<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022018000100048</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El uso de neumoperitoneo preoperatorio progresivo en el tratamiento de hernia gigante de la pared abdominal]]></article-title>
<article-title xml:lang="en"><![CDATA[The use of progressive preoperative pneumoperitoneum as treatment in giant abdominal wall hernia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Segura]]></surname>
<given-names><![CDATA[Esteban]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orellana-Soto]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega-Sánchez]]></surname>
<given-names><![CDATA[Olga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moya-Sancho]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital México, CCSS Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica Postgrado de Cirugía General, Sistema de Estudios de Posgrado ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Atención Integral en Salud área de Desamparados ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital México Departamento de Radiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>60</volume>
<numero>1</numero>
<fpage>48</fpage>
<lpage>52</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022018000100048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022018000100048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022018000100048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La cirugía para la corrección de las hernias ventrales gigantes, con pérdida de domicilio abdominal, representa un reto importante debido a la gran cantidad de comorbilidades potenciales. En esta patología se produce una migración de los órganos abdominales hacia el saco herniario; eventualmente, se atrofian los elementos de la pared y al tratar de retornarlos a su posición normal, se puede provocar múltiples efectos adversos en el paciente. Por eso, se debe realizar una cuidadosa planificación, preoperatoriamente. El uso de neumoperitoneo preoperatorio progresivo, permite una adaptación más adecuada desde el punto de vista fisiológico, tanto a nivel sistémico, como en la capacidad abdominal, para tolerar el retorno de los contenidos que han perdido su domicilio. Se presenta aquí el caso de una paciente femenina de 58 años, con una hernia ventral gigante con pérdida de domicilio abdominal, en cuyo manejo se utilizó la introducción preoperatoria progresiva de neumoperitoneo, descrita por primera vez por Goñi Moreno, en 1940.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Surgery for the correction of giant ventral hernias, with loss of abdominal domain, represents a major challenge due to the large number of potential comorbidities. In this pathology there is a migration of the abdominal organs to the hernia sac; eventually, the elements of the wall undergo atrophy and when trying to return the organs to their normal position, it can cause multiple adverse effects in the patient. Therefore, a careful planning must be carried out preoperatively. The use of progressive preoperative pneumoperitoneum, allows a more adequate adaptation from the physiological point of view, both at a systemic level, as in the abdominal capacity, to tolerate the return of contents that have lost their domain. We present here the case of a 58 year old female patient, with a giant ventral hernia with loss of abdominal domain, in whose management, the introduction of progressive preoperative pneumoperitoneum was used, described for the first time by Goñi Moreno, in 1940.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumoperitoneo progresivo]]></kwd>
<kwd lng="es"><![CDATA[hernia gigante]]></kwd>
<kwd lng="es"><![CDATA[pérdida de domicilio abdominal]]></kwd>
<kwd lng="es"><![CDATA[pared abdominal]]></kwd>
<kwd lng="es"><![CDATA[Goñi Moreno]]></kwd>
<kwd lng="en"><![CDATA[progressive pneumoperitoneum]]></kwd>
<kwd lng="en"><![CDATA[giant hernia]]></kwd>
<kwd lng="en"><![CDATA[loss of abdominal domain]]></kwd>
<kwd lng="en"><![CDATA[abdominal wall]]></kwd>
<kwd lng="en"><![CDATA[Goñi Moreno]]></kwd>
</kwd-group>
</article-meta>
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