<?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>S0300-90412018000900590</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i9.1992</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sutura compresiva de Hayman: experiencia de cuatro años]]></article-title>
<article-title xml:lang="en"><![CDATA[Hayman uterine compression stitch: four years&#8217; experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-Santillán]]></surname>
<given-names><![CDATA[Armando Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Posadas-Nava]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Adame]]></surname>
<given-names><![CDATA[Leidy Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Celis-González]]></surname>
<given-names><![CDATA[Cuauhtémoc]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad de Ginecoobstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad de Ginecoobstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad de Ginecoobstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</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>9</numero>
<fpage>590</fpage>
<lpage>596</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018000900590&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018000900590&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018000900590&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Reportar la experiencia institucional de cuatro años en la aplicación de la sutura compresiva de Hayman para tratamiento conservador de la hemorragia obstétrica posparto.  MATERIALES Y MÉTODOS: Estudio prospectivo y observacional efectuado en pacien-tes atendidas entre el 1 de enero de 2014 y el 1 de enero de 2018 en un hospital de tercer nivel de atención a quienes se aplicó la sutura compresiva de Hayman luego del diagnóstico de hemorragia obstétrica posparto resistente al tratamiento farmacológico uterotónico. Variables de estudio: obstétricas generales, indicación, efectividad, com-plicaciones y tiempo de realización de la sutura compresiva, sangrado transoperatorio y requerimiento de un procedimiento adicional.  RESULTADOS: La sutura compresiva de Hayman se aplicó a 87 pacientes con hemo-rragia obstétrica posparto resistente al tratamiento uterotónico: 73 de 87 poscesárea y 14 de 87 en el posparto. El tiempo medio de realización de la sutura fue de 5.1 minutos y la media del sangrado de 1310.4 ± 730.3 mL. En 78 de 87 casos se logró el control del sangrado con la sutura Hayman, en 5 pacientes se requirieron procedi-mientos complementarios, como la técnica Posadas o ligadura de hipogástricas. En 2 pacientes fue necesaria la histerectomía obstétrica debido a persistencia del sangrado e inestabilidad hemodinámica. No se registraron complicaciones trans o posoperatorias.  CONCLUSIONES: La sutura compresiva de Hayman puede controlar la hemorragia obstétrica posparto, secundaria a atonía o a hemorragia del lecho placentario, sin necesidad de procedimientos o técnicas adicionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To report a 4-year institutional experience in the use of Hayman uterine compression stitch as a conservative method for the management of the postpartum hemorrhage.  MATERIALS AND METHODS: We designed a prospective and observational study from January 1 2014 to January 1 2018 in a tertiary care hospital. Hayman suture was applied to all cases with postpartum hemorrhage and poor response to uterotonic drug therapy. We recorded information about general obstetric information, indications, effectiveness, complications and time about the uterine compression stich, bleeding and need of practicing another technique.  RESULTS: Hayman suture was performed on 87 patients to control intractable postpar-tum hemorrhage that did not respond to uterotonic agents. The postpartum hemorrhage presented at cesarean section in 73/87 of the cases and in 16% after vaginal birth. The average time for Hayman suture was 5.1 minutes and the mean bleeding was 1310.4730.3 mL. Hayman suture was successful in 78/87 of the cases, in 5 uterine vessels and ovarian vessels were also ligated and 2 required hysterectomy because of persistent bleeding. The postoperative course was uncomplicated.  CONCLUSION: Hayman's compressive suture can control postpartum obstetric hemorrhage, secondary to atony or placental bed hemorrhage, without the need for additional procedures or techniques.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sutura compresiva de Hayman]]></kwd>
<kwd lng="es"><![CDATA[hemorragia posparto]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="es"><![CDATA[histerectomía]]></kwd>
<kwd lng="en"><![CDATA[Uterine compression]]></kwd>
<kwd lng="en"><![CDATA[Postpartum hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Hayman suture]]></kwd>
<kwd lng="en"><![CDATA[Cesarean section]]></kwd>
<kwd lng="en"><![CDATA[Hysterectomy]]></kwd>
</kwd-group>
</article-meta>
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