<?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>S1405-00992014000400209</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbimortalidad asociada al cierre de colostomía con sutura mecánica]]></article-title>
<article-title xml:lang="en"><![CDATA[Morbidity and mortality associated with colostomy closure with mechanical suture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Mondragón]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Bobadilla]]></surname>
<given-names><![CDATA[Billy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villanueva-Herrero]]></surname>
<given-names><![CDATA[Juan Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños-Badillo]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cosme-Reyes]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México Servicio de Cirugía General Unidad de Coloproctología]]></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>4</numero>
<fpage>209</fpage>
<lpage>213</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000400209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000400209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000400209&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Introducción: El cierre de la colostomía actualmente está asociado a importantes tasas de morbilidad (55%) y complicaciones como las fugas anastomóticas, estancias hospitalarias prolongadas y una mortalidad operatoria de hasta el 10%. Debido a las altas morbilidad y mortalidad asociadas con el cierre de una colostomía, hasta en un 30% de los pacientes no es posible restituir el tránsito intestinal y permanecen con una colostomía definitiva, en este estudio se revisó, describió y analizó el resultado del manejo quirúrgico de los pacientes con cierre mecánico de colostomía en el Servicio de Coloproctología del Hospital General de México. Pacientes y métodos: Estudio retrospectivo, observacional, descriptivo y transversal. Porcentajes como medida de resumen para variables cualitativas. Se incluyó a 30 pacientes a los que se realizó cierre de colostomía en el periodo comprendido de abril de 2011 a abril de 2013. Resultados: El tipo de abordaje que predominó fue cirugía abierta (96.7%); se realizó anastomosis mecánica en todos los pacientes. Encontramos un 40% de complicaciones: dehiscencia de anastomosis en el 10% de los pacientes, infección de sitio quirúrgico en el 3.3% y hematoma de herida, adherencias y sangrado en el sitio de la anastomosis en el 26.7% del total. Conclusiones: La restitución del tránsito intestinal es un procedimiento quirúrgico complejo que está asociado a severas complicaciones y a una importante morbilidad. La morbilidad encontrada en nuestro estudio se mantuvo en un rango similar al de otras publicaciones e incluso por debajo de lo reportado en la literatura nacional en lo que se refiere a la infección del sitio quirúrgico y fuga de anastomosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: The closure of the colostomy is currently associated with signifi cant morbidity (55%) and complications such as anastomotic leakage, longer hospital stays and an operative mortality of up to 10%. Due to the high morbidity and mortality associated with the closure of a colostomy, up to 30% of patients can not restore intestinal transit and remain with a permanent colostomy, this study was reviewed, described and analyzed the result of management surgical patients with mechanical seal colostomy Coloproctology Service General Hospital of Mexico. Patients and methods: A retrospective, observational, descriptive and cross-sectional study, the study included a total of 30 patients on whom a colostomy closure was performed between April 2011 and April 2013. Results: Open surgery was the most common approach (96.7%), with mechanical anastomosis performed on all patients. Complications were found in 40% of patients including, dehiscence of anastomosis in 10% of the patients, surgical site infection in 3.3%, and 26.7% of all patients had complications, such as, wound hematoma, adhesions, and bleeding at the site of the anastomosis. Conclusions: The return of intestinal transit is a complex surgical procedure that is associated with severe complications and signifi cant morbidity. The morbidity found in our study remained at a similar range of other publications and even below those reported in the national literature in relation to surgical site infection and anastomotic leak.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colostomía]]></kwd>
<kwd lng="es"><![CDATA[Anastomosis mecánica]]></kwd>
<kwd lng="es"><![CDATA[Fuga de anastomosis]]></kwd>
<kwd lng="es"><![CDATA[Dehiscencia de anastomosis]]></kwd>
<kwd lng="es"><![CDATA[Cierre de colostomía]]></kwd>
<kwd lng="en"><![CDATA[Colostomy]]></kwd>
<kwd lng="en"><![CDATA[Mechanical anastomosis]]></kwd>
<kwd lng="en"><![CDATA[Anastomotic leak]]></kwd>
<kwd lng="en"><![CDATA[Anastomotic dehiscence]]></kwd>
<kwd lng="en"><![CDATA[Colostomy closure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[FL]]></given-names>
</name>
<name>
<surname><![CDATA[Boutros]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Da Silva]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hartmann reversal: obesity adversely impacts outcome]]></article-title>
<source><![CDATA[Dis Colon Rectum]]></source>
<year>2013</year>
<volume>56</volume>
<page-range>83-90</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cellini]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Deeb]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association between operative approach and complications in patients undergoing Hartmann&#8217;s reversal]]></article-title>
<source><![CDATA[Br J Surg]]></source>
<year>2013</year>
<volume>100</volume>
<page-range>1094-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schmelzer]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Mostafa]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Norton]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reversal of Hartmann&#8217;s procedure: A high-risk operation?]]></article-title>
<source><![CDATA[Surgery]]></source>
<year>2007</year>
<volume>142</volume>
<page-range>598-607</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banerjee]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Leather]]></surname>
<given-names><![CDATA[AJM]]></given-names>
</name>
<name>
<surname><![CDATA[Rennie]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feasibility and morbidity of reversal of Hartmann&#8217;s]]></article-title>
<source><![CDATA[Colorrectal Dis]]></source>
<year>2005</year>
<volume>7</volume>
<page-range>454-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brisinda]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vanella]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cadeddu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[End-to-end versus end-to-side stapled anastomoses after anterior resection for rectal cancer]]></article-title>
<source><![CDATA[J Surg Oncol]]></source>
<year>2009</year>
<volume>99</volume>
<page-range>75-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Asolati]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hamilton]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of compli-cations associated with colostomy reversal versus ileostomy reversal]]></article-title>
<source><![CDATA[Am J Surg]]></source>
<year>2005</year>
<volume>190</volume>
<page-range>717-20</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tokode]]></surname>
<given-names><![CDATA[OM]]></given-names>
</name>
<name>
<surname><![CDATA[Akingboye]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Coker]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factors affecting reversal following Hartmann&#8217;s procedure: experience from two district general hospitals in the UK]]></article-title>
<source><![CDATA[Surg Today]]></source>
<year>2011</year>
<volume>41</volume>
<page-range>79-83</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banurra-Cusmille]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rol actual de la operación de Hartmann: análisis crítico]]></article-title>
<source><![CDATA[Rev Chilena de Cirugía]]></source>
<year>2002</year>
<volume>54</volume>
<page-range>555-60</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Geldere]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Fa-Si-Oen]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Noach]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complications after colorectal surgery without mechanical bowel preparation]]></article-title>
<source><![CDATA[J Am Coll Surg]]></source>
<year>2002</year>
<volume>194</volume>
<page-range>40-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alcántara Moral]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Serra]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Bombardó]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio prospectivo controlado y aleatorizado sobre la necesidad de la preparación mecánica de colon en cirugía programada colorrectal]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2009</year>
<volume>85</volume>
<page-range>20-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ishibashi]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kumamoto]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kuwabara]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Usefulness of sennoside as an agent for mechanical bowel preparation prior to elective colon cancer surgery]]></article-title>
<source><![CDATA[Asian J Surg]]></source>
<year>2012</year>
<volume>35</volume>
<page-range>81-7</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Takahashi Monrroy]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Velasco]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Morales Olivera]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbilidad y mortalidad en la reconexión colorrectal posterior al procedimiento de Hartmann]]></article-title>
<source><![CDATA[Cir Ciruj]]></source>
<year>2006</year>
<volume>74</volume>
<page-range>329-33</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosen]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cobb]]></surname>
<given-names><![CDATA[WS]]></given-names>
</name>
<name>
<surname><![CDATA[Kercher]]></surname>
<given-names><![CDATA[KW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic restoration of intestinal continuity after Hartmann&#8217;s procedure]]></article-title>
<source><![CDATA[Am J Surg]]></source>
<year>2005</year>
<volume>189</volume>
<page-range>670-4</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leichtle]]></surname>
<given-names><![CDATA[SW]]></given-names>
</name>
<name>
<surname><![CDATA[Mouawad]]></surname>
<given-names><![CDATA[NJ]]></given-names>
</name>
<name>
<surname><![CDATA[Welch]]></surname>
<given-names><![CDATA[KB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk factors for anastomotic leakage after colectomy]]></article-title>
<source><![CDATA[Dis Colon Rectum]]></source>
<year>2012</year>
<volume>55</volume>
<page-range>569-75</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huh]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[YJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anastomotic leakage after laparo-scopic resection of rectal cancer: The impact of fibrin glue]]></article-title>
<source><![CDATA[Am J Surg]]></source>
<year>2010</year>
<volume>199</volume>
<page-range>435-41</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mallol]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sabaté]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kreisler]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infección de la herida quirúrgica en cirugía colorectal electiva y su relación con factores perioperatorios]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2012</year>
<volume>90</volume>
<page-range>376-81</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Camacho Mauries]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Díaz]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Salgado Nesme]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Randomized clinical trial of intestinal ostomy takedown comparing pursetring wound closure vs conventional closure to eliminate the risk of wound infection]]></article-title>
<source><![CDATA[Dis Colon Rectum]]></source>
<year>2013</year>
<volume>56</volume>
<page-range>205-11</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
