Ginecologia y obstetricia de Mexico最新文献_第2页

Fistulectomía vaginal exitosa en un caso de fístula vesicovaginal obstétrica por embolización de arterias uterinas 成功的阴道瘘切除术在一个产科膀胱阴道瘘的子宫动脉栓塞

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i3.3662

Carlos Manuel Espinosa-García, C. Ramírez-Isarraraz, Es Rodríguez-Colorado, Viridiana Gorbea-Chávez, Verónica Granados-Martínez

{"title":"Fistulectomía vaginal exitosa en un caso de fístula vesicovaginal obstétrica por embolización de arterias uterinas","authors":"Carlos Manuel Espinosa-García, C. Ramírez-Isarraraz, Es Rodríguez-Colorado, Viridiana Gorbea-Chávez, Verónica Granados-Martínez","doi":"10.24245/gom.v88i3.3662","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3662","url":null,"abstract":"de arterias uterinas; cesárea; histerectomía. Abstract BACKGROUND: Obstetric genitourinary fistulas can cause as a complication of uter- ine artery embolization due to necrosis of the uterus and/or bladder. Vaginal surgical treatment is a less invasive option with success rates of up to 84.12%. CLINICAL CASE : A 40-year-old woman who came with a pregnancy of 35 5/7 weeks and placenta accreta, which was managed with uterine arteries embolization and obstetric hysterectomy after caesarean section. At 3 weeks she had vaginal urine loss; by physical examination and with support of dye test, cystoscopy and retrograde cys-tography, obstetric vesicovaginal fistula was diagnosed. After the improvement of the inflammatory process, vaginal fistulectomy was performed with modification of the Latzko technique. Its postoperative evolution was satisfactory and without recurrence of the fistula during the follow-up in the outpatient clinic. CONCLUSION: This is the fifth case of post-embolization bladder necrosis reported in the literature. The favorable resolution of this case allows us to conclude that vaginal fistulectomy is a viable and safe alternative in the surgical treatment of this type of obstetric fistulas.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48881112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maternal and neonatal outcomes in advanced maternal age 高龄产妇的产妇和新生儿结局

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i2.3215

Johana Santa María-Ortiz, E. Álvarez-Silvares, M. Alves-Pérez, Sandra García-Lavandeira

引用次数: 0

Descripción demográfica, bioquímica y sintomática según los estadios reproductivos STRAW+10 en mujeres mexicanas en la peri y posmenopausia 墨西哥妇女围产期和绝经后生殖阶段STRAW+10的人口统计学、生化和症状描述

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i1.3282

Guillermo Federico Ortíz-Luna, Arturo Arellano-Eguiluz, Alicia Sánchez-Ceballos, Cinthya Salazar-Jiménez, L. E. D. Barco, A. Zavala-García

{"title":"Descripción demográfica, bioquímica y sintomática según los estadios reproductivos STRAW+10 en mujeres mexicanas en la peri y posmenopausia","authors":"Guillermo Federico Ortíz-Luna, Arturo Arellano-Eguiluz, Alicia Sánchez-Ceballos, Cinthya Salazar-Jiménez, L. E. D. Barco, A. Zavala-García","doi":"10.24245/gom.v88i1.3282","DOIUrl":"https://doi.org/10.24245/gom.v88i1.3282","url":null,"abstract":"OBJECTIVE: Categorize the demographic, biochemical and symptomatic profile of the Mexican population served at the Instituto Nacional de Perinatología to describe their behavior in the stages of reproductive aging. MATERIALS AND METHODS: The following is an observational, descriptive, cross sectional study women from the Peri- and Postmenopause clinic at the National Insti-tute of Perinatology in Mexico that enrolled 741 women over 41 years of age with a diagnosis of menopause according to the STRAW+10 criteria and classified in three categories: Category 1 (-2 to -1), Category 2 (+1A to +1C), and Category 3 (+2). The statistical analysis was performed by measure of central tendency, c 2 and ANOVA for the inferential analysis. RESULTS: In our population of 741 women, the average age at menopause was 50.08 years, while the population’s age average was 57.11 years. Average body mass index was 27.92 kg/m2, with 56.2% of the population within obesity range. The most prevalent comorbidity was arterial hypertension and the most frequent symptom was hot flushes. Hot flushes were most prevalent during the transition to menopause.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45555121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Tamizaje del estreptococo del grupo B durante el embarazo: conducta actual en un centro de tercer nivel 怀孕期间B组链球菌的筛查：三级中心的当前行为

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i2.3716

Karla Judith Delgado-Arévalo, R. González-Habib, Israel Castro-Torres, Gordon Bennett-Vidales, C. Cruz

引用次数: 0

Síndrome Klippel-Trenaunay en el embarazo. Reporte de un caso 妊娠期Klippel-Trenaunay综合征。病例报告

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i3.3225

Janine Rosario Gutiérrez-Estrella, Francisco Mejía-Romo, Julio César Cárdenas-Valdez

{"title":"Síndrome Klippel-Trenaunay en el embarazo. Reporte de un caso","authors":"Janine Rosario Gutiérrez-Estrella, Francisco Mejía-Romo, Julio César Cárdenas-Valdez","doi":"10.24245/gom.v88i3.3225","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3225","url":null,"abstract":"BACKGROUND: Klippel-Trenaunay syndrome is a neurocutaneous syndrome with vascular repercussion whose characteristic triad is a cutaneous vascular nevus, varicose veins and asymmetric soft tissue and bone hypertrophy, which affect one or more limbs, during pregnancy these malformations increase, with pelvic and intra-abdominal repercussion. In the world literature, fewer than 100 cases of complicated pregnancies with this syndrome have been reported. OBJECTIVE: The second case of complicated pregnancy with Klippel-Trenaunay syndrome treated in our institution is reported, given its high morbidity, due to the high risk of severe complications such as venous thromboembolism or excessive bleeding in the intrapartum period. CLINICAL CASE: A 16-year-old, with a Klippel-Trenaunay syndrome diagnosed at fifteen, sent to our unit, with a third-trimester pregnancy, for resolution of pregnancy. Preoperative studies were performed blood count, coagulation tests, reported without alterations; as well as Doppler ultrasound of the uterine segment, without an increase in vasculature. It is scheduled for caesarean section, which is performed without intraoperative complications, with total bleeding of 600 cc, with an increase in vascularity at the colon level. She remains in immediate postoperative surveillance for 48 hours in an intensive care unit, without presenting haemorrhagic or ischemic complications. She is discharged at 72 hours, with thromboprophylaxis, analgesic and antibiotic. Janine Rosario Gutiérrez-Estrella,1 Francisco Mejía-Romo,2 Julio César Cárdenas-Valdez3","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48830282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidental splenic injury during laparoscopic gynecological surgery associated with the entry technique. A case report and literature review 腹腔镜妇科手术中偶然发生的脾损伤与入路技术有关。病例报告及文献综述

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i6.3864

Ángel Saucedo-López, Rafael Topete-Estrada, Alfonso Saucedo-López, Alejandra Gómez-Fernández

引用次数: 0

Estudios de imagen cerebral en el diagnóstico diferencial de enfermedades hipertensivas del embarazo y convulsiones. Reporte de dos casos 脑成像在妊娠高血压疾病和癫痫鉴别诊断中的研究。报告两宗个案

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i4.3630

Fernando Urquiza y Conde, J. A. Hernández-Pacheco

{"title":"Estudios de imagen cerebral en el diagnóstico diferencial de enfermedades hipertensivas del embarazo y convulsiones. Reporte de dos casos","authors":"Fernando Urquiza y Conde, J. A. Hernández-Pacheco","doi":"10.24245/gom.v88i4.3630","DOIUrl":"https://doi.org/10.24245/gom.v88i4.3630","url":null,"abstract":"BACKGROUND: Seizures during pregnancy are the most frequent neurological com- plication. Most occur in patients with epilepsy. When the first crisis appears during pregnancy, the cause must be determined. FIRST CASE: A 28-year-old patient with a history of high blood pressure. She was in the late puerperium with over-added preeclampsia when she presented three seizures. She went to the emergency room and started magnesium sulfate, evolving to epileptic status. Neuroimaging studies were performed and reported thrombosis of the left frontal cortical vein. Neuroprotection measures were applied with adequate clinical evolution. She was discharge without motor, sensory and cognitive deficits. SECOND CASE: A 22-year-old patient with a history of a chronic progressive external ophthalmoplegia mitochondrial cytopathy. She was in her first pregnancy without pre-natal control. At the 28 week she began with headache and had a seizure. She went to the emergency department with high blood pressure, so she was given antihypertensive therapy and magnesium sulfate. Neuroimaging studies reported a posterior reversible behavior or may be life-threatening. We propose a diagnostic algorithm for the approach of these patients, highlighting the clinical suspicion of other causes of seizures as the main indication of imaging studies.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41335375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Diagnóstico y seguimiento prenatal de pacientes con onfalocele 脐膨出患者的产前诊断和监测

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i11.4177

Alonso de Jesús Ortegón-López, Sandra Acevedo-Gallegos, J. M. Gallardo-Gaona, Berenice Velázquez-Torres, J. A. Ramírez-Calvo, Dulce Maria Camarena-Cabrera, Yazmín Copado-Mendoza, M. Aguinaga-Ríos

{"title":"Diagnóstico y seguimiento prenatal de pacientes con onfalocele","authors":"Alonso de Jesús Ortegón-López, Sandra Acevedo-Gallegos, J. M. Gallardo-Gaona, Berenice Velázquez-Torres, J. A. Ramírez-Calvo, Dulce Maria Camarena-Cabrera, Yazmín Copado-Mendoza, M. Aguinaga-Ríos","doi":"10.24245/gom.v88i11.4177","DOIUrl":"https://doi.org/10.24245/gom.v88i11.4177","url":null,"abstract":"OBJECTIVE: Determine the prevalence of omphalocele, describe its characteristics, its relationship to other fetal defects and congenital syndromes in a third level of care referral center. MATERIALS AND METHODS: Retrospective, retrolective, case series study, carried out by reviewing the records of patients attended in the defects clinic of the Maternal-Fetal Medicine Department of the Instituto Nacional de Perinatología between 2007 and 2019. Inclusion criteria: patients with prenatal diagnosis of omphalocele, with prenatal care and termination of pregnancy at the Institute. Prevalence was calculated, char- acteristics of the defect, perinatal outcomes, other related defects and coexistence of genetic diseases were described. Descriptive statistics were used to analyze the results. RESULTS: Sixty-two files were reviewed and it was found that the prevalence of the defect was 1 case per-1000 newborns in the period studied. The average age of the mothers was 26.7 (15 to 41) years and the weeks of pregnancy at birth 35.6 (25 to 41.1). Giant omphalocele was found in 39 patients. Thirty-seven cases of omphalocele related to other structural defects were identified; 21 of the 62 neonates died. CONCLUSION: The omphalocele is a heterogeneous and multifactorial defect; having the knowledge of its behavior, describing the characteristics of the defect, its association with other congenital and genetic defects allows us its prenatal and post-birth approach in an optimal way, Prenatal ultrasound is a useful tool for its diagnosis and surveillance.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45613226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hipotiroidismo asociado con infertilidad en mujeres en edad reproductiva 育龄妇女甲状腺功能减退与不孕症的关系

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i5.3156

L. C. Jiménez-Ibáñez, Yazmin del Socorro Conde-Gutierrez, Juan Antonio Torres-Trejo

引用次数: 3

Linfoma de Hodgkin durante el embarazo: reporte de un caso 妊娠期霍奇金淋巴瘤1例

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i1.1972

Carlos Reyna-Castelán, Sandra Nayeli Robledo-Márquez, Dafne Andrea López-Salazar

{"title":"Linfoma de Hodgkin durante el embarazo: reporte de un caso","authors":"Carlos Reyna-Castelán, Sandra Nayeli Robledo-Márquez, Dafne Andrea López-Salazar","doi":"10.24245/gom.v88i1.1972","DOIUrl":"https://doi.org/10.24245/gom.v88i1.1972","url":null,"abstract":"BACKGROUND: Hodgkin lymphoma during pregnancy accounts for 4 th place in the neoplasms. Pregnancy has no impact on the natural history of the disease; however, it hinders treatment, which is individualized from a clinical evaluation and based on staging. CLASSIC CASE: Patient 18 years of age, with pregnancy of 35 weeks gestation, who is referred to the external consultation of Oncology Gynecology by increased volume in right axillary region with deep palpation pain. During its examination presence of 3 x 3.5 cm mobile node, on the right side of the axillary region, and left inguinal adenopa-thy >1 cm. The ultrasound reported right breast with solid mass, homogeneous, sharp edges, 38 x 35 mm and volume of 20.84 cc, doppler color with increased vascularity, is staged as BIRADS 3. Cesarean section was performed, with male birth, weight; 2900 g Apgar 8/9 without incident report. In the periareolar excisional biopsy, eight axillary lymph nodes were removed. Immunohistochemistry confirmed a classic LH-compatible lymphoproliferative process with CD30+, KI67 50% mixed cellularity. The hematology service decides management based on chemotherapy with ABVD protocol in 6 blocks, without radiotherapy. Currently it is evolving smoothly after six months of surgery, there was no corroborate of palpable nodes, and so far treatment, without reports of relapses or reaction to medications.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49246903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0