RESUMO
Objetivo determinar el resultado obstétrico en mujeres a las que se les realizó conización en el Hospital de León de 1999 a 2007. Material y método estudio de cohorte retrospectivo. Se analizaron 338 conizaciones. Durante este período, 36 mujeres quedaron embarazadas y se obtuvieron 46 embarazos en total. Se incluyeron las siguientes variables: edad materna, paridad, hábito tabáquico, diagnóstico que motivó la conización y diagnóstico de la pieza, así como altura del cono extirpado, intervalo entre la conización y el parto, tipo de parto, edad gestacional y peso del recién nacido. Resultados de los 30 embarazos que superaron las 24 semanas, el 20% nació pretérmino. La comparación en función del hábito tabáquico no mostró diferencias. Ningún recién nacido tuvo bajo peso (BP) respecto a la edad gestacional. Conclusiones se observó asociación estadísticamente significativa entre prematuridad y conización, con independencia de la longitud del cono extirpado y del intervalo entre conización y parto. No se observó asociación entre el BP al nacimiento y la conización (AU)
Objective: To determine the obstetric results after conisation at the Leon Hospital (Spain)between 1999 and 2007.Material and method: We performed a retrospective cohort study of 338 conisations. Thirty-six women conceived and a total of 46 pregnancies were obtained during the study period. The following variables were analysed: maternal age, obstetric antecedents, smoking, the diagnoses motivating the conisation, final histopathological diagnosis, height of the extirpated cone, conisation-childbirth interval, type of labor, and gestational age and weight of the newborn. Results: Of the 30 pregnancies that exceeded 24 weeks, 20% ended preterm. No differences were found when the groups were compared according to smoking. None of the newborns was underweight for gestational age. Conclusions: A significant statistical association was observed between conisation and preterm delivery, independently of cone length or the conisation-labor interval. No statistical association was found between low birth weight and conisation (AU)
Assuntos
Humanos , Feminino , Gravidez , Neoplasias do Colo do Útero/cirurgia , Conização/estatística & dados numéricos , Eletrocoagulação , Complicações do Trabalho de Parto , Resultado do Tratamento , Trabalho de Parto PrematuroRESUMO
Ovarian ectopic pregnancy is a rare form of ectopic pregnancy, with an estimated incidence ranging from 0.5% to 3% of the extrauterine pregnancies. For a correct diagnosis of the ovarian pregnancy, the traditional criteria proposed by Spiegelberg in 1878 must be fulfilled. This forced us sometimes to reject pregnancies which, despite being initially ovarian, during its evolution the adjacent tubal structures have been affected. Currently, the ectopic pregnancies are being diagnosed more early, mainly given the echographic advances, which have lead to very conservative treatments in order to avoid a reduced fertility. However, it is many times an intraoperative diagnosis. We present four new cases of ovarian ectopic pregnancy from our casuistry of the last three years with anatomoclinical study and literature review.
