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Introducción y objetivo: El concepto de abdominoplastia se ha redefinido en los últimos años siendo el manejo del componente musculoaponeurótico un elemento fundamental para mejorar el contorno de la pared abdominal. Sin embargo, las indicaciones de plicatura no están claramente establecidas, encontrando descritas innumerables técnicas por diversos autores. El presente trabajo tiene por objetivo revisar la evidencia referente a las técnicas quirúrgicas de plicatura abdominal y proponer una clasificación de las mismas. Material y método: Búsqueda en la literatura de las técnicas quirúrgicas de plicatura en abdominoplastia y presentación de una clasificación original para las mismas. Resultados: Proponemos una clasificación de plicaturas basada en 3 elementos topográficos. El primero, la región anatómica predominante donde se realiza la plicatura (Tipo I o de línea alba, Tipo II o de rectos y Tipo III o de oblicuos). El segundo, la relación con el nivel del ombligo (supraumbilical, infraumbilical o supra-infraumbilical). Y el tercero, la orientación en el espacio de la plicatura (vertical, transversa u oblicua). Conclusiones: Consideramos que nuestra clasificación aporta una nomenclatura objetiva para la descripción de las plicaturas en abdominoplastia, ayudando así a definir sus indicaciones y a mejorar la comunicación de resultados. (AU)

Background and objective: The concept of abdominoplasty has been redefined in recent years, being the management of the musculoaponeurotic component a key element to improve abdominal wall contour. However, indications for plication are not clearly established, and countless techniques have been described by various authors. The objective of this work is to review the evidence regarding the surgical techniques of plication and propose a new classification for them. Methods: A search was carried out in the literature about surgical techniques of plication in abdominoplasty, and from this, an original classification for abdominoplasty plications is presented. Results: Our classification is based on 3 topographic elements. First, the main anatomical region where the plication is performed (Type I or linea alba, Type II or rectus abdominis and Type III or oblique muscles). Second, the relationship with umbilicus level (above, below or above-and-below). And third, the orientation in the space (vertical, transverse or oblique). Conclusions: Our classification provides an objective nomenclature for the description of plications in abdominoplasty, thus helping to define its indications and improve the communication of results. (AU)

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The objective of this study was to make an equivalent and culturally adapted translation of an already existing scale for itching, the 5-D itch scale (5-D IS), developed as a short questionnaire and designed to measure pruritus, in order to be applied in a Spanish-speaking population. The 5-D IS consists of five sections that evaluate duration, degree, direction, disability and distribution of itching. The adequate translation process was performed according to the guidelines from the World Health Organization (WHO) and the International Society of Pharmacoeconomics and Outcomes Research (ISPOR). Two forward translations, one backwards translation, harmonization by an expert panel, and cognitive interviews with patients were included. The result was a culturally adapted Spanish version of the 5-D IS which was then field-tested in a burn population with an internal reliability of 0,83, considered good. As pruritus and pain are bothersome symptoms present in more that 90% of burned patients during the rehabilitation phase, this culturally adapted scale allows Spanish speakers clinicians to easily objectivize the severity of pruritus and measure the impact of any intervention or treatment.

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La actual pandemia por coronavirus afecta a pacientes de todas las edades y estratos socioeconómicos, los accidentes por quemaduras también. Las cirugías de urgencia y el manejo quirúrgico del gran quemado no pueden ser diferidos, por lo que en el presente artículo mostramos la experiencia y organización del Servicio de Quemados del Hospital de Urgencia de Asistencia Pública para manejar a los pacientes COVID-19 (+) y (­) que se encuentran actualmente en nuestra Unidad.

The current coronavirus pandemic affects patients of all ages and socio-economic strata, burn accidents as well. The emergency surgeries and the surgical management of the large burn cannot be delayed, so in this article we show the experience and organization of the Emergency Hospital Burn Service of Public Assistance to manage patients COVID-19 (+) and (­) who are currently in our Unit.

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Miguel Ángel Buonarroti (1475 - 1564) es considerando uno de los más grandes artistas de la historia. Estudió en detalle la anatomía humana a través de la disección de cadáveres, práctica hasta entonces relegada por motivos religiosos. Desde que en el año 1990 el médico Frank Lynn Meshberger publicara su interpretación del fresco "La Creación de Adán" basada en la neuroanatomía, en donde comparaba la imagen de Dios con la de una sección sagital del cerebro humano, muchos autores han encontrado diversas referencias anatómicas ocultas en la obra de Miguel Ángel. En el presente trabajo exponemos el hallazgo de una inédita lección de anatomía hepática oculta en el fresco La Embriaguez de Noé de la Capilla Sixtina.

Michelangelo Buonarroti (1475 - 1564) is considered one of the greatest artists in history. He studied in detail the human anatomy through corpses dissection, practice until then relegated for religious reasons. Since the physician Frank Lynn Meshberger published in 1990 his interpretation of the fresco "The Creation of Adam" based on neuroanatomy, where he compared the image of God with a sagittal section of the human brain, many authors have found various hidden anatomical references in the work of Michelangelo. In the present paper we expose the finding of a hidden lesson on liver anatomy in the fresco The Drunkenness of Noah of the Sistine Chapel.

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