{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T17:51:27Z","timestamp":1710957087991},"reference-count":16,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"2","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivos: reportar un caso de evisceracio\u0301n intestinal transvaginal posterior a histerectomi\u0301a abdominal total y realizar una revisio\u0301n de la literatura sobre su diagno\u0301stico y tratamiento.&#x0D;\nMateriales y m\u00e9todos: se presenta el caso de una paciente de 48 an\u0303os que consulta a una institucio\u0301n de alta complejidad por evisceracio\u0301n intestinal transvaginal de 10 horas de evolucio\u0301n, se realiza laparotomi\u0301a para reduccio\u0301n de la evisceracio\u0301n y reparacio\u0301n del defecto de cu\u0301pula vaginal. Se hace una bu\u0301squeda en Medline vi\u0301a PubMed, Embase, Elsevier, Medigraphic, Wolters Kluwer Health y UpToDate con los te\u0301rminos: \u201cdehiscencia de cu\u0301pula vaginal\u201d, \u201cevisceracio\u0301n intestinal transvaginal\u201d, \u201cdehiscencia posterior a histerectomi\u0301a\u201d, \u201ccomplicaciones histerectomi\u0301a\u201d, y en bola de nieve a partir de los estudios identificados, en idiomas ingle\u0301s y espan\u0303ol.&#x0D;\nResultados: se incluyeron 14 estudios. El diagno\u0301stico de la evisceracio\u0301n transvaginal es eminentemente cli\u0301nico al observar salida de contenido abdominal por vagina, se puede asociar a signos de peritonitis u obstruccio\u0301n intestinal. Su manejo inicial debe intentar el empaquetamiento vaginal y la profilaxis antibio\u0301tica. Se han descrito varias te\u0301cnicas quiru\u0301rgicas para corregir el defecto de la cu\u0301pula vaginal y reforzar el cierre de la dehiscencia de la cu\u0301pula.&#x0D;\nConclusiones: la evisceracio\u0301n transvaginal se considera una urgencia quiru\u0301rgica. Se requieren ma\u0301s estudios que evalu\u0301en la seguridad y la efectividad de las diferentes intervenciones para el manejo.<\/jats:p>","DOI":"10.18597\/rcog.3141","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T14:24:06Z","timestamp":1563978246000},"page":"129-135","source":"Crossref","is-referenced-by-count":4,"title":["Manejo de evisceraci\u00f3n intestinal transvaginal secundaria a dehiscencia de la c\u00fapula vaginal posterior a histerectom\u00eda: reporte de caso y revisi\u00f3n de la literatura"],"prefix":"10.18597","volume":"70","author":[{"given":"Santiago","family":"Rueda-Espinel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Facundo","family":"Cobos-Mantilla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Agdi M, Al-Ghafri W, Antolin R, Arrington J, O'Kel- ley K, Thomson AJM, et al. 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