<?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>S1405-00992020000200149</article-id>
<article-id pub-id-type="doi">10.35366/95375</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de la pandemia COVID-19 en la práctica de Cirugía General en México. Encuesta Nacional]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of the COVID-19 pandemic on the practice of General Surgery in Mexico. A national survey]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cote Estrada]]></surname>
<given-names><![CDATA[Lilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Cisneros]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loera Torres]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos Campos]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamora Godínez]]></surname>
<given-names><![CDATA[Jordán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerda Cortázar]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Academia Aesculap México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Asociación Mexicana de Cirugía General  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Asociación Mexicana de Cirugía General  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Asociación Mexicana de Cirugía General  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Consejo Mexicano de Cirugía General  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>2</numero>
<fpage>149</fpage>
<lpage>164</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000200149&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000200149&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000200149&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  En diciembre de 2019 se reportó por primera vez un brote de neumonías de causa desconocida en la ciudad de Wuhan, provincia de Hubei, China; su contagiosidad rápidamente traspasó fronteras, y se convirtió en una pandemia que a la fecha está presente en 188 países, con un total de 16,950,407 de casos y 664,961 muertes. Este evento ha generado cambios sustantivos en todos los ámbitos de la actividad humana, la práctica médica y quirúrgica no son la excepción.  Objetivo:  Recolectar y analizar datos relacionados con algunas condiciones de la práctica del cirujano general y el efecto causado por la pandemia COVID-19, además de resaltar información útil con la posibilidad de construir una referencia de apoyo para acciones personales y para los tomadores de decisiones.  Material y métodos:  Estudio observacional descriptivo, los autores desarrollaron una encuesta anónima utilizando la herramienta Survey Monkey®, enviada a cirujanos por correo electrónico y tomando la base de datos de asociados de la Asociación Mexicana de Cirugía General, reforzado por redes sociales. Para tener un panorama general, se incluyeron los siguientes apartados: datos demográficos, actividad profesional, características del hospital, práctica quirúrgica, equipo de protección personal y COVID-19.  Resultados:  Se obtuvieron 723 respuestas de cirujanos, de los que se recolectaron los siguientes puntos sobresalientes: 90.32% fueron cirujanos generales, del género masculino 79.61% y femenino 20.39%; el grupo de edad está centrado entre 30 y 60 años (75.5%); la principal comorbilidad es la hipertensión (23.24%), con un nivel medio de riesgo de complicaciones por COVID-19 en 59.86%. El 52.52% de los cirujanos laboran en Hospitales COVID; la cirugía electiva se realiza en 44.2%, en cirugía de mínima invasión no se utiliza algún dispositivo para filtrar CO2 en el 63.99% y sólo 20.76% de las salas de operaciones cuenta con presión negativa. El personal adquiere su equipo de protección personal en el 48.5%; el personal con mayor contagio es el médico (42.46%), y del servicio de urgencias con 43.26%; y como respuesta a esta situación le ha sido complicado adaptarse en el terreno profesional y familiar al 49.57%.  Conclusiones: El impacto de la pandemia COVID-19 ha generado cambios sustantivos en la práctica de cirugía general en México, desde una respuesta inmediata que requiere capacitación y medidas de prevención hasta desarrollar estrategias a mediano y largo plazo para el mejor desempeño y seguridad para los pacientes y los profesionales de la salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  In December 2019, an outbreak of pneumonia of unknown cause was first reported in Wuhan, Province of Hubei, China. Its contagiousness quickly crossed borders, becoming a pandemic now present in 188 countries, with a total of 16&#8217;950,407 cases and 664,961 deaths. This event has generated substantive changes in all areas of human activity. Medical and surgical practice is no exception.  Objective:  To collect and analyze data related to some conditions of the general surgeon&#8217;s practice and the effect caused by the COVID-19 pandemic. To highlight useful information that could allow building a support reference for personal actions and decision-makers.  Material and methods:  A descriptive observational study. The authors developed an anonymous survey using the Survey Monkey® tool sent to surgeons by email using the Asociación Mexicana de Cirugía General, Mexican Association of General Surgery&#8217;s member database, reinforced by social networks. The following sections were included to provide an overview: demographics, professional activity, hospital characteristics, surgical practice, personal protection equipment, and COVID-19.  Results:  There were 723 responses from surgeons. The following highlights were collected: 90.32% were general surgeons, 79.61% males, and 20.39% females. The main age group between 30 and 60 years (75.5%). The main comorbidity is hypertension (23.24%), with a median risk of complications from COVID-19 at 59.86%. 52.52% of the surgeons work in COVID Hospitals. Elective surgery is performed at 44.2% of these. In 63.99% no device is used to filter CO2 during minimally invasive surgery, and only 20.76% of operating rooms have negative pressure. 48.5% of the staff buy their Personal Protection Equipment (PPE). Physicians are among the staff with the highest infection rate (42.46%), those in the Emergency Service with a 43.26% rate. As a response to this situation, adaptation to the professional and family environment has been difficult for 49.57% of them.  Conclusions: The impact of the COVID-19 pandemic has generated substantial changes in the practice of general surgery in Mexico, from an immediate response requiring training and prevention measures to the development of medium and long-term strategies for improved performance and safety for patients and health professionals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Coronavirus]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[cirugía general]]></kwd>
<kwd lng="es"><![CDATA[equipo de protección personal]]></kwd>
<kwd lng="en"><![CDATA[Coronavirus]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[general surgery]]></kwd>
<kwd lng="en"><![CDATA[personal protection equipment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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