<?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>S1405-00992023000300152</article-id>
<article-id pub-id-type="doi">10.35366/112924</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía global en México: análisis transversal de las &#8220;Campañas de Cirugía Extramuros&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Global surgery in Mexico: transversal analysis of the &#8220;Extramural Surgical Campaigns&#8221;]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olvera-Pérez]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Ruiz]]></surname>
<given-names><![CDATA[Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Espinoza]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina-Portillo]]></surname>
<given-names><![CDATA[Bernardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Arredondo]]></surname>
<given-names><![CDATA[Eric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de México &#8220;Dr. Eduardo Liceaga&#8221; Secretaría de Salud ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Tijuana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Ángeles Metropolitano  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>45</volume>
<numero>3</numero>
<fpage>152</fpage>
<lpage>159</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992023000300152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992023000300152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992023000300152&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el término de &#8220;Cirugía Global&#8221; se ha introducido recientemente al léxico médico. Una definición citada frecuentemente señala que la cirugía global &#8220;pone como prioridad el mejorar y lograr equidad en la salud para todas las personas sobre el planeta que están afectadas por condiciones quirúrgicas o bien tienen la necesidad de una cirugía&#8221;.  Material y métodos:  se realizó un análisis transversal de los resultados de las campañas de cirugía extramuros realizadas por los Comités de Servicio Social de la Asociación Mexicana de Cirugía General A.C. (AMCG) y de la Asociación Mexicana de Cirugía Endoscópica A.C. (AMCE), durante el periodo comprendido de 2004 a 2012.  Resultados:  se realizaron 143 campañas a nivel nacional de 2004 a 2012. El promedio de procedimientos por campaña fue de 71. La mortalidad global fue de dos pacientes en 10,082 procedimientos (0.02%). Hubo 36 lesiones de la vía biliar en 6,146 colecistectomías laparoscópicas (0.58%). Los procedimientos realizados fueron: colecistectomías laparoscópicas 6,146 (60%), reparación de hernias inguinales 2,351 (23%), reparación de hernias umbilicales 1,212 (12%) y 489 de otros procedimientos (5%), entre los que se incluyen cirugías ginecológicas, funduplicaturas, resecciones de intestino y apendicetomías.  Conclusiones:  nuestro programa de cirugía global fue exitoso y seguro con morbimortalidad baja comparado con cirugías hospitalarias habituales. En más de 10,000 pacientes sólo se reportaron dos defunciones, lo que equivale a 0.02% (complicaciones graves). Asimismo, el índice de lesión de la vía biliar fue de 0.58% que está dentro de parámetros habituales y sólo 0.04% de los sangrados transoperatorios requirieron de transfusión sanguínea (complicación moderada). Consideramos que la retribución por parte de nuestra sociedad fue de valía, corrigiendo las necesidades de cirugía de la sociedad mexicana menos solvente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  the term &#8220;Global Surgery&#8221; has been lately introduced in medical terms. A frequent used definition points out that global surgery &#8220;puts a priority in increasing and achieving heath equity for all people on the planet that are affected by surgical conditions or that are in need of surgery&#8221;.  Material and methods:  a transversal analysis of the results of the campaigns of &#8220;Cirugía Extramuros&#8221; that were done by Social Service Committee of the Asociación Mexicana de Cirugía General A.C., and Asociación Mexicana de Cirugía Endoscópica A.C., during the time period from 2004 to 2012.  Results:  one hundred and forty-three campaigns were done on national scale from 2004 to 2012. On average a total of 71 surgeries were done by campaign. Global mortality was that of only 2 patients in 10,082 procedures (0.02%). There were 36 lesions of the bile duct in 6,146 laparoscopic cholecystectomies (0.58%). Common surgical procedures were: laparoscopic cholecystectomies 6,146 (60%), inguinal hernia repair 2,351 (23%), umbilical hernia repair 1,212 (12%) and 489 other procedures that include gynecologic surgeries, Nissen fundoplications, bowel resections and appendectomies.  Conclusions:  our global surgery program was successful and safe with a low morbi-mortality when compared to common hospital conditions. In a total of more than 10 thousand patients we had only 2 deaths that account to 0.02% (severe complications). In addition, bile duct injuries occurred in 0.58% that fall inside acceptable parameters; and only 0.04% of trans operative hemorrhages required a blood transfusion (moderate complication). We considered social retribution by our association was worthwhile, correcting surgical needs in the least affluent of mexican society.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía global]]></kwd>
<kwd lng="es"><![CDATA[Asociación Mexicana de Cirugía General]]></kwd>
<kwd lng="es"><![CDATA[Comisión de Servicio Social]]></kwd>
<kwd lng="en"><![CDATA[global surgery]]></kwd>
<kwd lng="en"><![CDATA[Mexican Association of General Surgery]]></kwd>
<kwd lng="en"><![CDATA[Social Service Commission]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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