<?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>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152016000100154</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome compartimental abdominal en el contexto de ruptura de aorta abdominal: posibles factores de manejo terapéutico que aumenten incidencia de este síndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto Montero]]></surname>
<given-names><![CDATA[Gloriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>154</fpage>
<lpage>163</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152016000100154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152016000100154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152016000100154&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El síndrome compartimental abdominal (SCA) es cuando la presión intaabdominal (PIA) es sostenida mayor a 20 mmHg asociada con nuevo fallo/disfunción de órganos. Este síndrome se puede presentar por causas primarias abdomino-pélvicas o causas secundarias. Una de las causas primarias es la presencia de aneurisma de aorta abdominal, su ruptura y complicaciones como hematomas retroperitoneales. Se ha discutido sobre la ventaja de realizar reparación endovascular (RE) en el contexto de ruptura de aneurisma de aorta abdominal (RAAA) versus la tradicional reparación por cirugía abierta (CA), tanto en reducción de mortalidad como de complicaciones postquirúrgicas. En cuanto a causas secundarias, estas están relacionadas con el manejo perioperatorio del paciente con RAAA. Se ha evidenciado que una correcta monitorización y manejo del paciente en el pre, trans y postoperatorio, indistintamente de la técnica quirúrgica empleada, tiene mayor incidencia en la disminución de SCA.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Abdominal compartment syndrome (ACS) happens when the intra-abdominal pressure maintains above 20 mmHg with new organ failure. This syndrome has primary abdominal pelvic causes or secondary causes. One of the primary etiologies can be the presence of an abdominal aorta aneurysm, its rupture and complications such as retroperitoneal hematoma. It has been discussed about the advantage of endovascular repair (EVAR) in patients with rupture of abdominal aorta aneurysm (RAAA) vs open repair (OR), reducing mortality and complications after surgery. About de secondary etiologies of ACS, these have been linked with perioperative treatment of patients with RAAA. It has been stablished that the right monitoring and treatment of the patient in the pre, trans and postoperative time, regardless of the surgery technique, has a better influence diminishing the incidence of SCA.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome compartimental agudo]]></kwd>
<kwd lng="es"><![CDATA[hipertensión intraabdominal]]></kwd>
<kwd lng="es"><![CDATA[ruptura aneurisma de aorta abdominal]]></kwd>
<kwd lng="es"><![CDATA[reparación endovascular]]></kwd>
<kwd lng="es"><![CDATA[cirugía abierta, laparotomía.]]></kwd>
<kwd lng="en"><![CDATA[Abdominal compartment syndrome]]></kwd>
<kwd lng="en"><![CDATA[intraabdominal hypertension]]></kwd>
<kwd lng="en"><![CDATA[rupture of abdominal aorta aneurysm]]></kwd>
<kwd lng="en"><![CDATA[endovascular repair]]></kwd>
<kwd lng="en"><![CDATA[open repair, laparotomy.]]></kwd>
</kwd-group>
</article-meta>
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