[Laparoscopic surgery in gynecology. Experience at the Luis Castelazo Ayala Hospital]. / Cirugía ginecológica laparoscópica. Experiencia en el Hospital Luis Castelazo Ayala.

The purpose of the present study was to demonstrate the various applications of the laparoscopic surgery in the field of gynecology. 40 patients who were submitted to laparoscopic surgery were studied and divided into 5 groups accordingly to the surgical procedure: adhesiolysis, surgery of ovarian tumors, hysterectomy, surgery of the Fallopian tube and myomectomy. All the patients had a preoperative study and once completed they were selected for laparoscopic surgery. The laparoscopic procedure was able to solve the gynecologic pathology. The mean overall surgical time was of 66.8 min with a maximum time of 180 and a minimum of 30 min, accordingly to the groups the surgical mean times were as follows: 1) adhesiolysis 111 min 2) ovarian surgery 69 min 3) hysterectomy 113 min 4) tubal surgery 60 min and 5) myomectomy 58 min. There were no surgical complications and they all had a brief hospitalization period and a fast return to active life. All procedures were done with a bipolar cautery. We conclude that laparoscopic surgery is a useful resource for the resolution of the majority of the benign gynecologic pathology and when indicated in the proper way there is no rise in the morbid-mortality, and offers a short hospitalization period and a quick return to active life.

[Modified factors in the study of the infertile couple in women with papilloma virus cervical infection, descriptive analysis]. / Factores alterados en el estudio de la pareja estéril en mujeres con infección cervical por virus del papiloma humano, análisis descriptivo.

The cervical infection by human papilloma virus (HPV) is considered one of the most common sexual transmitted diseases. Fifty couples were studied which consulted for sterility, in all women a cervical HPV infection was detected. Colposcopy, cervical biopsy, vaginal secretions culture, hysterosalpingography, laparoscopy and semen analysis were performed, in all of them. Age, obstetrical history, age at which patients began sexual relations, number of sexual partners, usage and time of usage of intrauterine device were analyzed. We can conclude that patients HPV cervical infection have risk factors for tuboperitoneal sterility, and are also in risk for other sexual transmitted diseases.

[Pregnancy after a partial dearterialization of the uterus. A case report]. / Embarazo post-desarterialización parcial del útero. Informe de un caso.

A case of a 27-year-old woman with a previous partial uterine dearterialization for uterine atony in its first gestation, is presented. This woman asked advise for secondary infertility and after a laparoscopic adhesiolysis she achieved pregnancy. With the exception of tubo-peritoneal factor all other infertility studied factors were normal. Partial uterine dearterialization must be taken in account in patients with obstetric bleeding and posterior fertility expectatives.

[The laparoscopic findings in patients with chronic pelvic pain and dysmenorrhea]. / Hallazgos laparoscópicos en pacientes con dolor pélvico crónico y dismenorrea.

Forty-nine laparoscopic findings of women with chronic pelvic pain and dysmenorrhea, were reviewed. In all of them a laparoscopy was performed under general anesthesia. Endometriosis was found as principal cause of the pain, followed by chronic pelvic inflammatory disease and adhesions. In 10.2% of the patients the pelvis was normal. We can conclude that in the patient with chronic pelvic pain, laparoscopy is a useful method to achieve the correct diagnosis to prescribe the most accurate treatment.