[Tubo-peritoneal factor. Endometriosis]. / Factor tuboperitoneal. Endometriosis.

Fifty cases of tuboperitoneal endometriosis with sterility, are reviewed. Laparoscopy was done in all the patients to confirm disease, and its severity was classified to AFS; 18 cases were of minimal endometriosis; 8 slight; 12 moderate; and 12 severe. The endometriotic profile in our environment is described and compared with which has been described in progresist countries; 32% of pregnancy at term, was obtained. The possible mechanisms producing sterility, are mentioned.

[Diagnostic and therapeutic management and results of the neuroendocrine factor in sterility]. / Conducta diagnóstica terapéutica y resultados del factor neuroendocrino en esterilidad.

One hundred and fifty patients with neuroendocrine alteration, mainly anovulation, proven by basal temperature and endometrial biopsy, were studied. Clinical history and basic examinations for sterility, were carried out. The neuroendocrine factor, alone or associated, was found in 35% of the patients studied for sterility. Primary sterility was 59.3% of the cases. The vagino-cervico-spermatic factor was the most frequent one associated to the neuroendocrine one (28%). Ovulation was induced in 62.6% of the cases. Pregnancy was achieved in 65 patients (43.3%; 80% reached term, and 20% were abortions.

[Lesions of the fallopian tube following tube occlusion]. / Lesiones de la trompa de Falopio posteriores a oclusión tubárica.

This is a study using light microscopy and electronic microscopy of Fallopian tube subjected to sterilization; and compare it with a control group. A total of 60 samples from patients with different surgical procedures, whose age was from 20 to 40 years; they were amenorrheic, without antecedents of pelvic inflammatory disease nor endometriosis. Among the control group, there were lesions as isthsmical nodular salpingitis in 30.7%. There was chronic salpingitis in 15.3%; follicular salpingitis in 23%, and polyps in 15%. In the group with OTB antecedents, endosalpingiosis was found in 20%; follicular salpingitis in 30% and chronic salpingitis in the remaining 50%. By means of electronic, ultrastructural microscopy, were seen lesions at myosalpinx level, that is, alterations in myofilaments, formation, much fibrosis and descilliation in the adjacent to OTB. It may be concluded that these findings, never seen before, may condition an alteration of tubal motility in patients subjected to rechannelization procedures, that condition an alteration in gametes transportation, avoiding fecundation or a greater incidence ectopic pregnancy incidence.

Flora microbiana en el aborto septico. / Microbial flora in septic abortion

Se analizan los factores contribuyentes a la morbi-mortalidad obstetricoginecologica de origen infeccioso; se enfatiza la importancia que el aborto septico ocupa en este renglon, la epidemiologia del mismo y la flora microbiana informada en medios similares y diferentes al nuestro. Se observo que la epidemiologia del aborto septico no difiro en relacion a lo observado por otros autores. En comparacion a estudios previos practicados en este hospital, se obtuvo un aumento notable en la incidencia de germenes anaerobios y especificamente del Bacteroides fragilis, el cual ocasiono complicaciones mas graves y una cirugia radical, y por consecuencia, un mayor tiempo de estancia hospitalaria