<?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>S1726-89582024000100033</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[REPARACION ENDOSCOPICA PRE-APONEUROTICA (R.E.P.A.): UNA ALTERNATIVA EN LA DIASTASIS DE RECTOS ABDOMINALES]]></article-title>
<article-title xml:lang="en"><![CDATA[PRE-APONEUROTIC ENDOSCOPIC REPAIR (R.E.P.A.): AN ALTERNATIVE IN ABDOMINAL RECTI DIASTASIS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguila Gómez]]></surname>
<given-names><![CDATA[Mauricio Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Municipal Los Pinos Segundo Nivel ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>30</volume>
<numero>1</numero>
<fpage>33</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1726-89582024000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1726-89582024000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1726-89582024000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La diástasis de recto abdominales (DR) es la disyunción de sus bordes internos. Nuestro objetivo es exponer una serie de casos intervenidos quirúrgicamente con la técnica R.E.P.A. en el tratamiento de la diástasis de rectos asociado a defectos de la línea media. Es un estudio prospectivo observacional intervencionista, de abril 2018 a diciembre 2019, se operaron 15 paciente 73% mujeres y 27% varones, edad media 48 años, el diagnóstico de ingreso frecuente fue DR primaria 9 pacientes (60%), la medición ecográfica de DR fue &lt;59mm con 10 casos (66,6%). El tiempo quirúrgico promedio fue 130 min, 1 conversión a cirugía abierta, la estancia hospitalaria fue 1,5 días y los eventos locales postoperatorios fueron 2 casos de seroma (50%). En conclusión, R.E.P.A. es factible y segura de realizar, no requiere muchos insumos, permite instalar material protésico, cumple los beneficios de la cirugía videoendoscopica, es una técnica endoscópica básica y la curva de aprendizaje no es dificultosa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Diastasis rectus abdominis (RD) is the disjunction of inner edges. Our objective is to present a series of cases surgically operated employing R.E.P.A. technique in the treatment of rectal diastasis associated to midline defects. A prospective observational interventional study, from April 2018 to December 2019 was conducted. 15 patients (73% women and 27% men) with a mean age of 48 years were operated, the diagnosis of frequent admission was primary RD (n=9, 60%), the ultrasound measurement of RD was &lt;59mm (10 cases, 66.6%). The mean surgical time was 130 min, 1 conversion to open surgery, hospital staying was 1.5 days and local postoperative events were 2 cases of seroma (50%). In conclusion, R.E.P.A. is feasible and safe to perform, does not require many supplies, allows to install prosthetic material, meets the benefits of video endoscopic surgery, it is a basic endoscopic technique and the learning curve is not difficult.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diastasis]]></kwd>
<kwd lng="es"><![CDATA[endoscopía]]></kwd>
<kwd lng="es"><![CDATA[malla de polipropileno]]></kwd>
<kwd lng="en"><![CDATA[diastasis]]></kwd>
<kwd lng="en"><![CDATA[endoscopy]]></kwd>
<kwd lng="en"><![CDATA[polypropylene mesh]]></kwd>
</kwd-group>
</article-meta>
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