<?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>S2011-75822026000200356</article-id>
<article-id pub-id-type="doi">10.30944/20117582.2938</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bienestar mental en cirugía general: ¿Es una meta realmente inalcanzable?]]></article-title>
<article-title xml:lang="en"><![CDATA[Mental well-being in general surgery: Is it truly an unattainable goal?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flórez-Arango]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesa-Mesa]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Uribe]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Medellín Servicio de Cirugía general ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Vida Departamento de Psiquiatra ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<fpage>356</fpage>
<lpage>366</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822026000200356&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822026000200356&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822026000200356&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  El agotamiento profesional en cirujanos tiene implicaciones serias para el bienestar personal y la calidad de la atención quirúrgica. Factores como la sobrecarga laboral, las jornadas extendidas, la presión emocional y un entorno clínico poco favorable han contribuido al deterioro de la salud mental en este gremio. El objetivo de este artículo fue proponer un enfoque integral para abordar el desgaste profesional en cirujanos, considerando intervenciones efectivas a nivel individual e institucional.  Métodos.  Revisión narrativa basada en literatura de los últimos 20 años sobre salud mental quirúrgica, incluyendo artículos indexados en bases como PubMed y LILACS. Se priorizaron los estudios centrados en estrategias de prevención, resiliencia, liderazgo y cambios organizacionales, aplicables a cirujanos en ejercicio y en formación.  Resultados.  Se identificaron múltiples niveles de intervención. A nivel individual, se destaca la efectividad de estrategias como el entrenamiento en inteligencia emocional, mindfulness o atención plena y resiliencia. A nivel institucional, se resalta el valor de programas estructurados de bienestar, mejora de la ergonomía quirúrgica, mentoría y cultura de apoyo. A nivel nacional, se enfatiza la necesidad de reformas en políticas de salud, mejor financiación de programas de salud mental y eliminación del estigma.  Conclusiones.  El bienestar mental en cirugía no debe ser una carga individual ni un tema silenciado. Es fundamental reconocer que el desgaste profesional no es un costo aceptable de la profesión. Promover entornos laborales humanos, sostenibles y empáticos es muy importante para seguir construyendo sobre lo construido.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Burnout in surgeons has serious implications for personal well-being and the quality of surgical care. Factors such as work overload, long hours, emotional pressure, and an unsupportive clinical environment have contributed to the deterioration of mental health in this profession. The objective of this article was to propose a comprehensive approach to address burnout in surgeons, considering effective interventions at the individual and institutional levels.  Methods.  Narrative review based on surgical mental health literature from the last 20 years, including articles indexed in databases such as PubMed and LILACS. Priority was given to studies focusing on prevention strategies, resilience, leadership, and organizational change, applicable to practicing and training surgeons.  Results.  Multiple levels of intervention were identified. At the individual level, the effectiveness of strategies such as emotional intelligence, mindfulness, and resilience training is highlighted. At the institutional level, the value of structured wellness programs, improved surgical ergonomics, mentoring, and supportive culture is emphasized. At the national level, the need for health policy reforms, improved funding for mental health programs, and the elimination of stigma is stressed.  Conclusions.  Mental well-being in surgery should not be an individual burden or a silenced topic. It is essential to recognize that burnout is not an acceptable cost for the profession. Promoting humane, sustainable, and empathetic work environments is vital to continue building on what has been established.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirujanos]]></kwd>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[bienestar psicológico]]></kwd>
<kwd lng="es"><![CDATA[agotamiento profesional]]></kwd>
<kwd lng="es"><![CDATA[estrés laboral]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="en"><![CDATA[surgeons]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[psychological well-being]]></kwd>
<kwd lng="en"><![CDATA[professional burnout]]></kwd>
<kwd lng="en"><![CDATA[occupational stress]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
</kwd-group>
</article-meta>
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