Ablación de úterosacros por videolaparoscopia, una alternativa en dismenorrea primaria incapcitante.
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| Title: | Ablación de úterosacros por videolaparoscopia, una alternativa en dismenorrea primaria incapcitante. |
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| Authors: | Avedra Meléndez, Miguel Ángel S.1, Carlos, Dora María Iduñate Y1, Navia, Víctor Hugo Celaya2, Haro, Jaime Félix |
| Source: | Ginecología y Obstetricia de México. oct1998, Vol. 66 Issue 10, p414-419. 6p. 6 Charts, 5 Graphs. |
| Abstract (English): | Incapacitating dysmenorrhea has been treated in many different ways both medical and surgical. The best result yet is by uterosacral ablation. The purpose of this study is to demostrate the utility of uterosacral ablation as treatment for incapacitating dysmenorrhea. This is a prospective longitudinal study of a cohort in wich patients were their own controls. The do probabilistic sample of work was of 15 patients in the service of Gynecology being studied for incapacitating primary dysmenorrhea, under treatment for at least three months without favorable response. Videolaparoscopy was performed using CO2 as distention gas. A 10 mm lens grand angular Storz Karl and monopolar fedding was used for the ablation. Follow up was for six to sixteen months, grading the response to treatment in absent, mild, moderated and good. Considering a good response was when pain allowed daily activity. X2 was used at a level of significante of 0.05. In relationship with pain one (7%) was asintomatic, nine (50%) were mild theree (20%) moderate, two (13%) remained with no changes. Comparing the difference pre and post treatment had, stadistical significance on a P 0.0025 was in favor of the improvement. We conclude in spite of the smallness of the sample, results are encouraging because any degree of improvement is of benefit to the patient for her quality of life. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | En la dismenorrea incapacitante se han utilizado múltiples tratamientos médicos y quirúrgicos, de ellos la ablación de ligamentos úterosacros es la que ha tenido una mejor respuesta. El objetivo del estudio es demostrar la utilidad de la ablación de los ligamentos úterosacros como tratamiento en la dismenorrea primaria incapacitante. Se efectúo un estudio prospectivo, longitudinal, de una cohorte, en el cual las pacientes fueron sus propios controles. La muestra de trabajo de tipo no probabilistico se integró por 15 pacientes del servicio de ginecología, que se encontraban en estudio por dismenorrea primaria incapacitante y que habían recibido tratamiento médico por un mínimo de tres meses, sin respuesta favorable al mismo, habiéndose descartado patología pélvica. Se les realizó videolaparoscopia diagnóstica, se utilizó como medio de distensión CO2, para revisión pélvica, lente de 10mm, gran angular, marca Storz y corriente monopolar para ablación de úterosacros cuando no existió otra patología asociada. Su seguimiento fue de 6 a 16 meses, calificándose la respuesta al dolor dismenorreico en ausente, leve, moderado y severo; considerándose éxito cuando el dolor permitío la actividad diaria al pasar de severo a leve, etc.. Se utilizó X2 a un nivel de significancia de p 0.05. En relación al dolor se observó que uno (7%) permaneció asintomática, nueve (50%) se transformó en leve, tres (20%) en moderada y dos (13%) permaneció sin cambio. Al comparar las diferencias pre y post tratamiento fueron estadísticamente significativas a una P 0.0025 a favor de la mejoría de la dismenorrea. Concluimos que no obstante que se trata de una muestra pequeña, los resultados son alentadores ya que cualquier grado de mejoría observado beneficia a nuestras: pacientes para la realización de su actividad diaria normal. (Saavedra M, M.A y col: Ablación de úterosacros por videolaparoscopia. Una alternativa en dismenorrea primaria incapacitante. Ginec. Obst. Mex, 1998; 66: 414) [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.) | |
| Database: | MedicLatina |
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| Abstract: | Incapacitating dysmenorrhea has been treated in many different ways both medical and surgical. The best result yet is by uterosacral ablation. The purpose of this study is to demostrate the utility of uterosacral ablation as treatment for incapacitating dysmenorrhea. This is a prospective longitudinal study of a cohort in wich patients were their own controls. The do probabilistic sample of work was of 15 patients in the service of Gynecology being studied for incapacitating primary dysmenorrhea, under treatment for at least three months without favorable response. Videolaparoscopy was performed using CO2 as distention gas. A 10 mm lens grand angular Storz Karl and monopolar fedding was used for the ablation. Follow up was for six to sixteen months, grading the response to treatment in absent, mild, moderated and good. Considering a good response was when pain allowed daily activity. X2 was used at a level of significante of 0.05. In relationship with pain one (7%) was asintomatic, nine (50%) were mild theree (20%) moderate, two (13%) remained with no changes. Comparing the difference pre and post treatment had, stadistical significance on a P 0.0025 was in favor of the improvement. We conclude in spite of the smallness of the sample, results are encouraging because any degree of improvement is of benefit to the patient for her quality of life. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 03009041 |
