<?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>S2307-04202023000300015</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2023.diciembre.15</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo de pacientes con plastrón apendicular, en el servicio de cirugía general del Hospital Nacional de Itauguá en el periodo 2011-2021]]></article-title>
<article-title xml:lang="en"><![CDATA[Management of patients with appendicular mass, in the general surgery service at the Hospital Nacional de Itauguá in the period 2011-2021]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echagüe]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baruja]]></surname>
<given-names><![CDATA[Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá  ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</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>47</volume>
<numero>3</numero>
<fpage>15</fpage>
<lpage>18</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202023000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202023000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202023000300015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el plastrón apendicular es una patología infrecuente ma- nifestada como una tumoración inflamatoria constituida por el apén- dice, vísceras adyacentes y epiplón mayor cuando el organismo logra controlar parcialmente la apendicitis, evitando así una peritonitis. Este trabajo busca determinar características y manejo de pacientes con plas- trón apendicular del Servicio de Cirugía general del Hospital Nacional de Itauguá. Métodos: estudio retrospectivo, descriptivo de corte trans- verso. Resultados: del total de 50 pacientes, 88% consultó por dolor, el promedio de días de enfermedad previo de 9 días y una internación pro- medio de 11 días. Al examen físico 82% presentaba tumoración en fosa iliaca derecha. El 56 % requirió cirugía: 16 fueron lavado de cavidad más drenaje (por plastrón roto y abscedado a cavidad), 1 caso colectomía derecha y 2 casos drenajes percutáneos. Conclusión: Probablemente debido al retraso al acceso del sistema de salud, los pacientes al acudir ya presentan complicaciones del plastrón apendicular que requieren un tratamiento quirúrgico en más de la mitad de los casos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: this study seeks to determine the characteristics and management of patients with appendiceal mass at the General Surgery Service at the Hospital Nacional de Itauguá, an infrequent pathology manifested as an inflammatory tumor consisting of the inflamed appen- dix, adjacent viscera and greater omentum when the organism manages to partially control appendicitis, thus avoiding peritonitis. Methods: retrospective, descriptive study, being variables: reason for consultation, days of illness and hospitalization, treatment, etc. Results: of the total of 50 samples, 88% consulted for pain, the average number of days of illness is 9 days and hospitalization 11 days, on physical examination 82% presented a tumor in the right iliac fossa. 56% required surgery: 16 were cavity lavage plus drainage, 1 case right colectomy and 2 cases percutaneous drainage. Conclusion: According to the bibliographies, in recent years a conservative attitude is spreading. In our work, however, immediate surgery was performed in 56% of the cases, we did not verify the use of delayed surgery, probably due to lack of follow-up. Most come with symptoms of approximately 9 days, already as a ruptured abscess in the cavity, so the most used technique was lavage + cavity drainage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[plastrón apendicular]]></kwd>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[apendicectomía]]></kwd>
<kwd lng="es"><![CDATA[tratamiento conservador]]></kwd>
<kwd lng="en"><![CDATA[aappendiceal mass]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[appendectomy]]></kwd>
<kwd lng="en"><![CDATA[conservative treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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