The transuterine pelvic phlebography described by Topolanski and Sierra is a radiologic procedure used by the authors for the diagnosis of small and medium uterine tumors in women with a negative gynecological examination and symptomatology of hypogastric pain, dysmenorrea and metrorragies. By this method, whose simplicity is remarked, the diagnosis of localization and size of small and medium uterine tumors was made in 38 cases of a total of 60 women with negative gynecological examination. The early detection of these uterine tumors will permit elective treatment, particularly important in cases of infertility. In this serie did not ocurred any type of accident to lament, a fact wich remarks this is an innocuos test of ambulatory type.

During its 70 years of institutional life, the Peruvian Society of Obstetrics and Gynecology has contributed not only to the development of the specialty, but also of the country’s Public Health, through its Congresses, Symposia, round tables, courses, and The Peruvian Journal of Gynecology and Obstetrics. There were 48 articles related with public health aspects published in the institutional journal only. However, certain topics have been more exposed than others due to their relevance. We will review them in this article.

Editorial

Peruvian health system, with nearly 70 years of institutionality, unable so far to solve the pressing health problems of the country and excludes a quarter of the population of the possibility of access to health services. Furthermore, it allows a fragmentation of the health system in four subsectors: the Ministry of Health, the Ministry of Labour with EsSalud, the Ministry of Defence with the healing of the army, navy and air force and the Ministry of Interior police health . This fragmentation causes duplication of investments, policy conflicts, parallel rectories and inefficient spending in a country where public spending on health is well below the average for the region. What is needed is a major health reform to end the existing institutional fragmentation and, through a universal insurance, allow access of all people to a health system oriented especially disease prevention and re...

Peruvian health system, with nearly 70 years of institutionality, unable so far to solve the pressing health problems of the country and excludes a quarter of the population of the possibility of access to health services. Furthermore, it allows a fragmentation of the health system in four subsectors: the Ministry of Health, the Ministry of Labour with EsSalud, the Ministry of Defence with the healing of the army, navy and air force and the Ministry of Interior police health . This fragmentation causes duplication of investments, policy conflicts, parallel rectories and inefficient spending in a country where public spending on health is well below the average for the region. What is needed is a major health reform to end the existing institutional fragmentation and, through a universal insurance, allow access of all people to a health system oriented especially disease prevention and re...

Editorial

The transuterine pelvic phlebography described by Topolanski and Sierra is a radiologic procedure used by the authors for the diagnosis of small and medium uterine tumors in women with a negative gynecological examination and symptomatology of hypogastric pain, dysmenorrea and metrorragies. By this method, whose simplicity is remarked, the diagnosis of localization and size of small and medium uterine tumors was made in 38 cases of a total of 60 women with negative gynecological examination. The early detection of these uterine tumors will permit elective treatment, particularly important in cases of infertility. In this serie did not ocurred any type of accident to lament, a fact wich remarks this is an innocuos test of ambulatory type.

In the publication of Lorena Campodónico Olcese et al. ‘Management of eutocic delivery in a patient with COVID-19 in Lima, Peru'(1), we read in the case report the following comment on the test results for for COVID-19: "... since there is a percentage of asymptomatic carriers, ... universal screening with both tests is performed at the clinic on all patients admitted for vaginal delivery or C-section. Requesting both tests benefits the diagnosis of patients in whom the molecular RT-PCR test may be unnoticeable by low viral load, which happens about two weeks after the onset of symptoms. On the other hand, IgM and IgG antibodies reach or start their peaks in the second or third week of symptoms onset and decline around the fifth to seventh week." "In the labor room, a rapid blood test (CELLEX SARS-CoV–2 IgG/IgM Rapid Test) and a nasopharyngeal swab molecular test (RT–PCR SARS-CoVâ...