<?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>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272024000200013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resección parcial de placoda epitelizada sin déficit neurológico sobreañadido en mielomeningoceles. Presentación de tres casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Horta-Tamayo]]></surname>
<given-names><![CDATA[Ernesto Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega-Raez]]></surname>
<given-names><![CDATA[Diana Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Santillán]]></surname>
<given-names><![CDATA[Lary Benice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hôpital de Référence de Maradi  ]]></institution>
<addr-line><![CDATA[Maradi ]]></addr-line>
<country>Niger</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín Facultad de Ciencias Médicas &#8220;Mariana Grajales Coello&#8221; ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico &#8220;Lucía Iñiguez Landín&#8221;, Holguín  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>18</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272024000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272024000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272024000200013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el mielomeningocele es la forma más común de disrafismo espinal. En el contexto africano son frecuentes su diagnóstico y su tratamiento quirúrgico tardío.  Información de los pacientes:  se describen tres casos de lactantes con diagnóstico de mielomeningocele con signos de epitelización en los que se resecó total o parcialmente la placoda, sin ocasionar defecto sobreañadido. La realización de estudios de imágenes previos estuvo condicionada por la ausencia de disponibilidad en la institución y de los costos asociados. Dos casos mostraron complicaciones (fístula de líquido cerebroespinal, infección de la herida quirúrgica e hidrocefalia postreparación).  Conclusiones:  la presentación tardía de los pacientes a centros especializados es una característica del tratamiento quirúrgico del mielomeningocele en entornos de bajos recursos. La resección quirúrgica, parcial o total, de una placoda expuesta y desvitalizada, con signos de epitalización, no parece influir en el estado neurológico postoperatorio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  myelomeningocele is the most common form of spinal dysraphism. In the African context, its diagnosis and late surgical treatment are common.  Patient information:  Three cases of infants diagnosed with myelomeningocele with signs of epithelialization in which the placode was totally or partially resected, without causing an additional defect, are described. The performance of previous imaging studies was conditioned by the lack of availability at the institution and the associated costs. Two cases showed complications (cerebrospinal fluid fistula, surgical wound infection, and post-repair hydrocephalus).  Conclusions:  Late presentation of patients to specialized centers is a characteristic of surgical treatment of myelomeningocele in low-resource settings. Surgical resection, partial or total, of an exposed and devitalized placode, with signs of epitalization, does not seem to influence the postoperative neurological status.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mielomeningocele]]></kwd>
<kwd lng="es"><![CDATA[espina bífida abierta]]></kwd>
<kwd lng="es"><![CDATA[reparación tardía]]></kwd>
<kwd lng="en"><![CDATA[myelomeningocele]]></kwd>
<kwd lng="en"><![CDATA[open spina bifida]]></kwd>
<kwd lng="en"><![CDATA[late repair]]></kwd>
</kwd-group>
</article-meta>
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