[Obstetrical hysterectomy. Retrospective study over the past 3 years. General Hospital of Mexico]. / Histerectomía obstétrica. Estudio retrospectivo en los últimos tres años. Hospital General de México.

A retrospective, observational and analytical study about Obstetric-Hysterectomy on Hospital General of Mexico patients during a period of 3 years of study. The mean objective was to analyze the Hysterectomy in the pregnant puerperal stage (Obstetric-Hysterectomy), during the resolution of the problems that the pregnancy, delivery and puerperium determinate, as soon as the association of the complications during the pregnant puerperal stage that condition on the realization of this procedure, so that we can diminish the morbimortality of this procedure. We analyzed the following variables: age, ginecobstetric history, surgery indication, diagnostic omission, surgeons, surgery time, the turn when it was made, reintervention, surgery complications, the use of blood and antibiotics, days at hospital and mortality. We concluded the necessity of a national incidence, to know the most frequent indications and the morbimortality set the example to determine the diminution of the complications, the mortality and know the guides to follow in this procedure.

[Current concepts on human papillomavirus infection]. / Conceptos actuales sobre la infección por virus del papiloma humano.

The human papilloma virus presents a multidimensional problem for gynecologist and urologist. The human papilloma virus infection (HPVI) incidence has been increased, so that at present it's the viral infection most common of the genital tract. The HPV is transmitted for sexual contact but it has not been explained the infection mechanism of the virus-cell interaction of the host. The long term consequences of the sexual transmission diseases are more serious in female than in male. The majority have a little of symptoms, so that frequently they do not receive treatment, and therefore have pregnancy, sterility and infertility, transplacental infection of the fetus, preterm and newborn infection along the contaminated genital tract. In addition, the genital HPV is associated with cervical dysplasia and it can be important in the cervical cancer development. The treatment is multiple and includes cytotoxic agents, surgery, immunotherapy and laser abrasion.

[Human papillomavirus infection in male genitalia]. / Infección por virus del papiloma humano en genitales masculinos.

A prospective and transversal study in 100 patients since January to December of 1994, was done, to know the human papiloma virus infection prevalence in male genitals. The patients were studied by a clinical history, genital area colposcopic revision after acetic acid 5% application, biopsy of the lesion and histopathology study. The patients age was among 16 to 71 years old, with a media of 38.8 years old. The sexual activity beginning was from 12 to 27 years old, with an average of 18 years old. Forty one percent of the patients have had sexual relations with prostitutes, 26% have had sexually transmitted diseases, 9% of the patients referred only 1 sexual mate and 82% had human papiloma virus infection.

[Spontaneous hepatic rupture during pregnancy. Report of a case. Review of the literature]. / Ruptura hepática espontánea en el embarazo. Presentación de un caso. Revisión de la literatura.

The spontaneous hepatic rupture during pregnancy or puerperium has been reported as a rare complication, with an extraordinary severity. Usually it's a pregnancy hypertensive disease complication. Since 1990 it had been reported 120 cases from this pathology in the world literature. We reported a case from a patient who presented spontaneous hepatic rupture during the immediately puerperium and a world literature revision.

[Heterologous adenosarcoma of the Müllerian ducts in adolescence. Presentation of clinical case and review of the literature]. / Adenosarcoma mulleriano heterólogo en la adolescencia. Presentación de un caso clínico y revisión de la literatura.

This is the case of a 16 years old female with an histopathologic diagnosis of mullerian heterologous adenosarcoma, a non-frequent entity in the adolescence. We carried out a bibliographic review about uterine sarcomas, clinic aspect, classification, epidemiology, prognosis and treatment.

[Meningioma in pregnancy. Report of a case and review of the literature]. / Meningioma y embarazo. Presentación de un caso y revisión de la literatura.

We present a case of a young woman who presented with meningioma and pregnancy association. This neoplasm is not frequent during pregnancy but when this association occurs, the neoplasma has a quickly growth because of the presence of estrogenic receptors. We observed the evolution of the product and the mother during pregnancy and puerperium. We made literature review.

[Twin pregnancy complicated by one intrauterine fetal death. Report of a case and review of the literature]. / Embarazo gemelar complicado con pérdida de un producto in utero. Presentación de un caso y revisión de la literatura.

The intrauterine fetal death in a gemelar pregnancy is a rare complication with an incidence from 0.5 to 6.8% of all gemelar pregnancies with a conservative management for the mother and the surviving fetus. The complications are due to the passage of tromboplastic substance from the death fetus to the surviving fetus, through intravascular communications specially in monocorionic placenta producing nervous central system, kidney and skin alterations, mainly in the surviving fetus and coagulation system alterations in the mother. We present a case of a gemelar pregnancy with a fetal loss in utero with repercussions in the surviving fetus in the nervous central system. At the same time we made a literature review.

[Ectopic pregnancy in abdominal cavity. Report of a case and review of the literature]. / Embarazo ectópico en cavidad abdominal. Presentación de un caso y revisión de la literatura.

A case of ectopic pregnancy in peritoneal cavity is presented, the clinic evolution and the resolution are mentioned a world literature revision was done giving special attention to the historic aspects, the incidence, classification, diagnosis and treatment. Finally, a comment about the surgery technique and the placenta management.