<?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>S2664-28912025000100125</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/2025.e7125</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hernia hiatal: experiencia quirúrgica y perfil clínico en hospital de referencia nacional, Paraguay 2023]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez Ríos]]></surname>
<given-names><![CDATA[Hugo Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Guerrero]]></surname>
<given-names><![CDATA[Iván Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silvero Prieto]]></surname>
<given-names><![CDATA[Sol Thalía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández González]]></surname>
<given-names><![CDATA[Daniel]]></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[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica de Asunción Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>7</volume>
<fpage>125</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912025000100125&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912025000100125&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912025000100125&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción. La hernia hiatal es una causa frecuente de síntomas gástricos, como el reflujo gastroesofágico, que afecta la calidad de vida de estos pacientes y es una causa común de intervención quirúrgica. Objetivo. Describir los aspectos clínicos y la experiencia quirúrgica en pacientes con diagnóstico de hernia hiatal operados en el Servicio de Cirugía General del Instituto de Previsión Social durante el periodo 2018-2023. Materiales y Métodos. Estudio observacional, descriptivo, retrospectivo y de corte transverso que incluyó a los pacientes operados por hernia hiatal durante el periodo de estudio. Se recolectaron datos demográficos, síntomas predominantes, tipo de hernia, técnica quirúrgica utilizada (válvula antirreflujo), así como la presencia de complicaciones y recidivas postoperatorias. Resultados. Se analizó 18 pacientes, con una edad media de 60 años, el 55,5% era del sexo femenino. Los síntomas más frecuentes fueron la epigastralgia (44%), seguido de disfagia (17%) y pirosis (17%). La hernia tipo I fue la más prevalente (59%), seguida por el tipo III (31%). El 61% de los pacientes fue intervenido mediante funduplicatura tipo Floppy-Nissen. Las complicaciones postoperatorias fueron 12% y el 67% no presentó recidivas durante el seguimiento. Conclusión. Los resultados sugieren que la funduplicatura tipo Floppy-Nissen es un procedimiento seguro y eficaz, con baja tasa de complicaciones y recidivas. Estos hallazgos contribuyen a fortalecer el abordaje clínico y quirúrgico de la hernia hiatal en el ámbito hospitalario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction. Hiatal hernia is a frequent cause of gastric symptoms, such as gastroesophageal reflux, which affects patients&#8217; quality of life and is a common indication for surgical intervention. Objective. To describe the clinical aspects and surgical experience in patients diagnosed with hiatal hernia who underwent surgery at the General Surgery Service of the Instituto de Previsión Social during the period 2018-2023. Materials and methods. Observational, descriptive, retrospective, cross-sectional study that included patients operated on for hiatal hernia during the study period. Demographic data, predominant symptoms, type of hernia, surgical technique used (antireflux procedure), as well as the presence of postoperative complications and recurrences were collected. Results. A total of 18 patients were analyzed, with a mean age of 60 years, 55.5% were female. The most frequent symptoms were epigastric pain (44%), followed by dysphagia (17%) and heartburn (17%). Type I hernia was the most prevalent (59%), followed by type III (31%). Sixty-one percent of patients underwent Floppy-Nissen fundoplication. Postoperative complications were 12%, and 67% did not present recurrences during follow-up. Conclusion. The results suggest that Floppy-Nissen fundoplication is a safe and effective procedure, with low rates of complications and recurrences. These findings contribute to strengthening the clinical and surgical approach to hiatal hernia in the hospital setting.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hernia hiatal]]></kwd>
<kwd lng="es"><![CDATA[fundoplicación]]></kwd>
<kwd lng="es"><![CDATA[reflujo gastroesofágico]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[complicaciones postoperatorias]]></kwd>
<kwd lng="en"><![CDATA[hiatal hernia]]></kwd>
<kwd lng="en"><![CDATA[fundoplication]]></kwd>
<kwd lng="en"><![CDATA[gastroesophageal reflux]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[postoperative complications.]]></kwd>
</kwd-group>
</article-meta>
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