Chitosan Gauze in the Management of Acute Postpartum Hemorrhage in a Mexican Third-Level Institution: A Case Report.

Obstetric hemorrhage is the main cause of maternal death worldwide; over the years, its management has been based on uterotonic drugs as well as definitive and non-definitive surgical techniques. We report the case of a patient with multiple risk factors for obstetric hemorrhage who was given the classic management for postpartum hemorrhage before the addition of chitosan gauze, which resulted in adequate remission of the condition. The patient had an adequate in-hospital evolution; the chitosan gauze was removed after 24 hours, and she was discharged after 48 hours without active bleeding.

[A technique for total laparoscopic hysterectomy with vaginal morcellation on large uteri in order to maintain minimal invasion].

The advancement and increasing popularity of laparoscopic hysterectomy and the patient's foremost cosmetic concern has made the need for performing laparoscopic hysterectomy in a less morbile and time-consuming manner, we present a technique for large uteri using only three 5 mm entry ports, with tissue morcellation and removal vaginally using the Koh colpo-pneumo occluder.

[Umbilical artery thrombosis. A report of a case and review of the literature].

The thrombosis of the umbilical vessels is associated to high prenatal mortality. The arterial occlusion can compromise the maternal-fetal circulation with the neonatal death. Only two cases are reported in the literature with antepartum diagnosis and neonatal survival.