<?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>S2011-75822022000100090</article-id>
<article-id pub-id-type="doi">10.30944/20117582.939</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Nueva técnica para control de contaminación de fístulas enteroatmosféricas en abdomen abierto Björck 4. Método de Capilaridad (MECA)]]></article-title>
<article-title xml:lang="en"><![CDATA[New technique to control enterocutaneous fistulas contamination in open abdomen Björck 4. Capillarity method (MECA)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Ruiz]]></surname>
<given-names><![CDATA[Edwin Oveimar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo-Flórez]]></surname>
<given-names><![CDATA[Natalia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Chaparro]]></surname>
<given-names><![CDATA[Jorge Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo-Vallecilla]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Caldas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica La Estancia  ]]></institution>
<addr-line><![CDATA[Popayán ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica La Estancia  ]]></institution>
<addr-line><![CDATA[Popayán ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>90</fpage>
<lpage>95</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822022000100090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822022000100090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822022000100090&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. La fístula enteroatmosférica es una patología compleja que puede ser el resultado de múltiples intervenciones quirúrgicas de la cavidad abdominal. Describimos una nueva técnica para el control de la contaminación en pacientes con fístulas enteroatmosféricas en abdomen abierto Björck 4.  Métodos.  Se realizó un análisis retrospectivo de cuatro pacientes con fístulas enteroatmosféricas desarrolladas como complicación de procedimientos quirúrgicos abdominales. Se trataron integralmente por un grupo multidisciplinario de Cuidados Intensivos, Cirugía general, Soporte nutricional y Cuidado de heridas y ostomías. Se utilizó una novedosa técnica quirúrgica basada en el principio de capilaridad para mantener limpios los tejidos periostomales.  Resultados. Con esta técnica se logró el control de la contaminación abdominal en todos los pacientes y una evolución clínica satisfactoria. Posteriormente se programaron para cierre quirúrgico definitivo con éxito.  Conclusiones.  El manejo de la fístula enteroatmosférica representa un reto para el cirujano y el grupo multidisciplinario que trata al paciente. Esta nueva técnica utilizada en pacientes con fístula enteroatmosférica con abdomen abierto Björck 4 se basa en el principio de capilaridad, y es eficaz en el control de la contaminación, infección y de la sepsis asociada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Enterocutaneous fistula is a complex pathology that can be the result of multiple surgical interventions of the abdominal cavity. We describe a new technique for the control of contamination in patients with enterocutaneous fistulas in the open abdomen Björck 4.  Methods.  A retrospective analysis of four patients with enterocutaneous fistulas developed as a complication of abdominal surgical procedures was performed. They were treated by a multidisciplinary team of Intensive Care, General Surgery, Nutritional support and Wound and ostomy care. A novel surgical technique based on the capillarity principle was used to keep the periostomies tissues clean.  Results.  With this technique, control of abdominal contamination was achieved in all patients and a satisfactory clinical evolution. Later they were scheduled for definitive surgical closure with total success.  Conclusions.  The management of an enterocutaneous fistula represents a challenge for the surgeon and the multidisciplinary group that treats these patients. This new technique used in patients with an enterocutaneous fistula with open abdomen Björck 4 is based on the principle of capillarity action, and is effective in controlling contamination, infection, and associated sepsis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fístula intestinal]]></kwd>
<kwd lng="es"><![CDATA[capilar]]></kwd>
<kwd lng="es"><![CDATA[peritonitis]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[cirugía general]]></kwd>
<kwd lng="en"><![CDATA[intestinal fistula]]></kwd>
<kwd lng="en"><![CDATA[capillary]]></kwd>
<kwd lng="en"><![CDATA[peritonitis]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[general surgery]]></kwd>
</kwd-group>
</article-meta>
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