<?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>S2307-04202024000300012</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2024.diciembrel.12</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Correlación clínico - quirúrgico de la apendicitis aguda en el Hospital General de Luque desde junio de 2022 a junio de 2023 basado en Guía WSES de Jerusalén 2020]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical-surgical correlation of acute appendicitis at the General Hospital of Luque from june 2022 to june 2023 based on the Jerusalem WSES Guide 2020]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luraschi Centurión]]></surname>
<given-names><![CDATA[Víctor Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda Vergara]]></surname>
<given-names><![CDATA[Rita Monthzerrat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[Roun]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Luque Cirugía General ]]></institution>
<addr-line><![CDATA[Luque ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<fpage>12</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202024000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202024000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202024000300012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La Apendicitis Aguda es una de las urgencias quirúrgicas más comunes, cuyo tratamiento estándar es la apendicectomía. Sin embargo, su diagnóstico sigue siendo complejo. En 2015, la Sociedad Mundial de Cirugía de Emergencia (WSES) publicó guías basadas en evidencia para mejorar su manejo, que fueron actualizadas en 2020. Este estudio busca correlacionar los hallazgos clínicos y quirúrgicos de la apendicitis aguda en pacientes del Hospital General de Luque entre junio de 2022 y junio de 2023, con las recomendaciones de las guías WSES 2020. Métodos: Estudio observacional, retrospetivo, descriptivo de corte transversal. Resultados; De los 291 pacientes, el 93.8% (273) fueron sometidos a apendicectomía. La mayoría de las apendicectomías fueron convencionales (76.9%). Los hallazgos operatorios mostraron mayor prevalencia de apendicitis flemonosa (52%) y gangrenosa (23%). El 66% de los pacientes con apendicitis no complicada recibieron una dosis única de antibióticos, mientras que el 34% con apendicitis más grave recibieron antibióticos postoperatorios. No se utilizó drenaje en ningún paciente. Conclusión: Las escalas de Alvarado, AIR y RIPASA demostraron un alto valor predictivo en el diagnóstico de apendicitis aguda. Las guías WSES 2020 son aplicables y útiles en el manejo de esta patología en nuestra población.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: Acute appendicitis is one of the most common surgical emergencies, with appendectomy being the standard treatment. However, its diagnosis remains complex. In 2015, the World Society of Emergency Surgery (WSES) published evidence-based guidelines to improve its management, which were updated in 2020. This study aims to correlate the clinical and surgical findings of acute appendicitis in patients at the General Hospital of Luque between June 2022 and June 2023, with the recommendations of the WSES 2020 guidelines. Methods: Observational, retrospective, descriptive cross-sectional study. Results: Of the 291 patients, 93.8% (273) underwent appendectomy. Most appendectomies were conventional (76.9%). Surgical findings showed a higher prevalence of phlegmonous appendicitis (52%) and gangrenous appendicitis (23%). Sixty-six percent of patients with uncomplicated appendicitis received a single dose of antibiotics, while 34% with more severe forms received postoperative antibiotics. No drainage was used in any of the patients. Conclusion: The Alvarado, AIR, and RIPASA scales demonstrated a high predictive value for diagnosing acute appendicitis. The WSES 2020 guidelines are applicable and useful in managing this condition in our population.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis Aguda]]></kwd>
<kwd lng="es"><![CDATA[Guía WSES]]></kwd>
<kwd lng="es"><![CDATA[Guía de Jerusalén 2020]]></kwd>
<kwd lng="en"><![CDATA[Acute Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[WSES Guidelines]]></kwd>
<kwd lng="en"><![CDATA[Jerusalem Guidelines 2020]]></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[Stewart]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Khanduri]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[McCord]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ohene-Yeboah]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Uranes]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vega-Rivera]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global disease burden of conditions requiring emergency surgery]]></article-title>
<source><![CDATA[Br J Surg.]]></source>
<year>2014</year>
<volume>101</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>e9-e22</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>World Journal Of Emergency Surgery</collab>
<source><![CDATA[WSES Jerusalem Guidelines for diagnosis and treatment of acute appendicitis]]></source>
<year>2016</year>
<volume>11</volume>
<numero>34</numero>
<issue>34</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sotelo-Anaya]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Muñoz]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Ploneda-Valencia]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
<name>
<surname><![CDATA[de la Cerda-Trujillo]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Varela-Muñoz]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez-Chávez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute appendicitis in an overweight and obese Mexican population: A retrospective cohort study]]></article-title>
<source><![CDATA[Int J Surg]]></source>
<year>2016</year>
<volume>32</volume>
<page-range>6-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guinane]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Tadrous]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fouhy]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Ryan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Dempsey]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Murphy]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Microbial composition of human appendices from patients following appendectomy]]></article-title>
<source><![CDATA[M Bio]]></source>
<year>2013</year>
<volume>4</volume>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Birnbaum]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Appendicitis at the millennium]]></article-title>
<source><![CDATA[Radiology]]></source>
<year>2000</year>
<volume>215</volume>
<page-range>337-48</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[KB]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[NP]]></given-names>
</name>
<name>
<surname><![CDATA[Lai]]></surname>
<given-names><![CDATA[RK]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[YH]]></given-names>
</name>
<name>
<surname><![CDATA[Zhu]]></surname>
<given-names><![CDATA[SZ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology of appendicitis and appendectomy for the low-income population in Taiwan, 2003-2011]]></article-title>
<source><![CDATA[BMC Gastroenterol]]></source>
<year>2015</year>
<volume>15</volume>
<page-range>18</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Birnbaum]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Appendicitis at the millennium]]></article-title>
<source><![CDATA[Radiology]]></source>
<year>2000</year>
<volume>215</volume>
<page-range>337-48</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[WY]]></given-names>
</name>
<name>
<surname><![CDATA[Teoh-Chan]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Fan]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
<name>
<surname><![CDATA[Yam]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[KF]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The bacteriology and septic complication of patients with appendicitis]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1984</year>
<volume>200</volume>
<page-range>576-81</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bhangu]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Søreide]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Di Saverio]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Assarsson]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Drake]]></surname>
<given-names><![CDATA[FT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2015</year>
<volume>386</volume>
<page-range>1278-87</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jeon]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
<name>
<surname><![CDATA[Ju]]></surname>
<given-names><![CDATA[HU]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[GY]]></given-names>
</name>
<name>
<surname><![CDATA[Jeong]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Jun]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bacteriology and changes in antibiotic susceptibility in adults with community-acquired perforated appendicitis]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2014</year>
<volume>9</volume>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Temple]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Huchcroft]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Temple]]></surname>
<given-names><![CDATA[WJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The natural history of appendicitis in adults. A prospective study]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1995</year>
<volume>221</volume>
<page-range>278-81</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[Terasawa]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Blackmore]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bent]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kohlwes]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Systematic review: computed tomography and ultrasonography to detect acute appendicitis in adults and adolescents]]></article-title>
<source><![CDATA[Ann Intern Med]]></source>
<year>2004</year>
<volume>141</volume>
<page-range>537-46</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Geng]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Xie]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Lu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Single incision versus conventional three-port laparoscopic appendectomy: a meta-analysis of randomized controlled trials]]></article-title>
<source><![CDATA[Minim Invasive Ther Allied Technol]]></source>
<year>2015</year>
<volume>24</volume>
<page-range>195-203</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[Bingener]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ibrahim-Zada]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Natural orifice transluminal endoscopic surgery for intra-abdominal emergency conditions]]></article-title>
<source><![CDATA[Br J Surg.]]></source>
<year>2014</year>
<volume>101</volume>
<page-range>e80-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sauderland]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Jaschninski]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic versus open surgery for suspected appendicitis]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2010</year>
<volume>10</volume>
<page-range>CD001546</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andersson]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kolodziej]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Andersson]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ensayo clínico aleatorizado de manejo basado en puntaje de respuesta inflamatoria de apendicitis de pacientes con sospecha de apendicitis: Manejo basado en puntaje de respuesta inflamatoria de apendicitis de sospecha de apendicitis]]></article-title>
<source><![CDATA[Br J Surg.]]></source>
<year>2017</year>
<volume>104</volume>
<page-range>1451-61</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[Coleman]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Carr]]></surname>
<given-names><![CDATA[BW]]></given-names>
</name>
<name>
<surname><![CDATA[Rogers]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La puntuación de Alvarado se debe utilizar para reducir la duración de la estancia en el servicio de urgencias y la exposición a la radiación en pacientes seleccionados con dolor abdominal]]></article-title>
<source><![CDATA[J Traum Acute Care Surg]]></source>
<year>2018</year>
<volume>84</volume>
<page-range>946-50</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[Malik]]></surname>
<given-names><![CDATA[MU]]></given-names>
</name>
<name>
<surname><![CDATA[Connelly]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Awan]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El puntaje RIPASA es sensible y específico para el diagnóstico de apendicitis aguda en una población occidental]]></article-title>
<source><![CDATA[Int J enfermedad colorrectal]]></source>
<year>2017</year>
<volume>32</volume>
<page-range>491-7</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[Sammalkorpi]]></surname>
<given-names><![CDATA[HE]]></given-names>
</name>
<name>
<surname><![CDATA[Mentula]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Savolainen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La introducción de Adult Appendicitis Score redujo la tasa de apendicectomía negativa]]></article-title>
<source><![CDATA[Scan J Surg.]]></source>
<year>2017</year>
<volume>106</volume>
<page-range>196-201</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van Dijk]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
<name>
<surname><![CDATA[van Dijk]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[Dijkgraaf]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metanálisis del retraso hospitalario antes de la cirugía como factor de riesgo de complicaciones en pacientes con apendicitis aguda: retraso hospitalario antes de la cirugía y complicaciones después de la apendicectomía]]></article-title>
<source><![CDATA[Br J Surg.]]></source>
<year>2018</year>
<volume>105</volume>
<page-range>933-45</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alore]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Ward]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Todd]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resultados a nivel de población de la apendicectomía temprana versus tardía para la apendicitis aguda utilizando el Programa Nacional de Mejoramiento de la Calidad Quirúrgica del Colegio Estadounidense de Cirujanos]]></article-title>
<source><![CDATA[Res. quirúrgica J]]></source>
<year>2018</year>
<volume>229</volume>
<page-range>234-42</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elniel]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Grainger]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Nevins]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[72 h Es el momento crítico para operar en apendicitis aguda]]></article-title>
<source><![CDATA[J Cirugía Gastrointestinal]]></source>
<year>2018</year>
<volume>22</volume>
<page-range>310-5</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Apendicectomía laparoscópica versus convencional: un metanálisis de ensayos controlados aleatorios]]></article-title>
<source><![CDATA[BMC Gastroenterol]]></source>
<year>2010</year>
<volume>10</volume>
<page-range>129</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wei]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Qi]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Apendicectomía laparoscópica versus abierta para la apendicitis aguda: un metanálisis]]></article-title>
<source><![CDATA[Cirugía Endosc]]></source>
<year>2011</year>
<volume>25</volume>
<page-range>1199-208</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Athanasiou]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Robinson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Yiasemidou]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abordaje laparoscópico vs abierto para el cáncer de colon transverso. Una revisión sistemática y metanálisis de los resultados a corto y largo plazo]]></article-title>
<source><![CDATA[Cirugía Interna J.]]></source>
<year>2017</year>
<volume>41</volume>
<page-range>78-85</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trejo-Ávila]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Romero-Loera]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cárdenas-Lailson]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[El protocolo de recuperación mejorada después de la cirugía permite la apendicectomía laparoscópica ambulatoria en la apendicitis aguda no complicada]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diamantis]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kontos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Arvelakis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparación de electrocoagulación monopolar, electrocoagulación bipolar, Ultracision y Ligasure]]></article-title>
<source><![CDATA[Cirugía Hoy]]></source>
<year>2006</year>
<volume>36</volume>
<page-range>908-13</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Antoniou]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Mavridis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hajibandeh]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo óptimo del muñón en la apendicectomía laparoscópica: un metanálisis en red realizado por la Red de Síntesis de Intervenciones y Resultados de Cirugía Mínimamente Invasiva]]></article-title>
<source><![CDATA[Cirugía]]></source>
<year>2017</year>
<volume>162</volume>
<page-range>994-1005</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Wijkerslooth]]></surname>
<given-names><![CDATA[EML]]></given-names>
</name>
<name>
<surname><![CDATA[van den Boom]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Wijnhoven]]></surname>
<given-names><![CDATA[BPL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Variación en la clasificación y manejo postoperatorio de apendicitis compleja: una encuesta europea]]></article-title>
<source><![CDATA[CirugíaMundial J]]></source>
<year>2019</year>
<volume>43</volume>
<page-range>439-46</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hamminga]]></surname>
<given-names><![CDATA[JTH]]></given-names>
</name>
<name>
<surname><![CDATA[Hofker]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Broens]]></surname>
<given-names><![CDATA[PMA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación del apéndice durante la laparoscopia diagnóstica, la puntuación de apendicitis laparoscópica: un estudio piloto]]></article-title>
<source><![CDATA[Cirugía Endosc]]></source>
<year>2013</year>
<volume>27</volume>
<page-range>1594-600</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Sartelli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Di Saverio]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Apendicitis aguda: propuesta de un nuevo sistema integral de clasificación basado en hallazgos clínicos, imagenológicos y laparoscópicos]]></article-title>
<source><![CDATA[Cirugía Emergente Mundial J]]></source>
<year>2015</year>
<volume>10</volume>
<page-range>60</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
