Viability of laparoscopic hysterectomy has been ascertained since Reich’s original publication. There exists though considerable debate in relation to indications. Laparoscopic hysterectomy’s objective is to reduce frequency of abdominal hysterectomy in order to decrease abdominal wall complications, less pain, faster recovery, return to work in one week. When laparoscopic hysterectomy is indicated, type of surgery is the result of various factors’ analysis like uterine size and motility, vaginal access and surgeon experience with each hysterectomy modality susceptible to laparoscopy. Encouraging results should not make us forget that it is a major complex technique that implies more training and experience and its performance should be reserved to surgeons who have developed necessary ability in complex laparoscopic procedures.

Surgical hysteroscopy represent is a good option for resection of submucous myomas because it is simple, needs short operative time and no hospitalization, has minimal complications and preserves fertility and the possibility of vaginal delivery. We describe our first four cases with surgical hysterocopy.

The is a critical study on indications, complications and results of vaginal hysterectomy assisted by laparascopy, technique that is being introduced in our country, resulting in small wounds and  decrease of both hospitalizations days and postoperative pain.

Viability of laparoscopic hysterectomy has been ascertained since Reich’s original publication. There exists though considerable debate in relation to indications. Laparoscopic hysterectomy’s objective is to reduce frequency of abdominal hysterectomy in order to decrease abdominal wall complications, less pain, faster recovery, return to work in one week. When laparoscopic hysterectomy is indicated, type of surgery is the result of various factors’ analysis like uterine size and motility, vaginal access and surgeon experience with each hysterectomy modality susceptible to laparoscopy. Encouraging results should not make us forget that it is a major complex technique that implies more training and experience and its performance should be reserved to surgeons who have developed necessary ability in complex laparoscopic procedures.

La presente investigación tuvo como finalidad analizar la calidad y satisfacción en la atención a usuarios que acudieron a la Farmacia de consulta externa en el Hospital Reátegui Delgado, Piura 2018. El método de la investigación fue descriptivo, no experimental de corte transversal, el instrumento empleado fue la "Encuesta SERVQUAL modificada (MINSA - Perú 2011)"; la muestra la constituyeron 1828 personas adultas. En los resultados se evidencia un 94% en la P3 de fiabilidad, 75.79% en la P7 de capacidad de respuesta, 82.63% en la P10 de seguridad, 71.05% en la P14 de empatía, 68.42% en la P22 en aspectos intangibles. Se concluye que existe insatisfacción de los usuarios (94%); con respecto a la duración de la atención lo cual es un punto en proceso observándose un 47,47 % de satisfacción para llegar a ser oportuno y eficaz; poca práctica del respeto, amabilidad y paciencia...

We found satisfactory results with homologous intrauterine insemination at Arzobispo Loayza Nationa Hospital Fertility Service. Ovulation induction wit clomiphene citrate apparently contributes to improve success. We could not obtain good results wit astenozoopermia with this technique, but heterologous intrauterine insemination used in azoospermia had better success.

AIDS and pregnancy - Epidemiology, obstetrical aspects, neonatal aspects.

We found satisfactory results with homologous intrauterine insemination at Arzobispo Loayza Nationa Hospital Fertility Service. Ovulation induction wit clomiphene citrate apparently contributes to improve success. We could not obtain good results wit astenozoopermia with this technique, but heterologous intrauterine insemination used in azoospermia had better success.

Introduction: Freezing-unfreezing procedures are essential when hyperestimulation is followed by embryo overproduction; they lower costs and increase pregnancy rates per aspiration. Objectives: To present our experience with embryo freezing-unfreezing. Setting: Assisted Reproduction Medical Service and Laboratory, Clinica Ricardo Palma. Design: Clinical retrospective study. Biologic material: Embryos obtained by assisted fertilization. Interventions: Controlled ovarian hyperestimulation with short luteal phase, ova capture at 36 hours post hCG administration, classical in vitro fertilization or ICSI-transport, classical processes of embryo cryopreservation and unfreezing. Main outcome measures: Embryo survival in freezing-unfreezing process. Results: We started our study in October 2003. Number of cycles with frozen embryos during this period was 154; from these we unfroze only 58. Pregn...

Introduction: Freezing-unfreezing procedures are essential when hyperestimulation is followed by embryo overproduction; they lower costs and increase pregnancy rates per aspiration. Objectives: To present our experience with embryo freezing-unfreezing. Setting: Assisted Reproduction Medical Service and Laboratory, Clinica Ricardo Palma. Design: Clinical retrospective study. Biologic material: Embryos obtained by assisted fertilization. Interventions: Controlled ovarian hyperestimulation with short luteal phase, ova capture at 36 hours post hCG administration, classical in vitro fertilization or ICSI-transport, classical processes of embryo cryopreservation and unfreezing. Main outcome measures: Embryo survival in freezing-unfreezing process. Results: We started our study in October 2003. Number of cycles with frozen embryos during this period was 154; from these we unfroze only 58. Pregn...