<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-3243</journal-id>
<journal-title><![CDATA[Vive Revista de Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Vive Rev. Salud]]></abbrev-journal-title>
<issn>2664-3243</issn>
<publisher>
<publisher-name><![CDATA[CET-BOLIVIA]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-32432025000200874</article-id>
<article-id pub-id-type="doi">10.33996/revistavive.v8i23.418</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aplicación de la exenteración pélvica total en casos de feminicidio con violencia sexual]]></article-title>
<article-title xml:lang="en"><![CDATA[Application of total pelvic exenteration in cases of feminicide with sexual violence]]></article-title>
<article-title xml:lang="pt"><![CDATA[Aplicação da exenteração pélvica total en casos de feminicídio com violência sexual]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mamani Acarapi]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pública de El Alto  ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>8</volume>
<numero>23</numero>
<fpage>874</fpage>
<lpage>884</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S2664-32432025000200874&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S2664-32432025000200874&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S2664-32432025000200874&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El feminicidio, definido como el asesinato de mujeres por razones de género, constituye la manifestación más extrema de violencia machista y un grave problema de salud pública y derechos humanos a nivel global. Cuando este crimen se agrava por la presencia de violencia sexual, las secuelas para la víctima son devastadoras y a menudo multisistémicas, implicando daños físicos, psicológicos y sociales de profunda magnitud. Objetivo: Demostrar la utilidad de la exenteración pélvica total (EPT) en feminicidios para identificar lesiones vaginales/anales por delitos sexuales (DS). Método: Estudio retrospectivo (2014-2024) de autopsias médico-legales en muertes violentas de mujeres sometidas a EPT en Bolivia. Resultados: En 11 años, la EPT reveló lesiones internas (equimosis, hematomas, laceraciones) en vagina y ano, no visibles externamente. Conclusión: La EPT es crucial para evidenciar agresiones sexuales en feminicidios, aportando datos forenses clave al Ministerio Público. Su implementación en Bolivia, donde antes no se usaba, permite detectar lesiones ocultas, reforzando la justicia ante sospecha de DS. Esta técnica mejora la precisión diagnóstica y respalda investigaciones legales en contextos de violencia de género.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO O feminicídio, definido como o assassinato de mulheres com base no gênero, constitui a manifestação mais extrema da violência sexista e um grave problema global de saúde pública e direitos humanos. Quando esse crime é agravado pela violência sexual, as consequências para a vítima são devastadoras e, muitas vezes, multissistêmicas, acarretando profundos danos físicos, psicológicos e sociais. Objetivo: Demonstrar a utilidade da exenteração pélvica total (EPT) en feminicídios para identificar lesões vaginais/anais resultantes de crimes sexuais (TCS). Método: Estudo retrospectivo (2014-2024) de autópsias forenses en mortes violentas de mulheres submetidas à EPT na Bolívia. Resultados: Ao longo de 11 anos, a EPT revelou lesões internas (equimoses, hematomas, lacerações) na vagina e no ânus, não visíveis externamente. Conclusão: A EPT é crucial para identificar agressões sexuais en feminicídios, fornecendo dados forenses essenciais ao Ministério Público. Sua implementação na Bolívia, onde não era utilizada anteriormente, permite a detecção de lesões ocultas, fortalecendo a justiça en casos de suspeita de DS. Essa técnica melhora a precisão diagnóstica e auxilia investigações judiciais en contextos de violência de gênero.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Agresión]]></kwd>
<kwd lng="es"><![CDATA[Exenteración]]></kwd>
<kwd lng="es"><![CDATA[Femenino]]></kwd>
<kwd lng="es"><![CDATA[Muerte]]></kwd>
<kwd lng="es"><![CDATA[Sexual]]></kwd>
<kwd lng="es"><![CDATA[Violenta]]></kwd>
<kwd lng="en"><![CDATA[Assault]]></kwd>
<kwd lng="en"><![CDATA[Exenteration]]></kwd>
<kwd lng="en"><![CDATA[Female]]></kwd>
<kwd lng="en"><![CDATA[Death]]></kwd>
<kwd lng="en"><![CDATA[Sexual]]></kwd>
<kwd lng="en"><![CDATA[Violent]]></kwd>
<kwd lng="pt"><![CDATA[Agressão]]></kwd>
<kwd lng="pt"><![CDATA[Exenteração]]></kwd>
<kwd lng="pt"><![CDATA[Feminino]]></kwd>
<kwd lng="pt"><![CDATA[Morte]]></kwd>
<kwd lng="pt"><![CDATA[Sexual]]></kwd>
<kwd lng="pt"><![CDATA[Violento]]></kwd>
</kwd-group>
</article-meta>
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