<?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>S1405-00992019000400270</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso del sistema VAC en el manejo de pacientes con gangrena de Fournier]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of VAC system for the management of patients with Fournier gangrene]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Álvarez]]></surname>
<given-names><![CDATA[Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Miranda]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Sánchez]]></surname>
<given-names><![CDATA[Ana Karen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centenario Hospital &#8220;Miguel Hidalgo&#8221;  ]]></institution>
<addr-line><![CDATA[Aguascalientes Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centenario Hospital &#8220;Miguel Hidalgo&#8221; Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Aguascalientes Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Aguascalientes Servicio Social ]]></institution>
<addr-line><![CDATA[Aguascalientes Aguascalientes]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>41</volume>
<numero>4</numero>
<fpage>270</fpage>
<lpage>275</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992019000400270&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992019000400270&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992019000400270&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La gangrena de Fournier es una enfermedad infecciosa del periné, infrecuente y fatal que ocurre en pacientes adultos jóvenes con alguna deficiencia en el sistema inmune. La evolución suele ser rápida y fulminante, y se propaga a través de las fascias. El tratamiento consiste en antibióticos y desbridamiento quirúrgico agresivo.  Material y métodos:  Estudio retrospectivo de 22 pacientes ingresados entre enero de 2007 y diciembre de 2015. Se formaron dos grupos de estudio: el grupo 1, tratado con desbridamientos quirúrgicos convencionales, y el grupo 2, tratado con el sistema de cierre asistido por vacío, VAC, (por sus siglas en inglés Vacuum Assisted Closure). Las variables analizadas fueron: tiempo de evolución de los síntomas, enfermedades asociadas, origen de la enfermedad, número de ingresos al quirófano, cierre primario, días de hospitalización y mortalidad.  Resultados:  De los 22 pacientes, 14 (63.6%) correspondieron al grupo 1 y ocho (36.3%) al grupo 2. El cierre primario se logró en cuatro (50%) pacientes del grupo 2 y dos (14.2%) del grupo 1 (p = 0.07). La mediana de estancia hospitalaria fue de 24 días (rango, 4 a 76) en el grupo 1 y de 17 días (rango, 1 a 42) en el grupo 2 (p = 0.23). La mediana de ingresos a quirófano fue de 12 (rango, 1 a 49) en el grupo 1, mientras los pacientes en el grupo 2 fue de ocho (rango, 1 a 24) (p = 0.064). La muerte ocurrió en seis pacientes (27.2%), de los cuales cuatro (18.8%) fueron del grupo 1 y dos (9%) del grupo 2 (p = 0.7).  Conclusiones:  Los pacientes tratados con el sistema VAC tuvieron mayor probabilidad de cierre primario, menor necesidad de desbridamientos quirúrgicos y menor estancia hospitalaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Fournier gangrene is a rare and fatal disease that occurs primarily in young adult patients with immune system deficiency. The progression is usually rapid and fulminant and comes to affect and spread through the abdominal fascias. Treatment consists of antibiotics and aggressive surgical debridement. Despite timely and aggressive management most studies report high mortality.  Material and methods:  The records of 22 patients admitted from January 2007 to December 2015 were retrospectively reviewed. Two groups were formed: group 1, treated with conventional surgical debridements, and; group 2, treated with VAC system. The variables analized were: time of onset of the symptoms, comorbidities, origin of the disease, number of surgical debridements, VAC system placement, primary closure, hospital stay, morbidity and mortality.  Results:  From the 22 patients, 14 (63.6%) were in group 1 and eight (36.3%) were in group 2. Primary closure was achieved in four (50%) patients in group 2 and two (14.2%) in group 1 (p = 0.07). The median value of hospital stay were 24 days (range, four a 76) in group 1 and 17 days (range, one a 42) in group 2 (p = 0.23). The median value of surgical debridements were 12 (range, one a 49) in group 1 and eight (range, one a 24) in group 2 (p = 0.064). Overall mortality was six (27.2%); four (18.8%) patients of the group 1 and two (9%) of group 2 (p = 0.7).  Conclusions:  Patients treated with VAC system had a higher probability to achieve primary closure, less number of surgical debridements and shorter hospital stay.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Gangrena de Fournier]]></kwd>
<kwd lng="es"><![CDATA[sistema de cierre por presión negativa]]></kwd>
<kwd lng="es"><![CDATA[fascitis necrosante]]></kwd>
<kwd lng="es"><![CDATA[desbridamiento quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[Fournier gangrene]]></kwd>
<kwd lng="en"><![CDATA[vacuum assisted closure]]></kwd>
<kwd lng="en"><![CDATA[necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[surgical debridement]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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