RESUMEN
Myomectomy was performed on five symptomatic women in the first and second trimester of pregnancy who were resistant to medical therapy. All the patients ended theirs pregnancies without complications. Three patients of five (60%) underwent spontaneous delivery while the other two patients (40%) had cesarean section. Myomectomy during pregnancy, when necessary, is proving highly effective today.
Asunto(s)
Leiomioma/cirugía , Complicaciones Neoplásicas del Embarazo/cirugía , Neoplasias Uterinas/cirugía , Adulto , Femenino , Procedimientos Quirúrgicos Ginecológicos , Humanos , Laparoscopía , Embarazo , Resultado del Embarazo , Primer Trimestre del Embarazo , Segundo Trimestre del EmbarazoRESUMEN
A case of a 49-year-old woman who presented with a large uterine myoma weighing 5000 g and was affected by unilateral deep vein thrombosis of the left leg and pulmonary embolism is presented. After anticoagulant therapy she successfully underwent laparotomic hyterectomy.
Asunto(s)
Leiomioma/complicaciones , Embolia Pulmonar/etiología , Neoplasias Uterinas/complicaciones , Trombosis de la Vena/etiología , Anticoagulantes/uso terapéutico , Femenino , Humanos , Histerectomía , Leiomioma/cirugía , Persona de Mediana Edad , Neoplasias Uterinas/cirugía , Trombosis de la Vena/complicacionesRESUMEN
Thirty-six women with ultrasonographic diagnosis of ovarian endometrioma (bilateral in nine of them), have been treated laparoscopically. After the surgical procedure the patients were assigned to one of the following regimes: Gn-RH-a for 3 months, oral contraceptives if they wanted to avoid pregnancy, or nothing. The follow-up consisted in 1-3-6-12 months ultrasound. The first recurrences were observed at the 6-month ultrasound with an overall recurrence rate after 12 months of 11%. Improvement of pain symptoms occurred in 87% of the patients and fertility rate was 45%.
Asunto(s)
Endometriosis/cirugía , Laparoscopía/normas , Enfermedades del Ovario/cirugía , Adulto , Antineoplásicos Hormonales/administración & dosificación , Antineoplásicos Hormonales/uso terapéutico , Antígeno Ca-125/sangre , Terapia Combinada , Anticonceptivos Orales/administración & dosificación , Preparaciones de Acción Retardada , Endometriosis/diagnóstico por imagen , Endometriosis/epidemiología , Femenino , Estudios de Seguimiento , Hormona Liberadora de Gonadotropina/análogos & derivados , Goserelina/administración & dosificación , Goserelina/uso terapéutico , Humanos , Leuprolida/administración & dosificación , Leuprolida/uso terapéutico , Enfermedades del Ovario/diagnóstico por imagen , Enfermedades del Ovario/epidemiología , Ovario/diagnóstico por imagen , Ovario/patología , Embarazo , Índice de Embarazo , Recurrencia , Pamoato de Triptorelina/administración & dosificación , Pamoato de Triptorelina/uso terapéutico , UltrasonografíaRESUMEN
Epidemiologic studies have investigated the risk factors for endometriosis, but currently the results are still controversial. The aim of this study is to evaluate the incidence of some of the risk factors that have been involved with endometriosis to better understand the natural history and evolution of this disease. The medical records of 186 women with laparoscopic diagnosis of endometriosis were studied. We analysed the characteristics of the menstrual cycle, the presence of pain symptoms and the familiarity for endometriosis. Moreover, the body mass index of all patients and the average cigarettes smoked per day were calculated. Despite the fact that some of the data collected resulted to be statistically significant when compared among the four stages of endometriosis, the roles of the many factors that have been associated with the risk or the evolution of pelvic endometriosis still remain unknown.