<?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>S1405-00992014000200082</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Apendicitis y apendicectomías en pediatría. Prevalencia en un hospital de segundo nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Appendicitis and appendectomy in children. Prevalence in a second level hospital]]></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 Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>82</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000200082&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000200082&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000200082&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Antecedentes. Las enfermedades abdominales agudas en niños son de presentación frecuente y su diagnóstico y tratamiento son diferentes a los adultos. El conocimiento de los trastornos abdominales en la niñez facilita su manejo y la resolución quirúrgica se impone como tratamiento de la mayoría de los casos. Material y métodos. Se realizó un estudio tipo cohorte retrospectiva de los pacientes pediátricos operados por apendicitis en un periodo de 3.5 años. Investigamos, entre otras cosas, edad de presentación, días de estancia intrahospitalaria, tiempo de evolución y morbilidad. Resultados. Durante el periodo de estudio fueron operados 166 pacientes; el sexo masculino predominó 2:1; la edad promedio entre 5 a 14 años obtuvo la mayor frecuencia con 75%; los meses con mayor incidencia fueron marzo, octubre y diciembre con 18 casos cada uno; encontramos 17 casos (10.2%) con diagnóstico de apendicitis en menores de 5 años; periodo de evolución entre 1 a 24 horas 69%; leucocitos promedio fueron de 10 a 20 mil en 73% de los casos; la estancia intrahospitalaria fue en el 55% de los casos de 1 a 3 días y encontramos trece complicaciones postoperatorias. Conclusión. El diagnóstico de apendicitis aguda en edad pediátrica es más difícil y en menores de cinco años existe más falla diagnóstica. En nuestro centro se realiza con mayor frecuencia la cirugía temprana. Encontramos una alta prevalencia de resistencia a E. coli, por lo que insistimos en la realización rutinaria de cultivo del material purulento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Background. Acute abdominal diseases in children are a frequent presentation and diagnosis and treatment are different from that in adults. Being aware of abdominal disorders in children can make management easy and surgical resolution is the cornerstone for most cases. Material and methods. A retrospective cohort study of pediatric patients undergoing surgery for appendicitis in a period of 3.5 years was performed. We investigated, among other things, age of onset, days of hospital stay, time of evolution and morbidity. Results. During the study period, 166 patients were operated; male sex predominated (2:1); the average age was 5 to 14 years and had the highest frequency (75%); the months with the highest incidence were March, October and December with 18 cases each; we had 17 cases (10.2%) with a diagnosis of appendicitis in children under 5 years; evolution time was between 1 to 24 hours (69%); 10-20000 leukocyte counts were between 10,000 and 20,000 in 73% of the cases; hospital stay was between 1-3 days in 55% of the children. We had only thirteen postoperative complications. Conclusion. The diagnosis of acute appendicitis in childhood is more diffi cult and in children under fi ve there is more diagnostic failure. In our Hospital, we perform more frequently early surgery. We found a high prevalence of resistance to E. coli, so we insist on conducting routine culture of purulent material.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[Apendicectomía]]></kwd>
<kwd lng="es"><![CDATA[Incidencia]]></kwd>
<kwd lng="en"><![CDATA[Pediatric]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Appendectomy]]></kwd>
<kwd lng="en"><![CDATA[Incidence]]></kwd>
</kwd-group>
</article-meta>
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