<?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>1726-8958</journal-id>
<journal-title><![CDATA[Revista Médica La Paz]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. La Paz]]></abbrev-journal-title>
<issn>1726-8958</issn>
<publisher>
<publisher-name><![CDATA[Colegio Médico de La Paz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-89582022000200011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[IMPACTO DE LA PANDEMIA COVID-19 EN CIRUGIA DE ABDOMEN EN EL IGBJ LA PAZ Y COSSMIL]]></article-title>
<article-title xml:lang="en"><![CDATA[IMPACT OF THE COVID-19 PANDEMIC ON ABDOMEN SURGERY AT IGBJ LA PAZ AND COSSMIL]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores Mancilla]]></surname>
<given-names><![CDATA[Jeaneth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Municipal Modelo Corea  ]]></institution>
<addr-line><![CDATA[El Alto ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>28</volume>
<numero>2</numero>
<fpage>11</fpage>
<lpage>19</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1726-89582022000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1726-89582022000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1726-89582022000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESÚMEN  Introducción y Objetivo: La rápida propagación de COVID-19 ha hecho que exista una reorganización radical de los recursos sanitarios. El presente estudio busca ver cuál fue el Impacto de la pandemia COVID-19 en cirugía de abdomen en el IGBJ-La Paz y COSSMIL.  Material y Métodos: Se realizó un estudio Exploratorio y descriptivo, retrospectivo, transversal, comparativo en el IGBJ-La Paz y COSSMIL de marzo a octubre 2019 y 2020, se obtuvo datos de los expedientes clínicos.  Resultados: El estudio reunió 836 pacientes, 563 (67.34%) en el grupo de control y 273 (32.66%) en el periodo de pandemia, los procedimientos quirúrgicos disminuyeron de 2.3 a 1.2 reduciendo a la mitad la actividad que tuvo el control y una disminución de 51.5% con p: ,000, las cirugías vesiculares disminuyeron de 51.5% vs 45.4%, además de cirugía apendicular de 84 (14.9%) a 68 (24.9%) cirugía de pared abdominal 49 (8.7%) a 13 (4.8%) con p: ,035. Los procedimientos electivos disminuyeron de 331 a 79 (80.7 % vs 19.3%) con p: .000, y la cirugía de urgencia disminuyo de 232 a 194 (54.5% vs 45.5%). Los procedimientos laparoscópicos disminuyeron de 305 (70.4%) a 107 (26.0%) con una p: .000, la prueba de diagnóstico para COVID-19 más utilizado en nuestro medio es TC de tórax ya que la PCR es menos accesible. Y que los pacientes COVID-19 positivo manejados con cirugía y hospitalización fue del 2.6%.  Conclusiones: Durante la pandemia de COVID-19, se observó una reducción en el rendimiento de los procedimientos de cirugía abdominal es especial en procedimientos electivos y laparoscópicos a pesar de que hay poca evidencia científica de que el humo de procedimiento podría contener partículas del virus. La mortalidad fue de 2 pacientes mayores con patologías que requerían cirugía urgente. Las pruebas diagnósticas más utilizadas fueron TC de tórax junto con prueba antigénica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction and Objective:  The rapid spread of COVID-19 has led to a radical reorganization of health resources. The present study seeks to see what was the impact of the COVID-19 pandemic on abdominal surgery at IGBJ-La Paz and COSSMIL.  Material and Methods:  An exploratory and descriptive, retrospective, crosssectional, comparative study was carried out in the IGBJ-La Paz and COSSMIL from March to October 2019 and 2020, data were obtained from the clinical records.  Results:  The study gathered 836 patients, 563 (67.34%) in the control group and 273 (32.66%) in the pandemic period, surgical procedures decreased from 2.3 to 1.2 reduced to the half the activity that had the control and a decrease of 51.5% with p: ,000, gallbladder surgeries decreased from 51.5% vs 45.4%, in addition to appendicular surgery from 84 (14.9%) to 68 (24.9%&gt;)abdominal wall surgery 49 (8.7%) to 13 (4.8%) vs. p: .035. Elective procedures decreased from 331 to 79 (80.7% vs 19.3%) with p: .000, and emergency surgery decreased from 232 to 194 (54.5% vs 45.5%). Laparoscopic procedures decreased from 305 (70.4%) to 107 (26.0%) with a p: .000, the most used diagnostic test for COVID-19 in our environment is chest CT since PCR is less accessible. And that positive COVID-19 patients managed with surgery and hospitalization was 2.6%.  Conclusions:  During the COVID-19 pandemic, a reduction in the performance of abdominal surgery procedures was demonstrated, especially in elective and laparoscopic procedures, despite the fact that there is little scientific evidence that the smoke from the procedure could contain virus particles. Mortality was 2 elderly patients with pathologies that required urgent surgery. The most used diagnostic tests were chest CT together with antigen test]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[abdomen]]></kwd>
<kwd lng="es"><![CDATA[reacción en cadena de la polimerasa]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[abdomen]]></kwd>
<kwd lng="en"><![CDATA[Polymerase Chain Reaction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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