Miomectomía y desarterialización uterina como tratamiento conservador de la miomatosis de grandes elementos: reporte de un caso.

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Title: Miomectomía y desarterialización uterina como tratamiento conservador de la miomatosis de grandes elementos: reporte de un caso.
Alternate Title: Myomectomy and uterine desarterialization as conservative treatment for uterine fibroids: Review of clinic case.
Authors: García-de la Torre, J. I.1 drignacio82@hotmail.com, Aguirre-Ramos, M. A.2, Ramos-Alvarado, A. M.3, Villa-Ponce, D.4, González-Cantú, G.1
Source: Ginecología y Obstetricia de México. feb2016, Vol. 84 Issue 2, p112-121. 10p. 19 Color Photographs, 1 Black and White Photograph.
Subjects: UTERINE myomectomy, PREMATURE infants, ABDOMINAL pain, UTERINE hemorrhage, GYNECOLOGY, TUMORS
Abstract (English): Background: Uterine fibroids are the most common gynecological tumors; the prevalence increases with age. They can cause symptoms (20-50%). Myomectomy is an alternative for women who wish to preserve their fertility, increased risk of blood loss and longer operative time. Since 2000, a significant number of surgeons have performed occlusion of uterine arteries prior to myomectomy successfully. Case report: We report the case of a 24-year-old patient, with a history of premature birth; and starts her condition after obstetric event with abnormal uterine bleeding and postcoital bleeding, accompanied by intense, oppressive and stabbing abdominal pain and increased abdominal volume. At physical examination an enlarged abdominal wall by a tumor involving, abdominal pain on palpation, at the gynecological examination: frankly enlarged uterus, about 25 x 20 cm, painful and tenderness. Prior to myomectomy, uterine externalization takes place and proceeds to dearterialization of uterine arteries under the GarcíaGonzález technique, removing the tumor without complications, with an estimated 100 cc bleeding. The bilateral uterine artery ligation, is one of the methods used to reduce intraoperative blood loss. It is a quick, simple technique, whose theoretical basis is that 90% of the irrigation of the uterus comes from the uterine arteries. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): ANTECEDENTES: los miomas uterinos son los tumores ginecológicos más comunes y su prevalencia aumenta con la edad. Entre 20 y 50% de los casos pueden manifestar síntomas. La miomectomía es una alternativa para las mujeres que desean conservar su útero; sin embargo, implica mayor riesgo de pérdida sanguínea y tiempo operatorio. Desde el año 2000, la mayoría de los cirujanos aborda la miomatosis uterina mediante la combinación de oclusión de las arterias uterinas y miomectomía. CASO CLÍNICO: paciente de 24 años de edad, con antecedente de un parto prematuro, que inició su padecimiento después de sufrir sangrado uterino anormal y sangrado poscoital, concomitante con dolor abdominal intenso, opresivo, lancinante y aumento del volumen abdominal. En la exploración física se observó: abdomen globoso a expensas de un tumor que afectaba el hipogastrio y mesogastrio, doloroso a la palpación, móvil e indurado; exploración genital bimanual: útero francamente aumentado de tamaño, de 25 x 20 cm, doloroso a la palpación. Antes de efectuar la miomectomía se realizó exteriorización del útero y desarterialización de las arterias uterinas con la técnica de García-González, y ligadura de las arterias tubarias internas. El tumor se disecó sin complicaciones y el sangrado estimado fue de 100 cc. La ligadura de arterias uterinas es una técnica efectiva para disminuir la pérdida sanguínea transoperatoria, además de ser rápida, sencilla y conocida por el ginecólogo, cuyo fundamento teórico es que 90% de la irrigación del útero procede de las arterias uterinas. [ABSTRACT FROM AUTHOR]
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Miomectomía y desarterialización uterina como tratamiento conservador de la miomatosis de grandes elementos: reporte de un caso.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Myomectomy and uterine desarterialization as conservative treatment for uterine fibroids: Review of clinic case.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22García-de+la+Torre%2C+J%2E+I%2E%22">García-de la Torre, J. I.</searchLink><relatesTo>1</relatesTo><i> drignacio82@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Aguirre-Ramos%2C+M%2E+A%2E%22">Aguirre-Ramos, M. A.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ramos-Alvarado%2C+A%2E+M%2E%22">Ramos-Alvarado, A. M.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Villa-Ponce%2C+D%2E%22">Villa-Ponce, D.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22González-Cantú%2C+G%2E%22">González-Cantú, G.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. feb2016, Vol. 84 Issue 2, p112-121. 10p. 19 Color Photographs, 1 Black and White Photograph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22UTERINE+myomectomy%22">UTERINE myomectomy</searchLink><br /><searchLink fieldCode="DE" term="%22PREMATURE+infants%22">PREMATURE infants</searchLink><br /><searchLink fieldCode="DE" term="%22ABDOMINAL+pain%22">ABDOMINAL pain</searchLink><br /><searchLink fieldCode="DE" term="%22UTERINE+hemorrhage%22">UTERINE hemorrhage</searchLink><br /><searchLink fieldCode="DE" term="%22GYNECOLOGY%22">GYNECOLOGY</searchLink><br /><searchLink fieldCode="DE" term="%22TUMORS%22">TUMORS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Background: Uterine fibroids are the most common gynecological tumors; the prevalence increases with age. They can cause symptoms (20-50%). Myomectomy is an alternative for women who wish to preserve their fertility, increased risk of blood loss and longer operative time. Since 2000, a significant number of surgeons have performed occlusion of uterine arteries prior to myomectomy successfully. Case report: We report the case of a 24-year-old patient, with a history of premature birth; and starts her condition after obstetric event with abnormal uterine bleeding and postcoital bleeding, accompanied by intense, oppressive and stabbing abdominal pain and increased abdominal volume. At physical examination an enlarged abdominal wall by a tumor involving, abdominal pain on palpation, at the gynecological examination: frankly enlarged uterus, about 25 x 20 cm, painful and tenderness. Prior to myomectomy, uterine externalization takes place and proceeds to dearterialization of uterine arteries under the GarcíaGonzález technique, removing the tumor without complications, with an estimated 100 cc bleeding. The bilateral uterine artery ligation, is one of the methods used to reduce intraoperative blood loss. It is a quick, simple technique, whose theoretical basis is that 90% of the irrigation of the uterus comes from the uterine arteries. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: ANTECEDENTES: los miomas uterinos son los tumores ginecológicos más comunes y su prevalencia aumenta con la edad. Entre 20 y 50% de los casos pueden manifestar síntomas. La miomectomía es una alternativa para las mujeres que desean conservar su útero; sin embargo, implica mayor riesgo de pérdida sanguínea y tiempo operatorio. Desde el año 2000, la mayoría de los cirujanos aborda la miomatosis uterina mediante la combinación de oclusión de las arterias uterinas y miomectomía. CASO CLÍNICO: paciente de 24 años de edad, con antecedente de un parto prematuro, que inició su padecimiento después de sufrir sangrado uterino anormal y sangrado poscoital, concomitante con dolor abdominal intenso, opresivo, lancinante y aumento del volumen abdominal. En la exploración física se observó: abdomen globoso a expensas de un tumor que afectaba el hipogastrio y mesogastrio, doloroso a la palpación, móvil e indurado; exploración genital bimanual: útero francamente aumentado de tamaño, de 25 x 20 cm, doloroso a la palpación. Antes de efectuar la miomectomía se realizó exteriorización del útero y desarterialización de las arterias uterinas con la técnica de García-González, y ligadura de las arterias tubarias internas. El tumor se disecó sin complicaciones y el sangrado estimado fue de 100 cc. La ligadura de arterias uterinas es una técnica efectiva para disminuir la pérdida sanguínea transoperatoria, además de ser rápida, sencilla y conocida por el ginecólogo, cuyo fundamento teórico es que 90% de la irrigación del útero procede de las arterias uterinas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Code: spa
        Text: Spanish
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        StartPage: 112
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      – SubjectFull: UTERINE myomectomy
        Type: general
      – SubjectFull: PREMATURE infants
        Type: general
      – SubjectFull: ABDOMINAL pain
        Type: general
      – SubjectFull: UTERINE hemorrhage
        Type: general
      – SubjectFull: GYNECOLOGY
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      – SubjectFull: TUMORS
        Type: general
    Titles:
      – TitleFull: Miomectomía y desarterialización uterina como tratamiento conservador de la miomatosis de grandes elementos: reporte de un caso.
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