostic resources were available. Clinical data, diagnostic support tests, surgical procedure, postoperative course and progress are explained. The abdominal surgical approach is the gold rule for repairing the injured diaphragm, and the minimal thoracostomy is effective when there is thoracic involvement.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Heridas y traumatismos]]></kwd>
<kwd lng="es"><![CDATA[heridas punzantes]]></kwd>
<kwd lng="es"><![CDATA[técnicas de cierre de herida abdominal]]></kwd>
<kwd lng="es"><![CDATA[hernia diafragmática traumática]]></kwd>
<kwd lng="en"><![CDATA[Wounds and injuries]]></kwd>
<kwd lng="en"><![CDATA[wounds]]></kwd>
<kwd lng="en"><![CDATA[stab]]></kwd>
<kwd lng="en"><![CDATA[abdominal wound closure techniques]]></kwd>
<kwd lng="en"><![CDATA[hernia]]></kwd>
<kwd lng="en"><![CDATA[diaphragmatic]]></kwd>
<kwd lng="en"><![CDATA[traumatic]]></kwd>
</kwd-group>
</article-meta>
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