<?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>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822020000100051</article-id>
<article-id pub-id-type="doi">10.30944/20117582.585</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de mallas de polipropileno en el reparo de la hernia inguinal con herida sucia o contaminada]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of polypropylene meshes in the repair of inguinal hernia with dirty or contaminated wound]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza-Zuchini]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedraza-Ciro]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Ussa]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[Luis Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pulido]]></surname>
<given-names><![CDATA[Jean]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Policlínico Olaya Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad El Bosque Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Minimally Invasive Surgery Independent Research Group  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>51</fpage>
<lpage>56</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822020000100051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822020000100051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822020000100051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  La hernioplastia con malla de polipropileno es la técnica de elección para el reparo de las hernias inguinales. Actualmente, existe controversia sobre esta técnica en pacientes con heridas sucias o contaminadas; sin embargo, la evidencia en la literatura médica ha demostrado que su uso puede ser seguro. Los autores presentan su experiencia con las mallas de polipropileno en la cirugía contaminada para cierre de hernias inguinales.  Método.  Se realizó un estudio observacional retrospectivo en el que se incluyeron los pacientes mayores de 18 años atendidos entre enero de 2017 y diciembre de 2018 por presentar hernias inguinales, que requirieron tratamiento quirúrgico de urgencias, y que presentaban heridas sucias o contaminadas. Los criterios evaluados fueron: infección de la herida quirúrgica, morbilidad y mortalidad, necesidad de remoción de la malla y recurrencia de la hernia.  Resultados.  Diez pacientes fueron sometidos a cirugía de urgencias, requiriendo resección intestinal por necrosis: nueve de ellos, por hernias estranguladas y, uno, por apendicitis perforada. En uno de los diez pacientes, se consideró sucia la herida por presentar necrosis intestinal y perforación. Los nueve restantes presentaban necrosis intestinal sin perforación, por lo cual se consideraron heridas contaminadas. La infección de la herida ocurrió en 1/10 pacientes con infección del sitio operatorio superficial; la eliminación de la malla no fue necesaria en ningún paciente durante todo el período de estudio. No se observaron recidivas y no hubo mortalidad.  Conclusión.  El uso de malla de polipropileno para la corrección de hernias inguinales, en pacientes con heridas sucias o contaminadas, es efectivo y seguro, con una morbilidad aceptable y buenos resultados a corto plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Polypropylene mesh hernioplasty is the technique of choice for the repair of inguinal hernias. Currently, there is controversy about this technique in patients with dirty or contaminated wounds. However, evidence in the medical literature has shown its use can be safe. The authors present their experience in the use of polypropylene meshes in contaminated surgery to close inguinal hernias.  Methods:  A retrospective observational study was conducted in patients older than 18 year-old between January 2017 and December 2018. Were included those with inguinal hernias, requiring emergency surgical treatment, and presented contaminated or dirty wounds. The inclusion criteria were infection of the surgical wound, the need for removal of the mesh removal and recurrence of the hernia.  Results:  Ten patients underwent emergency surgery, requiring bowel resection for necrosis: nine of them for strangulated hernias and, one for perforated appendicitis. In one of the ten patients, the wound was considered dirty due to intestinal necrosis and perforation. The remaining nine had intestinal necrosis without perforation, so they were considered contaminated wounds. Wound infection occurred in 1/10 patients (10%) with superficial operative site infection; mesh removal was not necessary in any patient during the entire study period. No recurrence was observed and there was no mortality.  Conclusion:  The use of polypropylene mesh for the correction of inguinal hernias in patients with contaminated and dirty wounds is effective and safe, with acceptable morbidity and good short-term results.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hernia inguinal]]></kwd>
<kwd lng="es"><![CDATA[herniorrafia]]></kwd>
<kwd lng="es"><![CDATA[mallas quirúrgicas]]></kwd>
<kwd lng="es"><![CDATA[prótesis e implantes]]></kwd>
<kwd lng="es"><![CDATA[intestino delgado]]></kwd>
<kwd lng="es"><![CDATA[infección de la herida quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[hernia, inguinal]]></kwd>
<kwd lng="en"><![CDATA[herniorrhaphy]]></kwd>
<kwd lng="en"><![CDATA[surgical mesh]]></kwd>
<kwd lng="en"><![CDATA[prostheses and implants]]></kwd>
<kwd lng="en"><![CDATA[intestine, small]]></kwd>
<kwd lng="en"><![CDATA[surgical wound]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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