<?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>S1405-00992020000400263</article-id>
<article-id pub-id-type="doi">10.35366/101395</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Clasificación práctica de la gravedad y manejo médico-quirúrgico de la apendicitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Practical classification of gravity and medical-surgical management of acute appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Orduña]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Salud del Estado de México Hospital General de Atizapán Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>4</numero>
<fpage>263</fpage>
<lpage>273</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000400263&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Determinar si la reestructuración en la clasificación macroscópica de la apendicitis aguda, de acuerdo con los hallazgos, puede guiar el manejo quirúrgico, impactando directamente en la estancia hospitalaria, el pronóstico, la tasa de complicaciones y las reintervenciones. Sede: Hospital General de Atizapán, ISEM. Diseño: Estudio prospectivo, transversal, comparativo, observacional y analítico. Análisis estadístico: Se realizó estadística descriptiva de los datos demográficos, comparando los grupos de apendicitis con base en la clasificación sugerida, utilizando la t de Student para variables continuas con un intervalo de confianza de 95%, y el sistema análisis de datos de Excel. La probabilidad de &lt; 0.05 fue aceptada como estadísticamente significativa.  Material y métodos:  Se estudiaron 182 pacientes que ingresaron al Servicio de Urgencias del Hospital General de Atizapán en un periodo de noviembre de 2016 a octubre de 2017, con síndrome doloroso abdominal sugestivo de apendicitis aguda; se les aplicó la clasificación sugerida en estadios evolutivos, por parte de los autores, relacionándola con el manejo sugerido y contrastándola con la clasificación tradicional y el manejo liberal de los demás cirujanos, valorando la presencia de complicaciones, reintervenciones y días de estancia hospitalaria.  Resultados:  Los pacientes con manejo sugerido de acuerdo con la nueva clasificación presentaron menor tasa de infección y de reintervención, comparado con los pacientes sin el manejo sugerido en la clasificación presentando una mayor tasa de infecciones (41.1%), reintervenciones (10.5%) y días de estancia hospitalaria (200-300% más de estancia).  Conclusiones:  Esta investigación nos permite recomendar el uso de esta clasificación, ya que además de ser precisa en la gravedad de la apendicitis aguda y su relación con la contaminación de la cavidad peritoneal, da guía al manejo quirúrgico de acuerdo con los hallazgos transoperatorios, disminuyendo no sólo la tasa de complicaciones y días de estancia hospitalaria, sino también las reintervenciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To determine if the restructuring of the macroscopic classification of acute appendicitis according to our conclusions can guide surgical management, directly impact, in the duration of the hospital stay, in the prognosis, the rate of complications and reinterventions. Setting: General Hospital of Atizapan, ISEM. Design: Prospective, cross-sectional, comparative, observational and analytical study. Statistical analysis: Descriptive statistics applicated on the demographic data, comparing, in base of the suggested classification, the groups of appendicitis using the &#8220;t&#8221; of Student for continuing variables with a 95% confidence and Excel&#8217;s data analysis system. The probability of &lt; 0.05 was accepted as statistically significant.  Material and methods:  182 patients who entered the emergency service of the General Hospital of Atizapan in the period of time (November 2016-October 2017), with painful abdominal syndrome suggesting acute appendicitis; the suggested classification in evolutionary stages was applied to them by the authors, relating it to the suggested management and contrasting it with the traditional classification as well as the liberal management of the other surgeons, taking into consideration complications, reinterventions and hospital stay.  Results:  The patients with the suggested management (according to the new classification) presented lower rate of infection and reintervention in contrast to the patients without the suggested management whose infection statistics (41.1%), reinterventions (10.5%) and hospital stay (200-300% more)  Conclusions:  This research allow us to recommend the use of the suggested classification. Being precise in the gravity of acute appendicitis and its relationship with peritoneal cavity, giving a guide for surgical management according to the trans operatory recent findings; diminishing, not only the complication rate and hospitality stay days, but also the reintervention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[clasificación]]></kwd>
<kwd lng="es"><![CDATA[manejo quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[apéndice]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[classification]]></kwd>
<kwd lng="en"><![CDATA[surgical management]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[appendix]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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