RESUMO
The causal lesions by VPH in the cervix, are associated to cancer. Currently 56 different subtypes have been isolated, from which, the 16, 18, 31, 33, 35 and 39 are more frequently related with the cervical intraepithelial neoplasia; from here derives the importance of opportune treatment. The objective of this paper is to evaluate VPH of the cervix opportune treatment with cryosurgery. Seventy five patients were analyzed, from April 1988 to May 1990 with diagnosis of cervical VPH, by cytology, colposcopy and histopathology; in whom cryosurgery with double freezing technique, was practiced; and were evaluated ever six months, during two years with cytology and colposcopy. Whenever there was persistence or recurrence, cryosurgery was used again; doing this even three times, previously discarding intraepithelial cancer. Seventy seven per cent of the patients received only one session; 16% two, and 7% three. At the six months review, it was found that 92% of the cases were negative, and 8% with persistence; at 12 months, 89% negative and 11% with recurrences; at 18 months, 93% negative, 3% with persistence and 4% with recurrence; at 24 months, 96% negative and 4% with recurrence. It is concluded that cryosurgery is efficacious in the treatment of these lesions, easy to use, well tolerated, with minimal side effects, it does not require anesthesia and is of a low cost.
Assuntos
Condiloma Acuminado/cirurgia , Criocirurgia , Neoplasias do Colo do Útero/cirurgia , Adolescente , Adulto , Idoso , Condiloma Acuminado/microbiologia , Estudos de Avaliação como Assunto , Feminino , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Papillomaviridae , Neoplasias do Colo do Útero/microbiologiaAssuntos
Infecções Bacterianas/microbiologia , Complicações Pós-Operatórias/microbiologia , Uretra/cirurgia , Bexiga Urinária/cirurgia , Infecções Urinárias/microbiologia , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/tratamento farmacológico , Procedimentos Cirúrgicos Operatórios/métodos , Fatores de Tempo , Cateterismo Urinário , Incontinência Urinária por Estresse/cirurgia , Infecções Urinárias/tratamento farmacológicoRESUMO
En el Hospital "Luis Catelaro Ayala", del IMSS en un periodo de un año se operaron 176 pacientes con el procedimiento de Pereyra modificado; 70 casos llevan seis o más meses se seguimiento y el resultado ha sido bueno en 67 de ellos. La operación se efectuó en 160 pacientes sin cirugía previa y en 16 casos con operación previa para corrección de la Incontinencia Urinaria de Esfuerzo; se obtuvieron complicaciones en 32 casos (18%) correspondiendo la mayoría de ellas a retención de orina o infección de vías urinarias. Se presentaron dos casos de lesión vesical. Se describe método de selección para la técnica, criterio de seguimiento y se reseña brevemente el procedimiento según con los lineamientos generales señalados por los autores
