<?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>S2307-04202019000100007</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.abril.7-11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[MANEJO Y TRATAMIENTO DE PACIENTES CON DIAGNÓSTICO DE HIDATIDOSIS HEPÁTICA EN EL HOSPITAL NACIONAL DE ITAUGUÁ]]></article-title>
<article-title xml:lang="en"><![CDATA[MANAGEMENT AND TREATMENT OF PATIENTS DIAGNOSED WITH HEPATIC HYDATIDOSIS AT THE NATIONAL HOSPITAL OF ITAUGUÁ]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flecha]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pfingst]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá Servicio de Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>11</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La hidatidosis es una zoonosis de distribución mundial producida por las larvas de Echinococcus granulosus. Afecta frecuentemente a adultos jóvenes, de regiones agrícolas y ganaderas. Considerada endémica en América del Sur, con puntos de incidencia en Argentina y Uruguay. De baja incidencia en nuestro país. Presentándose en su forma quística más comúnmente en hígado y pulmón.  Objetivos:  El propósito de este trabajo es establecer el manejo y tratamiento de la hidatidosis hepática en los pacientes que concurren al Hospital Nacional de Itauguá en el periodo de 2014 al 2018.  Material y métodos: Estudio observacional, descriptivo, retrospectivo de corte transversal. Los datos fueron obtenidos de las Historias Clínicas de pacientes con Hidatidosis Hepática de los archivos del Hospital Nacional de Itauguá.  Resultados:  Se estudiaron a 17 pacientes, de los cuales el 64,7% pertenecían al género femenino, con edad media de 44,8(13,8, ser observo 14,06 días de internación en promedio, de los pacientes el 29,4% fueron procedentes de la ciudad de Paraguarí, el 82,4% habrían consultado por dolor abdominal, como examen complementario 70,6% había utilizado la ecografía como método de diagnostico, en donde el 70,6% fue sometido a laparotomía y el 23,5% presentó complicación postquirúrgica.  Conclusión: La mayoría de los pacientes con esta patología corresponde a mujeres, predominio en zona urbana, siendo el dolor abdominal el principal motivo de consulta y diagnosticados por ecografía recibiendo tratamiento quirúrgico tanto laparotómico como abordaje mínimamente invasivo (percutáneo).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Hydatid disease is an infection, usually of the liver, cause by larval forms of tapeworms of the genus Echinococcus, and characterized by the development of expanding cysts. It frequently affects young adults, from agricultural and livestock regions. Considered endemic in South America, with incidence points in Argentina and Uruguay. Low incidence in our country. Presenting most commonly in the liver and lung in its cystic form.  Objective:  The purpose of this work is to establish the management and treatment of hepatic hydatidosis in patients attending the Hospital Nacional de Itauguá in the period from 2014 to 2018  Material and methods:  Observational, descriptive, retrospective cross-sectional study. The data were obtained from the Clinical Histories of patients with Hepatic Hydatidosis from the archives of the Hospital Nacional de Itauguá. Results: We studied 17 patients, of which 64.7% belonged to the female gender, with an average age of 44.8(13.8, were observed 14.06 days of hospitalization on average, 29.4% patients of the study were from the city of Paraguarí, 82.4% would have consulted for abdominal pain, 70.6% used ultrasound as a diagnostic method, 70.6% underwent a laparotomy and 23.5% presented a complication postsurgical  Conclusion:  The majority of patients with this pathology correspond to women, from urban areas, presenting abdominal pain, diagnosed by ultrasound in whom both were practiced open surgery and a minimally invasive approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quiste Hidatídico]]></kwd>
<kwd lng="es"><![CDATA[Hidatidosis Hepática]]></kwd>
<kwd lng="en"><![CDATA[Hydatid cyst]]></kwd>
<kwd lng="en"><![CDATA[Hepatic hydatidosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baravalle Servín]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Pederzani]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hydatidosis in the Medical Clinic and Surgery rooms of the Hospital de Clinicas from 2006 to 2013]]></article-title>
<source><![CDATA[Rev Virtual Soc Paraguaya Med Interna]]></source>
<year>2017</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>93-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<collab>OPS/OMS</collab>
<article-title xml:lang=""><![CDATA[Prevención y Control de la Hidatidosis en el Nivel Local: iniciativa sudamericana para el control y vigilancia de la equinococosis quística / hidatidosis]]></article-title>
<source><![CDATA[Organización Panamericana de la Salud - OPS/OMS]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Río de Janeiro ]]></publisher-loc>
<publisher-name><![CDATA[PANAFTOSA - OPS/OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carmena]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cardona]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Canine echinococcosis: global epidemiology and genotypic diversity]]></article-title>
<source><![CDATA[Acta Trop.]]></source>
<year>2013</year>
<volume>128</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>441-60</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eckert]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gemmell]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Meslin]]></surname>
<given-names><![CDATA[FX]]></given-names>
</name>
<name>
<surname><![CDATA[Pawlowski Z]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[World Health Organization. WHO/OIE manual on echinococcosis in humans and animals: a public health problem of global concern&#8206;. Paris, France]]></source>
<year>2001</year>
<publisher-name><![CDATA[World Organization for Animal Health]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zinner]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ashley]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugías abdominales de Maingot]]></source>
<year>2017</year>
<edition>12a</edition>
<publisher-loc><![CDATA[Boston ]]></publisher-loc>
<publisher-name><![CDATA[AMOLCA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giménez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía: Fundamentos para la práctica clínico-quirúrgica]]></source>
<year>2014</year>
<edition>1°</edition>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parrilla Paricio]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Jaurrieta]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugia AEC: Manual de la Asociación Española de cirujanos]]></source>
<year>2015</year>
<edition>2</edition>
<publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferraina]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Oria]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía de Michans]]></source>
<year>2002</year>
<edition>5ta</edition>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Editorial El Ateneo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Charles]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Schwartz Principios de Cirugía]]></source>
<year>2015</year>
<edition>10a</edition>
<publisher-loc><![CDATA[México D.F. ]]></publisher-loc>
<publisher-name><![CDATA[Mc GrawHill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruiz-Tovar]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[López-Buenadicha]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno-Caparros]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez-Garza]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo quirúrgico de los quistes hepáticos simples]]></article-title>
<source><![CDATA[Cir Cir]]></source>
<year>2012</year>
<numero>1</numero>
<issue>1</issue>
<page-range>4</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zacherl]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Scheuba]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Imhof]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jakesz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fu&#776;gger]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Long-term re- sults after laparoscopic unroofing of solitary symptomatic congenital liver cysts]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2000</year>
<volume>14</volume>
<page-range>59-62</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pekolj]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ardiles]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Ho Hyon]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones de la Cirugía Abdominal]]></article-title>
<source><![CDATA[del hospital ediciones]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Koch]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Garden]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
<name>
<surname><![CDATA[Padbury]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rahbari]]></surname>
<given-names><![CDATA[NN]]></given-names>
</name>
<name>
<surname><![CDATA[Adam]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Capussotti]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery]]></article-title>
<source><![CDATA[Surgery]]></source>
<year>2011</year>
<volume>149</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>680-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gunay]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Taviloglu]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Berber]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ertekin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traumatic ruptura of hydatid cyst:12-year experience from an endemic región]]></article-title>
<source><![CDATA[J Trauma]]></source>
<year>1999</year>
<volume>46</volume>
<page-range>164-7</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Engin]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Calik]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Yilmaz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ergun Temiz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Karagulle]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía conservadora en Hidatidosis Problemas]]></source>
<year>2010</year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hidatidosis humana: antecedentes generales y situación epidemiológica en Chile, 2001-2009]]></article-title>
<source><![CDATA[Rev chil infectol]]></source>
<year>2011</year>
<volume>28</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>585-91</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galindo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hidatidosis hepática]]></article-title>
<source><![CDATA[Cirugía Digestiva]]></source>
<year>2009</year>
<numero>4</numero>
<issue>4</issue>
<page-range>422</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benci]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Maestrini]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Accorsi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Caremani]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Lapini]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasound imaging in cystic echinococcosis. Proposal of a new sounografhic classification]]></article-title>
<source><![CDATA[Acta Trop]]></source>
<year>2000</year>
<volume>667</volume>
<page-range>91-105</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actualización en el diagnóstico y tratamiento de la hidatidosis hepática]]></article-title>
<source><![CDATA[Rev Chil Cir]]></source>
<year>2008</year>
<volume>60</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Noemí]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Viovy]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zamorano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Blanco]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Revello]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Vojkovic]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hidatidosis en la infancia: Albendazol en su tratamiento médico y quirúrgico]]></article-title>
<source><![CDATA[Rev chil infectol]]></source>
<year>2003</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amez Olivera]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Castañeda Saldaña]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento quirúrgico de la hidatidosis pulmonar en el Hospital Nacional Cayetano Heredia 1989-1999]]></article-title>
<source><![CDATA[Rev Medica Hered]]></source>
<year>2013</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
