<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412018000100037</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i1.1824</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Curva de aprendizaje en histerectomía laparoscópica. ¿Cuántas intervenciones se necesitan para dominar la técnica con estándares de seguridad?]]></article-title>
<article-title xml:lang="en"><![CDATA[Learning curve of laparoscopic hysterectomy. How many interventions are required to consider the technique dominated with safety standards?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pantoja-Garrido]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frías-Sánchez]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vilar-Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-del Pino]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vico-de Miguel]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pantoja-Rosso]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Santa María del Puerto  ]]></institution>
<addr-line><![CDATA[Puerto de Santa María Cádiz]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>1</numero>
<fpage>37</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018000100037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Demostrar si se cumple lo publicado en referencia a las curvas de aprendizaje en histerectomía laparoscópica, para un mismo equipo quirúrgico, en variables como el porcentaje de complicaciones, conversiones a laparotomía, tiempo quirúrgico, pérdida de hemoglobina, días de hospitalización, etcétera.  MATERIALES Y MÉTODOS: Estudio analítico, observacional de cohortes, prospectivo y de intervención efectuado de julio de 2014 a octubre de 2017 en el Departamento de Ginecología del Hospital General Santa María del Puerto, Cádiz, España. Criterio de inclusión: pacientes con histerectomía total o supracervical laparoscópica.  RESULTADOS: Se analizaron 45 procedimientos divididos en 3 cohortes de 15 pacientes cada una de acuerdo con el orden temporal de realización. Así, el grupo 1 fue el de las primeras 15 histerectomías efectuadas, el grupo 2 de la 16 a la 30, y el grupo 3 de la 31 a la 45; es decir, las últimas 15 llevadas a cabo. El porcentaje de complicaciones y conversión a laparotomía fue de 13.3% en el grupo 1, de 6.7% en el grupo 2 y de 0% en el 3 (p = 0.343). El tiempo quirúrgico medio en el grupo 1 fue de 164 minutos, en el 2 de 101 minutos y en el 3 de 90 minutos (p = 0.001). Entre los diferentes grupos se registraron mejoras progresivas estadísticamente significativas en la pérdida de hemoglobina o la estancia hospitalaria.  CONCLUSIONES: Con base en nuestros resultados la curva de aprendizaje es de 45 intervenciones, suficientes para practicar con estándares de seguridad este tipo de cirugías.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To observe the learning curve in a surgical team of laparoscopic hysterectomy. Determine the number of surgeries needed to achieve a surgical time 90 minutes average, a percentage of total complications less than 10% and a conversion to laparotomy rate to less than 5%.  MATERIAL AND METHODS: For this we have analyzed data collected prospectively, in 45 patients undergoing total laparoscopic hysterectomy or laparoscopic supracervical hysterectomy, carried out by the same surgical team, and divided into 3 cohorts of 15 patients by temporal order of preparation; made July 2014 to October 2017, in the Department of Gynecology of the Hospital General Santa Maria del Puerto.  RESULTS: We analized 45 procedures divided into 3 cohorts of 15 patients each according to the temporal order of performance. Thus, group 1 was that of the first 15 hysterectomies performed, group 2 from 16 to 30, and group 3 from 31 to 45; that is, the last 15 carried out. The complications and conversion rate to laparotomy was 13.3% in group 1; 6.7% in group 2, and 0% in group 3 (p = 0.343). The mean surgical time in group 1 was 164 minutes, in 2 of 101 minutes and in 3 of 90 minutes (p = 0.001). Among the different groups there were statistically significant progressive improvements in the loss of hemoglobin or hospital stay.  CONCLUSIONS: Our results indicate that a learning curve of 45 interventions is sufficient to deal with this type of surgery with safety standards.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Curva de aprendizaje]]></kwd>
<kwd lng="es"><![CDATA[histerectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[tiempo de cirugía]]></kwd>
<kwd lng="es"><![CDATA[laparotomía]]></kwd>
<kwd lng="es"><![CDATA[histerectomía]]></kwd>
<kwd lng="en"><![CDATA[Learning curve]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic hysterectomy]]></kwd>
<kwd lng="en"><![CDATA[surgical time]]></kwd>
<kwd lng="en"><![CDATA[laparotomy]]></kwd>
<kwd lng="en"><![CDATA[hysterectomies]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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