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Federación Mexicana de Ginecología y Obstetricia, A.C.

2016, Número 04

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Ginecol Obstet Mex 2016; 84 (04)


Tratamiento de la hemorragia posparto con condón hidrostático intrauterino

Sandoval-García-Travesí FA, Hinojosa-Cruz JC, Reyes-Hernández MU, Sandoval-Barajas D, Lorca-Jiménez G, Mendoza-Reyes E, Cruz-Durán JG

Idioma: Español
Referencias bibliográficas: 31
Paginas: 243-251
Archivo PDF: 390.85 Kb.


RESUMEN

Objetivo: reportar la experiencia con el condón hidrostático intrauterino en el control de la hemorragia obstétrica.
Material y Método: estudio descriptivo y retroprolectivo efectuado del 1 de marzo al 27 de agosto de 2015 en un hospital rural de México. El condón hidrostático intrauterino se aplicó a pacientes con hemorragia obstétrica sin respuesta al tratamiento médico.
Resultados: se identificaron 955 pacientes en puerperio posparto vaginal de las que 40 (4.1%) ameritaron la aplicación del condón hidrostático intrauterino. El método no tuvo éxito en 2 de 40 pacientes (5%); una de ellas requirió histerectomía obstétrica de urgencia y la otra laparotomía exploradora con medidas conservadoras. Se encontró que 11 de 40 pacientes (27.5%) requirieron, al menos, la transfusión de 1-3 paquetes globulares. Ninguna de las 38 pacientes (95%) que reaccionaron favorablemente al método tuvo datos de endometritis en el seguimiento del puerperio ni complicaciones asociadas con el uso del condón hidrostático. Durante el periodo de estudio no se registraron muertes maternas.
Conclusión: el uso del condón hidrostático intrauterino es un método eficaz para el control de la hemorragia obstétrica posparto vaginal secundaria a atonía uterina sin respuesta al tratamiento médico.


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