<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2021000800080</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20001403</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fascitis necrotizante como complicación secundaria a dehiscencia anastomótica tardía tras resección anterior de recto]]></article-title>
<article-title xml:lang="en"><![CDATA[Necrotizing fasciitis as a complication of late anastomotic leak after anterior resection for rectal cancer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez-Prieto]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Arellano]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarellos-Pérez]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega-López]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pastor]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,H.U. Fundación Jiménez Díaz Unidad de Cirugía Colorrectal ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Universidad de Navarra Unidad de Cirugía Colorrectal ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<fpage>80</fpage>
<lpage>83</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2021000800080&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2021000800080&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2021000800080&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes La dehiscencia anastomótica es una complicación grave de la cirugía del cáncer de recto que conlleva un aumento de la morbimortalidad. Su incidencia se sitúa en un 3-21%, manifestándose habitualmente alrededor del quinto a séptimo días de posoperatorio, si bien existen casos de presentación tardía en forma de fístulas o sinus anastomóticos crónicos.  Casos clínicos Presentamos tres casos de pacientes intervenidos mediante resección anterior por cáncer de recto que desarrollaron fascitis necrotizante secundaria a dehiscencia anastomótica tardía.  Conclusiones Creemos recomendable el tratamiento quirúrgico resolutivo y precoz de las fístulas y sinus anastomóticos crónicos, incluso asintomáticos, por el potencial riesgo de fascitis necrotizante que suponen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background Anastomotic leak is a serious complication of rectal cancer surgery that leads to increased morbidity and mortality. Its incidence is 3-21%, usually appearing 5-7 days after surgery, although there are cases of late presentation as chronic anastomotic fistulas or sinuses.  Case report We present three cases of patients who underwent anterior resection for rectal cancer and developed necrotizing fasciitis due to late anastomotic leaks.  Conclusions We believe that early and resolutive surgical treatment is recommended for chronic anastomotic fistulas or sinuses, even when asymptomatic, because of the associated risk of necrotizing fasciitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer de recto]]></kwd>
<kwd lng="es"><![CDATA[Dehiscencia anastomótica]]></kwd>
<kwd lng="es"><![CDATA[Fuga anastomótica]]></kwd>
<kwd lng="es"><![CDATA[Fascitis necrotizante]]></kwd>
<kwd lng="en"><![CDATA[Rectal cancer]]></kwd>
<kwd lng="en"><![CDATA[Anastomotic leak]]></kwd>
<kwd lng="en"><![CDATA[Anastomotic leakage]]></kwd>
<kwd lng="en"><![CDATA[Necrotizing fascitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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