[Vaginally assisted laparoscopic hysterectomy vs. abdominal hysterectomy. Initial experience]. / Histerectomía laparoscópica asistida vaginalmente (HLAV) contra histerectomía abdominal (HTA). Experiencia inicial.

A longitudinal prospective study was performed including 22 patients that were submitted to hysterectomy, for diverse being uterine pathologies, between March 1st. 1995 and until August 31st. 1996, in private practice at México City. The patients were divided into two groups: I) Patients submitted to total abdominal hysterectomy (TAH), 10 patients, and II) Patients submitted to vaginally assisted laparoscopical hysterectomy (VALH), 12 patients. The inclusion criteria for each group depended on the patient's weight: those with an overweight of more than 20% were included in group I, and those with an overweight of less than 20% were included in group II. All the patients were comparable in age, gestational history and surgical abdominal history. In our experience those submitted to TAH (4.2 weeks) or those submitted to VALH converted into laparotomy (3.5 weeks). In group I three patients presented minor complications (postoperative hemoglobin of less than 10 g/dl--two cases--and febrile morbidity secondary to minor lung athelectasis--one case--) that were solved with conventional measures. The mean surgical time was similar between groups I and II (159 and 152 minutes respectively) and longer in the VALH converted into laparotomy (240 minutes). The mean hospital cost was similar for groups I and II (18.6 thousand pesos). The hospital stay was similar in all cases (3.6, 3 and 3.5 days for groups I, II and the VALH converted cases, respectively). Those patients submitted to VALH electively stayed in the hospital for three day, even though their postsurgical progress was evident, so they could have been discharged of the hospital 24 hours after the surgery.

[Recurrent abdominal pregnancy. A case report]. / Embarazo abdominal recurrente. Presentación de un caso.

It's a report fo a case of recurrent abdominal pregnancy attended at the Instituto Nacional de Perinatologia of México City, the clinical manifestations, diagnosis, and management are described. A review of the literature is presented.

[Correlation between estradiol concentrations and follicular measurements vs. oocyte maturity in three different ovarian stimulation schedules]. / Correlación de las concentraciones de estradiol y diámetro folicular con la madurez del ovocito en tres distintos esquemas de estimulación ovárica.

The responses to different ovarian stimulation schedules were studied in women which underwent in programs of assisted fertilization. The follicular development and seric estradiol with the number and quality of the retrieved oocytes. Were correlated 49 patients and divided in 3 groups according to ovarian stimulation schedule were analyzed. The stimulation was followed day by day with seric estradiol and ultrasound follicular measurement. With the three schedules were retrieved 205 oocytes, being mature 179, immature 9 and 17 atretic, there was no significant difference between the different schedules.