<?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>S0300-90412021000700006</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i7.4473</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones de la cirugía ginecológica en pacientes mayores de 60 años]]></article-title>
<article-title xml:lang="en"><![CDATA[Complications gynecological surgery in patients olders than 60 years]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Rodríguez]]></surname>
<given-names><![CDATA[Juan Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ángel-García]]></surname>
<given-names><![CDATA[Guadalupe del]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Hernández]]></surname>
<given-names><![CDATA[Ocgi Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional La Raza ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional La Raza ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</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>7</numero>
<fpage>540</fpage>
<lpage>548</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000700006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000700006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000700006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Identificar las complicaciones de la cirugía ginecológica en pacientes mayores de 60 años.  MATERIALES Y MÉTODOS:  Estudio observacional, longitudinal, retrospectivo y descriptivo de una serie de casos de pacientes mayores de 60 años con cirugía ginecológica practicada entre 2015 y 2018 que resultaron con complicaciones de la técnica operatoria o de tipo médico que ameritaron atención posoperatoria en cuidados intensivos. Se utilizó estadística descriptiva con el programa SPSS versión 20.  RESULTADOS:  Se estudiaron 19 pacientes de 71.52 ± 7.23 años de edad. Diagnósticos preoperatorios: trastornos de la estática pélvica 6 de 19, tumores no cancerosos 6 de 19, abscesos 5 de 19 y sangrado uterino posmenopáusico 2 de 19. Complicaciones operatorias: hemorragia n = 7, sepsis n = 6, lesión vesical n = 1, lesión ureteral n = 1, hemorragia con sepsis n = 1. Complicaciones médicas: cetoacidosis diabética n = 1, angina de pecho n=1, hipotensión transitoria sin choque n = 1. Complicaciones en la unidad de cuidados intensivos: absceso residual n = 2, eventración contenida n = 1, fascitis necrotizante n = 1, herida quirúrgica infectada n = 1.  CONCLUSIÓN:  Las complicaciones más frecuentes fueron las de tipo operatorio seguidas de las que emergieron durante la estancia en cuidados críticos. De la experiencia se desprende la conveniencia de atender a las pacientes mayores de 60 años en el posoperatorio de la cirugía ginecológica en una unidad de cuidados intensivos, en particular cuando hay procesos infecciosos graves o intervenciones prolongadas con dificultades técnicas y sangrado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To identify complications of gynecologic surgery in patients older than 60 years.  MATERIALS AND METHODS:  Observational, longitudinal, retrospective and descriptive study of a case series of patients over 60 years of age with gynecological surgery performed between 2015 and 2018 who resulted with complications of the operative technique or medical complications that merited postoperative intensive care. Descriptive statistics were used with SPSS version 20 software.  RESULTS:  19 patients aged 71.52 ± 7.23 years were studied. Preoperative diagnoses: pelvic statics disorders 6 of 19, noncancerous tumors 6 of 19, abscesses 5 of 19 and postmenopausal uterine bleeding 2 of 19. Operative complications: hemorrhage n = 7, sepsis n = 6, bladder injury n = 1, ureteral injury n = 1, hemorrhage with sepsis n = 1. Medical complications: diabetic ketoacidosis n = 1, angina pectoris n = 1, transient hypotension without shock n = 1). Intensive care unit complications: residual abscess n = 2, contained eventration n = 1, necrotizing fasciitis n = 1, infected surgical wound n = 1.  CONCLUSION:  The most frequent complications were those of the operative type followed by those that emerged during the stay in critical care. The experience suggests the convenience of caring for patients over 60 years of age in the postoperative period of gynecologic surgery in an intensive care unit, particularly when there are severe infectious processes or prolonged interventions with technical difficulties and bleeding.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía ginecológica]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos posoperatorios]]></kwd>
<kwd lng="es"><![CDATA[tumores no cancerosos]]></kwd>
<kwd lng="es"><![CDATA[abscesos]]></kwd>
<kwd lng="es"><![CDATA[sangrado uterino posmenopáusico]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[complicaciones quirúrgicas]]></kwd>
<kwd lng="es"><![CDATA[ancianas]]></kwd>
<kwd lng="en"><![CDATA[Gynecological surgery]]></kwd>
<kwd lng="en"><![CDATA[Postoperative intensive care]]></kwd>
<kwd lng="en"><![CDATA[Noncancerous tumors]]></kwd>
<kwd lng="en"><![CDATA[Abscess]]></kwd>
<kwd lng="en"><![CDATA[Postmenopausal uterine bleeding]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Surgical complications]]></kwd>
<kwd lng="en"><![CDATA[Elderly women]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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