[Obstetrical hysterectomy. Evolution and change]. / La histerectomía obstétrica. Evolución y cambio.

We analyze a selected patients group in whom obstetric hysterectomy were performed, represented the present orientation for management pregnancy, delivery and puerperal complicated. No mortality in this series was observed, but morbidity arose 65.21%. This paper maintenance risk shape related age, evolution pregnancy, type of complication and change about parity (III-IV more frequency), no Cesarean section history and different kind of morbidity. Conclude preventive integral management and early indication of Obstetric Hysterectomy with good extrafascial technic and indentification difficulties or surgical problems.

[Ligation of the hypogastric arteries. Analysis of 4000 cases]. / Ligadura de arterias hipogástricas. Análisis de 400 casos.

Experience of 10 years is presented on hypogastric artery ligation as a secondary resource for the hemorrhage control on a selected group of 400 patients; those who have had a previous multiple management to the procedure. The pathology type is shown, risk groups and the problems that conditioned the indication. Surgical technique is analyzed, its complications and secueles; with a follow up of 2 years to 63.5%. Depurated mortality was of 1%. It is concluded that the procedure efficacy depends on it's prompt realization, adequate indication and good technique.