title: [Obstetric hysterectomy in patients with accreta, increta and percreta placentae: comparison of two surgical techniques].
abstract: OBJECTIVE
  To analyze the maternal-fetal surgical complications techniques utilizing two obstetric hysterectomy in patients with placenta accreta, increta or percreta, in the Hospital General de Occidente, Jalisco, Mexico during the period 2011 to 2014.
  
  
  METHODS
  observational, descriptive, cross-sectional study, analyzing maternal and fetal complications in all patients diagnosed with placenta accreta, increta or percreta, intervened with two surgical techniques obstetric hysterectomy, during the period January 2011 to December 2014, using clinical records to identify the study variables. The data were analyzed on Epi-Info 7 calculating frequencies, percentages, measures of central tendency and dispersion, also resorting to the use of a hypothesis test for mean difference bleeding.
  
  
  RESULTS
  There were 71 obstetric hysterectomies, 47.88% were identified by placenta accreta, increta or percreta, of which 47.05% were operated with modified technique (group 1) and 52.95% with the conventional technique (group 2). The mean ages of the groups were 31.56 in group 1 and 29.44 in group 2. Statistically the bleeding with the modified surgical technique it is less than the bleeding conventional technique.
  
  
  CONCLUSIONS
  The results serves two main purposes: to save the life of the patient and cause the least amount of side morbidity are placental problems, both the mother and the newborn, highlighting minor bleeding from a technique to another.
authors.forename: R C
authors.initials: RC
authors.lastname: Ortiz-Villalobos
authors.forename: A
authors.initials: A
authors.lastname: Bañuelos-Franco
authors.forename: R F
authors.initials: RF
authors.lastname: Serrano-Enriquez
authors.forename: M L
authors.initials: ML
authors.lastname: Mejía-Mendoza
authors.forename: J
authors.initials: J
authors.lastname: Laureano-Eugenio
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010921:Placenta Accreta / Q000601:surgery*; D011247:Pregnancy