Hernias Del Canal Inguinal – Umbilical
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Transcript of Hernias Del Canal Inguinal – Umbilical
8/17/2019 Hernias Del Canal Inguinal – Umbilical
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HERNIAS DEL CANALINGUINAL –
UMBILICALR1PM PATRICIA SARAY FLORES CARRILLO
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HERNIASINGUINALES
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HERNIAS INGUINALES Hernia primaria 1-
5% R! "-11% PT Cirug#a ma$ comn S#n&oma$ m#nimo$ '( gral $encillo
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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HERNIAS INGUINALES Canal inguinal Regin . /recuen&e
0( 25% cirug#a$ Ana&om#a 3in4mica Emriolog#a 6
gna3a$ M$culo$
7iara$* Tag*a8i, T*e Pe3ia&ric Inguinal Canal9 S:$&ema&ic Re8ie; o/ &*e Emr:olog:an3 Sur/ace Ana&om:, Clinical Ana&om:, Sep&iemre 2<15,
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Hernia9 Pro&ru$inrgano=&e>i3o poraper&ura anormal
Incarcera3a9 o $ere3uce
E$&rangula3a9Compromi$o8a$cular
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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'e&alle$ impor&an&e$'e$cen$o &e$&icular
25-?5S'@@uern4culo gu#a el
&e$&#culoCrua la pare3
an&erior /orman3o un3i8er&#culo con
peri&oneo- elongaCierre incomple&o e$
cau$a 3e pa&olog#a$
7iara$* Tag*a8i, T*e Pe3ia&ric Inguinal Canal9 S:$&ema&ic Re8ie; o/ &*e Emr:olog:an3 Sur/ace Ana&om:, Clinical Ana&om:, Sep&iemre 2<15,
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Ma:or proporcin3erec*o 291
Ma:or inci3encia
en *omre$ 591 o mecani$mo
e(ac&o 6Mul&i/ac&orial
Incremen&o enpre$in a3ominal
7iara$* Tag*a8i, T*e Pe3ia&ric Inguinal Canal9 S:$&ema&ic Re8ie; o/ &*e Emr:olog:an3 Sur/ace Ana&om:, Clinical Ana&om:, Sep&iemre 2<15,
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EMBRIOLOGIA Origen pare3
a3ominal B pliegue$
Ce/4lico Cau3al La&erale$
Capa$ $om4&ica$ :e$pl4cnica$
nen para /ormaranillo umilicalRo3ea 2D! 1! con3uc&o
on/alome$en&erico
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0!Acce,, Meicine)
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EMBRIOLOGIA Con&raccin anillo
umilical Ce/4lico9 'e/ec&o$
e$&ernale$ Cau3al9 E(&ro/ia
org pGl8ico$
La&erale$9On/alocGle
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0! Acce,, Meicine
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EMBRIOLOG1A Te$&iculo$
5- S'@! 8en&rome3ial3e cre$&a urogeni&al
1< S'@ 3e$cien3e
ca8i3a3 celmicaProce$o 8aginal 12 S'@!
3i8er&#culo en anilloin&erno
2-?? S'@ 3e$cien3epor con3uc&o *a$&ae$cro&o
Tnica 8aginal! oli&era6 2 aJo$
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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O8ario$'e$cen$o $imilar'i8er&#culo 3e uc+
)proce$o 8aginalK&ero 6 laio$
ma:ore$Cierra ?er &rime$&re
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Fal&a 3e cierre 3elproce$o 8aginal
Cierre me$e$
pre8io$ alnacimien&o
Prema&uro$
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e %&'0! Acce,, Meicine)
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ANA#OM1A Canal olicuo Cor3n e$perm4&ico!
ligamen&o re3on3o
Aponeuro$i$ mu$culoolicuo e(&erno :&ran$8er$o
Fa$cia &ran$8er$ali$
Tri4ngulo He$$elac*
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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AE9 MOE(&erno AI9 Fa$cia
&ran$8er$ali$ :
MOIn&erno En pe3ia&rico$
Pe0ueJoPerpen3icular'irec&o
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Canal inguinal Inicia anillo
pro/un3o )Fa$cia&ran$8er$ali$K
En&re la EIAS :$#n/i$i$
A3ul&o$ ?-5cm
Termina anillo$uper/icial)aponeuro$i$ 3elolicuo e(&ernoK
7iara$* Tag*a8i, T*e Pe3ia&ric Inguinal Canal9 S:$&ema&ic Re8ie; o/ &*e Emr:olog:an3 Sur/ace Ana&om:, Clinical Ana&om:, Sep&iemre 2<15,
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En el reciGn naci3oAnillo$ $uperpue$&o$Canal cor&o
'e$arrollo con e3a3!/orman3o canal!largo : olicuo
Longi&u3)mmK N 2B .
)<,11 ( e3a3K )2aJo$KMa$ rie$go 3e
incarcera3a
7iara$* Tag*a8i, T*e Pe3ia&ric Inguinal Canal9 S:$&ema&ic Re8ie; o/ &*e Emr:olog:an3 Sur/ace Ana&om:, Clinical Ana&om:, Sep&iemre 2<15,
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In3irec&a9 Proce$o8aginal amplio!anillo inguinal!
la&eral a 8a$o$epiga$&rico$
'irec&a9 Me3ial oin/erior a 8a$o$epig4$&rico$! nopor canal,
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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E-IDEMIOLOGIA ICI'ECIA
1-5% R : "-11% PT5<<-1<<<gr ?<-B2%
1<<<-15<<gr 1<%15<<-2<<<gr ?%
Ma:or niJo$
Ma:or 1er aJoMa$ inci3encia
3erec*a )&ar3iaoli&eracinK
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Incarcera3a1B-?1%Menore$ 1 aJo )5%K
1er $igno 5%Ma:or 3erec*aMa:or niJa$! con
/recuencia o8ario
Ma:or PT
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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CO'ICIOESASOCIA'ASAnomal#a$ pare3
a3ominal Incremen&o 3epre$in a3ominal
En/erm &e>i3o
conec&i8oAnomal#a$ @AHF
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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CARAC#ER1S#ICAS CL1NICAS Hi$&oria 3e ma$a
in&ermi&en&e Re3uc&ile
Ma$a en ingle al$al8a A$in&om4&ico$ gral EF generalmen&e
8al$al8a Signo 3e $e3a! cor3on
a/ec&a3o @RESO
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Incarcera3aFirmeo $e re$uel8e
e$pon&4nea
Irri&aili3a3 Re3ucir$e
E$&rangula3aMa$a e3ema&o$a
Hiper$en$ileColoracinA3omen agu3oReparar 0(
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e %&'0! Acce,, Meicine)
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DIAGN2S#ICO DI3ERENCIAL Hi3rocele aricocele Tor$in &e$&icular Te$&#culo re&r4c&il Tumor &e$&icular
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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GABINE#E S cuan3o cl#nica
no e$ clara "?% e$peci/ici3a3
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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LABORA#ORIO o &il para
3iagn$&ico 'i/erencial
Cario&ipo $i $eencuen&racon3icione$a$ocia3a$
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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#RA#AMIEN#O 'e/ini&i8o e$
reparacin0uirrgica
Ma$a in&ermi&en&e!re3uc&ile,Re/erir a c(
Reparar 8$complicacione$1?% e$peran c(
incarcela3a
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Ma$a inguinal enmu>erPer$i$&encia 3el
3i8er&#culo 3e uc+!con&iene lig$u$pen$orio 3el o8ario
O8ario=FallopioOrgano$ repro3uc&i8o$
Re3uccin gen&ilS con&rol
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Incarcera3a ca$i$iempre pue3ere3ucir$e
Po$&erior*o$pi&aliacinpara 0(
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0! Acce,, Meicine
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E$&rangula3aEmergenciauirrgico - manual
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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'olor e(&remo!peri&oni&i$!o$&ruccin,
(i&o "5-1<<% Reparacin
elec&i8a po$&erior Se3acin! *ielo!
manipulacingen&il
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Aplica pre$in enregin pro(imal
E(&raer manual el
ga$ Pre$in 3i$&al al
$aco *erniario
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Pre$ionlongi&u3inal ale$cro&o
Traccin ariranillo$ In&en&a re3ucir
Se3acin urrgico
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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REDUCCI2N 4UIR5RGICA Si no manual Laparo$cpica
Ligar al&o con cierre 3elproce$o 8aginalMa$ u$a3oHernia pe0ueJaA$ociar re/oramien&o 3e
/a$cia &ran$8er$ali$ Recon$&ruccin 3el pi$o
3el canal Laparo$copia
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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Herniorra/ia9Cierre 3e proce$o8aginal permeale
Herniopla$&ia9Recon$&ruccinpi$o inguinal
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0! Acce,, Meicine
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Pro&ocolo 0( Inci$in 3Grmica Localia /a$cia 3e
$carpa Inci3e e(poner /a$cia
MOE AIE Re8i$in $aco
*erniario Herniorra/ia cuello
$aco
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0! Acce,, Meicine
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Se 3i$eca $aco : $eliga con $u&ura3ole
La ma:or#a no*erniopla$&ia Rie$go
'aJo cor3nHema&oma In/eccione$
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0 Acce,, Meicine)
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a>o ane$&e$ia gral Supina Inci$in 1-1,5cm!
$uprapuica&ran$8er$a
'i$eccin! TCS
I'ETIFICA /a$cia3e $capra
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Inci3e la /a$cia en3ireccin 3el $aco
Se e(pone $aco :
ele8a Se realia
*erniorra/ia
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LAPAROSCOPIA )Mon&upe& 1""?K
In$u/lacin por omligoSu&ura e(&raperi&oneal
para ligar $acoO ICISIO I@IALMeno$ rie$go le$inE8aluar con&rala&eral
E$&G&icoR4pi3o
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0! Acce,, Meicine
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#IEM-O DE RE-ARACI2N Po$& re3uccin
manual! meno$ rie$go Ma:or in/lamacin Manual9 Ho$p 2B-B*$
para 0( C( 2-5 3#a$ manual 'e$3e 3( no m4$ 1B
3#a$ PT Q 1<<<gr )1=?K
1<<-2<<<gr :egre$a3o$ 3e CI
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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E6-LORACI2N CON#RALA#ERAL Con&ro8er$ial Inci3encia a>a Pr4c&ica comn
AAP 5% - BB% )"?-<?K o >u$&i/ica3o Rie$go al&o Laparo$copia
al&erna&i8a al&a S:E: meno$ rie$go
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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CUIDADOS -OS#46 Ma:or#a $in
complicacione$ E3ema e$cro&al
? $emana$ Hema&oma$!
*i3rocele$Me$e$uirrgico
In/eccione$Q1%
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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COM-LICACIONES I$0uemia in&e$&inal
2 *$ incarcela3aPoco /recuen&e
Compromi$o 8a$cular&e$&#culo I$0uemia! a&ro/ia
Tor$in o84rica )2-??%K
Recurrencia %Pre$in a3ominal! PT!
&e>i3o conec&i8o
)C*ri$ Ram$oo+! M', Overview of inguinal hernia in chilren! U"#oDa$e! Nov %&'()
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HERNIA UMBILICAL
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HERNIA UMBILICAL Anillo umilical 'e/ec&o cen&ral
l#nea ala
Cierre e$pon&aneo-cierre rec&o$ Cierre comple&o 5
aJo$ Hernia cuier&a con
piel umilical : TCS B&o lugar mal/ cong
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0 Acce,, Meicine)
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ANA#OMIA Omligo
MamelonCica&ri
Ro3e&e arian&e$
ana&omica$ Cre$&a$ iliaca$
'era L Palai! M'! Me3, Care of $he u78ilicu, an 7anage7en$ of u78ilical i,orer,! U"#oDa$e! Nov %&'()
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EMBRIOLOGIA B -5 S'@ 'i$co &rilaminar 6
C
E$&rec*e9 a$o$umilicale$! uraco!con3uc&oon/alome$en&erico
In8olucin
'era L Palai! M'! Me3, Care of $he u78ilicu, an 7anage7en$ of u78ilical i,orer,! U"#oDa$e! Nov %&'()
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5&a S'@! plegamien&o3e capa$
Trac&o in&e$&inal/uera ca8 a3om
1<-12 S'@ /orma3aca8 a3ominal :regre$a in&e$&ino
Forma cor3n nir$e mu$culo$
a3ominale$
)Emilio l8aro Igle$ia$, Pa&olog#a umilical /recuen&e, AEPE', 2<1<K
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-OS#NA#AL 1 $emana Prolongar
an&i$Gp&ico$!
alco*ol!inmuno3e/!in/eccin!
Tromo$i$ :
con&raccin Epi&eliacin
muJn
'era L Palai! M'! Me3, Care of $he u78ilicu, an 7anage7en$ of u78ilical i,orer,! U"#oDa$e! Nov %&'()
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Q 1 cm!e$pon&4neagralmen&e )B-5DK
Si e$ 3e/orman&e!&ra$&orno!reparacin 0(
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0 Acce,, Meicine)
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Cierre ma:or#a 5aJo$
Cierre e$pon&4neomeno$ /recuen&e1,5cm! cau$a$u:acen&e
Frecuen&e a$ocia3o a$#n3rome$)Tri$om#a$!*ipo&iroi3i$mo!pre$in a3ominalK
'era L Palai! M'! Me3, Care of $he u78ilicu, an 7anage7en$ of u78ilical i,orer,! U"#oDa$e! Nov %&'()
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Pa&olog#a umilicalma$ /recuen&e
1<% R $ano$
Ma$ /rec PT!Tri$omia!*ipo&iroi3i$mo
)Emilio l8aro Igle$ia$, Pa&olog#a umilical /recuen&e, AEPE', 2<1<K
8/17/2019 Hernias Del Canal Inguinal – Umbilical
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CL1NICA Ma:or#a
a$in&om4&ica$ EF 3el R! 8al$al8a
Re3uc&ile$ Prono$&ico no
&amaJo! anillo
Rara 8ecomplica3a$
'era L Palai! M'! Me3, Care of $he u78ilicu, an 7anage7en$ of u78ilical i,orer,! U"#oDa$e! Nov %&'()
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I3en&i/ica 23a $em3e 8i3a
Suele aumen&ar al
e$/uero
)Emilio l8aro Igle$ia$, Pa&olog#a umilical /recuen&e, AEPE', 2<1<K
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Alguno$'olor a3ominalmi&o iliar
Ma$a 3uraHiper$en$ile T&o 0(
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8/17/2019 Hernias Del Canal Inguinal – Umbilical
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#RA#AMIEN#O Cur$o na&ural! cierre
e8en&ual 3e ca3a 1< cierran
e$pon&4neo B-5aJo$ Complica3a9 ( Hernia$ gran
longi&u3! $inme>or#a! 2D! gral ( Sin&om4&ica$9 (
'era L Palai! M'! Me3, Care of $he u78ilicu, an 7anage7en$ of u78ilical i,orer,! U"#oDa$e! Nov %&'()
8/17/2019 Hernias Del Canal Inguinal – Umbilical
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Reparacin nocomplica3a
Amula&orio Inci$in cur8a 0ue $e
a>u$&a a un pliegue piel 'i$eca $aco Su&ura permanen&e o
a$orile larga
3uracin Pun&a3a$ en plano
&ran$8er$o
)F, C*arle$ runicar3i, Schwar$*+, -rinci"le, of Surger./ '&e! %&'0 Acce,, Meicine
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@RACIAS