ABSTRACT
Adnexal torsion is a common gynecological emergency with an incidence of around 2-3%. Torsion may present as acute or chronic lower abdominal pain, which can be intermittent or constant. Risks of prolonged torsion include atrophy, necrosis, loss of ovarian functions and even premature menopause. [2] Traditionally, adnexal torsion has been treated in a radical manner without prior detorsion, due to fear of embolus migration from the twisted pedicle[3]. As there 1909, ovrian conservation was proposed to avoid castration in young women[4]. The concern of miscarriage due to removal of corpus luteum in early pregnancy encourages conservative surgery for ovarian torsion during pregnancy. We report two cases of ovarian torsion happened in the first trimester of pregnancy which successfully treated by untwisting and fixation of the affected adnexa
Subject(s)
Humans , Female , Torsion Abnormality/classification , Torsion Abnormality/complications , Torsion Abnormality/surgery , Ovarian Diseases/surgery , Pregnancy Trimester, First , Adnexa Uteri/surgery , Embolism/etiology , Pregnancy ComplicationsABSTRACT
A torcao anexial representa importante emergencia cirurgica na pratica ginecologica. Acomete mulheres em idade fertil ocasionando quadro de dor severa, podendo comprometer o futuro reprodutivo destas pacientes. Frequentemente, esta associada a tumores ovarianos e/ou paraovarianos, que exercem efeito de massa, proporcionando a rotacao da gonada e da tuba sobre o eixo vascular. Foram revistos os casos de torcao anexial atendidos do Setor de Urgencias Ginecologicas da Disciplina de Ginecologia da Faculdade de Medicina da Universidade de Sao Paulo...
Subject(s)
Humans , Female , Adult , Adnexa Uteri/surgery , Adnexal Diseases/diagnosis , Ovarian Neoplasms/diagnosis , Fallopian Tubes/surgery , Fallopian Tube Neoplasms/diagnosis , Ovarian Neoplasms/diagnosis , Pelvic Inflammatory Disease/diagnosisABSTRACT
Background: Laparoscopic surgery has clear advantages over open surgical procedures. In gynecology, laparoscopic surgery for adnexal masses in pre or post menopausal women has been used for several years. Aim: To report the experience with gynecologic laparoscopic surgery at the Temuco Regional Hospital. Patients and methods: Between 1996 and 1998, laparoscopic surgery was done in 96 patients aged 16 to 56 years and open surgery in 56 patients aged 15 to 74 years, with a clinical or ultrasound diagnosis of adnexal masses or ovarian dermoid cysts. Results: The most frequent tumors excised were epithelial and germinal cell. Laparoscopic surgery required a mean operative time of 69.9 min and it had a 3.1 percent of complications. Women subjected to this type of surgery had a mean hospital stay of 3.1 days and the mean postoperative stay was 2 days. Open surgery required an operative time of 69 min and it had no postoperative complications. The mean hospital stay for women subjected to this type of procedure was 9.5 days. Conclusions: Women subjected to laparoscopic surgical procedures for adnexal masses had a shorter hospital stay than women subjected to open surgical procedures
Subject(s)
Humans , Adolescent , Adult , Middle Aged , Adnexa Uteri/surgery , Laparotomy/statistics & numerical data , Laparoscopy/statistics & numerical data , Uterine Neoplasms/surgery , Retrospective Studies , Adnexal Diseases/surgery , Laparotomy , Laparoscopy/methods , Obstetrics and Gynecology Department, Hospital/statistics & numerical data , Length of Stay/statistics & numerical dataABSTRACT
Round ligament myoma constitute an exceptional pathology. We report one case of round ligament myoma with intra abdominal dveloppement. The diagnosis was only done during surgery
Subject(s)
Humans , Female , Round Ligaments/pathology , Adnexa Uteri/surgery , MenopauseABSTRACT
Se analizan 23 casos de histerectomía vaginal asistida por laparoscopía, realizadas en el hospital Dr. Sótero del Río entre junio de 1994. Los promedios de edad, paridad, antecedentes de cirugías previas y patología asociada no difieren de la población general de pacientes del servicio. Los resultados obtenidos en nuestra serie revelan que el procedimiento presenta ventajas comparativas respecto de la histerectomía abdominal clásica al acortar la estadía intrahospitalaria, mejorar el manejo del dolor postoperatorio y la mecánica ventilatoria y contribuye a un mas rápido retorno a la actividad laboral. Las complicaciones observadas son las habituales, sin embargo, es imprescindible un entrenamiento previo adecuado en cirugía laparoscópica y cirugía vaginal, de modo que estas complicaciones sean limitadas a un mínimo
Subject(s)
Humans , Female , Adnexa Uteri/surgery , Hysterectomy, Vaginal , Laparoscopy , Uterine Neoplasms/surgery , Leiomyomatosis/surgery , Parity , Uterine Prolapse/surgeryABSTRACT
Se efectuó el estudio de un tumor quístico del ligamento uterosacro encontrado accidentalmente en el transcurso de una anexohistectomía. Esta localización es infrecuente de acuerdo con los datos obtenidos de la literatura consultada. La pieza tumoral fue fijada en formal neutro al 10% a pH 7,4 en "buffer"fosfato. Se realizaron cortes seriados del material incluindo en parafina y se emplearon técnicas de hematoxilina y eosina, PAS, PAS/sialidas, PAS/amilasa. alcian blue a pH 2,5 y 1,0, reacciones de bloqueo, azul de toluidina a pH 3,8, Weigert y matenamina/plata. El tumor demostró tratase de un teratoma quístico extragonadal, identificándose elementos estructurales e histoquímicos compatibles con tejido traqueal. Se identifivó un epitelio cilíndrico seudoestratificado ciliado con granulacione apicales PAS positivas, alcianofílicas, metacromáticas y peryodatorrectivas, com células caliciformes PAS positivas, metacromárticas, alcinofílicas y peryodatorreactivas. La membrana basal aparecía bien manifiesta y por debajo se observaba una franja de fibras elásticas muy desarrolladas y fácilmente idenfifcables con Weigert. Se encontraban ácinos serosos, mucosos y mixtos PAS positivos, alcianofílicos, metacromáticos y periodatorreactivos y placas de cartílago hialino bien desarrolladas con las mismas características tintoriales. Nuestros hallazgos sugieren que: 1) el tumor tiene un probable origen biblástico (endodermo y mesodermo); 2) se trata de un teratoma benigno maduro grado ), en el que todos los componentes tisulares aparecen bien diferenciados; 3) la presencia de glicosaminoglicanos y glicoproteínas detectados por métodos histoquímicos en células del epitelio superficial, calciformes y ácinos glandulares serían un factor indicativo de su actividad funcional