<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2019000200158</article-id>
<article-id pub-id-type="doi">10.24875/ciru.18000284</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aplicación del modelo de Kiewiet-Van Ruler para predecir la necesidad de relaparotomía en pacientes con peritonitis secundaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Application of the Kiewiet-Van Ruler model to predict the need for relaparotomy in patients with secondary peritonitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godínez-Vidal]]></surname>
<given-names><![CDATA[Ansony R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cinta-Egaña]]></surname>
<given-names><![CDATA[Itziar A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ornelas-Oñate]]></surname>
<given-names><![CDATA[Luis A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Vivanco]]></surname>
<given-names><![CDATA[Diego M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Uvalle]]></surname>
<given-names><![CDATA[Gabriela E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gracida-Mancilla]]></surname>
<given-names><![CDATA[Noe I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Clínica de Bariatría y Laparoscopia Avanzada Departamento de Cirugía General]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Clínica de Sepsis Abdominal Departamento de Cirugía General]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>2</numero>
<fpage>158</fpage>
<lpage>163</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2019000200158&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2019000200158&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2019000200158&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Es crucial la detección oportuna de una nueva infección o la persistencia de esta para mejorar los índices de sobrevida. No existe un método que pueda determinar la necesidad de relaparotomía.  Objetivo: Evaluar la certeza diagnóstica del modelo elaborado por Kiewiet-Van Ruler.  Método: Estudio retrospectivo, descriptivo, transversal, en pacientes con diagnóstico de sepsis abdominal que fueron sometidos a laparotomía exploradora entre enero de 2013 y mayo de 2015.  Resultados: Se incluyeron 109 pacientes, 63 de sexo masculino y 46 de sexo femenino. La mortalidad fue del 16.5%. Sesenta y ocho pacientes tuvieron puntaje &#8804; 19, de los cuales 17 (43%) sí requerían reoperarse. El segundo grupo con puntaje &gt; 20 fue de 41 pacientes, de los cuales 22 (56%) sí requerían reoperarse. En el análisis individual de las variables se determinó un valor significativo en cinco de ellas, con una p &lt; 0.05. Solo una variable (hemoglobina &lt; 8.1 mg/dl) no fue significativa en la prueba de ji al cuadrado e intervalo de confianza, y por tanto no ayudó para predecir la reoperación.  Conclusión: La utilidad del modelo propuesto por Kiewiet-Van Ruler resulta en un aceptable valor de predicción para relaparotomía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: It is crucial the timely detection of a new infection or the persistence of it to improve the survival rates, there is no index that can determine the need for relaparotomy.  Objective: To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.  Method: A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015.  Results: We included 109 patients, 63 male patients and 46 female patients. Mortality of 16.5%. 68 cases had a score lower than or equal to 19, of which 17 patients (43%) did need to reoperate. The second group with a score higher than 20 was 41 patients, of which 22 (56%) required reoperation. In the individual analysis of the variables, a significant value was determined in five of them, with p &lt; 0.05. Only one variable (hemoglobin &lt; 8.1 mg/dl) in the chi-square test and confidence interval was not significant and I do not help so much to predict reoperation.  Conclusions: The utility of the model proposed by Kiewiet-Van Ruler results in an acceptable prediction value for re laparotomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Laparotomía]]></kwd>
<kwd lng="es"><![CDATA[Sepsis]]></kwd>
<kwd lng="es"><![CDATA[Infección]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="en"><![CDATA[Laparotomy]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Infection]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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