ABSTRACT
Chronic pelvic pain is a difficult handling medical and surgical condition and of transcendent importance to women who suffer from it. This condition has been associated to different diseases as endometriosis, adenomiosis, adnexal mass, pelvic inflammatory disease, pelvic adhesive disease. The present study was carried out comparing two laparoscopic surgical methods in an randomized way; laparoscopic uterine nerve ablation and a presacral neurectomy, with 12 patients in each group and a follow up of 12 mont. Results demonstrate a similar resolution on both groups in the short term and a significant difference on pain's resolution within the presacral neurectomy group in the long term without post-surgery or trans-surgery complications. Concluding the presacral neurectomy is a safe and dependable method that allows a high success rate on chronic pelvic pain patients.
Subject(s)
Denervation/methods , Hypogastric Plexus/surgery , Laparoscopy/methods , Pelvic Pain/surgery , Adult , Chronic Disease , Female , Humans , Pain Measurement , Retrospective Studies , Treatment OutcomeABSTRACT
Se presenta el caso de una mujer de 31 años, con embarazo de termino asociado a cardiomiopatía hipertrófica primaria que fue atendida en el Servicio de Gineco-Obstetricia en el Hospital ABC. el embarazo, trabajo de parto y parto evolucionaron sin complicaciónes obstétricas y/o perinatales. Se comenta la etiología, clasificación diagnóstico y tratamiento de ésta cardiopatía que ha sido reportada durante el embarazo en pocas publicaciones.
