<?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>S2444-054X2020000500624</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20000760</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cierre secuencial de la pared abdominal en el manejo del abdomen abierto. Una nueva técnica quirúrgica]]></article-title>
<article-title xml:lang="en"><![CDATA[Sequential closure of the abdominal wall for the management of open abdomen. A new surgical technique]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Álvarez]]></surname>
<given-names><![CDATA[Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz De la Torre-González]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Barragán]]></surname>
<given-names><![CDATA[Virgilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Álvarez]]></surname>
<given-names><![CDATA[Luis D. De la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centenario Hospital Miguel Hidalgo Departamento de Enseñanza e Investigación y Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Aguascalientes ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>5</numero>
<fpage>624</fpage>
<lpage>629</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2020000500624&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2020000500624&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2020000500624&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: El abdomen abierto es un método quirúrgico utilizado en el tratamiento de pacientes con sepsis abdominal, en trauma abdominal en casos de cirugía de control de daños y en casos de síndrome de hipertensión abdominal.  Objetivo Demostrar la efectividad de una nueva técnica quirúrgica en pacientes con abdomen abierto.  Método: Estudio de todos los pacientes manejados con abdomen abierto en nuestro hospital en un periodo de 5 años.  Resultados: Se incluyeron 24 pacientes, 18 hombres y 6 mujeres, con una edad promedio de 41.5 ± 15.9 años. El diagnóstico operatorio fue síndrome compartimental abdominal en 7 (29%) casos, sepsis abdominal en 9 (38%) y trauma abdominal en 8 (33%). La puntuación APACHE II tuvo una mediana de 8 (rango: 5-21) y el SIRS una mediana de 2 (rango: 1-4). La mediana de ingresos a quirófano por paciente fue de dos. La mediana de las aproximaciones aponeuróticas fuera de quirófano fue de cuatro. Se realizó un cierre definitivo de la pared abdominal en 21 de 22 pacientes vivos, considerando cierre exitoso en el 95%.  Conclusiones: El cierre secuencial es una técnica efectiva que ofrece una alternativa en pacientes que requieren manejo con abdomen abierto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The open abdomen is a surgical technique used in the treatment of patients with abdominal sepsis, abdominal trauma and abdominal hypertension syndrome.  Objective: The aim was to demonstrate the effectiveness of a new surgical technique designed for the management and closure of the abdominal wall in patients with open abdomen.  Method: Study of all patients treated with open abdomen in our Hospital over a five-year period.  Results: It were included 24 patients, 18 men and 6 women. The average age was 41.5 ± 15.9 years. Operative diagnosis was abdominal compartment syndrome in 7 (29%) cases, abdominal sepsis in 9 (38%), and abdominal trauma in 8 (33%). The median of APACHE II score was 8 points (range: 5-21) while the assessment of SIRS score had a median of 2 points (range: 1-4). The median of surgical procedures performed in operating room was two per patient. The median of fascial surgical closures performed in the patient bed was four. A successful closure of the abdominal wall was performed in 21 of 22 live patients (95%).  Conclusions: The sequential closure of the abdominal wall is an effective technique that offers an alternative to the management of the open abdomen.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abdomen abierto]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión abdominal]]></kwd>
<kwd lng="es"><![CDATA[Pared abdominal]]></kwd>
<kwd lng="es"><![CDATA[Sepsis abdominal]]></kwd>
<kwd lng="es"><![CDATA[Trauma abdominal]]></kwd>
<kwd lng="en"><![CDATA[Open abdomen]]></kwd>
<kwd lng="en"><![CDATA[Abdominal hypertension]]></kwd>
<kwd lng="en"><![CDATA[Abdominal wall]]></kwd>
<kwd lng="en"><![CDATA[Abdominal sepsis]]></kwd>
<kwd lng="en"><![CDATA[Abdominal trauma]]></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[Lossanoff]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Richman]]></surname>
<given-names><![CDATA[BW]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Temporary abdominal coverage and reclosure of the open abdomen:frecuently asked questions]]></article-title>
<source><![CDATA[J Am Coll Surg]]></source>
<year>2002</year>
<volume>195</volume>
<page-range>105-15</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[Eddy]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<name>
<surname><![CDATA[Key]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[Mirris]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdominal compartment syndrome:etiology, detection, and management]]></article-title>
<source><![CDATA[J Tenn Med Assoc]]></source>
<year>1994</year>
<volume>87</volume>
<page-range>55-7</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[Flores-Álvarez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ávila-Cuevas]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[López-Rodríguez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Reynoso-Talamantes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[De la Torre-González]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera-Barragán]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Detección temprana y factores de riesgo asociados al síndrome compartimental abdominal]]></article-title>
<source><![CDATA[Cir Cir]]></source>
<year>2005</year>
<volume>73</volume>
<page-range>179-83</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[Arenas-Márquez]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo del abdomen abierto. Los mejores resultados]]></article-title>
<source><![CDATA[Cir Gen]]></source>
<year>2010</year>
<volume>32</volume>
<page-range>S43-45</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[Borráez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdomen abierto. Utilización del polivinilo]]></article-title>
<source><![CDATA[Rev Colomb Cir]]></source>
<year>2001</year>
<volume>16</volume>
<page-range>39-43</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[Kreis]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
<name>
<surname><![CDATA[de Mol van Otterloo]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kreis]]></surname>
<given-names><![CDATA[RW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Open abdomen management:A review of its history and proposed management algorithm]]></article-title>
<source><![CDATA[Med Sci Monit]]></source>
<year>2013</year>
<volume>19</volume>
<page-range>524-33</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[Demetriades]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Salim]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of the open abdomen]]></article-title>
<source><![CDATA[Surg Clin North Am]]></source>
<year>2014</year>
<volume>94</volume>
<page-range>131-53</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[Ivatury]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Update on open abdomen management:achievements and challenges]]></article-title>
<source><![CDATA[World J Surg]]></source>
<year>2009</year>
<volume>33</volume>
<page-range>1150-3</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[Tavares-de la]]></surname>
<given-names><![CDATA[Paz LA]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade-de la]]></surname>
<given-names><![CDATA[Garza P]]></given-names>
</name>
<name>
<surname><![CDATA[Goné-Fernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Fernández]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdomen abierto. Evolución en su manejo]]></article-title>
<source><![CDATA[Cir Cir]]></source>
<year>2008</year>
<volume>76</volume>
<page-range>177-86</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[Schecter]]></surname>
<given-names><![CDATA[WP]]></given-names>
</name>
<name>
<surname><![CDATA[Ivatury]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Rotondo]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Hirshberg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Open abdomen after trauma and abdominal sepsis:a strategy for management]]></article-title>
<source><![CDATA[J Am Coll Surg]]></source>
<year>2006</year>
<volume>203</volume>
<page-range>390-6</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[Villa-Sánchez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Roa-Rossi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reparación de hernia ventral consecuente a laparostomía]]></article-title>
<source><![CDATA[Rev Colomb Cir]]></source>
<year>2004</year>
<volume>19</volume>
<page-range>156-61</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[García-Ureña]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[López-Monclús]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Robín]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical analysis of the new clinical practice guide on compartmental syndrome]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2014</year>
<volume>38</volume>
<page-range>170-2</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[Yuan]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ren]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current status of the open abdomen treatment for intraabdominal infection]]></article-title>
<source><![CDATA[Gastroenterol Res Pract]]></source>
<year>2013</year>
<volume>2013</volume>
<page-range>1-7</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[Flores-Álvarez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera-Barragán]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[De la Torre-González]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<collab>Cierre secuencial de la pared abdominal</collab>
<article-title xml:lang=""><![CDATA[Una nueva técnica quirúrgica diseñada en el Centenario Hospital Miguel Hidalgo para el manejo del abdomen abierto]]></article-title>
<source><![CDATA[Lux Médica]]></source>
<year>2010</year>
<volume>5</volume>
<page-range>15-22</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
