<?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>S1405-00992019000200079</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Esplenectomías por trauma abdominal en un hospital general de segundo nivel. Análisis de cinco años]]></article-title>
<article-title xml:lang="en"><![CDATA[Splenectomies for abdominal trauma in a Second Level General Hospital. Analysis of 5 years]]></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 Servicio de Cirugía ]]></institution>
<addr-line><![CDATA[Quintana Roo ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<fpage>79</fpage>
<lpage>85</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992019000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992019000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992019000200079&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: Aproximadamente una cuarta parte de los traumas abdominales cerrados presenta lesión del bazo y se requiere un alto índice de sospecha clínica, junto con la ayuda de estudios de imagenología, para poder tomar la decisión de operar, debido a que, cuando se elige cuidadosamente a estos pacientes y se decide no operar, se relaciona con un bajo índice de morbimortalidad.  Material y método: Se obtuvieron las variables demográficas: edad y sexo, etiología, exámenes de laboratorios: grupo y Rh, hemoglobina, gases arteriales; estudios de gabinete: US, TAC, ingreso a UTI, estancia intrahospitalaria y morbilidad.  Resultados: Durante el periodo de estudio se realizaron 12 esplenectomías por trauma abdominal abierto (dos casos) y cerrado (nueve casos), con lesión toracoabdominal (cinco casos). Empaquetamiento en cuatro casos, y ocho casos sin morbilidades.  Discusión: Zarzaur BL et al. establecen que los factores de riesgo en un paciente que no se opera son la edad &gt; 55 años, grado de lesión y volumen del hemoperitoneo (moderado de 250 a 500 ml y severo &gt; 500 ml), lesiones concomitantes a otros órganos sólidos y anomalías vasculares (aneurismas, fístulas arteriovenosas. Cuando existe inestabilidad hemodinámica (la cual definen como presión arterial &lt; 90 mmHg y frecuencia cardiaca &gt; 130 latidos por minuto), es indicación de operar de inmediato.  Conclusiones:  En nuestro hospital, todos los casos fueron manejados con esplenectomía total debido a que presentaron daños adicionales hepáticos, renales, intestinales y/o diafragmáticos).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Approximately a quarter of the closed abdominal traumas present spleen injury and a high index of clinical suspicion is required along with the help of the imaging studies to be able to make the decision to operate, because when these patients are carefully chosen and it is decided not to operate, this is related to a low morbidity and mortality rate.  Material and method: The demographic variables were obtained: age and sex; etiology; Laboratory tests: group and Rh, Hemoglobin, arterial blood gases; Cabinet studies: (US, TAC), admission to ICU, intrahospital stay and morbidity.  Results: During the study period, twelve splenectomies were performed for open abdominal trauma two and closed nine; with thoraco-abdominal injury five Packaging four, eight without morbidities.  Discussion: Is establish that the risk factors in a patient who does not operate are age &gt; 55 years, degree of injury and hemoperitoneum volume (moderate 250 to 500 ml and severe &gt; 500 ml), concomitant lesions to other solid organs and vascular anomalies. When there is hemodynamic instability which they define as blood pressure &lt; 90 mmHg and heart rate &gt; 130 beats per minute, it is an indication to operate immediately.  Conclusions: In our hospital all cases were managed with total splenectomy because they presented additional hepatic, renal, intestinal, and/or diaphragmatic damage that justified the surgical intervention and we did not consider the preservation of the spleen.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trauma abdominal]]></kwd>
<kwd lng="es"><![CDATA[trauma esplénico]]></kwd>
<kwd lng="es"><![CDATA[esplenectomía]]></kwd>
<kwd lng="es"><![CDATA[tratamiento no operatorio]]></kwd>
<kwd lng="en"><![CDATA[Abdominal trauma]]></kwd>
<kwd lng="en"><![CDATA[spleen trauma]]></kwd>
<kwd lng="en"><![CDATA[splenectomy]]></kwd>
<kwd lng="en"><![CDATA[conservative treatment]]></kwd>
<kwd lng="en"><![CDATA[Non conservative management]]></kwd>
</kwd-group>
</article-meta>
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