<?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>S2444-054X2022000600789</article-id>
<article-id pub-id-type="doi">10.24875/ciru.21000500</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comparación de las características epidemiológicas, clínicas y quirúrgicas de pacientes con y sin recidiva de hernias inguinales operados en el Centro Médico Naval]]></article-title>
<article-title xml:lang="en"><![CDATA[Comparison of epidemiological, clinical and surgical characteristics of patients with and without recurrence of inguinal hernia after surgery of the Naval Medical Center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solís De la Cruz]]></surname>
<given-names><![CDATA[J. Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leal-Mérida]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guadarrama-Díaz]]></surname>
<given-names><![CDATA[Enrique O.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Naval Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Naval Subjefatura de Investigación ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>6</numero>
<fpage>789</fpage>
<lpage>795</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2022000600789&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2022000600789&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2022000600789&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La hernia inguinal recidivante es considerada actualmente como una hernia compleja de la pared abdominal después de que se haya manejado con un procedimiento primario, lo que representa una hernia con un mayor desafío técnico.  Objetivo: Determinar las diferencias en las características epidemiológicas, clínicas y quirúrgicas de pacientes con hernia inguinal recidivante y sin recidiva.  Método: Estudio transversal analítico en mayores de 18 años operados por hernia inguinal en el Centro Médico Naval durante el periodo del 1 de julio de 2016 al 30 de junio de 2019, integrando dos grupos de estudio.  Resultados: Se incluyeron 106 pacientes, 29 cirugías por recidiva, predominio de hombres y mayores de 60 años. Se encontraron diferencias entre el grupo de cirugía por recidiva y el grupo de cirugia primaria en tiempo quirúrgico, con medianas de 115 (p25 75 y p75 154) y 72 (p25 58 y p75 110) minutos, respectivamente (p = 0.001); tipo de abordaje, abierto 62.1% y 88.3% (p = 0.005); y tipo de anestesia, regional 48.3% y 75.3% (p = 0.008). Se exploró la correlación entre el índice de masa corporal y el tamaño del defecto herniario, obteniendo r de &#8722;0.099 y p = 0.652, con una correlación nula entre ambas.  Conclusiones: Con los hallazgos obtenidos en este estudio es posible plantear hipótesis del comportamiento de la población naval que pueda diferir de la población general, y con esto establecer protocolos de seguimiento para dar magnitud a factores ya conocidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Recurrent inguinal hernia is currently considered a complex hernia of the abdominal wall after it has been managed with a primary procedure, which represents a more technically challenging hernia.  Objective: To determine the difference in epidemiological, clinical and surgical characteristics of patients with recurrent inguinal hernia and patients without recurrence.  Method: Analytical cross-sectional study, in people over 18 years of age after surgery for inguinal hernia at the Naval Medical Center during the period from July 1, 2016 to June 30, 2019, integrating two study groups.  Results: 106 patients were included, 29 surgeries for recurrence, predominance of men and older than 60 years. Differences was found between the group of surgery for recurrence and the group of primary surgery in surgical time in minutes, with medians of 115 (p25 75 and p75 154) and 72 (p25 58 and p75 110), respectively (p = 0.001); type of open approach, 62.1% and 88.3% (p = 0.005), and type of regional anesthesia, 48.3% and 75.3% (p = 0.008). Correlation between body mass index and size of the hernial defect was explored, obtaining r of &#8722;0.099 and p = 0.652, with a null correlation between them.  Conclusions: With the findings obtained in this study, it is possible to hypothesize the behavior of the naval population which may differ from the general population and thus establish follow-up protocols to give magnitude to already known factors.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia inguinal]]></kwd>
<kwd lng="es"><![CDATA[Recidiva]]></kwd>
<kwd lng="es"><![CDATA[Características clínicas]]></kwd>
<kwd lng="es"><![CDATA[Características técnicas]]></kwd>
<kwd lng="en"><![CDATA[Inguinal hernia]]></kwd>
<kwd lng="en"><![CDATA[Recurrence]]></kwd>
<kwd lng="en"><![CDATA[Clinical characteristics]]></kwd>
<kwd lng="en"><![CDATA[Technical characteristics]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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