<?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>S0034-74932021000100002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbimortalidad de las reintervenciones en la cirugía abdominal urgente y electiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Morbidity and Mortality for Re-interventions in Urgent and Elective Abdominal Surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Céspedes Rodríguez]]></surname>
<given-names><![CDATA[Héctor Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bello Carr]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Pérez]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Univerdidad de Ciencias Médicas de Camagüey Hospital Universitario &#8220;Manuel Ascunce Domenech&#8221; ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932021000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932021000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932021000100002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las reintervenciones en la cirugía abdominal, son causa de una alta mortalidad en los servicios de cirugía general.  Objetivo:  Caracterizar morbimortalidad de las reintervenciones de la cirugía abdominal urgente y electiva en el servicio de cirugía general del Hospital Universitario &#8220;Manuel Ascunce Domenech&#8221;.  Métodos:  Se realizó un estudio observacional descriptivo transversal, de los pacientes que requirieron de reintervención quirúrgica abdominal. El universo estuvo conformado por 236 pacientes que cumplieron con los criterios de inclusión. Se utilizaron métodos estadísticos descriptivos y cálculos con valores porcentuales.  Resultados:  Predominó el grupo de edades de 40-49 años, así como el sexo masculino, con un 25 % y 64,8 %, respectivamente. En cuanto al tiempo en que se realizó la reintervención 72,5 % se realizó luego de las 48 horas. El 88,6 % de los pacientes resolvió la causa que lo originó en la primera reintervención. Las causas más frecuentes fueron la peritonitis generalizada seguida de los abscesos intrabdominales con un 19,5 % y 17,4 % respectivamente. La mortalidad fue de 30,1 % y el tromboembolismo pulmonar la causa directa de muerte en 12,3 % de los casos.  Conclusiones:  Casi la totalidad de los casos fueron reintervenidos luego de las 48 horas y las dos terceras partes resolvieron en la primera intervención. La peritonitis generalizada y los abscesos intrabdominales fueron la causa de la reintervención en un número importante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Abdominal surgery re-interventions cause high mortality in general surgery services.  Objective: To characterize morbidity and mortality of urgent and elective abdominal surgery re-interventions in the general surgery service of Manuel Ascunce Domenech University Hospital.  Methods: A cross-sectional, descriptive, observational study was carried out with patients who required abdominal surgical re-intervention. The universe consisted of 236 patients who met the inclusion criteria. Descriptive statistical methods and calculations with percentage values were used.  Results: There was a predominance of the age group 40-49 years and the male sex, accounting for 25% and 64.8%, respectively. Regarding time of performance of re-intervention, 72.5% was carried out after 48 hours. 88.6% of the patients had, in the first re-intervention, a solution for the cause that originated it. The most frequent causes were generalized peritonitis, followed by intraabdominal abscesses, accounting for 19.5% and 17.4%, respectively. Mortality was 30.1% and pulmonary embolism was the direct cause of death in 12.3% of cases.  Conclusions:  Almost all the cases were re-intervened after 48 hours and two thirds had a solution the first re-intervention. Generalized peritonitis and intraabdominal abscesses were the cause of re-intervention, in a significant number.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[reintervenciones]]></kwd>
<kwd lng="es"><![CDATA[cirugía abdominal]]></kwd>
<kwd lng="es"><![CDATA[mortalidad y morbilidad]]></kwd>
<kwd lng="en"><![CDATA[re-interventions]]></kwd>
<kwd lng="en"><![CDATA[adnominal surgery]]></kwd>
<kwd lng="en"><![CDATA[mortality and morbidity]]></kwd>
</kwd-group>
</article-meta>
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