<?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>S0300-90412021000400002</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i4.5072</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ventajas del bloqueo paracervical en la aspiración manual endouterina de pacientes con sangrado uterino anormal por hipertrofia endometrial y aborto incompleto del primer trimestre]]></article-title>
<article-title xml:lang="en"><![CDATA[Advantages of paracervical block and endouterine manual aspiration for the treatment of abnormal uterine bleeding due to endometrial hypertrophy and incomplete abortion in the first quarter]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Ruíz]]></surname>
<given-names><![CDATA[Aldo Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Álvarez]]></surname>
<given-names><![CDATA[Jesús José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-González]]></surname>
<given-names><![CDATA[Sandra Berenice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 16 ]]></institution>
<addr-line><![CDATA[Torreón Coahuila]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 16 ]]></institution>
<addr-line><![CDATA[Torreón Coahuila]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 16 ]]></institution>
<addr-line><![CDATA[Torreón Coahuila]]></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>4</numero>
<fpage>279</fpage>
<lpage>285</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Comparar las ventajas del bloqueo paracervical con la anestesia convencional en la aspiracio&#769;n manual endouterina en pacientes con aborto incompleto e hiperplasia endometrial.  MATERIALES Y MÉTODOS:  Estudio anali&#769;tico, comparativo y retrospectivo efectuado en pacientes con diagno&#769;stico de aborto incompleto del primer trimestre o hiperplasia endometrial tratadas con aspiracio&#769;n manual endouterina, con bloqueo paracervical o anestesia regional, atendidas en el área de tococirugi&#769;a del servicio de Ginecoobstetricia del Hospital General de Zona 16, IMSS.  RESULTADOS:  Se analizaron 144 expedientes de pacientes con diagnóstico de aborto incompleto del primer trimestre e hipertrofia endometrial intervendidas mediante: bloqueo paracervical (53.47%) y bloqueo epidural (46.53%). La indicación de la aspiracio&#769;n manual endouterina fue: hiperplasia endometrial en 40.97% y aborto incompleto en 59.03%. El 57.14% experimentaron dolor leve, 38.96% moderado y 3.90% severo.  CONCLUSION:  En las pacientes en quienes se practicó aspiracio&#769;n manual endouterina la efectividad del bloqueo paracervical fue menor que con anestesia convencional en el control del dolor postquiru&#769;rgico. En las pacientes con aborto espontáneo incompleto no se encontro&#769; diferencia estadi&#769;stica en el dolor posquiru&#769;rgico entre las te&#769;cnicas analge&#769;sicas. Por lo tanto, el bloqueo paracervical puede ser una alternativa en la atencio&#769;n de estas pacientes, sobre todo cuando no se dispone de los recursos e infraestructura necesaria para administrar un bloqueo epidural.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To compare the advantages and benefits of paracervical block vs conventional anesthesia for manual vacuum aspiration in patients with incomplete abortion and endometrial hyperplasia.  MATERIALS AND METHODS:  An analytical, comparative and retrospective study was carried out in patients with a diagnosis of incomplete abortion in the first trimester or endometrial hyperplasia who underwent manual vacuum aspiration under paracervical block or regional anesthesia, treated at the tochosurgery service in the Obstetric-Gynecology Department.  RESULTS:  We analyzed 144 files of patients with a diagnosis of incomplete first trimester abortion and endometrial hypertrophy operated by paracervical block (53.47%) and epidural block (46.53%). The indication for manual vacuum aspiration was: endometrial hyperplasia in 40.97% and for incomplete abortion 59.03%. Pain was mild in 57.14%, moderate in 38.96% and severe in 3.90%.  CONCLUSION:  In patients in whom manual vacuum aspiration was performed, the effectiveness of paracervical block was less than with conventional anesthesia in the control of postoperative pain. In patients with incomplete spontaneous abortion no statistical difference was found in postoperative pain between analgesic techniques. Therefore, paracervical block may be an alternative in the care of these patients, especially when the resources and infrastructure necessary to administer an epidural block are not available.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bloqueo paracervical]]></kwd>
<kwd lng="es"><![CDATA[aspiración manual endouterina]]></kwd>
<kwd lng="es"><![CDATA[aborto incompleto]]></kwd>
<kwd lng="es"><![CDATA[hiperplasia endometrial]]></kwd>
<kwd lng="es"><![CDATA[anestesia regional]]></kwd>
<kwd lng="es"><![CDATA[dolor posoperatorio]]></kwd>
<kwd lng="es"><![CDATA[técnicas analgésicas]]></kwd>
<kwd lng="en"><![CDATA[Paracervical block]]></kwd>
<kwd lng="en"><![CDATA[Vaccum aspiration]]></kwd>
<kwd lng="en"><![CDATA[Incomplete abortion]]></kwd>
<kwd lng="en"><![CDATA[Endometrial hyperplasia]]></kwd>
<kwd lng="en"><![CDATA[Paracervical block]]></kwd>
<kwd lng="en"><![CDATA[Regional anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Postoperative pain]]></kwd>
<kwd lng="en"><![CDATA[Analgesic techniques]]></kwd>
</kwd-group>
</article-meta>
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