Objetivo: Determinar si la ruptura de membranas acorta la fase activa del trabajo de parto. Material y métodos: Se realizó un estudio analítico, observacional, retrospectivo de casos y controles. La población de estudio incluyó 225 pacientes gestantes atendidas en el Hospital Jerusalén de la Esperanza, que cumplieron los criterios de selección establecidos, distribuidos en dos grupos: 75 pacientes con Trabajo de parto de fase activa acortada (casos) y 150 no acortada (controles), se aplicó la prueba chi-cuadrado y se calculó el odds ratio. Resultados: La proporción de ruptura de membranas en gestantes con trabajo de parto de fase activa acortada fue 85.3%. La proporción de ruptura de membranas en gestantes con trabajo de parto de fase activa no acortada fue 73.3%. La ruptura de membranas es un factor que acortó el trabajo de parto en fase activa y se obtuvo un Odds Ratio de 2...

Multiple Aneurysmal Arterial Disease (MAD) is an extremely rare arterial vascular condition and is produced by an abnormal alteration of smooth muscle cells and neutrophils, producing a multiple-aneurysmal degeneration. We present the case of a 36-year-old patient with a MAD in the cerebral territory and extremities with no surgical indication; however, with an aneurysm of the right inferior renal segmental artery, inferior mesenteric artery, left common iliac artery, and right internal iliac artery with surgical indication. An open approach with single-stage surgical repair, including graft interposition, bypass, exclusion, and vascular reimplantation, was performed. The surgical and postoperative course was uneventful, and the patient was discharged with an indication for outpatient follow-up. The open approach may be the best option for young patients with MAD, especially in the abdom...

Multiple Aneurysmal Arterial Disease (MAD) is an extremely rare arterial vascular condition and is produced by an abnormal alteration of smooth muscle cells and neutrophils, producing a multiple-aneurysmal degeneration. We present the case of a 36-year-old patient with a MAD in the cerebral territory and extremities with no surgical indication; however, with an aneurysm of the right inferior renal segmental artery, inferior mesenteric artery, left common iliac artery, and right internal iliac artery with surgical indication. An open approach with single-stage surgical repair, including graft interposition, bypass, exclusion, and vascular reimplantation, was performed. The surgical and postoperative course was uneventful, and the patient was discharged with an indication for outpatient follow-up. The open approach may be the best option for young patients with MAD, especially in the abdom...