<?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>2696-130X</journal-id>
<journal-title><![CDATA[Revista mexicana de angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. angiol.]]></abbrev-journal-title>
<issn>2696-130X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Angiología, Cirugía Vascular y Endovascular A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2696-130X2023000400118</article-id>
<article-id pub-id-type="doi">10.24875/rma.23000016</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Amputación primaria en trauma vascular: experiencia en Uruapan, Michoacán]]></article-title>
<article-title xml:lang="en"><![CDATA[Primary amputation on vascular trauma: Uruapan, Michoacan experiences]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-González]]></surname>
<given-names><![CDATA[Homero]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cendejas-Molina]]></surname>
<given-names><![CDATA[Jorge L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud de Michoacán Hospital General de Uruapan Servicio de Angiología y Cirugía Vascular]]></institution>
<addr-line><![CDATA[Uruapan Mich]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaría de Salud de Michoacán Hospital General Servicio de Cirugía Vascular]]></institution>
<addr-line><![CDATA[Uruapan Mich]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Práctica privada Unidad Médica Especializada ]]></institution>
<addr-line><![CDATA[Uruapan Mich]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Secretaría de Salud de Michoacán Hospital General de Uruapan Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Uruapan Mich]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>51</volume>
<numero>4</numero>
<fpage>118</fpage>
<lpage>124</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2696-130X2023000400118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2696-130X2023000400118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2696-130X2023000400118&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: El trauma vascular es una patología frecuente en la vida contemporánea.  Objetivo: Analizar los casos en que hemos hecho amputación primaria y revisar los criterios para la toma de decisiones.  Método: Estudio retrospectivo, comparativo y observacional. De 1982 a 2019 hemos atendido a 134 pacientes con trauma vascular, de estos, siete han sido sometidos a amputación primaria utilizando la clasificación de MESS (Mangled Extremity Severity Score).  Resultados: Fueron tres pacientes de sexo femenino y cuatro de sexo masculino, las edades variaron de 8 a 63 años, tres pacientes con MESS 11 y cuatro pacientes con MESS 12. Con base en esta clasificación decidimos hacer amputación primaria.  Conclusiones: Al ingresar los pacientes deben ser valorados por un grupo multidisciplinario y debe comunicarse al paciente y/o familiares la posibilidad de amputación del miembro afectado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Vascular trauma is a frequent pathology in contemporary life.  Objective: To analyze cases in which primary amputation has been performed and review criteria used on decision making.  Method: Retrospective, observational, and comparative study. From 1982 to 2019, 134 vascular trauma patients were treated. Seven patients who suffered primary mutilation, assessed by the Mangled Extremity Severity Score (MESS).  Results: Seven patients with ages ranging from 8 to 63 years were treated. Three of them presented a MESS 11 score, while the other four patients had a MESS 12 score. Based on these scores, we decided to perform a primary amputation.  Conclusions: Upon arrival patients must be assessed by a multidisciplinary board, and to communicate to the patient and/or the family the possibility that the affected limb could be amputated.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trauma vascular en las extremidades]]></kwd>
<kwd lng="es"><![CDATA[Amputación primaria]]></kwd>
<kwd lng="es"><![CDATA[Miembro destrozado]]></kwd>
<kwd lng="en"><![CDATA[Vascular extremity trauma]]></kwd>
<kwd lng="en"><![CDATA[Primary amputation]]></kwd>
<kwd lng="en"><![CDATA[Mangled extremity]]></kwd>
</kwd-group>
</article-meta>
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