<?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>S1405-00992021000400223</article-id>
<article-id pub-id-type="doi">10.35366/109125</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Técnica quirúrgica y retos de procuración multiorgánica en tiempos de COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical technique and multiple organ procurement challenges in times of COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Ulloa-Torres]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Torres]]></surname>
<given-names><![CDATA[Paulo Irán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parra-Ávila]]></surname>
<given-names><![CDATA[Idalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Castillejos]]></surname>
<given-names><![CDATA[Luis Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Domínguez]]></surname>
<given-names><![CDATA[Mariano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baas-Cruz]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Nacional &#8220;Ignacio García Téllez&#8221; Unidad Médica de Alta Especialidad ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General &#8220;Gaudencio González Garza&#8221; Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Estatal de Trasplantes de Yucatán  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>43</volume>
<numero>4</numero>
<fpage>223</fpage>
<lpage>233</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992021000400223&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992021000400223&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992021000400223&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: México realizó 1,136 trasplantes renales y hepáticos de donante fallecido durante el 2019. Como consecuencia de la pandemia por la enfermedad por SARS-CoV-2 (COVID-19) a partir de marzo del 2020, se suspendieron temporalmente todos los programas de donación y trasplantes, por lo cual las procuraciones multiorgánicas disminuyeron en 94% durante el segundo y tercer trimestre del año. Los programas de trasplantes son considerados prioritarios por su gran impacto en los principales problemas de salud pública. Como consecuencia de una disminución de ingresos y ocupación hospitalaria, en junio se publica por parte del Centro Nacional de Trasplantes (CENATRA) el plan de reactivación de estos programas. En dicho plan se consideran medidas de escrutinio a todo potencial donante la realización de pruebas como reacción en cadena de la polimerasa con transcriptasa inversa (RT-PCR) y tomografía (TC) de tórax, motivo por el cual reportamos en el presente artículo el tiempo necesario y la viabilidad de correr estas pruebas de screening en un caso clínico en Yucatán, así como una revisión de la técnica quirúrgica para la cirugía del explante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Mexico performed 1,136 kidney and liver transplants from deceased donors during 2019. As a result of the pandemic caused by the SARS-CoV-2 disease (COVID-19), as of March 2020, all donation and transplantation programs were temporarily suspended. Organ procurement dropped 94% during the second and third quarters of the year. Transplants solve public health problems and are considered priority programs. Associated with a decrease in hospital admissions and occupancy, in June the National Transplant Center (CENATRA) publishes the plan to reactivate them. In which screening measures such as reverse transcriptase polymerase chain reaction (RT-PCR) and chest tomography (CT) for all potential donors are mandatory. We will describe in this article the time needed and the feasibility of executing these screening methods in a clinical case in Yucatán, as well as a review of the surgical technique for harvesting surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trasplante y COVID-19]]></kwd>
<kwd lng="es"><![CDATA[donación multiorgánica]]></kwd>
<kwd lng="es"><![CDATA[cirugía de procuración]]></kwd>
<kwd lng="es"><![CDATA[hígado]]></kwd>
<kwd lng="es"><![CDATA[riñón]]></kwd>
<kwd lng="en"><![CDATA[transplant and COVID-19]]></kwd>
<kwd lng="en"><![CDATA[harvesting surgery]]></kwd>
<kwd lng="en"><![CDATA[multiorgan retrieval procedure]]></kwd>
<kwd lng="en"><![CDATA[liver]]></kwd>
<kwd lng="en"><![CDATA[kidney]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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