<?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>S0034-74932024000100007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de pacientes con laparotomía media y cierre aponeurótico con línea de tensión reforzada]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of Patients with Median Laparotomy and Aponeurotic Closure with Reinforced Tension Line]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios Viera]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Machín]]></surname>
<given-names><![CDATA[Marleny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Facultad de Ciencias Médicas de Mayabeque Hospital General Docente Leopoldito Martínez, San José de las Lajas ]]></institution>
<addr-line><![CDATA[ Mayabeque]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>63</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932024000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932024000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932024000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La evisceración es una importante complicación posoperatoria y causa de reintervención en los pacientes sometidos a una laparotomía media.  Objetivo:  Caracterizar a los pacientes con laparotomía media y cierre aponeurótico con línea de tensión reforzada en el Hospital General Docente Leopoldito Martínez.  Métodos:  Se realizó un estudio prospectivo, descriptivo y longitudinal en pacientes con laparotomía media y cierre aponeurótico con línea de tensión reforzada, realizadas en un servicio de cirugía general en el período comprendido entre septiembre del año 2018 y marzo del año 2022 en una muestra de 119 pacientes. Las variables estudiadas fueron Grupos de Edades, Sexo, Enfermedades Asociadas, Clasificación de la Cirugía, Tipo de Cirugía, Complicaciones Posoperatorias Locales, Factores de Riesgo y Eficacia del Método de Cierre Aponeurótico.  Resultados:  El rango de edad fue de 19-86 años. El grupo de edad de 30-50 años representó el 48,74 % de la muestra. El 68,91 % de los pacientes, fueron del sexo femenino. La enfermedad asociada, hipertensión arterial, fue identificada en el 28,81 % de la muestra. La complicación posoperatoria local, infección del sitio quirúrgico incisional, se presentó en el 46,15 % de los pacientes. El factor de riesgo, desnutrición proteico calórica se reportó en el 24,18 % de los pacientes. Se identificaron dos pacientes eviscerados.  Conclusiones:  El cierre de la aponeurosis, mediante el método de línea de tensión reforzada, es eficaz como profilaxis de la evisceración en pacientes con laparotomía media.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Evisceration is an important postoperative complication and a cause of reoperation in patients undergoing median laparotomy.  Objective:  To characterize patients with median laparotomy and aponeurotic closure with reinforced tension line at Hospital General Docente Leopoldito Martínez.  Methods:  A prospective, descriptive and longitudinal study was conducted in patients undergoing median laparotomy and aponeurotic closure with reinforced tension line, performed in a general surgery service in the period between September 2018 and March 2022 with a sample of 119 patients. The studied variables were age groups, sex, associated diseases, classification of surgery, type of surgery, local postoperative complications, risk factors and efficacy of the aponeurotic closure method.  Results:  The age range was 19-86 years. The age group of 30-50 years accounted for 48.74% of the sample. 68.91% of the patients were female. Arterial hypertension, as the associated disease, was identified in 28.81% of the sample. Incisional surgical site, as the local postoperative complication, was present in 46.15% of the patients. Protein-calorie malnutrition, as the risk factor, was reported in 24.18% of the patients. Two eviscerated patients were identified.  Conclusions:  Closure of the aponeurosis, using the reinforced tension line method, is effective as prophylaxis of evisceration in patients undergoing median laparotomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[laparotomía media]]></kwd>
<kwd lng="es"><![CDATA[aponeurosis]]></kwd>
<kwd lng="es"><![CDATA[evisceración]]></kwd>
<kwd lng="en"><![CDATA[median laparotomy]]></kwd>
<kwd lng="en"><![CDATA[aponeurosis]]></kwd>
<kwd lng="en"><![CDATA[evisceration]]></kwd>
</kwd-group>
</article-meta>
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