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Introduction: inadequate postoperative pain management can lead to complications, prolonged hospital stays, delayed rehabilitation, and reduced functional level and quality of life. Variables such as age, cognitive status, previous pain experience, anxiety and helplessness contribute to pain perception. It is important to know their interaction and effect using a validated tool such as Pain Out. Objective: to evaluate the association between persistent postoperative pain and associated factors, as assessed by Pain Out, in obstetric and gynecological patients. Material and methods: prospective cohort that included adult patients of Hospital Central «Dr. Ignacio Morones Prieto» who accepted and signed the informed consent, stayed more than 6 hours in the general ward, had 24 hours of their postoperative and were able to answer the International Pain Outcome Questionnaire. Bivariate analysis and logistic regression analysis were performed to determine the OR. Results: the frequency of the worst persistent pain was 12%. Tramadol consumption was higher in postoperative. Emergency gynecological surgery has a 5.6 times higher risk of severe intractable pain. The initial dose of morphine and the consumption of > 2 g paracetamol seem to be protective. In the group without severe persistent pain, the observed adverse effects are related to the higher morphine consumption. [ABSTRACT FROM AUTHOR]

Objetivo: describir la prevalencia de patología maligna incidental posterior a una histerectomía por causa benigna. Método: estudio de corte transversal descriptivo, basado en registros hospitalarios. Se incluyeron mujeres a quienes se les realizó una histerectomía por causa benigna en un hospital general de referencia entre 2013 y 2021. Se excluyeron mujeres con histerectomía obstétrica. Variables medidas: edad, vía de la histerectomía, tipo de histerectomía, diagnóstico histopatológico de lesión premaligna o de cáncer invasor, tipo de cáncer. Análisis: descriptivo, se estimó la prevalencia en el periodo global de condiciones preneoplásicas y neoplásicas. Resultado: de 816 registros clínicos se analizaron 674 casos (87 %) que cumplieron los criterios de inclusión. Predominó la población premenopáusica. Se identificaron 26 casos de enfermedad maligna no anticipada para una prevalencia del 3,8 % y 13 casos de patología premaligna (1,9 %). El origen más frecuente fue el cuello uterino (40 %) seguido del ovario (33 %). Conclusiones: se debe considerar informar riesgo de lesión no esperada a las pacientes que serán sometidas a histerectomía por condición benigna. Se enfatiza la importancia de realizar una adecuada aproximación prequirúrgica, en especial para descartar cáncer de ovario y cérvix en nuestro medio. Se requieren estudios de seguimiento de las pacientes con cáncer no anticipado para determinar el tratamiento y su pronóstico en la región.

Objective: To describe the prevalence of incidental malignant pathology following a hysterectomy performed for benign reasons. Method: A descriptive cross-sectional study based on hospital records. Women who underwent hysterectomy for benign reasons at a general referral hospital between 2013 and 2021 were included. Women with obstetric hysterectomy were excluded. Measured variables: age, route of hysterectomy, type of hysterectomy, histopathological diagnosis of premalignant lesion or invasive cancer, type of cancer. Analysis: Descriptive, the prevalence of preneoplastic and neoplastic conditions was estimated for the overall period. Results: Of 816 clinical records, 674 cases (87 %) met the inclusion criteria and were ana-lyzed. The premenopausal population predominated. Twentysix cases of unex-pected malignant disease were identified, yielding a prevalence of 3.8 %, and 13 cases of premalignant pathology (1.9 %). The most common origin was the cervix (40 %), followed by the ovary (33 %). Conclusions: Patients undergoing hysterectomy for benign conditions should be informed about the risk of unexpected injury. The importance of performing, in our context an adequate preoperative approach to rule out cervix uteri and ovarian cancer is emphasized. Follow-up studies of patients with unanticipated cancer are required to determine their treatment and prognosis in the region. [ABSTRACT FROM AUTHOR]

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Objetivo: Descrever as principais características clínica de mulheres submetidas à histerectomia obstétrica por consequência da hemorragia pós-parto. Métodos: estudo descritivo-exploratório, de abordagem quantitativa e caráter documental. Adotou-se como critérios de inclusão, prontuários de mulheres que pariram via parto vaginal ou cesariana, com idade igual ou acima de 18 anos; que tenham sido submetidas a histerectomia obstétrica em decorrência da hemorragia pós-parto; e submetidas ao procedimento cirúrgico de janeiro de 2018 a junho de 2022. Diante disso, 15 prontuários atenderam aos critérios. Resultados: a cesariana foi a principal via de parto (93,3%) e o sofrimento fetal a maior indicação dessa via (21,4%). A hemorragia pós-parto foi classificada como primária (93,3%) e teve a atonia uterina como maior causa (86,6%). A histerectomia subtotal foi a técnica cirúrgica mais utilizada (93,3%) e o tempo médio da expulsão do feto até a realização da histerectomia obstétrica ficou em 6,4 horas. Conclusão: Este estudo permitiu evidenciar a importância do tema tratado, uma vez que a hemorragia pós-parto é uma das principais causas de mortalidade materna em todo mundo. Portanto, conhecer o perfil clínico dessas mulheres é primordial para fornecer assistência de qualidade além de ofertar subsídios para protocolos e pesquisas futuras.

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Objetivos: describir la frecuencia de complicaciones maternas en mujeres gestantes con placenta previa (PP) mayor o menor y evaluar una posible asociación entre tipo de PP y la presencia de hemorragia materna severa y otros resultados maternos asociados. Materiales y métodos: cohorte retrospectiva, descriptiva. Se incluyeron gestantes con 20 semanas o más de embarazo, con diagnóstico confirmado de placenta previa, quienes fueron atendidas en un hospital de alto nivel de complejidad localizado en Cali (Colombia), entre enero de 2011 y diciembre de 2020. Se excluyeron las gestantes con diagnóstico de placenta previa y acretismo placentario concomitante. Las variables recolectadas fueron: edad materna, índice de masa corporal, tabaquismo, obesidad, paridad, presencia de sangrado, hemorragia posparto, manejo de la hemorragia posparto, transfusión y admisión a UCI de la gestante. Se realizó análisis descriptivo. El protocolo fue aprobado por el comité de ética de la Fundación Valle de Lili. Resultados: 146 pacientes cumplieron con los criterios de inclusión. La población estuvo constituida por mujeres con una mediana de edad de 32 años, sin antecedente quirúrgico, con diagnóstico prenatal de placenta previa a la semana 22. En el 70,5 % de los casos se trató de pacientes con placenta previa mayor. Las complicaciones más frecuentes fueron hemorragia posparto (37,9 % vs. 16,3 % para pacientes con placenta previa mayor y menor, respectivamente), requerimiento de transfusión (23,3 y 9,3 %, respectivamente) y el ingreso materno a la UCI (40,8 % vs. 18,6 %, respectivamente). No se registraron muertes maternas. Conclusiones: las mujeres con placenta previa experimentan una frecuencia elevada de complicaciones; probablemente, dicha frecuencia es más alta cuando se documenta placenta previa mayor. Se requieren más estudios que comparen la frecuencia de complicaciones maternas según el tipo de placenta previa.

O diálogo entre ciências sociais e ciências da saúde vem produzindo reflexões interessantes a respeito das experiências reprodutivas em diferentes contextos sociais. Várias pesquisadoras demonstraram que essas experiências são influenciadas por matrizes de opressão historicamente constituídas e têm conexão direta com as taxas nacionais de morbidade e mortalidade materna e infantil, as quais evidenciam a perpetuação de hierarquias reprodutivas racializadas, resultantes do processo colonial. Neste artigo, propomo-nos a realizar uma revisão bibliográfica sobre aportes das ciências sociais e dos estudos interseccionais e decoloniais que podem contribuir para aprofundar o debate crítico sobre a apropriação biomédica do ciclo reprodutivo das mulheres, focalizando as duas cirurgias ginecológicas mais realizadas no Brasil, a saber, a cesariana e a histerectomia (remoção do útero), bem como a problemática da violência obstétrica. A presente reflexão se desenrola no horizonte político-epistemológico da justiça reprodutiva, fundamenta-se no conceito de racismo estrutural e aposta na educação perinatal crítica como via estratégica para a superação das iniquidades no campo da reprodução.

Giant ovarian tumors are rare pathologies in gynecological conditions. It is exceptional to find a giant tumor of the ovary (mucinous cystadenoma) coexisting with a granulosa tumor. It is a clinical surgical situation of special interest due to the rarity of presentation. The case of a 63-year-old patient with white skin is presented. Referred to the General Teaching Hospital "Dr. Ernesto Guevara de la Serna" presenting progressive and rapid increase of the abdomen, 7 months of evolution and no other symptom in its beginnings, but in the last 3 days with lack of air at bedtime, abdominal pain, vomiting, nausea and anorexia. A surgical acute abdomen was diagnosed. Along with the patient’s history, the physical examination and ultrasound findings led to the conclusion of intestinal occlusion and a giant ovarian tumor. Total abdominal hysterectomy was performed with double annexation, resecting a 35x30x15 cm normal-looking left ovary tumor. Histological analysis concluded that the resected tumor was a left mucinous cystadenoma, but also reported cystic granulosa cell tumor, adult microfollicular variant, of the right ovary. The patient recovered quickly, was discharged on the eighth day and referred to the oncogynecology clinic.

O objetivo desta comunicação é apresentar 10 casos referentes ao desenvolvimento do câncer na cérvice em pacientes que sofreram histerectomia sub-total.

Em 78 pacientes operadas no Instituto Nacional de Câncer (Rio_ de Janeiro). Wertheim-Meigs por câncer do colo uterino houve 13 de complicações urinárias pós-operatórias ou sejam 16,6%. Cada tipo de lesão é estudado separadamente, sendo apresentadas radiografias antes e depois do aparecimento das complicações de alguns casos.

Quarenta e oito pacientes com carcinoma do colo do útero estádio III A e B foram tratadas com a associação de adriamicina (ADE), bleomicina (BLEO) e cisplatinum (CDDP), três a cinco ciclos neo-adjuvante, seguidos de histerectomia radical modificada e seis ciclos de ABC adjuvante. Quarenta doentes foram consideradas avaliáveis. Os primeiros 17 casos receberam ADR 50mg/m2, BLEO 10mg/d x 5 e CDDP 100mg/m2administrados no dia 1 e repetidos de 21/21 dias (ABC DA). A toxicidade neste grupo foi considerada inaceitável, com dois óbitos, sendo reduzidas as doses de CDDP e BLEO, respectivamente, 50mg/m2 e 6mg/d x 5 (ABD DB) nas 23 seguintes. Das 17 tratadas com o ABC DA, 12(70%) foram elegíveis para a cirurgia e o exame da peça revelou resposta completa (RC) em dois (11%) e resposta parcial (RP) em 10(59%). Das 23 tratadas com ABC DB, 16 (69%) foram operadas com RC confirmada em três (13%) e RP em 13 (56%). Após 38 meses, no grupo ABC DA, duas (12%) estão sem evidência de doença, quatro (23%) estão vivas com recorrência, sete (41%) morreram pela neoplasia, duas (12%) morreram por toxicidade (cardíaca e pulmonar), uma (5%) morreu de causa desconhecida e uma (5%) foi perdida do seguimento. No grupo ABC DB, em 36 meses, nove (39%) estão sem evidência de doença, sete (30%) estão vivas com recorrência, cinco (22%) morreram pela neoplasia e duas (9%) foram perdidas do seguimento. A sobrevida média estimada pelo método de Kaplan-Meier do grupo ABC DA é de 29% e do controle histórico de 102 pacientes tratadas pela radioterapia no mesmo período é de 52% (p < 0,01) e no ABC DB 63% (p

Introducción. El espectro de placenta acreta es el resultado de una patológica invasión de la placenta al útero, según la profundidad y extensión de la invasión; lo cual produce manifestaciones clínicas como el sangrado por vía vaginal, que puede llegar a terminar en histerectomía y muerte materna. Reporte. Paciente gestante de 34 años con 31 semanas de gestación, procedente de Ayacucho, acude por presentar sangrado profuso por vía vaginal y antecedente de dos cesáreas, por lo que se decide culminar gestación y realizar histerectomía, se confirma por anatomía patología el diagnóstico de placenta increta. La paciente evoluciona favorablemente y es dada de alta con control ambulatorio. Conclusión. El tratamiento de elección de la placenta acreta que invade miometrio continúa siendo la histerectomía debido a la elevada mortalidad y la hemorragia postparto que desencadena, por lo que es de vital importancia un diagnóstico y manejo temprano.

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Introduction: Uterine leiomyosarcoma is a rare and highly aggressive sarcoma, which can metastasize most frequently to the lung and liver. Its prognosis is poor, with early total abdominal hysterectomy being the first line treatment. Other alternatives are chemotherapy with regimens of doxorubicin, ifosfamide or gemcitabine, alone or in combination. Case report: We present a 40-year-old Peruvian woman who underwent hysterectomy for suspected leiomyoma; however, pathology revealed a final diagnosis of uterine leiomyosarcoma. She could not be notified due to loss to follow-up. Two years later, she again presented with metastases in the thigh, breast, liver, lungs and scalp. He was given Ifosfamide and Doxorubicin every 21 days for 3 courses, however, due to disease progression, palliative treatment was decided. Finally, he died two months after treatment. Conclusion: A case of uterine leiomyosarcoma with atypical metastasis is presented to promote early and differentiated diagnosis of leiomyoma, low grade leiomyosarcoma and high grade leiomyosarcoma to define the correct treatment. [ABSTRACT FROM AUTHOR]

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Presentamos el caso de una paciente de 35 años con trombastenia de Glanzmann (GT) y anemia severa por sangrado uterino anormal secundario a miomatosis uterina. Requirió varias admisiones de transfusiones de glóbulos rojos y plaquetas. Se propuso histerectomía subtotal electiva con salpingooforectomía y se requirió factor VII recombinante. Los resultados quirúrgicos y postoperatorios fueron exitosos, sin complicaciones quirúrgicas, sangrado ni alteraciones del hemograma. 4 años después, requirió extracción dental por enfermedad periodontal y necrosis pulpar. En Perú son escasos los reportes de pacientes con GT que requieren procedimientos quirúrgicos mayores y menores, dada la baja prevalencia de la enfermedad y las dificultades relacionadas con la cirugía. El reporte de estos casos de éxito cobra relevancia para seguir mejorando la gestión de GT.

La histerectomía en la India ha generado sospechas por su aumento inusual en mujeres jóvenes, analfabetas y pobres de zonas rurales. El objetivo del trabajo es analizar la relación entre violencia obstétrica, explotación laboral agrícola, prácticas médicas no éticas y tabúes relativos al útero y la menstruación. La metodología estuvo basada en una revisión bibliográfica sistemática mediante motores de búsquedas académicos que posibilitaron localizar las publicaciones más actuales y significativas sobre la problemática tratada. Los resultados indican que la práctica de la histerectomía está normalizada en la India y que resulta funcional al sistema capitalista, al sistema sanitario y a las pacientes para conseguir o conservar el empleo. Se concluye con la necesidad de activar auditorias médicas, destinar esfuerzos para lograr una mayor transparencia de los servicios sanitarios y centrar la atención sanitaria en una perspectiva de derechos humanos, con un enfoque de género que, especialmente empodere a las mujeres de bajo recursos para tomar decisiones que afectan a su propio cuerpo.

Objectives: To describe the frequency of maternal complications in pregnant women with major or minor placenta previa (PP), and to assess a potential association between PP type and the presence of severe maternal bleeding and other associated outcomes. Material and methods: Retrospective descriptive cohort. The study included pregnant women with 20 weeks of gestation or more and a confirmed diagnosis of placenta previa who were seen in a high complexity hospital in Cali (Colombia), between January 2011 and December 2020. Women with a diagnosis of placenta previa and concomitant placenta accreta were excluded. The collected variables were maternal age, body mass index, smoking, obesity, parity, presence of bleeding, postpartum hemorrhage, management of postpartum hemorrhage, transfusion, and maternal ICU admission. A descriptive analysis was performed. The protocol was approved by the ethics committee of Fundaciónn Valle de Lili. Results: A total of 146 patients met the inclusion criteria. The population consisted of women with a mean age of 32 years, with no history of prior surgery, with a prenatal diagnosis of placente previa at week 22; 70% were major placenta previa cases. The most frequent complications were postpartum hemorrhage (37.9 % vs. 16.3 % for patients with major and minor placenta previa, respectively), transfusion requirement (23.3 and 9.3 %, respectively), and maternal ICU admission (40.8 % vs. 18.6 %, respectively). There were no cases of maternal death. Conclusions: There is a high frequency of complications in women with placenta previa, and it is probably higher in cases of major placenta previa. Further studies are needed to compare the frequency of maternal complications according to the type of placenta previa. [ABSTRACT FROM AUTHOR]

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O Câncer de Colo de Útero é comum na população feminina, implicando na necessidade de realizar histerectomia, total ou parcial do Útero. Objetivou-se avaliar a qualidade de vida de mulheres que realizaram histerectomia radical após câncer de colo uterino. Trata-se de uma pesquisa descritiva, exploratória e com abordagem quantitativa. O estudo tomou como objeto 15 mulheres que fizeram histerectomia radical decorrente do câncer de colo uterino. Foram coletados dados utilizando o instrumento World Health Organization Quality of Life Group para avaliação da qualidade de vida e, após submissão ao Comitê de Ética e Pesquisa com Seres Humanos, obteve-se a aprovação. Os resultados mostraram que o domínio físico apresentou insatisfação no quesito energia do dia a dia (2,0). O domínio psicológico demonstrou insatisfação na memória, pensar e aprender (2,1). Domínio das relações sociais o quesito menor avaliador foi a atividade sexual (3,0). Domínio do meio ambiente o item menos satisfatório foi o acesso ao serviço de saúde (1,7). Na soma dos domínios percebe-se que o domínio das relações sociais (3,1), seguido do domínio meio ambiente (3,5), apresentaram os piores índices. Já os domínios físicos (4,1) e psicológico (4,0) tiveram as melhores avaliações. Com isso, o estudo aponta que a histerectomia é um evento que repercute na qualidade de vida das mulheres, com atenção especial as relações sociais.

Introducción: la histerectomía radical con linfadenectomía pélvica es el tratamiento estándar para las pacientes con cáncer de cérvix en estadios tempranos que no desean preservar la fertilidad. El objetivo principal de este estudio fue comparar tasas de supervivencia global, periodo libre de enfermedad y recurrencia entre histerectomía radical por mínima invasión (CMI) versus cirugía abierta. Además analizar las características histopatológicas, complicaciones intraoperatorias, posoperatorias tempranas y tardías entre ambas técnicas. Metodología: estudio observacional de cohorte retrospectivo entre 2011 y 2017. Se incluyeron mayores de 18 años con diagnóstico de carcinoma de cuello uterino en estadios IA1 (invasión del espacio linfovascular) a IB1 (FIGO 2009) con seguimiento hasta diciembre 2020. Se hizo análisis bivariado utilizando chi cuadrado, prueba exacta de Fisher o U Mann Whitney para determinar las diferencias entre las técnicas quirúrgicas frente a características sociodemográficas, clínicas, complicaciones intraoperatorias, tempranas y tardías. Se calcularon tasas de supervivencia global y densidades de recurrencia con el tiempo aportado por las pacientes. Resultados: de 113 pacientes llevadas a histerectomía radical, 75 se excluyeron del análisis. La supervivencia global fue 100% para las del grupo de laparotomía versus 97.6% en CMI. La tasa de recurrencia global fue de 8 casos y la del grupo de CMI 14.1 por 1.000 personas/año de observación. El grupo de laparotomía no presentó recaídas. Hubo diferencia significativa en la mediana de sangrado intraoperatorio (600 cc laparotomía versus 100 cc laparoscopia, p= 0.002); 11.4% requirieron transfusión intraoperatoria (25% laparotomía versus 2.4% mínima invasión, p=0,006). Conclusiones: las pacientes llevadas a cirugía por laparoscopia tuvieron una mayor proporción de recurrencia y mortalidad en comparación con el abordaje por técnica abierta.

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Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background. Hysterectomy causes fear, worry, and anxiety, resulting in a negative effect on the hospital care process and complications after surgery. Different psychological interventions have been developed for these effects, exploring if those women who undergo this procedure have better pre and post-operative control. Some interventions may resort to the techniques of cognitive-behavioral therapy or traditional interventions based on information. Objective. The present study aimed at assessing the effect of a cognitive-behavioral program, compared to an informative intervention on anxiety levels prior to hysterectomy in a group of women from a tertiary care hospital in Mexico City. Method. Twenty-four women participated: 12 in the experimental group (EG), and 12 in the comparative group (CG), with a mean age of 46.25 years. Results. The main findings revealed lower anxiety levels before surgery in the EG group, with an anxiety level in the norm and above the norm in CG participants. Both interventions showed positive effects in reducing anxiety before surgery, with a more noticeable impact in the eg group and moderate in the CG. Discussion. We conclude that cognitive-behavioral therapy is more effective than providing only information in reducing anxiety in this type of hospitalized surgical patients. [ABSTRACT FROM AUTHOR]

Copyright of Methaodos: Social Science Journal / Methaodos: Revista de Ciencias Sociales is the property of Departamento de Ciencias de la Comunicacion y Sociologia, Universidad Rey Juan Carlos and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To trace the clinical, epidemiological and obstetric profile of women undergoing peripartum hysterectomy, as well as to identify the incidence and outcome of this procedure. Methods: Retrospective, longitudinal study with a quantitative approach carried out in the maternity ward of a public hospital in Picos-Piauí with all women who underwent peripartum hysterectomy from January 2020 to January 2022. Results: Seven patients underwent the procedure at the institution during the period study time period, which corresponded to a rate of 2.13 peripartum hysterectomies per 1.000 births. The mean age was 33 years (±5.9 years), ranging from 27 to 39 years. Women from the macro-region of neighboring cities prevailed (85.8%), married (71.5%), brown (71.5%), farm workers (71.6%), and 57% studied up to elementary school. The mean length of hospital stay was 5.6 days (±2.7 days), ranging from 3 to 11 days. The diagnosis of bleeding syndromes prevailed, 85.8% required blood products, 42.8% required admission to the intensive care unit and 57.2% underwent subtotal hysterectomy. There was no evidence of death, 85% were discharged due to cure and only 15% were transferred. Conclusions: Most women were young, married, farmers, brown, pregnant and had a cesarean section. A large majority required blood transfusion and intensive care. [ABSTRACT FROM AUTHOR]

In addition to performing biological functions, the uterus is directly related to femininity, as a woman's reproductive organ and to her sex life. The hysterectomy procedure is the term used when removing the uterus, which can be performed in two ways, being they are abdominal or vaginal. Studies show that this surgical procedure is the second leading cause of surgeries performed on women of reproductive age, by the Unified Health System (SUS), being the first major cause, cesarean sections. To verify and describe, through a bibliographic review, the main nursing care for patients undergoing hysterectomy. The present study is an Integrative Literature Review (RIL), which consists of a descriptive study, with a qualitative approach. This review method aims to point out knowledge gaps, which need to be filled and the need for further studies. Nursing care for patients with hysterectomy in the articles covered in this review, mostly focused on nurses. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMO O objetivo deste artigo é avaliar o índice de função sexual de mulheres submetidas à histerectomia total com ooforectomia bilateral (HT-OB), a prevalência de incontinência urinária por esforço (IUE) e sua associação com a realização desse procedimento cirúrgico em um hospital de referência em Belém (PA). Foram incluídas 162 mulheres, com vida sexual ativa, alocadas em dois grupos: aquelas que realizaram HT-OB em período superior a 12 meses (n=68), e aquelas que não realizaram (n=94). Utilizou-se o questionário female sexual function index (FSFI) para avaliação da função sexual, e um questionário desenvolvido pelos pesquisadores para coletar dados sociais, econômicos e clínicos, incluindo informações quanto à presença de IUE. O valor de significância foi definido como p

Presentado en sesión de 18 de noviembre de 1953

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción. El objetivo de este artículo fue dar a conocer el protocolo institucional del manejo de la placenta percreta como un procedimiento varias horas después de la cesárea, con embolización de arterias placentarias de forma selectivas, previo a la práctica de la histerectomía, y presentar los resultados. Métodos. Estudio de serie de casos, donde se evaluaron las pacientes con placenta percreta, manejadas durante un año en un hospital de cuarto nivel de complejidad en la ciudad de Bogotá, D.C., Colombia. Se efectuó cesárea fúndica y se dejó la placenta in situ, 48 a 72 horas después se realizó embolización ultra selectiva y luego de 2 a 3 días se procedió a practicar la histerectomía vía abdominal. Resultados. Se evaluaron 5 pacientes, con paridad de 3,8 embarazos promedio, con diagnóstico de placenta percreta. El tiempo promedio de espera entre la embolización y la histerectomía fue de 1,6 días. No se presentaron complicaciones asociadas a la embolización, ni morbimortalidad materno fetal. Los volúmenes de sangrado en promedio durante la histerectomía de cada paciente fueron de 1160 ml. Conclusión. Existen datos limitados sobre el tratamiento óptimo del acretismo placentario. La sospecha diagnóstica permite planificar de forma favorable el manejo intraparto y, es por ello, que el surgimiento de nuevas técnicas, como la embolización de arterias placentarias, constituyen alternativas para un manejo más seguro de las pacientes.

É sabido que pacientes transplantados apresentam maior risco de desenvolver neoplasia maligna. Esse fato deve-se, principalmente ao uso de imunossupressores. Relatamos o caso de NAF, 38 anos, submetida a transplante ortotópico de fígado em fevereiro de 1998 devido à cirrose hepática por vírus da hepatite C. Após nove anos do transplante, a paciente evoluiu com quadro de constipação intestinal, dor abdominal e perda de peso. A investigação mostrou lesão expansiva pélvica medindo 12,5x 9,0x 8,3 cm em contato com parede uterina. Optado por laparotomia exploradora, sendo evidenciado tumor de ovário, cuja biópsia de congelação mostrou neoplasia maligna indiferenciada. Realizada pan-histerectomia e ooforectomia esquerda. O anatomo-patológico mostrou adenocarcinoma de ovário de células claras, estádio IA. Paciente em seguimento durante 3 anos e meio, sem evidências de recidiva, com marcadores tumorais dentro da normalidade. O desenvolvimento de neoplasias pós-transplante é uma frequente complicação, e é uma das principais causas de morte tardia nesses pacientes. Evitar o excesso de imunossupressão é a principal recomendação.