{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T21:54:23Z","timestamp":1785880463649,"version":"3.56.0"},"reference-count":34,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"4","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivos: presentar un caso de necrosis uterina tras t\u00e9cnica de sutura hemost\u00e1tica por hemorragia posparto y hacer una revisi\u00f3n de la literatura para determinar la t\u00e9cnica de sutura utilizada, los hallazgos cl\u00ednicos, la t\u00e9cnica diagn\u00f3stica y el tratamiento realizado en los casos cl\u00ednicos descritos. Materiales y m\u00e9todos: se presenta el caso de una mujer de 34 a\u00f1os que consult\u00f3 por dolor abdominal al octavo d\u00eda tras ces\u00e1rea por placenta previa, que precis\u00f3 sutura de B-Lynch por aton\u00eda uterina y cuyo diagn\u00f3stico fue necrosis uterina. La paciente requiri\u00f3 histerectom\u00eda abdominal total, con evoluci\u00f3n satisfactoria. Se realiz\u00f3 una b\u00fasqueda sistem\u00e1tica de la literatura en las bases de datos Medline v\u00eda Pubmed, Embase y Web of Science. Se buscaron series y reportes de casos y cohortes de mujeres con necrosis uterina posterior al uso de suturas de compresi\u00f3n uterina para control de hemorragia posparto. Se analizaron variables sociodemogr\u00e1ficas y cl\u00ednicas al diagn\u00f3stico, t\u00e9cnica de sutura, pruebas diagn\u00f3sticas y tratamiento. Resultados: se incluyeron 23 estudios con 24 pacientes. El 83\u2009% de las necrosis ocurrieron tras ces\u00e1rea. La t\u00e9cnica m\u00e1s utilizada fue B-Lynch (66\u2009%), seguida de Cho (25\u2009%). Los s\u00edntomas m\u00e1s frecuentes fueron fiebre y dolor abdominal. La prueba diagn\u00f3stica m\u00e1s utilizada fue la tomograf\u00eda computarizada (9 de 24 casos). En la mayor\u00eda de casos se realiz\u00f3 histerectom\u00eda (75\u2009%). Conclusiones: la necrosis de la pared uterina es una complicaci\u00f3n infrecuente pero grave. Ser\u00eda recomendable el dise\u00f1o de cohortes de seguimiento de mujeres sometidas a estos procedimientos para determinar la incidencia de complicaciones asociadas.<\/jats:p>","DOI":"10.18597\/rcog.3856","type":"journal-article","created":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T21:04:00Z","timestamp":1672261440000},"page":"378-387","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":6,"title":["Necrosis uterina tras sutura de compresi\u00f3n hemost\u00e1tica: reporte de caso y revisi\u00f3n de la literatura"],"prefix":"10.18597","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1881-5921","authenticated-orcid":false,"given":"Raquel","family":"Garc\u00eda-Guerra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3955-0363","authenticated-orcid":false,"given":"Myrna","family":"Assaf-Balut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6365-2378","authenticated-orcid":false,"given":"Sara","family":"El-Bakkali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6222-7345","authenticated-orcid":false,"given":"Irene","family":"P\u00e9rez de \u00c1vila-Benavides","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0627-1595","authenticated-orcid":false,"given":"Miguel \u00c1ngel","family":"Huertas-Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7913","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"91652","unstructured":"WHO. 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