<?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>S0376-78922019000200007</article-id>
<article-id pub-id-type="doi">10.4321/s0376-789220190002000007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cierre de heridas y fasciotomias. Técnica cuerda de arco]]></article-title>
<article-title xml:lang="en"><![CDATA[Closure of wounds and fasciotomy. Bowstring technique]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peláez Flores]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paredes Núñez]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Alemana  ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Alemana  ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>45</volume>
<numero>2</numero>
<fpage>151</fpage>
<lpage>158</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922019000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922019000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922019000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo La fasciotomía es el tratamiento de elección para el síndrome compartimental, patología que pone en riesgo las extremidades e incluso la vida del paciente. Una vez realizada la descompresión de los compartimientos, el desafío es cerrar la herida por primera intención; sin embargo, la retracción tisular hace que no sea posible y se deba recurrir a procedimientos reconstructivos como el injerto de piel. La misma situación se presenta al lidiar con heridas complejas. Presentamos nuestra experiencia con una técnica nueva para el cierre primario disminuyendo la tensión de los tejidos y el daño tisular, de una manera sencilla, accesible y de bajo costo.  Material y método Estudio retrospectivo sobre 35 pacientes con lesiones diversas y defectos de cobertura y/o fasciotomías en los que realizamos la técnica de cierre que denominamos Cuerda de Arco, empleando clavos de Kirschner y sutura no reabsorbible para simular un puente en arco.  Resultados En 33 casos logramos cierre primario e inmediato. Dos pacientes necesitaron cierre asistido mediante terapia de vacío e injerto de piel.  Conclusiones En nuestra experiencia, la técnica descrita es una forma efectiva, simple, económica y segua para el cierre por primera intención de heridas complejas y/o fasciotomías.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective Fasciotomy is the treatment of choice for compartment syndrome, pathology that puts the limbs at risk and even the life of the patient. Once the decompression of the compartments is done, the challenge is to close the wound by first intention, however, the retraction of the tissues makes this option not possible and must resort to reconstructive procedures such as skin grafting. The same situation arises when dealing with complex wounds. We present our experience with a new technique to allow primary closure by reducing tissue tension and tissue damage in a simple, accessible and inexpensive way.  Methods We conduct a retrospective study of 35 patients with diverse lesions, coverage defects and/or fasciotomies in whom our closure technique called Bowstring Technique was performed, using Kirschner wires and non-absorbable sutures as a bowstring bridge manner.  Results We achieved primary closure with our technique in 33 patients; 2 patients needed vacuum assisted closure and skin graft to cover the defect.  Conclusions In our experience, our technique represents an effective, safe, simple and economical way to close complex wounds and/or fasciotomies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fasciotomías]]></kwd>
<kwd lng="es"><![CDATA[Cierre heridas]]></kwd>
<kwd lng="es"><![CDATA[Clavo Kirschner]]></kwd>
<kwd lng="en"><![CDATA[Fasciotomy]]></kwd>
<kwd lng="en"><![CDATA[Wound closure]]></kwd>
<kwd lng="en"><![CDATA[Kirschner wire]]></kwd>
</kwd-group>
</article-meta>
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