Ginecologia y obstetricia de Mexico最新文献_第5页

Implicación del factor de necrosis tumoral alfa en el síndrome de ovario poliquístico 肿瘤坏死因子α在多囊卵巢综合征中的意义

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i6.3402

Mario Alberto Garza-Garza, Dealmy Delgadillo-Guzmán

引用次数: 0

Ovario supernumerario en una paciente embarazada. Reporte de un caso y revisión bibliográfica 孕妇卵巢过多。案例报告和文献综述

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i5.3746

Aldo Francisco Rodríguez-Ruiz, Roberto Sánchez-Moreno

引用次数: 0

Mioma intraligamentario de gran tamaño en una adolescente 青春期巨大韧带内肌瘤

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i1.3483

Yanet Huerta-Reyero, Itzel Berenice Peña-Cambrón, I. Suárez-Zaragoza, Víctor Saúl Vital-Reyes

{"title":"Mioma intraligamentario de gran tamaño en una adolescente","authors":"Yanet Huerta-Reyero, Itzel Berenice Peña-Cambrón, I. Suárez-Zaragoza, Víctor Saúl Vital-Reyes","doi":"10.24245/gom.v88i1.3483","DOIUrl":"https://doi.org/10.24245/gom.v88i1.3483","url":null,"abstract":"BACKGROUND: The uterine leiomyomas are the most common gynecological benign tumors in fertile females; however, they are very rare in adolescents (less than 1%) and there are only a few reports in the literature. CLINICAL CASE : A 16-year-old patient with a fast-growing suprapubic tumor, accom- panied by generalized abdominal pain, sent to the hospital with diagnosis of pelvic tumor probable uterine miomatosis, to rule out malignant tumor. Pelvic ultrasound was performed with a report of multiple disseminated hypoechoic lesions in myometrium giving appearance of metastasis, without being the characteristic images of myomas, pelvic abdominal tomography reported hepatomegaly of the left lobe, intramural leiomyomas of medium and large elements, tumor markers within normal limits. The laparotomy was performed, left intraligamentary myoma of giant elements was located; and the histopathological study reported uterine leiomyoma of conventional histological pattern. CONCLUSIONS: The clinical of leiomyomas in adolescent patients represents a chal- lenge for the gynecologist. The age, symptomatology, and preservation of reproductive function are important aspects to decide the therapeutic regimen.","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":"48074618","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

Hemorragia intraparto y lesión renal aguda en pacientes con finalización del embarazo mediante cesárea 剖宫产终止妊娠患者的产后出血和急性肾损伤

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i4.3841

J. G. Vázquez-Rodríguez

{"title":"Hemorragia intraparto y lesión renal aguda en pacientes con finalización del embarazo mediante cesárea","authors":"J. G. Vázquez-Rodríguez","doi":"10.24245/gom.v88i4.3841","DOIUrl":"https://doi.org/10.24245/gom.v88i4.3841","url":null,"abstract":"OBJECTIVE: To quantify intrapartum hemorrhage and serum creatinine (Cr) postpartum concentration to calculate its correlation and determine the frequency of acute kidney injury in patients undergoing caesarean section. MATERIALS AND METHODS: Cross-sectional and retrospective study carried out in women who ended their pregnancy by caesarean section between January 1 and December 31, 2019 at the Hospital for Gynecology and Obstetrics 3 of the IMSS. The clinical records were consulted to calculate the amount of intrapartum hemorrhage and the value of Cr to determine its correlation and the frequency of acute kidney injury (postpartum Cr >1 mg/dL). Statistical analysis: descriptive statistics, Student's T test and Pearson's correlation coefficient (r). RESULTS: The mean age was 32.44 ± 7.11 years with gestational age 32.55 ± 4.18 weeks, intrapartum hemorrhage 558.11 ± 570.62 mL and postpartum Cr 0.77 ± 0.21 mg/dL. The correlation of intrapartum hemorrhage vs postpartum Cr was r = 0.158 and obstetric hemorrhage (> 1,000 mL) vs postpartum Cr r = 0.390. The frequency of AKI was 14.03% (16 cases) and dialysis requirements 2.42% (3 cases). CONCLUSIONS: The amount of intrapartum hemorrhage was acceptable with low frequency of obstetric hemorrhage. Postpartum Cr increased significantly. correla-partum hemorrhage vs postpartum Cr correlation was positive which increased its significance as the amount of bleeding increased. Low percentage of acute kidney injury and dialysis requirements was found.","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":"48893189","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

Tratamiento del edema vulvar con terapia de frío en el puerperio inmediato: serie de casos 冷疗法治疗产后早期外阴水肿：一系列病例

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i1.3458

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

引用次数: 0

Correlación de los valores de vitamina D con los de hormona antimülleriana en mujeres con infertilidad 不孕症妇女维生素D值与抗mullerian激素值的相关性

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i12.4498

Mario Alberto Garza-Garza, A. E. Aguilar-Melgar, Sergio Alberto Dávila-Garza, P. Galache-Vega, R. Santos-Haliscak

{"title":"Correlación de los valores de vitamina D con los de hormona antimülleriana en mujeres con infertilidad","authors":"Mario Alberto Garza-Garza, A. E. Aguilar-Melgar, Sergio Alberto Dávila-Garza, P. Galache-Vega, R. Santos-Haliscak","doi":"10.24245/gom.v88i12.4498","DOIUrl":"https://doi.org/10.24245/gom.v88i12.4498","url":null,"abstract":"OBJECTIVE: To evaluate the association between serum concentrations of 25-hydroxyvi- tamin D and antimullerian hormone in Mexican patients with infertility. MATERIALS AND METHODS: Retrospective, cross-sectional study of relational analysis of patients who came to consult at the IECH Fertility Center between the months of May 2019 and May 2020. The Kolmogorov-Smirnov normality test was used, with means and standard deviations (SD) for normal values; medians and interquantity ranges (IQR) for non-parametric values. To show differences between the groups the paired t-test and Mann-Whitney test were applied depending, respectively, on the normality of the data and the Spearman correlation coefficient to calculate the dependence between non-parametric variables. GraphPad Prism (v 8) was used, the value of p < 0.05 was considered with statistical significance. RESULTS: A total of 106 files of patients diagnosed with infertility with a mean age of 35 4.97 and a median of 19.90 ng/mL (IQR 57.06) of 25-hydroxyvitamin D were analyzed. Vitamin D deficiency (less than 20 ng/mL) was not associated with antimul- lerian hormone values (p = 0.0525); a difference was found between vitamin D con-Mario centrations for patients younger and older than 35 years (p = 0.0423) and a correlation between vitamin D and antimullerian hormone (Spearman’s rho: -0.210, 95%CI -0.41 to -0.005, p = 0.0495). CONCLUSIONS: 50% of the infertile patients had vitamin D deficiency. Although the mechanism is not properly elucidated, there is a dependence on the values of 25-hy-droxyvitamin D and the antimullerian hormone.","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":"43508270","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

Caracterización ecográfica y anatomopatológica de pacientes con artrogriposis múltiple congénita. Serie de casos 先天性多发性骨关节炎患者的超声和解剖病理学特征。案例系列

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i4.3449

D. K. Sandoval-Martínez, Luz Ángela Gutiérrez-Sánchez, M. Z. Jaimes-Sanabria

{"title":"Caracterización ecográfica y anatomopatológica de pacientes con artrogriposis múltiple congénita. Serie de casos","authors":"D. K. Sandoval-Martínez, Luz Ángela Gutiérrez-Sánchez, M. Z. Jaimes-Sanabria","doi":"10.24245/gom.v88i4.3449","DOIUrl":"https://doi.org/10.24245/gom.v88i4.3449","url":null,"abstract":"OBJECTIVE: To describe a series of cases of multiple congenital arthrogryposes reported in fetal and newborn autopsies, performed in the pathology department of a high complexity hospital, between September 2016 and April 2019. MATERIALS AND METHODS : A retrospective descriptive study of a series of cases of autopsies, with anatomopathological findings of multiple congenital arthrogryposes, performed on fetuses and newborns, during the established time lapse. RESULTS: The analysis included 8 cases with an anatomopathological diagnose of multiple congenital arthrogryposes, six of them with PCR positive for ZIKA. Among the ultrasound reports, altered limb movement and abnormal central nervous system development (corpus callosum and cerebellum), were the main findings; which were confirmed by the anatomopathological study. Regarding perinatal results, 7/8 cases died during the first hour of life. CONCLUSION: In case of suspicion or confirmation of multiple congenital arthrogry- poses by ultrasound, infectious processes should be ruled out; also, a clinical genetics consult should be sought to exclude associated alterations. en el sistema nervioso central. Letra A. Hiperdensidades a nivel talámico, caso 1 semana 26; letra B. Hiperdensidades en cerebelo, caso 6, semana 32; letra C Aspecto macroscópico de corte coronal en el que se reconocen (en los círculos rojos) lesiones amarillentas concordantes con hiperecogenicidades ecográficas, caso letra D. Histología de las calcificaciones (+) corticales en cortes del encéfalo, caso teñidos eosina letra Corte de la región periventricular en la que se observan manguitos perivasculares señala reactividad glial subependimaria, con hematoxilina eosina manguitos perivasculares reactividad glial subependimaria, caso eosina","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":"44794871","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

Duplicación de imagen ultrasonográfica de feto único intrauterino que emula un gemelo inexistente: reporte de un caso 复制单胎宫内超声图像模拟不存在的双胞胎:病例报告

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i4.3448

C. López-Ortiz, Gonzalo Siu-Mogel, José Carlos Salazar-Trujillo, Ana Paula Vázquez-Alvarado, M. A. Téliz-Meneses, Néstor Medina-Castro

引用次数: 0

Neoplasia cervical intraepitelial tipo III, poshisterectomía supracervical laparoscópica: ventajas e inconvenientes de la conservación del cuello uterino en pacientes histerectomizadas III型宫颈上皮内瘤变，腹腔镜子宫上切除术后：子宫切除患者保留宫颈的利弊

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i3.3511

M. Romero-Matas, M. Pantoja-Garrido, Z. Frías-Sánchez, Julián Jiménez-Gallardo, María del Valle Aguilar-Martín, Á. Gutiérrez-Domingo

{"title":"Neoplasia cervical intraepitelial tipo III, poshisterectomía supracervical laparoscópica: ventajas e inconvenientes de la conservación del cuello uterino en pacientes histerectomizadas","authors":"M. Romero-Matas, M. Pantoja-Garrido, Z. Frías-Sánchez, Julián Jiménez-Gallardo, María del Valle Aguilar-Martín, Á. Gutiérrez-Domingo","doi":"10.24245/gom.v88i3.3511","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3511","url":null,"abstract":"BACKGROUND: There are multiple approaches to perform a hysterectomy; the classic vaginal route, the laparotomic abdominal or the newest endoscopic techniques, such as laparoscopic or robotic. In patients undergoing benign pathology, the technique can only be performed by removing the uterine body (subtotal or supracervical hysterec-tomy). However, the concern about the possible occurrence of a neoplastic lesion in the remaining cervical stump has led to investigations into the benefits of also performing the cervical exeresis (total hysterectomy). Our goal is to present a review on the current situation of the topic, concluding that there is still no scientific consensus on which technique is the most recommended. CLINICAL CASE : 36-year-old woman who underwent supracervical hysterectomy with laparoscopic bilateral salpinguectomy due to symptomatic myomatous uterus. After surgery, he presented a high-grade preneoplastic lesion, which indicated that cervical conization was indicated. CONCLUSION: Some experts argue that the risks of performing the removal of the cervix are notable enough to indicate subtotal technique in patients without a history of the rectovaginal septum. On the contrary, other working groups indicate that cervical preservation is not justified due to the low complication rate of the total hysterectomy technique and the possibility of developing a subsequent neoplastic pathology.","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":"47722044","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

Bacteriemia con afectación inflamatoria pélvica y miositis secundaria a histeroscopia diagnóstica. Reporte de un caso 诊断性宫腔镜继发的盆腔炎症性细菌血症和肌炎。报告个案

Ginecologia y obstetricia de Mexico Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i2.3529

Javier Navarro-Sierra, Marcos Berdejo-Alloza, Marta Chóliz-Ezquerro, Isabel Negredo-Quintana, Lourdes Gabasa-Gorgas, M. A. Ruiz-Conde

引用次数: 0