Lesiones genitales, paragenitales y extragenitales en delitos de violencia sexual femenina en atención primaria en salud.

Abstract

Introduction: The Organic Comprehensive Criminal Code of Ecuador (COIP) defines sexual violence as "the person who, as a manifestation of violence against women, interferes with another and forces her to have sexual relations and other similar practices"; a fatal outcome in a case of violence is death, which, due to resistance to the attack, the victims die from strangulation, trauma or bleeding wounds. Objective: To differentiate genital, paragenital and extragenital injuries in crimes of female sexual violence through a systematic review of the literature that contributes to the resolution of legal medical processes. Methodology: This is a study carried out in a retrospective descriptive manner through a bibliographic review in the scientific bases of SCIELO, EBSCO, PUBMED, MESH, for the extraction of qualitative information by collecting information on genital injuries in cases of sexual violence. Results: 27 articles were found, of which 20 articles correspond to quartile 1, 5 articles to quartile 2 and also 3 books about legal medical foundations. Conclusion: According to the literature reviewed, the role of the doctor is reaffirmed when receiving a patient who is a victim of rape; The professional who captures the patient must perform an exhaustive physical examination that determines lesions in the genital, paragenital and extragenital areas; procedure that is mandatory and that must be detailed in the respective clinical history.