<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202021000100009</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2021.abril.9</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en el manejo del Abdomen abierto contenido con Bolsa de Bogotá en el Hospital Militar Central de las Fuerzas Armadas]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in the management of the open abdomen contained with Bolsa de Bogotá in the Central Military Hospital of the Armed Forces]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardozo-Arias]]></surname>
<given-names><![CDATA[Hernando R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verdecchia-Insfran]]></surname>
<given-names><![CDATA[Cynthia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes-Gómez]]></surname>
<given-names><![CDATA[Amanda M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caballero-Rodrigues]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central de las Fuerzas Armadas  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>45</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>11</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202021000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El abdomen abierto es una técnica quirúrgica en la cual dejamos la cavidad abierta cubriendo los órganos para el manejo de diferentes entidades clínico-patológicas. Materiales y métodos: Se evaluaron prospectivamente 14 pacientes entre febrero del 2018 a febrero del 2020, tratados con técnica de abdomen abierto contenido con Bolsa de Bogotá en el Servicio de Cirugía del Hospital Militar Central. Resultados: La edad promedio fue de 49 años, y el 79% fueron del sexo masculino. Fueron indicaciones para el manejo con abdomen abierto: Sepsis abdominal, control de daños, hipertensión abdominal y second look. En los pacientes con abdomen abierto por control de daños los órganos más frecuentemente lesionados fueron: Lesión esplénica con perforación de colon trasverso y lesión hepática con perforación duodenal. El número de reintervenciones promedio fue de 2,4 por paciente. Todos los pacientes estuvieron en Unidad de Cuidados Intensivos, con un promedio de 15 días. Las complicaciones encontradas: pacientes con fistula intestinal 21,4% y óbitos 21,4%. En 7 pacientes se utilizó en forma concomitante el sistema de aspiración al vacío. Conclusiones: El manejo del abdomen abierto contenido con Bolsa de Bogotá es una técnica simple para nuestro medio debido a su utilización con material de bajo costo como el polietileno obteniendo resultados satisfactorios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The open abdomen is a surgical technique in which we leave the cavity open, covering the organs for the management of different clinicopathological entities.  Materials and methods:  14 patients were prospectively evaluated between February 2018 and February 2020, treated with an open abdomen technique contained with Bogotá Bag in the Surgery Service of the Central Military Hospital. Results: The average age was 49 years, and 79% were male. Indications for open abdomen management were: abdominal sepsis, damage control, abdominal hypertension and second look. In patients with open abdomen due to damage control, the most frequently injured organs were: splenic injury with perforation of the transverse colon and liver injury with duodenal perforation. The average number of reoperations was 2.4 per patient. All patients were in the Intensive Care Unit, with an average of 15 days. Complications found: patients with intestinal fistula 21.4% and deaths 21.4%. In 7 patients, the vacuum aspiration system was used concomitantly. Conclusions: The management of the open abdomen contained with Bogota Bag is a simple technique for our environment due to its use with low-cost material such as polyethylene, obtaining satisfactory results.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bolsa de Bogotá]]></kwd>
<kwd lng="es"><![CDATA[abdomen abierto]]></kwd>
<kwd lng="es"><![CDATA[polietileno]]></kwd>
<kwd lng="en"><![CDATA[Bogota Stock Exchange]]></kwd>
<kwd lng="en"><![CDATA[open abdomen]]></kwd>
<kwd lng="en"><![CDATA[polyethylene]]></kwd>
</kwd-group>
</article-meta>
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