RESUMO
The objective was to evaluate the indications and clinical evolution of patients treated with laparoscopy. Eight hundred eighty two women undergoing conventional laparoscopy for gynecological pathology, patients were not preselected, preoperative and postoperative data were registered retrospectively. Main indications to perform laparoscopy were dismenorrhea and infertility. Endometriosis and pelvic adhesions were the most frequent findings detected in the study subjects. Endoscopic treatment resulted in minimal complications and short postoperative stay. As conclusion classic laparoscopy is a safe and efficacious technique for treatment gynecological pathology.
Assuntos
Doenças dos Genitais Femininos/cirurgia , Laparoscopia , Adolescente , Adulto , Dismenorreia/cirurgia , Endometriose/cirurgia , Feminino , Humanos , Infertilidade Feminina/cirurgia , Período Pós-Operatório , Cuidados Pré-Operatórios , Estudos RetrospectivosRESUMO
Endometriosis approximately affects 10 to 15% of premenopausic women. Diagnosis mainly is made by laparoscopy. We revised all the laparoscopies which were made in labor service at the American British Cowdray Hospital from July 1st 1989 to June 30th 1994 in order to evaluate the incidence of endometriosis in the institution. They were made from 882 laparoscopies done, in 447 cases (50.68%) endometriosis was the main finding, this was similar to the reports published by other authors. The group of age mainly affected was from 20 to 29 years-old. Sterility was found in 53% of these patients, slightly above the results in other series. The 85% of the cases were in hospital for less than 24 hours. Complications were in 7% of them, none required a laparotomy, however.
Assuntos
Doenças dos Anexos , Endometriose , Doenças dos Anexos/diagnóstico , Doenças dos Anexos/epidemiologia , Adolescente , Adulto , Fatores Etários , Endometriose/diagnóstico , Endometriose/epidemiologia , Feminino , Humanos , Laparoscopia , Tempo de Internação , México/epidemiologia , Pessoa de Meia-Idade , Unidade Hospitalar de Ginecologia e Obstetrícia , Doenças Ovarianas/diagnóstico , Doenças Ovarianas/epidemiologia , Pré-Menopausa , Doenças Uterinas/diagnóstico , Doenças Uterinas/epidemiologiaRESUMO
The Ehlers Danlos Syndrome is a hereditary alteration of connective tissue, characterized by hyperelastic joints, tissues, and skin. The papers about the obstetric and gynecological aspects of Ehlers Danlos syndrome is mostly anecdotical and much has not originated from obstetricians and gynecologists. The complications are important for the feto-material binomial. The case presented here is related with a 39.1 of gestation associated with Ehlers Danlos syndrome, and a description of antenatal period, labor and delivery is done. Literature revision and possible relation with obstetrical care and pregnancy resolution in commented.