<?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>0378-6420</journal-id>
<journal-title><![CDATA[Revista Venezolana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[RevVenezCir]]></abbrev-journal-title>
<issn>0378-6420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Venezolana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0378-64202024000100040</article-id>
<article-id pub-id-type="doi">10.48104/rvc.2024.77.1.3</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[RESECCIÓN LOCAL POR HIDRO-DISECCIÓN DE NEUROFIBROMA GIGANTE. A PROPÓSITO DE UN CASO]]></article-title>
<article-title xml:lang="en"><![CDATA[Local resection by hydro-dissection of a giant neurofibroma. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bracho Arellano]]></surname>
<given-names><![CDATA[María Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santiago Santiago]]></surname>
<given-names><![CDATA[Arianny Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Hernández]]></surname>
<given-names><![CDATA[María Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Hernández]]></surname>
<given-names><![CDATA[Eduard Enrike]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avendaño]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas Rivas]]></surname>
<given-names><![CDATA[Susan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Los Andes  ]]></institution>
<addr-line><![CDATA[Mérida ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Los Andes  ]]></institution>
<addr-line><![CDATA[Mérida ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Autónomo Hospital Universitario de Los Andes  ]]></institution>
<addr-line><![CDATA[Mérida ]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>77</volume>
<numero>1</numero>
<fpage>40</fpage>
<lpage>43</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S0378-64202024000100040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S0378-64202024000100040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S0378-64202024000100040&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la neurofibromatosis es un grupo de trastornos relacionados al sistema nervioso que causan crecimiento de tumores alrededor de los nervios. Dentro de ellos se encuentra la neurofibromatosis tipo 1, un trastorno caracterizado por la formación de neurofibromas de tamaño variable en distintas partes del cuerpo, los cuales a pesar de su naturaleza benigna, pueden causar una morbilidad significativa y malestar psicosocial debido a su grave desfiguración.  Caso Clínico:  paciente femenino de 38 años de edad quien cursa con diagnóstico de neurofibromatosis tipo I desde los 10 años de edad, dado por aumento de volumen en la zona supraescapular izquierda con un crecimiento progresivo y acelerado durante 4 meses hasta alcanzar el tamaño de 34 x 23,7 x 47,6 cm; los estudios tanto anatomopatológicos como de imagen revelan y confirman el diagnóstico. Se decide resolución quirúrgica por medio de hidro-disección, la cual permitió una rápida identificación del pedículo vascular para su posterior pinzamiento, corte, ligadura y exéresis. Presenta una evolución estética favorable sin ningún tipo de complicación postquirúrgica.  Conclusión:  en la actualidad, la hidrodisección se encuentra en el auge de los procedimientos quirúrgicos porque ha demostrado ser verdaderamente eficaz frente a casos que en el pasado se habrían pensado tratar sólo entrando a mesa operatoria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Neurofibromatosis is a group of disorders related to the nervous system that causes tumor growth around nerves. This includes neurofibromatosis type 1, a disorder characterized by the formation of neurofibromas of variable size in different parts of the body, that despite of its benign nature, they can cause significant morbidity and psychosocial discomfort due to their severe disfiguration.  Clinical Case:  38-year-old female patient who is diagnosed with neurofibromatosis type I when she was 10-year-old, characterized by volume increase at left suprascapular area, with a progressive and fast growth during the last 4 months until reaching the size of 34 x 23,7 x 47,6 cm; anatopathological and imaging studies reveal and confirm the diagnosis. Surgical resolution is decided by hydrodissection, which allowed a quick detection of the vascular pedicle for its subsequent clamp, cut, ligation and exeresis. Esthetic evolution is favorable, without any post-surgical outcomes.  Conclusion:  currently, hydrodissection is at the height of surgical procedures because it has proven to be truly effective in cases that, in the past, would have been thought to be treated only by entering the operating table.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad de Von Recklinghausen]]></kwd>
<kwd lng="es"><![CDATA[neurofibromatosis tipo 1]]></kwd>
<kwd lng="es"><![CDATA[neurofibroma]]></kwd>
<kwd lng="es"><![CDATA[hidro-disección]]></kwd>
<kwd lng="en"><![CDATA[Von Recklinghausen&#8217;s disease]]></kwd>
<kwd lng="en"><![CDATA[neurofibromatosis type 1]]></kwd>
<kwd lng="en"><![CDATA[neurofibroma]]></kwd>
<kwd lng="en"><![CDATA[hydro-dissection]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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