<?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>S0378-64202024000200085</article-id>
<article-id pub-id-type="doi">10.48104/rvc.2024.77.2.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[TOXINA BOTULÍNICA Y NEUMOPERITONEO EN EL MANEJO DE HERNIA INGUINOESCROTAL GIGANTE: A PROPÓSITO DE UN CASO]]></article-title>
<article-title xml:lang="en"><![CDATA[Botox and Pneumoperitoneum in the Management of Giant Inguinoscrotal Hernia: A Case Report]]></article-title>
</title-group>
<contrib-group>
<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 contrib-type="author">
<name>
<surname><![CDATA[Escalona]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avendaño]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<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[González-Delatorre]]></surname>
<given-names><![CDATA[Aguasanta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terán-Ángel]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario 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>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>77</volume>
<numero>2</numero>
<fpage>85</fpage>
<lpage>89</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S0378-64202024000200085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S0378-64202024000200085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S0378-64202024000200085&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La hernia inguinoescrotal gigante es una entidad poco común y desafiante en el tratamiento quirúrgico, debido a la reintroducción forzada de vísceras puede aumentar la presión intraabdominal, provocando un síndrome compartimental, que compromete la vida del paciente. A lo largo del tiempo, se han descrito diversas técnicas de reparación.  Caso clínico:  paciente masculino de 66 años con hernia inguinoescrotal bilateral y pérdida de domicilio, con contenido intestinal y omental. Se trató con TBA como adyuvante, seguido de NPP y reparación mediante hernioplastia Lichtenstein. El paciente se recuperó sin complicaciones.  Conclusión:  la combinación de estas técnicas es eficaz para manejar hernias con pérdida de derecho a domicilio, demostrando ser seguras, toleradas y con una baja tasa de complicaciones o recidivas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[  ABSTRACT   Introduction:  Giant inguinoscrotal hernia is an uncommon and challenging surgical condition, as forced re-insertion of viscera can increase intra-abdominal pressure, leading to compartment syndrome, which can be life-threatening to the patient. Over time, various repair techniques have been described.  Case report:  A 66-year-old male patient presented with bilateral inguinoscrotal hernias and loss of domicile containing bowel and omental tissue. He was treated with TBA as an adjuvant, followed by NPP and repair using the Lichtenstein hernioplasty technique. The patient recovered without any complications.  Conclusion:  The combination of these techniques is effective in the management of hernias with loss of domicile, proving to be safe, well tolerated and associated with a low rate of complications or recurrence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia inguinoescrotal gigante]]></kwd>
<kwd lng="es"><![CDATA[pérdida de domicilio]]></kwd>
<kwd lng="es"><![CDATA[toxina botulínica]]></kwd>
<kwd lng="es"><![CDATA[neumoperitoneo progresivo]]></kwd>
<kwd lng="es"><![CDATA[hernioplastia]]></kwd>
<kwd lng="en"><![CDATA[Giant inguinoscrotal hernia]]></kwd>
<kwd lng="en"><![CDATA[loss of domain]]></kwd>
<kwd lng="en"><![CDATA[botulinum toxin]]></kwd>
<kwd lng="en"><![CDATA[progressive pneumoperitoneum]]></kwd>
<kwd lng="en"><![CDATA[hernioplasty]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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