Objetivo: Describir la técnica quirúrgica y los resultados de la cura simultánea del cistocele e incontinencia urinaria de esfuerzo (IUE) utilizando una monoprótesis de polipropileno monofilamento macroporosa, basado en el "Nazca TC POP Repair System". Material y Métodos: Estudio retrospectivo, descriptivo de tipo serie de casos. Se recolectaron los datos de 69 pacientes intervenidas en dos centros, uno público y otro privado, entre mayo 2007 y abril 2008 en Lima-Perú. Se recopilaron los datos de 56 pacientes hasta los tres meses post cirugía. Resultados: Las complicaciones más importantes fueron extrusión de malla en 4/69 (6%). recidiva del prolapso en 1/56 (2%). persistencia de la IUE 1/56 (2%). retención urinaria 11/69 (16%), infección urinaria en 16/69 (23%), infección de la cúpul...

Objectives: To describe our experience in surgical repair of cystocele and urinary stress incontinence (SUI) using a synthetic monofilament monoprothesis. Design: Retrospective, descriptive, series of cases study. Setting: Gynecology service, Hospital Nacional Cayetano Heredia. Participants: Women who underwent the surgical technique. Interventions: We had 44 patients operated of anterior colpopexy and urethral suspension with monoprothesis mesh (Atrium, Prolene), similar to the NazcaTC mesh, in order to repair cystocele and SUI, between May 2007 and April 2008. Main outcome measures: Cure and complications. Results: By Baden Walter and POP-Q scores, three months after cystocele surgery cure rate was 28/31 (91%) with patient satisfaction in 31/33 (94%). For SUI, cure was found in 27/33 (82%) and improvement in 5/33(15%). The most important complications were urinary tract infection 10/44...

Objectives: To describe the experience with polypropylene monoprothesis use for anterior vaginal wall prolapse repair with or without urinary incontinence. Design: Retrospective, longitudinal, series of cases study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Patients operated for anterior vaginal wall prolapse. Interventions: All 44 patients operated of anterior vaginal wall prolapse during 2008 consulted for sensation of vaginal bulk and 93,2% for loss of urine. Pelvic organ prolapse quantification (POPQ) determined 93,2% corresponded to III and IV degrees. Main outcome measures: Vaginal prolapse and stress urinary incontinence cure. Results: All 44 patients had surgical treatment of anterior vaginal prolapse with polypropylene mesh and placement of intravaginal posterior sling, 19 (43,2%) with uterine preservation and 25 (56,8%) with vaginal hysterectomy. Im...

Objectives: To describe the experience with polypropylene monoprothesis use for anterior vaginal wall prolapse repair with or without urinary incontinence. Design: Retrospective, longitudinal, series of cases study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Patients operated for anterior vaginal wall prolapse. Interventions: All 44 patients operated of anterior vaginal wall prolapse during 2008 consulted for sensation of vaginal bulk and 93,2% for loss of urine. Pelvic organ prolapse quantification (POPQ) determined 93,2% corresponded to III and IV degrees. Main outcome measures: Vaginal prolapse and stress urinary incontinence cure. Results: All 44 patients had surgical treatment of anterior vaginal prolapse with polypropylene mesh and placement of intravaginal posterior sling, 19 (43,2%) with uterine preservation and 25 (56,8%) with vaginal hysterectomy. Im...

Objectives: To describe our experience in surgical repair of cystocele and urinary stress incontinence (SUI) using a synthetic monofilament monoprothesis. Design: Retrospective, descriptive, series of cases study. Setting: Gynecology service, Hospital Nacional Cayetano Heredia. Participants: Women who underwent the surgical technique. Interventions: We had 44 patients operated of anterior colpopexy and urethral suspension with monoprothesis mesh (Atrium, Prolene), similar to the NazcaTC mesh, in order to repair cystocele and SUI, between May 2007 and April 2008. Main outcome measures: Cure and complications. Results: By Baden Walter and POP-Q scores, three months after cystocele surgery cure rate was 28/31 (91%) with patient satisfaction in 31/33 (94%). For SUI, cure was found in 27/33 (82%) and improvement in 5/33(15%). The most important complications were urinary tract infection 10/44...

OBJECTIVE: To understand the benefits of implementing a new surgical technique to marginal hysterectomy. DESIGN: Cross-sectional study. PLACE: Cayetano Heredia National Hospital. MATERIALS AND METHODS: Patients implanted with the surgical technique of vaginal hysterectomy amended by Pelosi, between June 1998 and May 2001. RESULTS: Eighty-seven percent of interventions was conducted by the resident. The average time of surgery was 122 minutes. A womb of up to 18 cm was extracted. There were no intraoperative complications and postoperative complications were urinary tract infection (13%) and infection dome (8.7%). In the histopathological analysis, the most common finding was chronic cervicitis (35%). CONCLUSIONS: vaginal hysterectomy by Pelosi modified technique is a safe procedure that shows in our environment similar to those reported in the literature benefits.

OBJECTIVE: To understand the benefits of implementing a new surgical technique to marginal hysterectomy. DESIGN: Cross-sectional study. PLACE: Cayetano Heredia National Hospital. MATERIALS AND METHODS: Patients implanted with the surgical technique of vaginal hysterectomy amended by Pelosi, between June 1998 and May 2001. RESULTS: Eighty-seven percent of interventions was conducted by the resident. The average time of surgery was 122 minutes. A womb of up to 18 cm was extracted. There were no intraoperative complications and postoperative complications were urinary tract infection (13%) and infection dome (8.7%). In the histopathological analysis, the most common finding was chronic cervicitis (35%). CONCLUSIONS: vaginal hysterectomy by Pelosi modified technique is a safe procedure that shows in our environment similar to those reported in the literature benefits.

The discipline of care is the expression of the affective, accredited and competent work that the nursing professional carries out in the interaction with the person, according to their temporality and in different contexts where they develop or where they seek their health; When providing care, the person is conceived as the essential unit of the body that allows it to mediate between nature, culture and spirit, as a unique, inseparable and particular being; Consequently, it is alluded that the task of caring is infused by philosophy, because it involves the analysis of the purpose of human life, the nature of being and reality, the values ​​present in care and intellectual discernment for well-being. of the person. To advocate this idea, the approach is made to some philosophers whose referents have discussed research in the discipline of care, such as Edmund Husserl, Martin Heideg...