<?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>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922018000400009</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922018000400009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia del desbridamiento enzimático con Nexobrid® en quemaduras circulares en extremidades para la prevención del síndrome compartimental]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of enzymatic debridement with Nexobrid® in circular deep burns affecting limbs to prevent compartment syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Del Caz]]></surname>
<given-names><![CDATA[M Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Sánchez]]></surname>
<given-names><![CDATA[José M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salmerón-González]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Vilariño]]></surname>
<given-names><![CDATA[Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruíz-Vals]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe  ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario y Politécnico La Fe  ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>44</volume>
<numero>4</numero>
<fpage>395</fpage>
<lpage>399</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922018000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922018000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922018000400009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivo El desbridante enzimático Nexobrid® permite la realización de una retirada precoz y selectiva del tejido quemado desde la primera valoración de la quemadura. En el contexto de sus indicaciones, se ha propuesto su uso en quemaduras circulares a modo de profilaxis/tratamiento del síndrome compartimental. El objetivo de este estudio es comparar la eficacia del desbridante enzimático frente a la realización de escarotomías en este tipo de circunstancias o en esta forma de presentación de la quemadura  Material y Método Realizamos una revisión retrospectiva de los pacientes atendidos en la Unidad de Grandes Quemados del Hospital La Fe de Valencia (España), desde enero de 2014 a enero de 2017 por quemaduras de segundo grado profundo y tercer grado con afectación circular de extremidades y cuyo mecanismo lesional fue escaldadura, contacto o llama.  Resultados Evaluamos los registros de 33 pacientes, de los que 25 recibieron tratamiento tradicional sin aplicación de desbridante enzimático y 8 fueron tratados con desbridamiento enzimático. En el primer grupo se realizaron 11 escarotomías (44%), mientras que en el segundo no se realizó ninguna. Estas diferencias fueron estadísticamente significativas (p&lt;0.05).  Conclusiones La utilización del desbridante enzimático Nexobrid® podría relacionarse con la disminución de la realización de escarotomías en pacientes que sufren quemaduras circulares profundas con afectación de extremidades secundarias a escaldadura, llama o contacto, evitando la morbilidad asociada a este procedimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Background and Objective The enzymatic debriding agent Nexobrid® allows for the performance of an early and selective debridement of burned tissues by the first evaluation of a burned patient. One of its most supported indications are circular deep burns, preventing and also treating the compartment syndrome. The aim of this article is to compare the efficacy of the enzymatic debriding versus escharotomy in this type of burns.  Methods We conducted a retrospective review of the medical records of patients attended at the Great Burns Unit of the Hospital La Fe of Valencia (Spain). The review included patients suffering deep second-degree and third-degree circular burns caused by scald, contact or flames, affecting lower or upper limbs, treated from January 2014 to January 2017.  Results Thirty three patients were included in the study, from which 25 were managed with the traditional treatment, and 8 with the enzymatic debriding agent Nexobrid®. In the traditional treatment group, 11 escharotomies were performed, while the Nexobrid® group require none. This differences proved to be statistically significant (p&lt;0.05).  Conclusions The use of the enzymatic debriding agent Nexobrid® can avoid or reduce the need of the performance of escharotomies in patients suffering from circular deep burns affecting limbs, preventing the morbidity associated to this procedure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quemaduras]]></kwd>
<kwd lng="es"><![CDATA[Desbridamiento]]></kwd>
<kwd lng="es"><![CDATA[Síndrome compartimental]]></kwd>
<kwd lng="en"><![CDATA[Burns]]></kwd>
<kwd lng="en"><![CDATA[Debridement]]></kwd>
<kwd lng="en"><![CDATA[Compartment syndrome]]></kwd>
</kwd-group>
</article-meta>
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