{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T16:04:27Z","timestamp":1776096267469,"version":"3.50.1"},"reference-count":23,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/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: hacer una aproximaci\u00f3n a la seguridad y eficacia a corto plazo de la histerectom\u00eda vaginal con preservaci\u00f3n de cuello uterino en pacientes con prolapso genital estadios II a IV.\nMateriales y m\u00e9todos: estudio descriptivo tipo serie de casos. Se incluyeron mujeres con prolapso genital estadios II a IV, con indicaci\u00f3n de histerectom\u00eda v\u00eda vaginal, con citolog\u00eda cervicovaginal negativa para malignidad, que fueron sometidas a histerectom\u00eda subtotal v\u00eda vaginal, con suspensi\u00f3n del mu\u00f1\u00f3n cervical al ligamento sacro-espinoso, del 1 de junio al 31 de diciembre de 2023 en una cl\u00ednica general de alta complejidad. Se analizaron variables sociodemogr\u00e1ficas y complicaciones a los seis meses del posoperatorio. Se presenta la t\u00e9cnica quir\u00fargica y se realiza an\u00e1lisis descriptivo y la exposici\u00f3n quir\u00fargica de la t\u00e9cnica con suspensi\u00f3n del mu\u00f1\u00f3n cervical al ligamento sacro-espinoso.\nResultados: en el periodo descrito consultaron 10 pacientes, de las cuales ocho cumplieron los criterios de inclusi\u00f3n. La duraci\u00f3n media del procedimiento quir\u00fargico fue de 133 min. El sangrado tuvo una media de 200 cc. Una paciente requiri\u00f3 uso de analg\u00e9sico para el dolor neurop\u00e1tico perif\u00e9rico tipo pregabalina, con lo que se logr\u00f3 adecuado manejo del dolor posoperatorio. No se presentaron otras complicaciones intraoperatorias o posoperatorias. No hubo recurrencia de prolapso a los seis meses de evaluadas las pacientes.\nConclusiones: la histerectom\u00eda subtotal v\u00eda vaginal con suspensi\u00f3n del mu\u00f1\u00f3n cervical al ligamento sacro-espinoso es una t\u00e9cnica de reparaci\u00f3n quir\u00fargica que podr\u00eda ser considerada para el manejo del prolapso uterino. Se requieren estudios aleatorizados que comparen esta t\u00e9cnica con otras alternativas de manejo para evaluar su eficacia a largo plazo y su seguridad.<\/jats:p>","DOI":"10.18597\/rcog.4219","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T09:05:27Z","timestamp":1730797527000},"update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Histerectom\u00eda subtotal v\u00eda vaginal con preservaci\u00f3n de anillo cervical y suspensi\u00f3n del mu\u00f1\u00f3n cervical a ligamento sacroespinoso en mujeres con prolapso genital. Cohorte de expuestos","Subtotal vaginal hysterectomy with cervical ring preservation and cervical stump suspension to the sacrospinous ligament in women with pelvic organ prolapse: An exposed cohort study"],"prefix":"10.18597","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7103-4951","authenticated-orcid":false,"given":"Jaime Andr\u00e9s","family":"Machado Bernal","sequence":"first","affiliation":[{"name":"Gynecology and Obstetrics, Universidad Libre, Cl\u00ednica La Merced. Barranquilla (Colombia)."},{"name":"Ginecolog\u00eda y Obstetricia, Universidad Libre, Cl\u00ednica La Merced. Barranquilla (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3150-2849","authenticated-orcid":false,"given":"Andrea","family":"Lozada R\u00edos","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics, Universidad Libre, Cl\u00ednica La Merced. Barranquilla (Colombia)."},{"name":"Ginecolog\u00eda y Obstetricia, Universidad Libre, Cl\u00ednica La Merced. Barranquilla (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4313-8662","authenticated-orcid":false,"given":"Armando Rafael","family":"G\u00f3mez Castro","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics, Universidad Libre, Cl\u00ednica La Merced. Barranquilla (Colombia)."},{"name":"Ginecolog\u00eda y Obstetricia, Universidad Libre, Cl\u00ednica La Merced. Barranquilla (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"101322","doi-asserted-by":"crossref","unstructured":"Haylen B, de Ridder D, Freeman R, Swift SE, Berghmans B, Lee J, et al. 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Campbell-Walsh-Wein Urology; 2021."},{"key":"101331","doi-asserted-by":"crossref","unstructured":"Peter H, Guzm\u00e1n R. Diagn\u00f3stico y manejo del prolapso de \u00f3rganos p\u00e9lvicos, presente y futuro. Rev Med Cl\u00edn Las Condes. 2013;24(2):210-7. https:\/\/doi.org\/10.1016\/s0716-8640(13)70152-4","DOI":"10.1016\/S0716-8640(13)70152-4"},{"key":"101332","doi-asserted-by":"crossref","unstructured":"Maher C, Feiner B, Baessler K, Christmann C, Haya N, Marjoribanks J. Transvaginal mesh or grafts compared with native tissue repair for vaginal prolapse. Cochrane Database Syst Rev. 2016;2(2):CD012079. https:\/\/doi.org\/10.1002\/14651858.CD012079 Update in: Cochrane Database Syst Rev. 2024 13;3:CD012079. https:\/\/doi.org\/10.1002\/14651858.CD012079.pub2","DOI":"10.1002\/14651858.CD012079.pub2"},{"key":"101333","doi-asserted-by":"crossref","unstructured":"Tseng L, Liang C, Chang S. Vaginal subtotal hysterectomy and sacrospinous ligament fixation for treatment of uterine prolapse. 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