<?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[Rev. 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>S2307-04202017000300033</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.diciembre.33-36</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[MILOS PARA TRATAMIENTO DE DEFECTOS PRIMARIOS DE LA LINEA MEDIA]]></article-title>
<article-title xml:lang="en"><![CDATA[MILOS FOR THE TREATMENT OF PRIMARY DEFECTS OF THE MEDIA LINE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuenca Torres]]></surname>
<given-names><![CDATA[Osmar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodriguez González]]></surname>
<given-names><![CDATA[Agustín]]></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[Peña]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronel]]></surname>
<given-names><![CDATA[Jazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zalazar]]></surname>
<given-names><![CDATA[Baudilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abed]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Melgarejo]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Medicas Cátedra de Clínica Quirúrgica. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<fpage>33</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202017000300033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202017000300033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202017000300033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen A nivel de la línea media de la pared anterior del abdomen existen comúnmente ciertos defectos parietales, ellos son: las hernias umbilicales, las hernias epigástricas y la diástasis de los rectos. La técnica de MILOS (Mini and Less Open Sublay) permite una reparación de estos defectos con la colocación de un material protésico en el espacio pre peritoneal retro muscular (sub lay) con buenos resultados. Con el objetivo de valorar los resultados de la aplicación de esta técnica se presenta este estudio observacional descriptivo prospectivo sobre pacientes adultos de ambos sexos, portadores de defectos primarios de la línea media sometidos a tratamiento quirúrgico con técnica de MILOS de marzo a noviembre del 2017 en la Unidad de Cirugía de Pared Abdominal de la Segunda Cátedra de Clínica Quirúrgica del Hospital de Clínicas de la Facultad de Ciencias Medicas, Universidad Nacional de Asunción. Se intervinieron 12 pacientes, portadores de 13 defectos de la línea media, edad media de 48 años, predominio del sexo femenino y una media del defecto parietal de 3 cm. En 7 pacientes se realizo la técnica e MILOS abierta y en 5 la técnica de MILOS con visión endoscópica. La media del tiempo quirúrgico fue de 144 minutos y la estancia hospitalaria de 1,8 días. En el post operatorio inmediato 9 pacientes manifestaron dolor leve y 4 dolor moderado según escala Eva. Dos pacientes presentaron complicaciones locales. La técnica de MILOS permite la reparación de este tipo de defectos con resultados satisfactorios y mínima morbilidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary At the level of the midline of the anterior wall of the abdomen there are commonly certain wall defects, they are: the umbilical hernias, the epigastric hernias and the diastasis of the recti. The technique of MILOS (Mini and Less Open Sublay) allows a repair of these defects with the placement of a prosthetic material in the pre-peritoneal muscle retro space (sub lay) with good results. With the aim of assessing the results of the application of this technique is presented this prospective descriptive observational study on adult patients of both sexes, carriers of primary defects of the midline undergoing surgical treatment with MILOS technique from March to November 2017 in the Abdominal Wall Surgery Unit of the Second Chair of Surgical Clinic of the Clínicas Hospital of the Faculty of Medical Sciences, National University of Asunción. 12 patients were intervened, carrying 13 defects of the midline, average age of 48 years, predominance of the female sex and an average of 3 cm parietal defect. In 7 patients, the open MILOS technique was performed and in 5 the MILOS technique with endoscopic vision. The average surgical time was 144 minutes and the hospital stay was 1.8 days. In the immediate postoperative period, 9 patients showed mild pain and 4 moderate pain according to the Eva scale. Two patients presented local complications. The MILOS technique allows the repair of this type of defects with satisfactory with satisfactory results and minimal morbidity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Defectos de línea media]]></kwd>
<kwd lng="es"><![CDATA[MILOS]]></kwd>
<kwd lng="en"><![CDATA[Midline defects]]></kwd>
<kwd lng="en"><![CDATA[MILOS.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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