<?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>S2307-04202025000100012</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2025.abril.12</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Técnica de refuerzo de la pared abdominal con sutura longitudinal lateral a la incisión (reinforced tension line - RTL) para el cierre de la línea media como prevención de evisceración]]></article-title>
<article-title xml:lang="en"><![CDATA[Technique of reinforcement for the abdominal wall with longitudinal suture lateral to the incision (reiforced tension line-RTL) for midline closure in order to prevent evisceratio]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuenca]]></surname>
<given-names><![CDATA[Osmar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Ever]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agüero]]></surname>
<given-names><![CDATA[Angel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cano]]></surname>
<given-names><![CDATA[Cristhian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Jorge Ruíz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>49</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>15</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202025000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202025000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202025000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La evisceración es una complicación posterior a una laparotomía la técnica de RTL puede prevenirla. Objetivo: Describir resultados utilizando la técnica de RTL para prevención de evisceración en pacientes de riesgo. Material y método: Estudio prospectivo, observacional descriptivo, de corte transverso en paciente con factores de riesgo de evisceración con puntaje mayor a 6 de la escala Van Ramshorst utilizando técnica de RTL para cierre de la línea media de marzo de 2023 a febrero de 2024, en la IICCQ Hospital de Clínicas FCM-UNA. Resultados: se estudiaron 30 pacientes con 6 o más factores de riesgo para evisceración según escala de Van Ramshorst. Factores de riesgo encontrados: edad, tipo de cirugía, anemia, ascitis, tos. Edad promedio fue 55,2 ± 10,3 años, incisión mayor a 18 cm (63%) de los pacientes, tiempo quirúrgico fue de 180 ± 165 minutos (50%), infección del sitio quirúrgico (20%), 1(3,3%) óbito por sepsis abdominal. Se presentaron 2 (6,7%) Conclusión: La técnica RTL es una técnica segura, rápida, fácil de realizar, puede prevenir evisceraciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: Evisceration is a complication after a laparotomy, the RTL technique can prevent it. Objective: To describe results using the RTL technique for the prevention of evisceration in at-risk patients. Material and method: Prospective, observational, descriptive, cross-sectional study in a patient with risk factors for evisceration with a score greater than 6 on the Van Ramshorst scale using RTL technique for midline closure from March 2023 to February 2024, at the IICCQ Hospital de Clínicas FCM-UNA. Results: 30 patients with 6 or more risk factors for evisceration according to the Van Ramshorst scale were studied. Risk factors found: age, type of surgery, anemia, ascites, cough. Mean age was 55.2 ± 10.3 years, incision greater than 18 cm (63%) of patients, surgical time was 180 ± 165 minutes (50%), surgical site infection (20%), 1 (3.3%) death due to abdominal sepsis. 2 (6.7%). Conclusion: The RTL technique is a safe, fast, easy to perform technique, it can prevent eviscerations.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Keywords: evisceration, midline closure]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Evisceración]]></kwd>
<kwd lng="es"><![CDATA[cierre de línea media]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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