ABSTRACT
OBJECTIVES: To analyse the outcomes of patients undergoing Essure sterilization in a single institution, interns of complications and technique failure. PATIENTS AND METHODS: Retrospective descriptive study of 517 patients underwent definitive contraception with Essure device in outpatient hysteroscopy office without anesthesia and controlled at 3 months with abdominal radiography, ultrasonography and hysterosalpingography in selected cases. RESULTS: The success rates of the insertion of Essure was 96.8%, similar to data reported in the literature with 3.7% of vagal reactions, as most prevalent complication. 7 (1.35%) unintended pregnancies were observed. CONCLUSIONS: Essure is a permanent birth control device, with high rate of successful insertion and a low rate of complications. Unintended pregnancies in our study are high and we must change the protocols of placement and monitoring, considering hysterosalpingography as a routine control test.
Subject(s)
Ambulatory Care/methods , Hysteroscopy , Sterilization, Tubal/methods , Adult , Female , Humans , Hysterosalpingography , Pregnancy , Pregnancy, Unplanned , Retrospective Studies , Treatment Failure , Treatment OutcomeABSTRACT
La mastopatía diabética (MD) es una complicación de la diabetes mellitus (DM) de larga evolución. Consiste en la aparición de nódulos mamarios que clínicamente pueden simular un proceso maligno. Las pruebas de imagen son inespecíficas. La biopsia informa de fibrosis densa e infiltración linfocitaria sin signos de malignidad. No hay riesgo de malignización de las lesiones. Se trata el caso de una mujer de 32 años, con DM tipo 1 que presenta en la mama izquierda un nódulo retroareolar de 4 cm, móvil, mal delimitado, duro e irregular, sin signos inflamatorios. La ecografía y la mamografía muestran mamas densas sin signos de malignidad. El diagnóstico se realiza con biopsia percutánea y el manejo es conservador mediante revisiones periódicas, descartando la exéresis quirúgica. En conclusión, aunque clínicamente la MD simule un proceso maligno, siempre es benigna. Se diagnostica mediante core-biopsia y el manejo debe ser conservador; no precisa cirugía
Diabetic mastopathy is a complication of long-standing diabetes mellitus (DM). It consists of breast nodules that can mimic a malignant process. Imaging tests are nonspecific. Biopsy reveals dense fibrosis and lymphoid infiltrates without signs of malignant disease. There is no risk of malignant transformation of the lesions. A 32-year-old woman with DM type 1 presented with a 4-cm, hard, palpable mass in the subareolar region of the left breast. The nodule was mobile and irregularly shaped, without signs of inflammation. Diagnosis was based on percutaneous biopsy. Management was conservative through periodic follow-up visits and surgical resection was ruled out. In conclusion, although diabetic mastopathy can mimic cancer, it is always a benign process. Diagnosis must be made with core biopsy and treatment should avoid surgery
