Ángel Saucedo-López, Rafael Topete-Estrada, Alfonso Saucedo-López, Alejandra Gómez-Fernández
{"title":"Incidental splenic injury during laparoscopic gynecological surgery associated with the entry technique. A case report and literature review","authors":"Ángel Saucedo-López, Rafael Topete-Estrada, Alfonso Saucedo-López, Alejandra Gómez-Fernández","doi":"10.24245/gom.v88i6.3864","DOIUrl":"https://doi.org/10.24245/gom.v88i6.3864","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":"44578232","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}
BACKGROUND: Seizures during pregnancy are the most frequent neurological com- plication. Most occur in patients with epilepsy. When the first crisis appears during pregnancy, the cause must be determined. FIRST CASE: A 28-year-old patient with a history of high blood pressure. She was in the late puerperium with over-added preeclampsia when she presented three seizures. She went to the emergency room and started magnesium sulfate, evolving to epileptic status. Neuroimaging studies were performed and reported thrombosis of the left frontal cortical vein. Neuroprotection measures were applied with adequate clinical evolution. She was discharge without motor, sensory and cognitive deficits. SECOND CASE: A 22-year-old patient with a history of a chronic progressive external ophthalmoplegia mitochondrial cytopathy. She was in her first pregnancy without pre-natal control. At the 28 week she began with headache and had a seizure. She went to the emergency department with high blood pressure, so she was given antihypertensive therapy and magnesium sulfate. Neuroimaging studies reported a posterior reversible behavior or may be life-threatening. We propose a diagnostic algorithm for the approach of these patients, highlighting the clinical suspicion of other causes of seizures as the main indication of imaging studies.
{"title":"Estudios de imagen cerebral en el diagnóstico diferencial de enfermedades hipertensivas del embarazo y convulsiones. Reporte de dos casos","authors":"Fernando Urquiza y Conde, J. A. Hernández-Pacheco","doi":"10.24245/gom.v88i4.3630","DOIUrl":"https://doi.org/10.24245/gom.v88i4.3630","url":null,"abstract":"BACKGROUND: Seizures during pregnancy are the most frequent neurological com- plication. Most occur in patients with epilepsy. When the first crisis appears during pregnancy, the cause must be determined. FIRST CASE: A 28-year-old patient with a history of high blood pressure. She was in the late puerperium with over-added preeclampsia when she presented three seizures. She went to the emergency room and started magnesium sulfate, evolving to epileptic status. Neuroimaging studies were performed and reported thrombosis of the left frontal cortical vein. Neuroprotection measures were applied with adequate clinical evolution. She was discharge without motor, sensory and cognitive deficits. SECOND CASE: A 22-year-old patient with a history of a chronic progressive external ophthalmoplegia mitochondrial cytopathy. She was in her first pregnancy without pre-natal control. At the 28 week she began with headache and had a seizure. She went to the emergency department with high blood pressure, so she was given antihypertensive therapy and magnesium sulfate. Neuroimaging studies reported a posterior reversible behavior or may be life-threatening. We propose a diagnostic algorithm for the approach of these patients, highlighting the clinical suspicion of other causes of seizures as the main indication of imaging studies.","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":"41335375","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}
L. C. Jiménez-Ibáñez, Yazmin del Socorro Conde-Gutierrez, Juan Antonio Torres-Trejo
{"title":"Hipotiroidismo asociado con infertilidad en mujeres en edad reproductiva","authors":"L. C. Jiménez-Ibáñez, Yazmin del Socorro Conde-Gutierrez, Juan Antonio Torres-Trejo","doi":"10.24245/gom.v88i5.3156","DOIUrl":"https://doi.org/10.24245/gom.v88i5.3156","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":"43074015","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}
N. Roig-Marín, María Asunción Quijada-Cazorla, Manuela Sala-Ferichola, Ana Maria Palacios-Marques, Dulce Marín-Tordera
OBJECTIVE: To determine the frequency and correlation of episiotomies and tears of patients with eutocic deliveries. MATERIALS AND METHODS: Observational and retrospective study carried out at the Hospital General de Alicante, Spain, in two periods: 1) 2008-2012 and 2) 2013-2018. Eutocic deliveries of single pregnancies, at term, in cephalic presentation are included. Study variables: episiotomies, tear, age, weeks of pregnancy, parity, labor induction, previous caesarean section, regional analgesia, weight and sex of the newborn. The results are expressed as a percentage, correlation coefficient and the variables involved with odds ratio. RESULTS: The episiotomy rate between period 1 vs. 2 decreased very significantly: 42.3% vs 32.8%; [p <0.001; OR: 0.81 (0.78-0.84)]. In contrast, the percentage of index tears: 42.7% vs 50.8%; (p <0.001; OR: 1.16 [1.13-1.20]). The correlation coefficient was -0.91. Regarding risk factors associated with episiotomy, one of them was the age under 35 years with an OR (95% CI): 1.25 (1.16-1.35; p <0.001), but it was a OR protective factor (95% CI): 0.76 (0.71-0.81; p <0.001) for the appearance of tears. CONCLUSIONS: The tendency in the realization of episiotomies is decreasing, while the tendency of the appearance of tears is inversely proportional. No differences were found in the tear rate of III and IV grade.
{"title":"Frecuencia de episiotomías en un hospital de tercer nivel","authors":"N. Roig-Marín, María Asunción Quijada-Cazorla, Manuela Sala-Ferichola, Ana Maria Palacios-Marques, Dulce Marín-Tordera","doi":"10.24245/gom.v88i3.3715","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3715","url":null,"abstract":"OBJECTIVE: To determine the frequency and correlation of episiotomies and tears of patients with eutocic deliveries. MATERIALS AND METHODS: Observational and retrospective study carried out at the Hospital General de Alicante, Spain, in two periods: 1) 2008-2012 and 2) 2013-2018. Eutocic deliveries of single pregnancies, at term, in cephalic presentation are included. Study variables: episiotomies, tear, age, weeks of pregnancy, parity, labor induction, previous caesarean section, regional analgesia, weight and sex of the newborn. The results are expressed as a percentage, correlation coefficient and the variables involved with odds ratio. RESULTS: The episiotomy rate between period 1 vs. 2 decreased very significantly: 42.3% vs 32.8%; [p <0.001; OR: 0.81 (0.78-0.84)]. In contrast, the percentage of index tears: 42.7% vs 50.8%; (p <0.001; OR: 1.16 [1.13-1.20]). The correlation coefficient was -0.91. Regarding risk factors associated with episiotomy, one of them was the age under 35 years with an OR (95% CI): 1.25 (1.16-1.35; p <0.001), but it was a OR protective factor (95% CI): 0.76 (0.71-0.81; p <0.001) for the appearance of tears. CONCLUSIONS: The tendency in the realization of episiotomies is decreasing, while the tendency of the appearance of tears is inversely proportional. No differences were found in the tear rate of III and IV grade.","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":"42711526","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}
Mariana Moncada-Madrazo, Alejandro Aranda-Gutierrez, Rigoberto Isojo-Gutiérrez, María Emilia Issa-Villarreal, Carlos Elizondo-Granillo, Álvaro Ramos-Reyes, Evelyn Garza-Krause, Gerardo I Magallanes-Garza, G. A. Soto-Fuenzalida
{"title":"Factores de riesgo modificables del cáncer de mama: una comparación entre mujeres menores y mayores de 40 años","authors":"Mariana Moncada-Madrazo, Alejandro Aranda-Gutierrez, Rigoberto Isojo-Gutiérrez, María Emilia Issa-Villarreal, Carlos Elizondo-Granillo, Álvaro Ramos-Reyes, Evelyn Garza-Krause, Gerardo I Magallanes-Garza, G. A. Soto-Fuenzalida","doi":"10.24245/gom.v88i3.3727","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3727","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":"49367508","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":"Prevalence of infection by genotypes of the PVH in women with ASCUS cytology","authors":"G. A. Medina-Bueno","doi":"10.24245/gom.v88i7.4167","DOIUrl":"https://doi.org/10.24245/gom.v88i7.4167","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":"46437075","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}
OBJECTIVE: To know the percentage of goals achieved from the prepartum treatment of preeclamptic pregnant patients in the Intensive Care Unit (ICU). MATERIALS AND METHODS: A cross-sectional study included 100 preeclamptic pregnant patients admitted to the ICU of a high-specialty hospital in Mexico City. Val-ues before and after intensive treatment (baseline and antepartum measurement) were compared considering nine goals: 1) mean arterial pressure ≤95 mmHg 2) central venous pressure 6 to 10 cm water, 3) diuresis 1.5 to 2 mL/K weight/hour, 4) blood glucose <160 mg / dL, 5) plasma colloid osmotic pressure 24 ± 2 mmHg, 6) pH arterial blood 7.37 to 7.44, 7) hemoglobin 10 to 14 g / dL, 8) platelet count ≥100,000 platelets / µL and 9) absent seizures. It was considered as a goal met when the antepartum measurement was in the desired range and goal not met when it was different. Statistical analysis : descriptive statistics and Student's t-test. pH arterial blood, central venous pressure and plasma colloid osmotic pressure. The evaluation by goals allows to identify the strengths and weak-nesses of the treatment of preeclampsia in the ICU.
{"title":"Metas del tratamiento de pacientes con preeclampsia, previo al parto, en una unidad de cuidados intensivos","authors":"J. G. Vázquez-Rodríguez, Israel Herrera-Escobedo","doi":"10.24245/gom.v88i1.3398","DOIUrl":"https://doi.org/10.24245/gom.v88i1.3398","url":null,"abstract":"OBJECTIVE: To know the percentage of goals achieved from the prepartum treatment of preeclamptic pregnant patients in the Intensive Care Unit (ICU). MATERIALS AND METHODS: A cross-sectional study included 100 preeclamptic pregnant patients admitted to the ICU of a high-specialty hospital in Mexico City. Val-ues before and after intensive treatment (baseline and antepartum measurement) were compared considering nine goals: 1) mean arterial pressure ≤95 mmHg 2) central venous pressure 6 to 10 cm water, 3) diuresis 1.5 to 2 mL/K weight/hour, 4) blood glucose <160 mg / dL, 5) plasma colloid osmotic pressure 24 ± 2 mmHg, 6) pH arterial blood 7.37 to 7.44, 7) hemoglobin 10 to 14 g / dL, 8) platelet count ≥100,000 platelets / µL and 9) absent seizures. It was considered as a goal met when the antepartum measurement was in the desired range and goal not met when it was different. Statistical analysis : descriptive statistics and Student's t-test. pH arterial blood, central venous pressure and plasma colloid osmotic pressure. The evaluation by goals allows to identify the strengths and weak-nesses of the treatment of preeclampsia in the ICU.","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":"44134131","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}
Alberto Kably-Ambe, Mónica Yazmín Olavarría-Guadarrama, E. Carballo-Mondragón, Armando Miguel Roque-Sánchez, Leonor Durán-Monterrosas, Alejandro Sánchez-Aranda, Fabiola Brito-Sandoval
OBJECTIVE: To evaluate the effect of double trigger in patients with a previous cycle with less than 65% of mature oocytes compared to the captured oocytes, in a normor-responding population with induction of ovulation with recombinant or urinary hCG. MATERIALS AND METHODS: A prospective cohort study, conducted in patients diagnosed with infertility, treated with in vitro fertilization, evaluated at the Mexican Fertility Center (Hospital Angeles Lomas) between 2017 and 2019. The treatment was carried out in the same patient, in whose previous conventional cycle with antagonist scheme and induction of ovulation with hCG had suboptimal ovarian response and oocyte capture with less than 65% in M2 phase (Group 1). Subsequently, a second cycle was performed with the same scheme of gonadotropins and induction of ovula- tion with double shot: 1 mg triptorelin acetate + 5000 IU of urinary hCG 40 and 34 hours prior to capture (Group 2 or double trigger). Percentage and quantity of oocytes captured in M2 phase were evaluated. CONCLUSIONS: The prospective studies are required to elucidate the aforementioned recommendation of the “double
{"title":"Técnica de doble disparo (doubble trigger) en pacientes normorrespondedoras con bajo porcentaje de ovocitos maduros","authors":"Alberto Kably-Ambe, Mónica Yazmín Olavarría-Guadarrama, E. Carballo-Mondragón, Armando Miguel Roque-Sánchez, Leonor Durán-Monterrosas, Alejandro Sánchez-Aranda, Fabiola Brito-Sandoval","doi":"10.24245/gom.v88i4.4091","DOIUrl":"https://doi.org/10.24245/gom.v88i4.4091","url":null,"abstract":"OBJECTIVE: To evaluate the effect of double trigger in patients with a previous cycle with less than 65% of mature oocytes compared to the captured oocytes, in a normor-responding population with induction of ovulation with recombinant or urinary hCG. MATERIALS AND METHODS: A prospective cohort study, conducted in patients diagnosed with infertility, treated with in vitro fertilization, evaluated at the Mexican Fertility Center (Hospital Angeles Lomas) between 2017 and 2019. The treatment was carried out in the same patient, in whose previous conventional cycle with antagonist scheme and induction of ovulation with hCG had suboptimal ovarian response and oocyte capture with less than 65% in M2 phase (Group 1). Subsequently, a second cycle was performed with the same scheme of gonadotropins and induction of ovula- tion with double shot: 1 mg triptorelin acetate + 5000 IU of urinary hCG 40 and 34 hours prior to capture (Group 2 or double trigger). Percentage and quantity of oocytes captured in M2 phase were evaluated. CONCLUSIONS: The prospective studies are required to elucidate the aforementioned recommendation of the “double","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":"45096631","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}
Pub Date : 2021-01-15DOI: 10.24245/gom.v88i12.3609
Néstor Medina-Castro, José Antonio Rivas-García, Sharon Lorena Herrera-Cifuentes, José Gerardo Velázquez-Olguín, Daniela Medina-Castro
BACKGROUND: Placental mesenchymal dysplasia is a rare condition of recent description, often mistaken with other placental diseases. PMD is associated to fetal anomalies and syndromes. However, some fetuses are anatomically and genetically normal. CLINICAL CASE: Patient is 29 years old, with a history of 4 pregnancies, two cesarean sections and one abortion. In the first trimester of pregnancy, placental mesenchymal dysplasia was diagnosed and evaluated with serial Doppler of the uterine, umbilical and middle cerebral arteries. As these are exceptional cases, a brief bibliographic review is made. CONCLUSIONS: Placental mesenchymal dysplasia has a wide spectrum of clinical behavior. For fetuses without abnormalities there are no clear guidelines about fetal surveillance. We suggest a serial evaluation of fetal well-being that includes, but is not restricted to, maternal-fetal Doppler evaluation and cardiotocographic recording, among other biophysical variables, since they have a high risk of unexplained death.
{"title":"Utilidad del Doppler pulsado feto-placentario en displasia mesenquimal placentaria: reporte de caso y revisión bibliográfica","authors":"Néstor Medina-Castro, José Antonio Rivas-García, Sharon Lorena Herrera-Cifuentes, José Gerardo Velázquez-Olguín, Daniela Medina-Castro","doi":"10.24245/gom.v88i12.3609","DOIUrl":"https://doi.org/10.24245/gom.v88i12.3609","url":null,"abstract":"BACKGROUND: Placental mesenchymal dysplasia is a rare condition of recent description, often mistaken with other placental diseases. PMD is associated to fetal anomalies and syndromes. However, some fetuses are anatomically and genetically normal. CLINICAL CASE: Patient is 29 years old, with a history of 4 pregnancies, two cesarean sections and one abortion. In the first trimester of pregnancy, placental mesenchymal dysplasia was diagnosed and evaluated with serial Doppler of the uterine, umbilical and middle cerebral arteries. As these are exceptional cases, a brief bibliographic review is made. CONCLUSIONS: Placental mesenchymal dysplasia has a wide spectrum of clinical behavior. For fetuses without abnormalities there are no clear guidelines about fetal surveillance. We suggest a serial evaluation of fetal well-being that includes, but is not restricted to, maternal-fetal Doppler evaluation and cardiotocographic recording, among other biophysical variables, since they have a high risk of unexplained death.","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":"48898625","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}
Pub Date : 2021-01-15DOI: 10.24245/gom.v88i11.4433
Jorge Alfredo Urióstegui-Domínguez, C. D. Ramírez-Palacios
{"title":"Descripción de nuevos paradigmas en la curva del trabajo de parto en un hospital de segundo nivel de atención","authors":"Jorge Alfredo Urióstegui-Domínguez, C. D. Ramírez-Palacios","doi":"10.24245/gom.v88i11.4433","DOIUrl":"https://doi.org/10.24245/gom.v88i11.4433","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":"44460447","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}
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