Resumo

MAMANI ACARAPI, Javier. Application of total pelvic exenteration in cases of feminicide with sexual violence. Vive Rev. Salud [online]. 2025, vol.8, n.23, pp.874-884.  Epub 01-Maio-2025. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v8i23.418.

Femicide, defined as the gender-based murder of women, constitutes the most extreme manifestation of sexist violence and a serious global public health and human rights problem. When this crime is aggravated by sexual violence, the consequences for the victim are devastating and often multisystemic, entailing profound physical, psychological, and social harm. Objective: To demonstrate the usefulness of total pelvic exenteration (TPE) in femicides to identify vaginal/anal injuries resulting from sexual offenses (SOC). Method: A retrospective study (2014-2024) of forensic autopsies in violent deaths of women subjected to TPE in Bolivia. Results: Over 11 years, TPE revealed internal injuries (ecchymoses, hematomas, lacerations) in the vagina and anus, not visible externally. Conclusion: TPE is crucial for identifying sexual assaults in femicides, providing key forensic data to the Public Prosecutor's Office. Its implementation in Bolivia, where it was not previously used, allows for the detection of hidden injuries, strengthening justice in cases of suspected SD. This technique improves diagnostic accuracy and supports legal investigations in contexts of gender-based violence.

Palavras-chave : Assault; Exenteration; Female; Death; Sexual; Violent.

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