<?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>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912026000100231</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/2026.e81101</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abdomen abierto en pacientes internados en la II Cátedra de Clínica Quirúrgica del Hospital de Clínicas de San Lorenzo, 2013-2023]]></article-title>
<article-title xml:lang="en"><![CDATA[Open abdomen in patients hospitalized in the second department of surgery at Hospital de Clínicas, San Lorenzo, 2013-2023]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Escobar]]></surname>
<given-names><![CDATA[Neil Nelson]]></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 ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>8</volume>
<fpage>231</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912026000100231&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912026000100231&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912026000100231&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción. El abdomen abierto es una estrategia quirúrgica empleada en pacientes críticos cuando el cierre primario de la pared abdominal resulta inseguro por riesgo de hipertensión intraabdominal, síndrome compartimental abdominal, necesidad de reintervención o imposibilidad de control definitivo del foco séptico.  Objetivo. Describir el perfil clínico, las indicaciones quirúrgicas, las estrategias de cierre temporal y los desenlaces de pacientes con abdomen abierto internados en las salas de la II Cátedra y Servicio de Clínica Quirúrgica.  Materiales y método. Estudio observacional, descriptivo, retrospectivo, de corte transversal. La población estuvo constituida por pacientes adultos con abdomen abierto registrados en las salas de internación entre agosto de 2013 y agosto de 2023. De 324 registros hospitalarios identificados, 50 correspondieron a la sala estudiada; se excluyeron 10 historias clínicas incompletas y se analizaron 40 casos consecutivos.  Resultados. La edad media fue de 46,92 ± 17,89 años y el 72,5% correspondió al sexo masculino. La principal indicación fue la peritonitis fecal (82,5%) y la bolsa de Bogotá fue el cierre temporal más utilizado (75%). La hernia ventral/incisional planeada se registró como estrategia de cierre diferido en el 97,5%. La mortalidad intrahospitalaria fue del 5%.  Conclusión. En los pacientes internados en sala, el abdomen abierto se utilizó principalmente para el control quirúrgico de la peritonitis fecal y la bolsa de Bogotá fue la técnica predominante. La mortalidad debe interpretarse considerando que el estudio no incluyó pacientes que permanecieron exclusivamente en Urgencias o en la Unidad de Cuidados Intensivos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction. Open abdomen is a surgical strategy used in critically ill patients when primary fascial closure is unsafe because of the risk of intra-abdominal hypertension, abdominal compartment syndrome, need for reoperation, or inability to achieve definitive source control.  Objective. To describe the clinical profile, surgical indications, temporary abdominal closure strategies, and outcomes of patients with open abdomen admitted to the wards of the Second Department of Surgery.  Materials and methods. Observational, descriptive, retrospective cross-sectional study. The population comprised adult patients with open abdomen registered in the inpatient surgical wards between August 2013 and August 2023. Of 324 identified institutional records, 50 corresponded to the studied ward; 10 incomplete medical records were excluded and 40 consecutive cases were analyzed.  Results. Mean age was 46.92 ± 17.89 years and 72.5% of patients were male. Fecal peritonitis was the main indication (82.5%) and the Bogotá bag was the most frequently used temporary closure technique (75%). Planned ventral/incisional hernia was classified as a delayed closure strategy (97.5%). In-hospital mortality was 5%.  Conclusion. Among patients admitted to the surgical ward, open abdomen was mainly used for surgical control of fecal peritonitis and the Bogotá bag was the predominant technique. Mortality should be interpreted considering that patients managed exclusively in the Emergency Department or Intensive Care Unit were not included.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[técnica de abdomen abierto]]></kwd>
<kwd lng="es"><![CDATA[síndrome compartimental abdominal]]></kwd>
<kwd lng="es"><![CDATA[peritonitis]]></kwd>
<kwd lng="es"><![CDATA[cuidados posoperatorios]]></kwd>
<kwd lng="es"><![CDATA[mortalidad hospitalaria]]></kwd>
<kwd lng="en"><![CDATA[open abdomen techniques]]></kwd>
<kwd lng="en"><![CDATA[abdominal compartment syndrome]]></kwd>
<kwd lng="en"><![CDATA[peritonitis]]></kwd>
<kwd lng="en"><![CDATA[postoperative care]]></kwd>
<kwd lng="en"><![CDATA[hospital mortality]]></kwd>
</kwd-group>
</article-meta>
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