Ginecologia y obstetricia de Mexico最新文献

{"title":"Hallazgos ecocardiográficos en el embarazo y posparto tardío en mujeres mexicanas sanas","authors":"Carmen Armida Íñigo-Riesgo, Juan Rafael Gómez-Vargas, Pedro Gutiérrez-Fajardo, Luis Guillermo Torres-Gómez","doi":"10.24245/gom.v88i5.3385","DOIUrl":"https://doi.org/10.24245/gom.v88i5.3385","url":null,"abstract":"","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":"47134428","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}

{"title":"Desenlaces obstétricos en mujeres embarazadas con enfermedad renal crónica y factores asociados","authors":"Martha Cecilia Guzmán-Solís, Olivia Sánchez-Rodríguez, Abisaí Montaño-Martínez, Dulce Elvia Peredo-Villa, R. Paniagua-Sierra, Miguel Trejo-Villeda, Juan-Carlos-H Hernández-Rivera","doi":"10.24245/gom.v88i4.3325","DOIUrl":"https://doi.org/10.24245/gom.v88i4.3325","url":null,"abstract":"","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":"43186659","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}

{"title":"Mola invasiva en adolescente de 13 años. Aspectos fundamentales del diagnóstico y tratamiento","authors":"Z. Frías-Sánchez, Lidia María Melero-Cortés, María Inés Merchán-Felipe, M. B. V. Pérez-Quintela, Ana María Calderón-Cabrera, C. González-Cejudo, M. A. Martínez-Maestre","doi":"10.24245/gom.v88i4.3676","DOIUrl":"https://doi.org/10.24245/gom.v88i4.3676","url":null,"abstract":"Resumen ANTECEDENTES: La neoplasia gestacional trofoblástica es un tumor raro, derivado de la gestación que procede de un desarrollo anormal del tejido trofoblástico. Incluye cuatro variedades, entre las que se encuentra la mola invasiva y el coriocarcinoma. Puede tener diferentes grados de proliferación; el diagnóstico diferencial es decisivo porque influye directamente en el tratamiento. Las molas premalignas suelen tratarse con legrado uterino, las malignas requieren tratamiento sistémico con mono o poliquimioterapia. Paciente de 13 años, hospitalizada debido a un cuadro de vómitos y dolor abdominal. Durante el internamiento se le practicaron estudios complemen-tarios: determinación de la fracción β de la gonadotropina coriónica humana ( β -hCG) y tomografía axial computada para plantear el diagnóstico diferencial. El diagnóstico definitivo lo aportó la biopsia obtenida mediante legrado. El tratamiento se basó en la poliquimioterapia. En la actualidad está en remisión completa de la enfermedad. CONCLUSIONES: Resulta imprescindible detectar lo más temprano posible la gestación anómala, entender perfectamente su evolución e importancia de la anticoncepción mientras se trata y la enfermedad desaparece y minimizar la cantidad de pacientes que deben recibir quimioterapia. Abstract BACKGROUND: Gestational trophoblastic neoplasia is a rare tumor that originates from pregnancy and it develop from anormal proliferation of trophoblastic tissue. It includes four varieties, including invasive mole and choriocarcinoma. They can present different degrees of proliferation, being essential differential diagnosis since it directly influences the treatment. Premalignant moles are usually treated by suction curettage while malignant forms require systemic therapy with mono or polychemotherapy. OBJECTIVE: Report the case, paying special attention to the differential diagnosis and treatment used, analyzing the reasons why polychemotherapy is established and de-scribing the different possible options, based on current scientific evidence. CLINICAL CASE: We present the case of an invasive mola in a 13-year-old patient hospitalized by vomiting and abdominal pain. During this period, complementary techniques such as the determination of the β fraction of the human chorionic gonado- tropin ( β -hCG) or computed tomography (CT) are required to establish the differential diagnosis. Finally, the definitive diagnosis is provided by the biopsy obtained by curet- tage. Treatment is instituted with the pattern of polychemotherapy being, currently, with complete remission of the disease. CONCLUSIONS: Thus, it is essential to detect anomalous gestation early, to understand perfectly the evolution of this entity, the importance of contraception during its resolu-tion, and to minimize patients susceptible to chemotherapy.","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":"44215672","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}

{"title":"Mitos y realidades de la anticoncepción hormonal combinada.","authors":"I. García, J. Neyro-Bilbao, Marina Carrascoso","doi":"10.24245/gom.v88isupl1.3854","DOIUrl":"https://doi.org/10.24245/gom.v88isupl1.3854","url":null,"abstract":"","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":"47183726","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}

{"title":"Cáncer de ovario endometrioide asociado con útero didelfo: reporte de un caso","authors":"V. E. Valdespino-Castillo, Juan Landa-Mejía, G. Maytorena-Córdova, Yazmín Ballesteros-Montenegro, Giselle Zavala-Ramírez, Víctor Manuel Valdespino-Gómez","doi":"10.24245/gom.v88i11.4289","DOIUrl":"https://doi.org/10.24245/gom.v88i11.4289","url":null,"abstract":"","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":"45888929","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}

{"title":"Teratoma quístico maduro con transformación maligna: serie de casos","authors":"V. E. Valdespino-Castillo, G. Maytorena-Córdova, Israel López-Matamoros, Juan Landa-Mejía, Perla Esther Zaragoza-Vargas, Víctor Manuel Valdespino-Gómez","doi":"10.24245/gom.v88i3.3561","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3561","url":null,"abstract":"OBJECTIVE: Describe the clinical and histopathological characteristics of cases of mature teratoma with malignant transformation, its treatment and survival. MATERIALS AND METHODS: Retrospective, cross-sectional and observational study conducted between January 2014 and December 2018 in a gynecological oncology service. Study parameters: pathological stage of the tumor, concentra- tions of Ca 125, survival and treatment. The sample size did not allow statistical tests to be applied. RESULTS: 147 patients with a diagnosis of mature teratoma were studied of these 4 underwent malignant transformation to squamous cell carcinoma and 18 were ruled out due to incomplete information. The transoperative histopathological study identi- fied 3 of the 4 ovarian tumors as malignant. Fertility conservative surgeries were not performed because in none of the cases was it necessary. In 3 of the 4 mature teratomas with malignant transformation, adjuvant chemotherapy scheme was indicated. All patients remain alive and have no relapse so far. CONCLUSIONS: The histopathological transoperatory study is absolutely necessary for an ovarian tumor, even in cystic ovarian tumors. Carefully management of ovarian tumors is very important, we should prevent a rupture of the malignant tumor because this changes the surgical stage and the prognosis. The surgical and medical treatment","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":"68825596","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}

{"title":"Rotura vesicouterina posparto eutócico en ausencia de cirugía uterina previa. Caso clínico y revisión bibliográfica","authors":"B. Díaz-Rabasa, Andrea Espiau-Romera, Mariano Laguna-Olmos, Cristina Fernández-García, A. C. Ruiz-Peña, Paula Cebolla-Gil","doi":"10.24245/gom.v88i12.4270","DOIUrl":"https://doi.org/10.24245/gom.v88i12.4270","url":null,"abstract":"BACKGROUND: Uterine rupture is an unpredictable and infrequent obstetric emer- gency which is associated to a high maternal and perinatal morbi-mortality. The most important risk factor is prior uterine surgery. OBJECTIVE: To report a complete vesicouterine rupture case occurred after a vaginal delivery without prior uterine surgery. It is intended to review the risk factors, the suspicious signs and symptoms, as well as the optimal management and maternal and perinatal prognosis of uterine rupture in unscarred uterus. CLINICAL CASE: A 35-year-old woman, para 2 with neither uterine surgical pro- cedures nor other medical records, had a normoevolutive pregnancy and required induction of labour with a dinoprostone vaginal slow-release system (10 mg) due to late-term pregnancy at 41 +5 weeks. The labor progressed normally, ending in a vaginal delivery. After 1h postpartum, the patient started with a progressive abdominal pain and haematuria. The computerized tomography scan showed a severe hemoperito-neum and suggested the presence of a vesical continuity solution with disfiguration of the of a subtotal Diagnostic suspicion, even in the absence of risk factors, and early diagnosis and management are crucial to decrease it.","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":"46697397","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}

{"title":"Láser fraccionado de CO2 para el tratamiento de pacientes con síndrome genitourinario de la menopausia","authors":"S. M. Pizarro","doi":"10.24245/gom.v88i5.4097","DOIUrl":"https://doi.org/10.24245/gom.v88i5.4097","url":null,"abstract":"","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":"44989785","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}

{"title":"Útero didelfo como causa de ruptura uterina espontánea. Reporte de un caso","authors":"Yazmin del Socorro Conde-Gutierrez, Noemí Cruz-López, L. C. Jiménez-Ibáñez","doi":"10.24245/gom.v88i6.3705","DOIUrl":"https://doi.org/10.24245/gom.v88i6.3705","url":null,"abstract":"","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":"46044879","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}

{"title":"Eficacia y seguridad de la sonda Foley transcervical y oxitocina vs oxitocina sola en la inducción del trabajo de parto en pacientes con cesárea previa","authors":"Noemí Raquel Guerrero-Patiño, Sandra Magdalena Aguilera-Cervantes, Pablo Mariano González-Aldeco, Cecilio Rodríguez-Ayala","doi":"10.24245/gom.v87i1.2501","DOIUrl":"https://doi.org/10.24245/gom.v87i1.2501","url":null,"abstract":"OBJETIVO: Evaluar si la combinacion de la sonda Foley transcervical con oxitocina intravenosa, como metodo para induccion del parto en pacientes con cesarea previa, es mas efectiva que la oxitocina sola para alcanzar una fase activa del trabajo de parto y, por consiguiente, incrementar la frecuencia de partos. MATERIALES Y METODOS: Estudio de casos y controles efectuado en el Centro Hospitalario Nuevo Sanatorio Durango del 1 de marzo de 2017 al 31 de marzo de 2018. Criterios de inclusion: edad gestacional mayor o igual a 37 semanas, cesarea previa con incision transversal baja (Kerr), embarazo unico, feto en presentacion cefalica. Se crearon dos grupos: A: induccion del parto con oxitocina intravenosa y B: induccion con sonda Foley transcervical y oxitocina. Las variables categoricas se describieron con frecuencias y porcentajes, y las numericas con media (±), desviacion estandar o mediana. Se utilizo la prueba de Kolmogorov-Smirnov y t de Student y se considero estadisticamente significativo un valor de p 0.05; IC95%: 0.16-0.4). El tiempo del trabajo de parto fue: grupo A con una media de 17.11 horas y en el grupo B de 12.44 (p < 0.05; IC95%: 2.4-6.2 y 2.4-6.3, respectivamente). CONCLUSIONES: Por lo menos en la muestra estudiada la combinacion de sonda Foley transcervical con oxitocina demostro ser sumamente eficaz y segura para la induccion del trabajo de parto en pacientes con cesarea previa; se consiguio disminuir significativamente el tiempo de trabajo de parto y aumentar la frecuencia de pacientes que logran llegar a una fase activa del trabajo de parto","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":"43957019","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}