<?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>S0300-90412019000900576</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i9.2946</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Control de la hemorragia obstétrica mediante ligadura selectiva de las arterias uterinas. Experiencia de siete años]]></article-title>
<article-title xml:lang="en"><![CDATA[Control of postpartum hemorrhage employing selective uterine artery ligation. Seven years experience]]></article-title>
</title-group>
<contrib-group>
<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[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[Celis-González]]></surname>
<given-names><![CDATA[Cuauhtémoc]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Martínez]]></surname>
<given-names><![CDATA[Ernesto]]></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 Ginecología y Obstetricia Dr. Luis Castelazo Ayala ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad de Ginecología y Obstetricia Dr. Luis Castelazo Ayala ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>9</numero>
<fpage>576</fpage>
<lpage>582</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019000900576&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019000900576&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019000900576&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  OBJETIVO: Reportar la experiencia de siete años con la técnica de ligadura selectiva de las arterias uterinas (técnica Posadas) para el control de la hemorragia obstétrica.  MATERIALES Y MÉTODOS: Estudio retrospectivo y descriptivo, llevado a cabo en pacientes con diagnóstico de hemorragia obstétrica resistente a los uterotónicos, en quienes se practicó la técnica Posadas, atendidas en la Unidad Médica de Alta Especialidad de Ginecología y Obstetricia Dr. Luis Castelazo Ayala, del 1 de octubre de 2011 al 31 de agosto de 2018. Se registraron las variables obstétricas generales, indicación de la intervención quirúrgica, efectividad, complicaciones, tiempo estimado de la técnica, cantidad de sangrado y requerimiento de algún procedimiento coadyuvante adicional.  RESULTADOS: Se practicó la ligadura selectiva de las arterias uterinas (técnica Posadas) a 750 pacientes con hemorragia obstétrica resistente a los uterotónicos. Se registraron 415 casos con hemorragia obstétrica posparto y 335 poscesárea. El tiempo medio de la técnica Posadas fue de 6.6 ± 2.3 minutos y la media del sangrado de 1299 ± 688 mL. En 724 (96.4%) pacientes se logró el control del sangrado y en 23 fue necesario efectuar procedimientos complementarios. Tres pacientes requirieron histerectomía por persistencia del sangrado e inestabilidad hemodinámica. Las principales complicaciones transoperatorias fueron: hematoma del ligamento ancho (n = 10) y desgarro de la arteria uterina (n = 3).  CONCLUSIONES: La ligadura selectiva de las arterias uterinas (técnica Posadas) es una técnica sencilla, rápida, efectiva y segura para cohibir la hemorragia obstétrica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  OBJECTIVE: To report our experience in the use of selective uterine artery ligation (Posadas technique) as a conservative method for the management of the postpartum hemorrhage (PPH).  MATERIALS AND METHODS: Retrospective and descriptive study, carried out in patients with a diagnosis of obstetric hemorrhage resistant to treatment with uterotonics, in whom the Posadas technique is practiced, attended in the High Specialty Medical Unit of Gynecology and Obstetrics Dr. Luis Castelazo Ayala , from October 1, 2011 to August 31, 2018. General obstetric variables were registered, indication of the surgical intervention, complications, complications, estimated time of the technique, amount of bleeding and requirement of some additional adjuvant procedure.  RESULTS:  Selective ligation of uterine arteries (posed techniques) was performed on 750 patients with obstetric hemorrhage resistant to drugs to uterotonic treatment. There were 415 cases with postpartum obstetric hemorrhage and 335 post-cesarean hemorrhage. The average time of the Posadas technique was 6.6 ± 2.3 minutes and the average bleeding rate was 1299 ± 688 mL. In 724 (96.4%) patients the control of bleeding was controlled and in 23 complementary procedures were necessary. Three patients required hysterectomy due to persistent bleeding and hemodynamic instability. The main transoperative complications were: hematoma of the broad ligament (n = 10) and tear of the uterine artery (n = 3).  CONCLUSIONS: Selective ligation of uterine arteries (Posadas technique) is a simple, fast, effective and safe technique for the conservative treatment of obstetric hemorrhage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemorragia obstétrica]]></kwd>
<kwd lng="es"><![CDATA[ligadura de las arterias uterinas]]></kwd>
<kwd lng="es"><![CDATA[ligamento ancho]]></kwd>
<kwd lng="es"><![CDATA[histerectomía]]></kwd>
<kwd lng="en"><![CDATA[Postpartum hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Uterine artery ligation]]></kwd>
<kwd lng="en"><![CDATA[Broad ligament]]></kwd>
<kwd lng="en"><![CDATA[Hysterectomy]]></kwd>
</kwd-group>
</article-meta>
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