This study expresses the experience of Bethlehem Hospital of Trujillo with cesarean hysterectomy (CH) from January 1970 to June 1991. All 63 were emergency cases and corresponded to 0.09% of all births. There was a predominance of patients over 30 years old, multiparous, and pregnancy to term. The indications for operation were uterine rupture (41.2%), placenta accreta (19%), uterine inertia (14.3%), septicemia (12.7%), broad ligament hematoma (4.8%), uterine fibroids (4.8%), and severe chorioamnionitis (3.2%). The type of hysterectomy, type of anesthesia, operative time, and hospital stay were discussed. The complications that arose were multiple, the most frequent hypovolemic shock, severe anemia, and infection of the surgical wound. 3 patients died from hypovolemic shock and septic shock 2.

A prospective study was conducted May to November 1988 in the Archbishop Loayza Hospital in Lima, in order to determine whether there is a significant statistical association of perinatal morbidity and mortality between mild and severe preeclampsia. Normal, mild and severe toxemic: 300 cases divided equally into 3 groups were evaluated. Age and parity was similar in the groups studied. Before 37 weeks born 2% and 20% of fetuses of pregnant women with mild and severe disease respectively. 94% and 100% of patients with mild and severe toxemia is not controlled respectively. Born by caesarean 28% in mild cases and 56% for severe. Fetal weights kept inversely related to the severity of the disease. Perinatal morbidity was observed in 8% and 45% of mild and severe respectively (p <0.001) cases, with the most common causes fetal dystrophy, asphyxia, and prematurity. They died perinatally 1% an...

12 patients with vaginal agenesis, treated between April 7970 to March 1988, with the purpose of presenting its incidence, management and complications were studied. One case per 3,311 hospitalizations was found. Vaginal agenesis the sole finding had 4 women in the other 8 were also rudimentary uterus (3 cases), uterine agenesis (2 cases), testicular feminization (1 case), bilateral renal PROSIS (1 case) and ureteral bifidity (1 case). Vaginasplastía techniques were Wharton (5 cases) and Mc Indoe (3 cases). There was no complications in 3 patients, while the remaining 5 had vaginal stenosis, vaginal infection (1 case), hemorrhage (1 case), urinary tract infection (1 case) and incision of the pouch of Douglas (1 case). 4 women underwent reintervention with vaginal narrowing with satisfactory outcome.

A prospective study was conducted May to November 1988 in the Archbishop Loayza Hospital in Lima, in order to determine whether there is a significant statistical association of perinatal morbidity and mortality between mild and severe preeclampsia. Normal, mild and severe toxemic: 300 cases divided equally into 3 groups were evaluated. Age and parity was similar in the groups studied. Before 37 weeks born 2% and 20% of fetuses of pregnant women with mild and severe disease respectively. 94% and 100% of patients with mild and severe toxemia is not controlled respectively. Born by caesarean 28% in mild cases and 56% for severe. Fetal weights kept inversely related to the severity of the disease. Perinatal morbidity was observed in 8% and 45% of mild and severe respectively (p <0.001) cases, with the most common causes fetal dystrophy, asphyxia, and prematurity. They died perinatally 1%...

12 patients with vaginal agenesis, treated between April 7970 to March 1988, with the purpose of presenting its incidence, management and complications were studied. One case per 3,311 hospitalizations was found. Vaginal agenesis the sole finding had 4 women in the other 8 were also rudimentary uterus (3 cases), uterine agenesis (2 cases), testicular feminization (1 case), bilateral renal PROSIS (1 case) and ureteral bifidity (1 case). Vaginasplastía techniques were Wharton (5 cases) and Mc Indoe (3 cases). There was no complications in 3 patients, while the remaining 5 had vaginal stenosis, vaginal infection (1 case), hemorrhage (1 case), urinary tract infection (1 case) and incision of the pouch of Douglas (1 case). 4 women underwent reintervention with vaginal narrowing with satisfactory outcome.

This study expresses the experience of Bethlehem Hospital of Trujillo with cesarean hysterectomy (CH) from January 1970 to June 1991. All 63 were emergency cases and corresponded to 0.09% of all births. There was a predominance of patients over 30 years old, multiparous, and pregnancy to term. The indications for operation were uterine rupture (41.2%), placenta accreta (19%), uterine inertia (14.3%), septicemia (12.7%), broad ligament hematoma (4.8%), uterine fibroids (4.8%), and severe chorioamnionitis (3.2%). The type of hysterectomy, type of anesthesia, operative time, and hospital stay were discussed. The complications that arose were multiple, the most frequent hypovolemic shock, severe anemia, and infection of the surgical wound. 3 patients died from hypovolemic shock and septic shock 2.

From 1965 to 1990 are studied 33 cases of ovarian embryonary cancer at Belen and Regional hospitals of Trujillo, with the purpose of the find its frecuency and complications. These tumors represented the 17,6% of all malignant ovarian neoplasms, and the more frequent was the dysgerminoma (16 cases). There was more frequency in patients below 30 years old (29 cases), with pain and abdominal tumor (33 cases) and whose evolution were less than 7 months. By the other hand, 23 were in "stages III and V". All patients were operated except one woman who get death the day that was admitted at the hospital. Anemia were present in 15 cases and one of them had colonic perforation. Twenty five patients were translated to the Neoplasic Disease National Institute, 6 didn't return for their control, and 2 died because of the illness.