<?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>S0300-90412021000200109</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i2.4781</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en histerectomía obstétrica y control vascular en el Noreste de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in obstetric hysterectomy and vascular control in Northeastern Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Vera]]></surname>
<given-names><![CDATA[Ernesto Arnoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reynosa-Oviedo]]></surname>
<given-names><![CDATA[Yolanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Salazar]]></surname>
<given-names><![CDATA[Gerardo Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bazaldúa-Cruz]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Chávez]]></surname>
<given-names><![CDATA[Luis David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Balderas-Cerda]]></surname>
<given-names><![CDATA[Irma Alyttet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>2</numero>
<fpage>109</fpage>
<lpage>114</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000200109&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000200109&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000200109&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  OBJETIVO: Determinar la incidencia de la histerectomía obstétrica (indicaciones, desenlaces y complicaciones inmediatas y mediatas asociadas con la morbilidad y mortalidad materna) y describir la experiencia acumulada al respecto del equipo de respuesta inmediata del Noreste de México.  MATERIALES Y MÉTODOS:  Estudio observacional, descriptivo y de cohorte retrospectiva efectuado entre el 1 de enero de 2012 y el 31 de diciembre de 2015 en la Unidad Médica de Alta Especialidad 23, Nuevo León, con base en la revisión de los expedientes clínicos de pacientes con hemorragia obstétrica e histerectomía. Muestreo no probabilístico, de casos consecutivos. Se calcularon la incidencia de histerectomía obstétrica y los porcentajes del control vascular. Se utilizó estadística descriptiva para las variables: edad, embarazos, semanas de embarazo, sangrado, hemoderivados transfundidos, tiempo transquirúrgico y complicaciones asociadas.  RESULTADOS: Se efectuaron 84,579 procedimientos obstétricos y la incidencia acumulada de histerectomía fue de 4.5 por cada 1000 pacientes. La media de edad 31.9 ± 5.48 años. En más de 88% de las histerectomías se efectuó control vascular mediante ligadura arterial selectiva, previo al procedimiento. La placentación anómala fue la indicación más frecuente (59.5%), todas las pacientes requirieron transfusión. Se registraron dos muertes maternas no asociadas directamente con el procedimiento obstétrico.  CONCLUSIONES: La incidencia acumulada de histerectomía obstétrica y el control vascular aplicado reflejan la buena atención y la ausencia de muertes maternas secundarias al procedimiento o a la técnica quirúrgica. La histerectomía obstétrica con control vascular y la capacitación permanente del personal médico que atiende a las pacientes con hemorragia evitaron los desenlaces fatales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  OBJECTIVE: To determine the incidence of obstetric hysterectomy (indications, outcomes and immediate complications and mediates associated with maternal morbidity and mortality) and to describe the accumulated experience with the immediate response team in northeastern Mexico.  MATERIALS AND METHODS:  Observational, descriptive and retrospective cohort study conducted between January 1, 2012 and December 31, 2015 at the High Specialty Medical Unit 23 located in Monterrey, NL, based on the review of clinical records of patients with obstetric bleeding and hysterectomy. Non-probabilistic sampling, of consecutive cases. The incidence of obstetric hysterectomy and percentages of vascular control were calculated. Descriptive statistics were used for variables: age, number of pregnancies, weeks of pregnancy, amount of bleeding, transfused blood products, trans-surgical time and associated complications.  RESULTS:  84,579 obstetric procedures were performed and the cumulative incidence of hysterectomy was 4.5 per 1000 patients. Average age 31.9 5.48 years. In more than 88% of hysterectomies, vascular control was performed by selective arterial ligation prior to the procedure. Abnormal placentation was the most frequent indication (59.5%), all patients required a transfusion. There were two maternal deaths not directly associated with the obstetric procedure.  CONCLUSIONS:  The cumulative incidence of obstetric hysterectomy and the vascular control applied reflect the good attention and the absence of maternal deaths secondary to the procedure or to the surgical technique. The obstetric hysterectomy with vascular control and the permanent training of the medical personnel who care for the patients with bleeding avoided the fatal outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Histerectomía obstétrica]]></kwd>
<kwd lng="es"><![CDATA[morbilidad materna]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[sangrado]]></kwd>
<kwd lng="es"><![CDATA[tiempo quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[transfusión sanguínea]]></kwd>
<kwd lng="en"><![CDATA[Obstetric hysterectomy]]></kwd>
<kwd lng="en"><![CDATA[Maternal morbidity]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="en"><![CDATA[Incidence]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Bleeding]]></kwd>
<kwd lng="en"><![CDATA[Surgical time]]></kwd>
<kwd lng="en"><![CDATA[Blood transfusion]]></kwd>
</kwd-group>
</article-meta>
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