María Nastasi, Ernesto Lara, Rosa Mata, Carmen Silva, Elianny Betancourt
Vulvar cancer represents 1% of cancers in women; vulvar neuroendocrine carcinoma is extremely rare, with less than 20 published cases. Its behavior is very aggressive, producing early local recurrences, lymph node and distant metastases. The case of a 60-year-old patient who consulted for a vulvar lesion of 6 months of evolution, with extension to the lower third of the urethra and vagina and left inguinal nodal plastron is described. The vulvar biopsy reported malignant round cell neoplasm and the immunohistochemistry result was compatible with neuroendocrine carcinoma. She received concurrent chemotherapy and radiotherapy, evidencing a complete response in the vulva and a partial response in the inguinal region.Later, bilateral inguinofemoral lymphadenectomy was performed. Neuroendocrine carcinoma of the vulva should be considered when managing malignant vulvar pathology, timely diagnosis requires histology and immunohistochemistry to establish an adequate prognosis and treatment.
{"title":"Carcinoma neuroendocrino de vulva, una entidad poco frecuente. Reporte del primer caso en Venezuela","authors":"María Nastasi, Ernesto Lara, Rosa Mata, Carmen Silva, Elianny Betancourt","doi":"10.51288/00830213","DOIUrl":"https://doi.org/10.51288/00830213","url":null,"abstract":"Vulvar cancer represents 1% of cancers in women; vulvar neuroendocrine carcinoma is extremely rare, with less than 20 published cases. Its behavior is very aggressive, producing early local recurrences, lymph node and distant metastases. The case of a 60-year-old patient who consulted for a vulvar lesion of 6 months of evolution, with extension to the lower third of the urethra and vagina and left inguinal nodal plastron is described. The vulvar biopsy reported malignant round cell neoplasm and the immunohistochemistry result was compatible with neuroendocrine carcinoma. She received concurrent chemotherapy and radiotherapy, evidencing a complete response in the vulva and a partial response in the inguinal region.Later, bilateral inguinofemoral lymphadenectomy was performed. Neuroendocrine carcinoma of the vulva should be considered when managing malignant vulvar pathology, timely diagnosis requires histology and immunohistochemistry to establish an adequate prognosis and treatment.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44717662","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}
Rita Pizzi, Manuel Peroza, Mireya González-Blanco, Indira Centeno, Paula Cortiñas, María Mercedes Pérez
Objective: To evaluate the factors associated with the use of the vaginal ring in Venezuelan women of reproductive age, with a desire for contraception and with an active sexual life. Methods: Observational - descriptive, multicenter study. The sample was non-probabilistic, deliberate and voluntary. The vaginal ring was provided for three cycles and follow-up visits were made at the end of the first and third menstrual cycles. Acceptability, tolerability, compliance, menstrual cycle control, and the presence of adverse effects were evaluated. Results: A total of 140 women were included, whose mean age was 31.01 ± 8.14 years. The reasons for selecting the vaginal ring were: effectively prevents pregnancy (69.29 %), easy to use (68.57 %), method of monthly use (65.71 %). The bleeding pattern was reported as regular in 95% of the women in the second consultation and in 92.8% in the third; 88.57% reported absence of intermenstrual bleeding. There was adequate compliance in 97.86%; 96.43% expressed that it was easy to use and 92.86% comfortable at a sexual level. There were no statistically significant differences in the average weight at the second and third consultation (p > 0.05), nor in systolic and diastolic blood pressure (p > 0.05). There were no adverse events in 77%, when there were, the most frequent were headache, nausea and mastodynia; there were no serious adverse events or pregnancy. Conclusion: The contraceptive vaginal ring is a well-tolerated option with excellent acceptance, sexual and general satisfaction, safe, with few adverse events.
{"title":"Anillo vaginal anticonceptivo (MyRing®): estudio multicéntrico en mujeres venezolanas","authors":"Rita Pizzi, Manuel Peroza, Mireya González-Blanco, Indira Centeno, Paula Cortiñas, María Mercedes Pérez","doi":"10.51288/00830205","DOIUrl":"https://doi.org/10.51288/00830205","url":null,"abstract":"Objective: To evaluate the factors associated with the use of the vaginal ring in Venezuelan women of reproductive age, with a desire for contraception and with an active sexual life. Methods: Observational - descriptive, multicenter study. The sample was non-probabilistic, deliberate and voluntary. The vaginal ring was provided for three cycles and follow-up visits were made at the end of the first and third menstrual cycles. Acceptability, tolerability, compliance, menstrual cycle control, and the presence of adverse effects were evaluated. Results: A total of 140 women were included, whose mean age was 31.01 ± 8.14 years. The reasons for selecting the vaginal ring were: effectively prevents pregnancy (69.29 %), easy to use (68.57 %), method of monthly use (65.71 %). The bleeding pattern was reported as regular in 95% of the women in the second consultation and in 92.8% in the third; 88.57% reported absence of intermenstrual bleeding. There was adequate compliance in 97.86%; 96.43% expressed that it was easy to use and 92.86% comfortable at a sexual level. There were no statistically significant differences in the average weight at the second and third consultation (p > 0.05), nor in systolic and diastolic blood pressure (p > 0.05). There were no adverse events in 77%, when there were, the most frequent were headache, nausea and mastodynia; there were no serious adverse events or pregnancy. Conclusion: The contraceptive vaginal ring is a well-tolerated option with excellent acceptance, sexual and general satisfaction, safe, with few adverse events.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42508969","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}
Aixa Müller, A. Soyano, Aleidah Salazar, Rafael Cortés Charry, Bahilda Martínez, M. Colina, Neibys Anallarit García de Franquiz
Objective: To determine the incidence of infection by human immunodeficiency virus and the effects on the weight of the newborn, in pregnant women who attend the University Hospital of Caracas. Methods: Seropositive pregnant women for human immunodeficiency virus infection were included. Elisa was performed for human immunodeficiency virus infection, Websternblot, hematology and chemistry, CD3, CD4 and CD8 lymphocytes by cytometry, viral load, the weight of 204 neonates and the treatment scheme received were recorded. Results: The frequency of infection by human immunodeficiency virus in pregnant women has increased since the year 2000; most occur during the third trimester. 68.55% of pregnant women in the second and third trimester had hemoglobin greater than 11 g and 31.45% had hemoglobin between 7 and 10 g. The CD4/CD8 ratio was decreased. Second trimester CD4 counts were lowest in patients with hemoglobin between 7 and 10 grams. This relationship was not seen in the third trimester, perhaps because of the degree of viral suppression by treatment; mothers of 95.7% of low birth weight infants received combination antiretroviral therapy, there were no low birth weight infants born to mothers who received monotherapy. Conclusion: The prevalence of human immunodeficiency virus infection was 1.6%. The prevalence of anemia was 31.45%. The CD4/CD8 ratio was decreased. There were 11.3% of neonates with low birth weight, in 95.7% the mothers received combination antiretroviral therapy.
{"title":"VIH/SIDA en embarazadas: evaluación hematológica e inmunológica y peso de sus neonatos","authors":"Aixa Müller, A. Soyano, Aleidah Salazar, Rafael Cortés Charry, Bahilda Martínez, M. Colina, Neibys Anallarit García de Franquiz","doi":"10.51288/00830208","DOIUrl":"https://doi.org/10.51288/00830208","url":null,"abstract":"Objective: To determine the incidence of infection by human immunodeficiency virus and the effects on the weight of the newborn, in pregnant women who attend the University Hospital of Caracas. Methods: Seropositive pregnant women for human immunodeficiency virus infection were included. Elisa was performed for human immunodeficiency virus infection, Websternblot, hematology and chemistry, CD3, CD4 and CD8 lymphocytes by cytometry, viral load, the weight of 204 neonates and the treatment scheme received were recorded. Results: The frequency of infection by human immunodeficiency virus in pregnant women has increased since the year 2000; most occur during the third trimester. 68.55% of pregnant women in the second and third trimester had hemoglobin greater than 11 g and 31.45% had hemoglobin between 7 and 10 g. The CD4/CD8 ratio was decreased. Second trimester CD4 counts were lowest in patients with hemoglobin between 7 and 10 grams. This relationship was not seen in the third trimester, perhaps because of the degree of viral suppression by treatment; mothers of 95.7% of low birth weight infants received combination antiretroviral therapy, there were no low birth weight infants born to mothers who received monotherapy. Conclusion: The prevalence of human immunodeficiency virus infection was 1.6%. The prevalence of anemia was 31.45%. The CD4/CD8 ratio was decreased. There were 11.3% of neonates with low birth weight, in 95.7% the mothers received combination antiretroviral therapy.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48895513","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}
Naira Compiano Marguart, Víctor Lagos Castillo, Claudia Larenas Gacitúa, María Valdivia Vásquez, Ramon Gelabert Santané, Bárbara Cerda Aedo
Objective: Identify relevant factors associated with vasectomy rejection in the male population of Chile, between 30 and 60 years. Methodology: The sample was surveyed through Google Forms, with a questionnaire that measured beliefs towards vasectomy, through a Likert-type scale. The statistical tests used were chi-square and Fisher’s exact test. Results: The most relevant factors were membership of a religious group and region of residence. Participants who did not identify with any religious group had a lower negative perception of vasectom (p = 0,0435). Conclusion: Vasectomy is prejudiced by lack of knowledge and accessibility to it. Therefore, there is an urgent need for greater dissemination of its benefits in the public and private health system, also, implement accessibility programs for men who do not intend to have children in the future.
{"title":"Factores asociados al rechazo del método anticonceptivo vasectomía en población masculina de Chile","authors":"Naira Compiano Marguart, Víctor Lagos Castillo, Claudia Larenas Gacitúa, María Valdivia Vásquez, Ramon Gelabert Santané, Bárbara Cerda Aedo","doi":"10.51288/00830209","DOIUrl":"https://doi.org/10.51288/00830209","url":null,"abstract":"Objective: Identify relevant factors associated with vasectomy rejection in the male population of Chile, between 30 and 60 years. Methodology: The sample was surveyed through Google Forms, with a questionnaire that measured beliefs towards vasectomy, through a Likert-type scale. The statistical tests used were chi-square and Fisher’s exact test. Results: The most relevant factors were membership of a religious group and region of residence. Participants who did not identify with any religious group had a lower negative perception of vasectom (p = 0,0435). Conclusion: Vasectomy is prejudiced by lack of knowledge and accessibility to it. Therefore, there is an urgent need for greater dissemination of its benefits in the public and private health system, also, implement accessibility programs for men who do not intend to have children in the future.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45763473","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}
Génesis Cañizalez, Edgardo José Pérez, Aida Lara Croes, Hecna Carrillo García
Objective: To evaluate the effectiveness of prophylactic B-Lynch suture in the prevention of postpartum bleeding in patients at high risk for uterine atony, from the Concepción Palaces Maternity Delivery Room Service. Methods: Prospective, comparative and longitudinal study, which included 30 patients with risk factors for uterine atonia, randomly distributed in two groups: with and without B-Lynch compression suture. Echosonographic, clinical and paraclinical follow-up was performed at 12 and 24 hours after the postoperative period. A statistically significant contrast was considered if p < 0.05. Results: Haemoglobin reduction in patients with compressive suture was 0.5 ± 0.4 g/dl and hematocrit was 1.4 ± 1.1%; in the control group it was 1.6 ± 1.6 g/dl and 4 ± 4.7%, respectively (p-0.014/p-0.058). Bleeding at 12 and 24 hours was scarce in 73.3% and 93.3% of patients with compressive and moderate sutures or abundant in 100% and 93.4% of the control group (p-0.000). The reduction in the size of the uterus was greater in the experimental group than in the control group (p-0.000); 33.4% of patients with B-Lynch sutures and 93.4% without sutures had severe or unbearable pain at 12 hours (p-0.007) and at 24 hours there were no cases with severe or unbearable pain in the first group but in the second the frequency was 60%. Conclusions: Prophylactic B-Lynch suture is effective for preventing postpartum uterine atonia hemorrhage
{"title":"Sutura de B-Lynch profiláctica: eficacia en la prevención de la hemorragia posparto en pacientes de alto riesgo","authors":"Génesis Cañizalez, Edgardo José Pérez, Aida Lara Croes, Hecna Carrillo García","doi":"10.51288/00830204","DOIUrl":"https://doi.org/10.51288/00830204","url":null,"abstract":"Objective: To evaluate the effectiveness of prophylactic B-Lynch suture in the prevention of postpartum bleeding in patients at high risk for uterine atony, from the Concepción Palaces Maternity Delivery Room Service. Methods: Prospective, comparative and longitudinal study, which included 30 patients with risk factors for uterine atonia, randomly distributed in two groups: with and without B-Lynch compression suture. Echosonographic, clinical and paraclinical follow-up was performed at 12 and 24 hours after the postoperative period. A statistically significant contrast was considered if p < 0.05. Results: Haemoglobin reduction in patients with compressive suture was 0.5 ± 0.4 g/dl and hematocrit was 1.4 ± 1.1%; in the control group it was 1.6 ± 1.6 g/dl and 4 ± 4.7%, respectively (p-0.014/p-0.058). Bleeding at 12 and 24 hours was scarce in 73.3% and 93.3% of patients with compressive and moderate sutures or abundant in 100% and 93.4% of the control group (p-0.000). The reduction in the size of the uterus was greater in the experimental group than in the control group (p-0.000); 33.4% of patients with B-Lynch sutures and 93.4% without sutures had severe or unbearable pain at 12 hours (p-0.007) and at 24 hours there were no cases with severe or unbearable pain in the first group but in the second the frequency was 60%. Conclusions: Prophylactic B-Lynch suture is effective for preventing postpartum uterine atonia hemorrhage","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48350028","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}
Endometrial cancer represents the most common gynecological neoplasm in developed countries and the second in developing countries after cervical cancer. The sensitivity and usefulness of cervical cytology for the detection of cervical cancer and precursor lesions, especially those of squamous origin, has been clearly established, but the usefulness of this sampling to detect lesions at the level of the uterine cavity is limited due to the difficulty of sampling and other interpretability factors. That is why the following clinical case is presented in which a clear and accurate orientation of endometrial adenocarcinoma was established in a sample taken from the cervix in a post-menopausal patient after presenting an abnormal vaginal bleeding
{"title":"Cáncer endometrial: hallazgos en la citología cervical. Un caso clínico","authors":"María Carolina Moreno Barrios, Adriana Rodríguez","doi":"10.51288/00830212","DOIUrl":"https://doi.org/10.51288/00830212","url":null,"abstract":"Endometrial cancer represents the most common gynecological neoplasm in developed countries and the second in developing countries after cervical cancer. The sensitivity and usefulness of cervical cytology for the detection of cervical cancer and precursor lesions, especially those of squamous origin, has been clearly established, but the usefulness of this sampling to detect lesions at the level of the uterine cavity is limited due to the difficulty of sampling and other interpretability factors. That is why the following clinical case is presented in which a clear and accurate orientation of endometrial adenocarcinoma was established in a sample taken from the cervix in a post-menopausal patient after presenting an abnormal vaginal bleeding","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48734090","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: The objective was to analyze a set of results on gynecological violence and relate them to their impact on the perception of the body, sexuality, self-image and self-esteem. Methods: A descriptive cross-sectional study was carried out. 812 stories of women from different regions of Chile were analyzed. Results: Three kinds of consequences of violence were detected: adoption of protection and shelter measures, impact on the experience of themselves and their bodies, and physical and emotional consequences of violence in their lives. Additionally, some experiences of autonomy recovery in gynecological health care are presented. Conclusion: Gynecological violence is part of the common experience of women and can constitute a serious public health problem and become a barrier to women’s access to health services.
{"title":"Impacto y consecuencias de la violencia ginecológica en la vida de las mujeres","authors":"Manuel Cárdenas Castro, Stella Salinero Rates","doi":"10.51288/00830109","DOIUrl":"https://doi.org/10.51288/00830109","url":null,"abstract":"Objective: The objective was to analyze a set of results on gynecological violence and relate them to their impact on the perception of the body, sexuality, self-image and self-esteem. Methods: A descriptive cross-sectional study was carried out. 812 stories of women from different regions of Chile were analyzed. Results: Three kinds of consequences of violence were detected: adoption of protection and shelter measures, impact on the experience of themselves and their bodies, and physical and emotional consequences of violence in their lives. Additionally, some experiences of autonomy recovery in gynecological health care are presented. Conclusion: Gynecological violence is part of the common experience of women and can constitute a serious public health problem and become a barrier to women’s access to health services.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46851985","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 compare hysteroscopic vs. hysterosalpingographic findings in female patients subject fertility treatment. Methods: Observational, descriptive, retrospective study to determine the causes of infertility, and analytical to evaluate the correspondence of the findings between hysterosalpingography and hysteroscopy of women who attended the fertility clinic of the Leopoldo Aguerrevere Clinic between January 2018 and May of 2022. Results: The most frequent causes of infertility were age (52.6%), tubal factor (12.4%) and early ovarian failure (11.7%); 47.4% had two causes of infertility, 44.5% only one and 8.1% three causes. In vitro fertilization (50.4%) was the most commonly used treatment to achieve pregnancy. In hysterosalpingography, 67.9 % normal patients were reported, of the total polyps reported, 5.1 % had one polyp and 4.4 % two polyps. In hysteroscopy, 46 % normal patients were reported, of the total polyps, 30.7 % presented one polyp, 4.4 % two and 0.7 % three polyps. Among the most common findings there was discordance between hysterosalpingography and hysteroscopy, with coincidences being less than 50%. The Kappa index indicated that the correspondence between the two studies was low. Conclusions: hysteroscopy is a necessary technique for the study of endouterine disorders in infertile women, providing information on uterine endocavitary lesions, which may not be appreciated with hysterosalpingography, the latter can be used for presumptive diagnosis of endometrial pathology and evaluation of permeability of the fallopian tubes
{"title":"Comparación de hallazgos histeroscópicos vs. histerosalpingográficos en pacientes sometidas a tratamiento de fertilidad","authors":"Luis D. Segura Bannatyne, J. Pérez-Wulff.","doi":"10.51288/00830107","DOIUrl":"https://doi.org/10.51288/00830107","url":null,"abstract":"Objective: To compare hysteroscopic vs. hysterosalpingographic findings in female patients subject fertility treatment. Methods: Observational, descriptive, retrospective study to determine the causes of infertility, and analytical to evaluate the correspondence of the findings between hysterosalpingography and hysteroscopy of women who attended the fertility clinic of the Leopoldo Aguerrevere Clinic between January 2018 and May of 2022. Results: The most frequent causes of infertility were age (52.6%), tubal factor (12.4%) and early ovarian failure (11.7%); 47.4% had two causes of infertility, 44.5% only one and 8.1% three causes. In vitro fertilization (50.4%) was the most commonly used treatment to achieve pregnancy. In hysterosalpingography, 67.9 % normal patients were reported, of the total polyps reported, 5.1 % had one polyp and 4.4 % two polyps. In hysteroscopy, 46 % normal patients were reported, of the total polyps, 30.7 % presented one polyp, 4.4 % two and 0.7 % three polyps. Among the most common findings there was discordance between hysterosalpingography and hysteroscopy, with coincidences being less than 50%. The Kappa index indicated that the correspondence between the two studies was low. Conclusions: hysteroscopy is a necessary technique for the study of endouterine disorders in infertile women, providing information on uterine endocavitary lesions, which may not be appreciated with hysterosalpingography, the latter can be used for presumptive diagnosis of endometrial pathology and evaluation of permeability of the fallopian tubes","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45349230","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}
Postpartum hemorrhage is one of the most frequent complications in obstetrics, being the second cause of maternal mortality worldwide. Uterine atony is its main cause. Once the hemorrhage is established, the time and management of it will depend on the expertise of the obstetrician. Initially, treatment focuses on the use of uterotonic drugs, but in the absence of an adequate response, conservative surgical management may be chosen. Compressive uterine sutures are considered a good treatment option. An effective and simple surgical technique is described by Hayman, a valuable tool for the control of postpartum hemorrhage. We present the case of a 17-year-old patient, 37 weeks pregnant and diagnosed with severe preeclampsia, who presents placental abruption and posterior uterine atony, who underwent uterine compressive suture by Hayman technique, with satisfactory evolution.
{"title":"Manejo quirúrgico conservador de la hemorragia posparto mediante sutura compresiva uterina (Técnica de Hayman). Reporte de caso","authors":"Marcos Edisson Bustillos Solórzano, Diana Navarrete Tinajero","doi":"10.51288/00830113","DOIUrl":"https://doi.org/10.51288/00830113","url":null,"abstract":"Postpartum hemorrhage is one of the most frequent complications in obstetrics, being the second cause of maternal mortality worldwide. Uterine atony is its main cause. Once the hemorrhage is established, the time and management of it will depend on the expertise of the obstetrician. Initially, treatment focuses on the use of uterotonic drugs, but in the absence of an adequate response, conservative surgical management may be chosen. Compressive uterine sutures are considered a good treatment option. An effective and simple surgical technique is described by Hayman, a valuable tool for the control of postpartum hemorrhage. We present the case of a 17-year-old patient, 37 weeks pregnant and diagnosed with severe preeclampsia, who presents placental abruption and posterior uterine atony, who underwent uterine compressive suture by Hayman technique, with satisfactory evolution.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47389171","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}
Ectopic pregnancy is defined as a pregnancy that occurs outside the uterine cavity, the most common location being in the ampullary region of the uterine tube. In the literature, the terms interstitial pregnancy and cornual pregnancy are often used synonymously, they represent between 1.1% and 6.3% of ectopic pregnancies in general and correspond to only 2.2% of tubal ectopic pregnancies; its etiology is multifactorial. In gestations greater than 12 weeks, uterine rupture occurs in 20-35% of cases, generating massive hemoperitoneum that could quickly lead to hypovolemic shock, maternal death or permanent sequelae of infertility. For this reason, treatment options will depend on the time of diagnosis and the hemodynamic stability of the patient.
{"title":"Embarazo ectópico cornual. A propósito de un caso","authors":"M. Seco, Nazira Monsalve, J. Contreras","doi":"10.51288/00830114","DOIUrl":"https://doi.org/10.51288/00830114","url":null,"abstract":"Ectopic pregnancy is defined as a pregnancy that occurs outside the uterine cavity, the most common location being in the ampullary region of the uterine tube. In the literature, the terms interstitial pregnancy and cornual pregnancy are often used synonymously, they represent between 1.1% and 6.3% of ectopic pregnancies in general and correspond to only 2.2% of tubal ectopic pregnancies; its etiology is multifactorial. In gestations greater than 12 weeks, uterine rupture occurs in 20-35% of cases, generating massive hemoperitoneum that could quickly lead to hypovolemic shock, maternal death or permanent sequelae of infertility. For this reason, treatment options will depend on the time of diagnosis and the hemodynamic stability of the patient.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70682913","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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