<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032017000200105</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ventajas de la plastia de mielomeningocele y derivación ventrículo-peritoneal en único tiempo quirúrgico: Experiencia en 47 casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Advantages of mielomeningocele repair and ventricular-peritoneal shunt in one surgical time: 41 cases experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcocer Maldonado]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Montes]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Carrillo]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de León División de Cirugía del Hospital Ángeles León Servicio de Neurocirugía]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Alta Especialidad Núm. 48 ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Guanajuato Facultad de Medicina de León ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<fpage>105</fpage>
<lpage>111</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032017000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032017000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032017000200105&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  El mielomeningocele es el defecto del cierre del tubo neural más frecuente y compatible con la vida. El tratamiento iniciado desde el nacimiento mejora el pronóstico funcional y la calidad de vida del paciente, la principal complicación del mielomeningocele es la hidrocefalia que requiere el uso de derivación ventricular.  Objetivo:  Comparar las ventajas de cirugía de plastia del mielomeningocele y colocación de derivación ventrículo-peritoneal en un solo tiempo quirúrgico (grupo A) versus plastia clásica y derivación diferida (grupo B).  Material y métodos:  de 47 pacientes con mielomeningocele que cumplieron los criterios de inclusión, el tercero de cada tres recibió cirugía simultánea.  Resultados:  Los datos demográficos de edad, género, peso corporal, localización de la lesión y grados de hidrocefalia no mostraron diferencias estadísticamente significativas. Los tiempos anestésicos (p = 0.00001) y quirúrgicos fueron menores en el grupo A (p = 0.001) al igual que las pérdidas sanguíneas (p = 0.003) y los días de estancia hospitalaria (p = 0.01). El dato más relevante y significativo en el grupo A fue la disminución de complicaciones; de manera global la ventriculitis fue la complicación que surgió en ambos grupos. No se presentaron decesos a los 30 días en ninguno de los grupos.  Conclusiones:  La realización de plastia del mielomeningocele y derivación ventrículo-peritoneal en un solo tiempo muestra ventajas en todos los aspectos, principalmente en la reducción de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Myelomeningocele is a congenital neural tube defect compatible with life, an early treatment improves functional outcome and quality of life of patients. Hydrocephalus is the main complication, requiring insertion of a ventriculoperitoneal shunt.  Objective:  To compare these procedures in the same operative setting (group A) versus classic repair in a first time and ventriculoperitoneal shunt deferred to a second time (group B).  Material and methods:  Of 47 patients with myelomeningocele, 15 received simultaneous surgery.  Results:  Demographic data like: age, gender, body weight, lesion location and hydrocephalus degrees showed no statistically significant differences. Anesthetics time (p = 0.00001), surgical time (p = 0.001) as well blood loss(p = 0.003) and hospital stay (p = 0.01); were lower in the group A, ventriculitis was the most frequent complication in both groups. No deaths occurred within 30 days in either group.  Conclusions:  In this series the early simultaneous performance of myelomeningocele repair and ventricularperitoneal shunt shows benefits in all aspects.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mielomeningocele y derivación ventrículo-peritoneal simultáneas]]></kwd>
<kwd lng="en"><![CDATA[Simultaneous mielomeningocele repair and ventriculoperitoneal shunt]]></kwd>
</kwd-group>
</article-meta>
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