<?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>S0300-90412023000800562</article-id>
<article-id pub-id-type="doi">10.24245/gom.v91i8.7897</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores relacionados con la histerectomía ginecológica por patología benigna en un hospital escuela del occidente de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors related to gynecological hysterectomy for benign pathology in a teaching hospital in western Mexico.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camarena Pulido]]></surname>
<given-names><![CDATA[Eva Elizabet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corona Gutiérrez]]></surname>
<given-names><![CDATA[América Aime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robledo-Aceves]]></surname>
<given-names><![CDATA[Mireya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Rodríguez]]></surname>
<given-names><![CDATA[Jesús Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Guadalajara  ]]></institution>
<addr-line><![CDATA[ Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Universitario de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Civil de Guadalajara Dr. Juan I Menchaca  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Civil de Guadalajara Dr. Juan I Menchaca  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>91</volume>
<numero>8</numero>
<fpage>562</fpage>
<lpage>569</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412023000800562&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412023000800562&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412023000800562&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Determinar las características clínicas y los desenlaces asociados con las diferentes vías de acceso elegidas para la histerectomía.  MATERIALES Y MÉTODOS:  Estudio retrospectivo, descriptivo y transversal consistente en el análisis de la información asentada en los expedientes de pacientes atendidas en el servicio de Ginecología del Hospital Civil de Guadalajara entre el 1 de marzo del 2019 y el 28 de febrero del 2020. En todas las pacientes se estableció la asociación entre la vía de acceso y las complicaciones.  RESULTADOS: Se revisaron 790 expedientes de los que 413 reunieron los criterios de inclusión. Se practicaron 262 histerectomías abdominales, 107 por vía vaginal y 44 mediante laparoscopia. La frecuencia de complicaciones fue de 9.2%, el 54% se registró durante el procedimiento quirúrgico. La frecuencia de conversión fue de un caso para histerectomía vaginal (0.9%) y de otro para la laparoscópica (2.2%). La complicación más frecuente fue el sangrado transquirúrgico seguida del reingreso por infección del sitio quirúrgico. La cirugía vaginal fue la que menos complicaciones porcentuales registró; sin embargo, la lesión vesical fue la más común y la única en la que sucedió una defunción, secundaria a choque hipovolémico. La asociación entre la vía de acceso abdominal y las complicaciones muestra que las pacientes con histerectomía abdominal tuvieron tres veces más probabilidades de alguna complicación en comparación con el resto de los grupos.  CONCLUSIONES: El riesgo de complicaciones es mayor en la histerectomía abdominal, sobre todo en pacientes con peso uterino &#8805; 500 g e IMC &#8805; 30. Es necesario reforzar las competencias para incrementar la frecuencia de la histerectomía vaginal. Cada vez es más necesario estar a la vanguardia en la aplicación de técnicas de mínima invasión por su ventaja de menor frecuencia de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To determine the clinical characteristics and outcomes associated with the different access routes chosen for hysterectomy.  MATERIALS AND METHODS: Retrospective, descriptive and cross-sectional study consisting of the analysis of the information recorded in the records of patients attended in the Gynecology service of the Civil Hospital of Guadalajara between March 1, 2019 and February 28, 2020. The association between the access route and complications was established in all patients.  RESULTS: 790 files were reviewed of which 413 met the inclusion criteria. A total of 262 abdominal hysterectomies were performed, 107 vaginally and 44 laparoscopically. The frequency of complications was 9.2%, 54% of which occurred during the surgical procedure. The frequency of conversion was one case for vaginal hysterectomy (0.9%) and another for laparoscopic hysterectomy (2.2%). The most frequent complication was trans-surgical bleeding followed by readmission for surgical site infection. Vaginal surgery had the lowest percentage of complications; however, bladder injury was the most common and the only one in which a death occurred, secondary to hypovolemic shock. The association between abdominal access route and complications shows that patients with abdominal hysterectomy were three times more likely to have some complication compared to the rest of the groups.  CONCLUSIONS: The risk of complications is higher in abdominal hysterectomy, especially in patients with uterine weight &#8805; 500 g and BMI &#8805; 30. Skills need to be strengthened to increase the frequency of vaginal hysterectomy. It is increasingly necessary to be at the forefront in the application of minimally invasive techniques because of their advantage of lower frequency of complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Histerectomía abdominal]]></kwd>
<kwd lng="es"><![CDATA[laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[vaginal]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Abdominal]]></kwd>
<kwd lng="en"><![CDATA[Vaginal]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic hysterectomy]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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