Progresos en Obstetricia y Ginecologia最新文献

{"title":"Endometrioma torsionado de trompa de Falopio asociado a endometrioma de ovario contralateral en paciente posmenopáusica","authors":"M. Garrido, Z. F. Sánchez, F. J. V. Miguel, F. J. P. Rosso","doi":"10.20960/j.pog.00102","DOIUrl":"https://doi.org/10.20960/j.pog.00102","url":null,"abstract":"espanolLos implantes endometriosicos pueden afectar a casi cualquier organo (el mas frecuente es el ovario), aunque pueden desarrollarse tambien en localizaciones mas atipicas, como las trompas de Falopio, vagina, peritoneo, cervix o fondo de saco de Douglas. Se estima que al rededor de un 6% de las mujeres con endometriosis presentan implantes a nivel de las trompas de Falopio. La torsion aislada de trompa de Falopio es una patologia extremadamente rara que ocurre en 1 de cada 1.500.000 de mujeres, asociada a cuadros adherenciales, anomalias congenitas, hidrosalpinx, enfermedad pelvica inflamatoria, neoplasias, masas uterinas u ovaricas, etc. La exploracion fisica, las pruebas de imagen ecograficas, el diagnostico diferencial de abdomen agudo y el tratamiento quirurgico son los pilares fundamentales para el manejo de esta entidad clinica. Exponemos el caso de una paciente posmenopausica con una endometriosis bilateral (trompa de Falopio y ovario), que presento una torsion tubarica como hallazgo casual durante una cirugia laparoscopica. EnglishEndometriosis implants can affect almost any organ (being the most frequent the ovary), although they can also develop in more atypical locations such as fallopian tubes, cervix, vagina, peritoneum or cul-de-sac of Douglas. Approximately 6% of women with endometriosis have implants at the level of the fallopian tubes. Torsion of the fallopian tube is an extremely rare condition that occurs in 1 of every 1,500,000 women, associated with adhesions, congenital anomalies, hydrosalpinx, pelvic inflammatory disease, neoplasms, uterine or ovarian masses, etc... Physical examination, ultrasound imaging, the differential diagnosis of acute abdomen and surgery treatment, are the fundamental pillars for the management of this clinical entity. We present the case of a postmenopausal patient with bilateral endometriosis (fallopian tube and ovary), who presented a tubal torsion as casual discovery during laparoscopic surgery.","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89821012","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":"Embarazo ectópico sobre cicatriz de cesárea","authors":"Sebastián Ortolá Chumillo, J. Fernández, Sandra Viviana Ortega Wilkes","doi":"10.20960/j.pog.00100","DOIUrl":"https://doi.org/10.20960/j.pog.00100","url":null,"abstract":"espanolEl embarazo ectopico en topografia istmico-cervical y cicatriz de cesarea anterior es muy poco frecuente, por lo que no existe un tratamiento protocolizado estandar. Se presenta un caso clinico de una paciente con una gestacion ectopica istmico-cervical sobre la cicatriz de dos cesareas previas. Se ingresa en el servicio de ginecologia por el riesgo de ruptura uterina. La evolucion se caracterizo por invasion trofoblastica de la histerorrafia y acretismo placentario, y culmino con la interrupcion de la gestacion. Sin complicaciones maternas. El tratamiento consistio en embrioscopia intervencionista uterina con extraccion del disco embrionario e interrupcion de la circulacion placento-embrionaria, con resultado materno satisfactorio. EnglishPregnancy ectopic istmico-cervical topography and previus c-section scar is very rare so it not existe standard protocololized treatment. It presents a clinical case of a patient witch an ectopic gestation istmico-cervical on two previous caesarean section scar. She was admited in the gynaecology service because of the risk of uterine rupture, the evolution is characterized by invasion. Trophoblastic of the histerorrafia and acretismo placental culmininating with interruption of gestation. Without maternal complications. The treatment consisted of uterine interventional embrioscopia witch extraction of the embryonic disc and interruption of the placenta-embryonic circulation, witch satisfactory maternal outcome.","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72695966","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":"Estudio del fallo repetido de implantación y sus posibles alternativas terapéuticas (2017)","authors":"S. E. D. G. Y. O. Sego","doi":"10.20960/J.POG.00106","DOIUrl":"https://doi.org/10.20960/J.POG.00106","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74014683","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":"Vigilancia de infección de herida quirúrgica poscesárea en un hospital general","authors":"S. García, F. Herreros, M. I. Sanz-Gallardo, A. G. Burguillo, E. Monteagudo","doi":"10.20960/j.pog.00066","DOIUrl":"https://doi.org/10.20960/j.pog.00066","url":null,"abstract":"espanolIntroduccion: las infecciones relacionadas con la asistencia sanitaria suponen un problema de salud publica que justifica su prevencion y vigilancia. La reduccion de las estancias hospitalarias posquirurgicas que se ha producido en los ultimos anos incrementa la posibilidad de que la infeccion se produzca despues del alta hospitalaria. Objetivos: conocer y analizar las tasas de incidencia de infeccion de localizacion quirurgica poscesarea con seguimiento posalta en el periodo 2013-2015. Describir su evolucion a lo largo de los tres anos. Material y metodos: seleccion de informacion quirurgica en historias clinicas, introduccion de datos al sistema de vigilancia de infecciones relacionadas con la asistencia sanitaria (VIRAS-Madrid) y vigilancia posalta los 30 dias posintervencion mediante consulta al sistema informatico hospitalario y atencion primaria mediante el visor HORUS. Resultados: se estudiaron 1.353 cesareas. La incidencia de infeccion de localizacion quirurgica fue 1,55% (1,92% en 2013, 1,52% en 2014 y 1,26% en 2015). La estancia media poscirugia fue de 4,4 dias (indice de confianza 95%: 3,6; 5,2). El 95,24% de las infecciones se detecto despues del alta hospitalaria y de ellas, el 52,38% a traves de las consultas de atencion primaria. La tasa de incidencia estratificada por indice de riesgo aumenta a medida que se incrementa este indice, aunque no se encuentran diferencias estadisticamente significativas. Conclusiones: la vigilancia posalta juega un papel fundamental en la deteccion de las infecciones relacionadas con la asistencia sanitaria puesto que gran parte de ellas se producen tras el alta. La vigilancia en continuidad asistencial mediante el seguimiento posterior al alta permite obtener una tasa de infeccion mas ajustada a la realidad. EnglishIntroduction: Healthcare-associated infections are a critical challenge to public health that justifies their prevention and surveillance. The reduction in hospital stay after surgery that has occurred in recent years increases the probability that the infection will occur after hospital discharge. Objectives: The objectives of this analysis were to analyze the incidence rates of post-cesarean surgical site infection with post-discharge surveillance between 2013 and 2015 and to describe their evolution over the three years. Material and methods: Selection of surgical information in medical records, data record at the surveillance system VIRAS-Madrid and post-discharge surveillance at 30 days after surgery by consulting the hospital electronic medical record and primary care using HORUS. Results: A total of 1353 cesareans were included in the study. The incidence of surgical site infection was 1.55% (1.92% in 2013, 1.52% in 2014 and 1.26% in 2015). The average length of hospital stay after surgery was 4.4 days (95% CI: 3.6; 5.2). 95.24% of infections were detected after discharge and 52.38% of them through Primary Care consultations. Infection rate increases with increasing risk index","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81393351","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":"Gestantes de edad avanzada y resultados obstétricos y perinatales","authors":"Mª del Mar Bueno González, Álvaro López Soto, Juan Martínez Uriarte, Olivia García Izquierdo, Mª Ángeles Jódar Pérez, Rocío López Pérez, Mónica Lorente Fernández","doi":"10.20960/j.pog.00097","DOIUrl":"https://doi.org/10.20960/j.pog.00097","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88965712","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":"Estimulación ovárica para fecundación in vitro-inyección intracitoplasmática de espermatozoides en los ciclos con presunción de alta respuesta (2017)","authors":"S. E. D. G. Y. O. Sego","doi":"10.20960/J.POG.00084","DOIUrl":"https://doi.org/10.20960/J.POG.00084","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88287770","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":"Posicionamiento AEEM-SEGO sobre la terapia hormonal de la menopausia","authors":"R. Sánchez-Borrego, P. L. Coto, N. Guevara, R. Delgado, J. F. Barriendos, L. B. Mainar, Ana Rosa García López, M. Manubens, Borja Otero García-Ramos, Daniel María Lubián López, P. J. C. Martín, M. J. Hidalgo, J. C. Alsina, S. Palacios","doi":"10.20960/j.pog.00094","DOIUrl":"https://doi.org/10.20960/j.pog.00094","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82948851","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":"Un modelo multifacético para mejorar la adecuación de las indicaciones de cesárea","authors":"Andrés Calvo Pérez, Carlos Campillo Artero, Catalina Roig Julià, Pedro José Cabeza Vengoechea","doi":"10.20960/j.pog.00109","DOIUrl":"https://doi.org/10.20960/j.pog.00109","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78882281","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":"Preeclampsia severa, crecimiento intrauterino restringido precoz y miocardiopatía periparto: una fisiopatología antiangiogénica común","authors":"A. Rodríguez-Zurita, Alejandra García Montesdeoca, Sara Caamiña Álvarez, Tania Ramos Mojica, M. G. Arozena","doi":"10.20960/J.POG.00071","DOIUrl":"https://doi.org/10.20960/J.POG.00071","url":null,"abstract":"espanolLa fuerte relacion epidemiologica que existe entre la preeclampsia y la miocardiopatia periparto sugiere que las dos enfermedades comparten una fisiopatologia antiangiogenica y considera que ambas contribuyen a la morbilidad y mortalidad cardiovascular significativa en las pacientes embarazadas. El s-FLT1, una enzima recientemente identificada en la familia de la tirosina quinasa, parece ser un agente antiangiogenico con poder cardiotoxico, que aparece elevado tanto en la miocardiopatia periparto como en la preeclampsia. A la luz de la fuerte asociacion entre los dos procesos, parece recomendable que las mujeres con preeclampsia no sean excluidas de los estudios futuros de la miocardiopatia periparto EnglishThe strong epidemiological link between pre-eclampsia and peripartum cardiomyopathy suggests that the two diseases share an anti-angiogenic pathophysiology. Both contribute to significant cardiovascular morbidity and mortality in pregnant patients. The s-FLT1, a recently identified family of tyrosine kinase enzyme, appears to be an anti-angiogenic agent with cardiotoxic power, which appears high in both peripartum cardiomyopathy and pre-eclampsia. Considering the strong association between the two processes, it is recommended that women with pre-eclampsia are not excluded from future studies of peripartum cardiomyopathy.","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"189 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77348510","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":"Evolución de los síntomas de vejiga hiperactiva tras la cirugía de prolapso genital","authors":"E. Muñoz, M. Muñoz, A. Mora, M. Roset","doi":"10.20960/j.pog.00096","DOIUrl":"https://doi.org/10.20960/j.pog.00096","url":null,"abstract":"","PeriodicalId":35677,"journal":{"name":"Progresos en Obstetricia y Ginecologia","volume":"2007 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72400353","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}