<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902018000300108</article-id>
<article-id pub-id-type="doi">10.29193/rmu.34.3.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistectomía laparoscópica y papiloplastia transcística en paciente hemofílico severo. Acerca de un caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic cholecystectomy and trans-cyst papiloplastia in a patient with severe hemophilia]]></article-title>
<article-title xml:lang="pt"><![CDATA[Colecistectomia laparoscópica e papiloplastia transcística em paciente hemofílico severo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lemos]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Insagaray]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>3</numero>
<fpage>108</fpage>
<lpage>120</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902018000300108&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902018000300108&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902018000300108&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: la hemofilia implica una alteración de la coagulación que en contextos quirúrgicos requiere un encare interdisciplinario.  Objetivo:  explicar el abordaje perioperatorio integral de un paciente con hemofilia A severa en el marco de una patología frecuente de la vía biliar.  Método: descripción del caso clínico incluyendo antecedentes personales del paciente, enfermedad actual, manejo del pre, intra y posoperatorio.  Resultados: concreción del procedimiento propuesto, optimización en la programación de recursos humanos, insumos e infraestructura.  Conclusiones: se logró la adecuación de la hemostasis del paciente para el objetivo planteado y este análisis detallado abre posibilidades de mejora en futuros procedimientos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: hemophilia implies an alteration of coagulation which requires a multidisciplinary approach in surgical contexts.  Objective:  the study aims to explain the comprehensive perioperative approach of a patient with severe hemophilia A within the framework of a frequent pathology of the bile duct.  Method: description of a clinical case including the patient&#8217;s medical history, current diseases, pre, intra and postoperative management.  Results: the proposed procedure was achieved, programing of human resources, inputs and infrastructure was optimized.  Conclusions: the patient&#8217;s hemostasis was achieved for the goal set and this detailed analysis may result in improvement for future procedures.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a hemofilia implica uma alteração da coagulação que em contextos cirúrgicos requer uma abordagem interdisciplinar.  Objetivo:  explicar a abordagem peri-operatória integral de um paciente com hemofilia A severa no contexto de uma patologia frequente da via biliar.  Método:  descrição do caso clínico incluindo antecedentes pessoais do paciente, enfermidade atual, manejo do pré, intra e pós-operatório.  Resultados:  realização do procedimento proposto, otimização na programação de recursos humanos, insumos e infraestrutura.  Conclusões:  foi possível adequar a hemostase do paciente para o objetivo estabelecido e esta análise detalhada abre possibilidades de melhoria em futuros procedimentos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemofilia]]></kwd>
<kwd lng="es"><![CDATA[Hemofilia A]]></kwd>
<kwd lng="es"><![CDATA[Factor VIII]]></kwd>
<kwd lng="es"><![CDATA[Período perioperatorio]]></kwd>
<kwd lng="en"><![CDATA[Hemophilia]]></kwd>
<kwd lng="en"><![CDATA[Hemophilia A]]></kwd>
<kwd lng="en"><![CDATA[Factor VIII]]></kwd>
<kwd lng="en"><![CDATA[Perioperative period]]></kwd>
<kwd lng="pt"><![CDATA[Hemofilia]]></kwd>
<kwd lng="pt"><![CDATA[Hemofilia A]]></kwd>
<kwd lng="pt"><![CDATA[Fator VIII]]></kwd>
<kwd lng="pt"><![CDATA[Período perioperatório]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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