<?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>1684-1824</journal-id>
<journal-title><![CDATA[Revista Médica Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Med.Electrón.]]></abbrev-journal-title>
<issn>1684-1824</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Matanzas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1684-18242018000601947</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efecto del cosedal para el alivio del dolor postoperatorio en la cirugía de hernia inguinal]]></article-title>
<article-title xml:lang="en"><![CDATA[Cosedal effect for the post surgery pain relief in inguinal hernia surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bofill Gil]]></surname>
<given-names><![CDATA[Pavel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González del Pino Ruz]]></surname>
<given-names><![CDATA[Israel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Alfonso]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valenzuela López]]></surname>
<given-names><![CDATA[Ketty]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bofill Valenzuela]]></surname>
<given-names><![CDATA[Janny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Provincial Clínico Quirúrgico Comandante Faustino Pérez Hernández  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>6</numero>
<fpage>1947</fpage>
<lpage>1964</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1684-18242018000601947&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1684-18242018000601947&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1684-18242018000601947&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la analgesia preventiva en el paciente propuesto para cirugía constituye una de las problemáticas a investigar por las ciencias médicas, específicamente por la anestesiología.  Objetivo: valorar el efecto del cosedal para el alivio del dolor postoperatorio en la cirugía de hernia inguinal.  Materiales y métodos: se realizó un estudio prospectivo, longitudinal en la Unidad Quirúrgica Central del Hospital &#8220;Faustino Pérez Hernández&#8221;. En el mismo fueron incluidos 86 pacientes distribuidos en dos grupos de igual número integrantes. Los pacientes del Grupo I recibieron dipirona 1,2 gramos IM media hora antes de la cirugía, mientras que a los del grupo II se les administró cosedal (tableta 60 mg) VO. Todos fueron intervenidos quirúrgicamente con anestesia subaracnoidea. Se estudiaron las variables edad, género, ASA, tiempo quirúrgico, tiempo anestésico, evolución del dolor postoperatorio y necesidad de analgesia de rescate.  Resultados: la intensidad del dolor postoperatorio fue 1,2 veces menor en los pacientes del Grupo II. La necesidad de analgesia de rescate fue 1,3 veces mayor en los pacientes del Grupo I.  Conclusiones: los pacientes del Grupo II mostraron menor intensidad del dolor postoperatorio las primeras 6 horas de la cirugía, en ellos los requerimientos de analgesia de rescate fue inferior.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  preventive analgesia in patients pending to a surgery is one of the major issues to be researched by the medical sciences specifically by anesthesiology.  Objective:  to evaluate cosedal effect for the post-surgery pain relief in inguinal hernia surgery.  Materials and methods:  a prospective, longitudinal research was carried out in the Central Surgical Unit of the &#8220;Faustino Pérez Hernández&#8221; hospital. In this research 86 patients were included and distributed in two groups with the same number of members. Half an hour before the surgery, Group I patients were administered 1.2 g of intramuscular dipyrone; while Group II patients were administered oral cosedal (60 mg tablet). They all were operated with subarachnoid anesthesia. Aspects such as age, gender, ASA, surgery time, anesthetic time, post-surgery pain evolution and need of rescue analgesia need were analyzed.  Results:  in Group II patients the post-surgery pain intensity was 1.2 times less than in Group I patients. The need of rescue analgesia was 1.3 times greater in Group I patients.  Conclusions:  group II patients showed a lower post-surgery pain intensity in the first six hours after the surgery and they needed less rescue analgesia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[analgesia postoperatoria]]></kwd>
<kwd lng="es"><![CDATA[cosedal]]></kwd>
<kwd lng="es"><![CDATA[codeína]]></kwd>
<kwd lng="es"><![CDATA[hernia inguinal.]]></kwd>
<kwd lng="en"><![CDATA[analgesia]]></kwd>
<kwd lng="en"><![CDATA[cosedal]]></kwd>
<kwd lng="en"><![CDATA[codeine]]></kwd>
<kwd lng="en"><![CDATA[inguinal hernia.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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