<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992017000400209</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abdomen agudo y apendicectomías en mujeres fértiles: el papel del cirujano general]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute abdomen and appendectomies in fertile women: the role of the general surgeon]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padrón Arredondo]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Playa del Carmen  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>4</numero>
<fpage>209</fpage>
<lpage>213</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000400209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000400209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000400209&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  Los trastornos ginecológicos relacionados con la cirugía general pueden considerarse en cinco temas: 1) abdomen agudo, 2) trastornos ginecológicos inesperados y descubiertos durante una laparotomía exploradora, 3) dolor abdominal durante el embarazo, 4) embarazo y cáncer, y 5) trastornos urinarios de causa ginecológica. Los dos primeros trastornos son a los que con mayor frecuencia se enfrenta un cirujano general.  Material y métodos:  Con el propósito de conocer la incidencia de trastornos ginecológicos atendidos por cirujanos generales y las apendicectomías iterativas resultantes en casos de abdomen agudo en mujeres fértiles, se llevó a cabo un análisis retrospectivo, observacional, tipo cohorte en mujeres sometidas a laparotomía exploradora con cuadro clínico de abdomen agudo y/o probable apendicitis aguda durante un periodo de cuatro años en un hospital de segundo nivel de nueva creación.  Resultados:  Durante el periodo de estudio fueron intervenidas quirúrgicamente en nuestro medio 126 mujeres en edad fértil (de entre 11 y 45 años de edad) por abdomen agudo y probable apendicitis aguda; de ellas, 19 reunieron los criterios de admisión al estudio por presentar patología ginecoobstétrica sin apendicitis aguda. Solamente hubo un caso con morbilidad (textiloma) y no hubo mortalidad.  Discusión:  En nuestro trabajo encontramos una incidencia del 15% de falla diagnóstica para apendicitis aguda, la cual está por debajo de los estándares internacionales, ya que se conoce que, en general, del 6 al 25% de las operaciones para apendicitis aguda revelan un apéndice normal, y este número se eleva hasta 30 a 40% en los casos de mujeres en edad fértil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Gynecological disorders related to general surgery may fall in one of five categories: 1) acute abdomen, 2) unexpected gynecological disorders discovered during exploratory laparotomy, 3) pain during pregnancy, 4) pregnancy and urinary disorders, and 5) cancer of gynecological cause. The first two disorders are the ones most often faced by a general surgeon.  Material and methods:  In order to determine the incidence of gynecological disorders treated by general surgeons and the resulting iterative appendectomies in cases of acute abdomen in fertile women, a retrospective, observational cohort analysis was conducted on women with exploratory laparotomy and clinical symptoms of acute abdomen and/or probable acute appendicitis, over a period of four years in a newly created secondary hospital.  Results:  During the study period, 126 women of childbearing age (between 11 and 45 years of age) with acute abdomen and probable acute appendicitis were surgically intervened, of which 19 met the criteria for admission to the study due to gynecoobstetric disease without acute appendicitis. There was only one case of morbidity (textiloma) and no mortality.  Discussion:  In our work, we found an incidence of 15% of acute appendicitis diagnostic fails, which is below international standards; it is known that from 6 to 25% of the surgeries for acute appendicitis reveal a normal appendix, and this number rises to 30 to 40% in women of childbearing age.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[apendicectomía]]></kwd>
<kwd lng="es"><![CDATA[mujeres fértiles]]></kwd>
<kwd lng="es"><![CDATA[cirujano general]]></kwd>
<kwd lng="en"><![CDATA[Acute abdomen]]></kwd>
<kwd lng="en"><![CDATA[appendectomy]]></kwd>
<kwd lng="en"><![CDATA[fertile women]]></kwd>
<kwd lng="en"><![CDATA[general surgeon]]></kwd>
</kwd-group>
</article-meta>
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