These two techniques that bear the names of their authors, are the best known of all suprapubic colposuspension techniques that are used more frequently here and elsewhere in the mundo1-5; even the Burch technique has been used in the laparoscópica6,7 surgery. This study aims at comparing both conventional open surgery for assessing the existence of any advantage of one technique over the other in urinary incontinence (SUI).

OBJETIVE: The present work aims at evaluating a way to administrate a drug named tibolone, among a group of patients having it as the unique therapy of hormonal replacement, but who still have some type of uterine bleeding and who are not still having definite menopause. The indication for the use of this drug is the presence of amenorrhea for at least one year. DESIGN: The idea is to administrate a combined hormonal treatment with pills derived from estrogens as well as progesterone in order to reduce to the minimal expression the endometrium, accompanied by an ultrasound assessment. RESULTS: It has been found that fifty percent of the studied patients responded satisfactorily to our therapeutic scheme. CONCLUSION: The fifty percent of the patients who have less than 7mm of endometrium, could use our therapy.

OBJETIVE: To evaluate the results of the administration of tibolone for HRT in perimenopausal uterine bleeding still present. Design: Clinical observational study. MATERIALS AND METHODS: Fifty perimenopausal women with higher serum FSH 40 IU / mL and absence of gynecological pathology, who combined treatment of tibolone and birth control pills administered in order to bring down the endometrium, then prescribe tibolone alone. RESULTS: 50% of the studied patients responded successfully to this therapeutic regimen. CONCLUSION: The therapy combined tibolone and birth control pills can be achieved amenorrhea in a group of perimenopausal women.

Objetive: To determine pyelonephritis incidence in pregnant women and to identify the most frequent microorganisms and their sensitivity to antibiotics. Design: Transversal, observational study. Setting. Arzobispo Loayza Hospital. Results: Pyelonephritis was present in 2,1 % of pregnant women, 58% occurred in the third trimester of gestation; all of them presented fever and pyuria, lumbalgia 92% and positive urine culture 79%; Escherichia coli grew in 87% of positive cultures. Most frequently used antibiotics as initial therapy were gentamycin (54%) and cephalotine (36%). Though, sensitivity was 100% for ceftriaxone, 96% for amikacine, 87% for nitrofurantoin, 83% for gentamycin and only 63% for cephalotine. Most frequent complications were both threatened abortion and threatened premature delivery, but there was only one abortion. Following treatment fever lasted 2 days and hospitalizati...

This case corresponds to the unusual and infrequent one of the most common conditions that warrant acute abdomen surgery presentation. A patient having a history of abortion maneuvers have been conducted eleven days before, presented to emergency with cellulitis on the right side radiating to the back-lumbar region, forming an area of approximately 30 x 15 cm .; not referring other symptoms. Twenty four hours later develop signs of acute abdomen, forty eight hours after an examination under anesthesia and curettage laparotomy was performed; the cause of all this picture: retrocecal perforated appendicitis.

We review the use of laparoscopy in the diagnosis and treatment of acute and chronic pelvic inflammatory disease. Use decision, approach and management will depend on case presentation circumstances, varying from drainage to salpingectomy and histerectomy. We emphasize on pre, intra y post operative care.

OBJETIVE: To establish the relation between the ultrasound determined vaginal dome collection following vaginal hysterectomy and the forthcoming complications. SETTING: Gynecology Service, 5-II Pavillion, Gynecology and Obstetrics Department, Arzobispo Loayza Hospital, a teaching hospital, between August 2001 and March 2002. MATERIAL AND METHODS: Each of 153 patients with elective vaginal hysterectomy had pelvic ultrasound done at the third post-opera tive day. The processed information was analyzed and considered as statistically significant with p < 0,05. RESULTS: Average age was 56 year-o1d and parity 7, respectively. There were 40,5% complications, two thirds of infectious origin main1y due to urinary tract infections secondary to bladder catheter permanence for longer than 72 hours. The other third was related to vaginal dome infection and hematoma. In a few cases there were failur...

Objective: To determine our experience with laparoscopic hysterectomy. Design: Patients from private hospitals, attended from January 1997 to December 1999. Material and Methods: Fifty patients were subjected to laparoscopic hysterectomy, uterine arteries were sectioned and in many cases the cardinal ligaments were partially sectioned as well. The uterus was removed vaginally. Results: Eighteen of them (36%) had previously received estrogen therapy. Average age was 43 year-old, 6 of them (12%) nulliparous, the remainder (88%) had had a previous pregnancy, with an average number of 3,5 gestations. Surgical indications were uterine myomata, benign ovarian cysts, adenomyosis, endometriosis, chronic pelvic pain, dysfunctional uterine bleeding and entero-pelvic adhesions. Anteroposterior colpoperineorraphy was done in 16 patients (32%). Average surgery time was 103 minutes. Uterine weight ave...

We review the use of laparoscopy in the diagnosis and treatment of acute and chronic pelvic inflammatory disease. Use decision, approach and management will depend on case presentation circumstances, varying from drainage to salpingectomy and histerectomy. We emphasize on pre, intra y post operative care.

OBJETIVE: To establish the relation between the ultrasound determined vaginal dome collection following vaginal hysterectomy and the forthcoming complications. SETTING: Gynecology Service, 5-II Pavillion, Gynecology and Obstetrics Department, Arzobispo Loayza Hospital, a teaching hospital, between August 2001 and March 2002. MATERIAL AND METHODS: Each of 153 patients with elective vaginal hysterectomy had pelvic ultrasound done at the third post-opera tive day. The processed information was analyzed and considered as statistically significant with p < 0,05. RESULTS: Average age was 56 year-o1d and parity 7, respectively. There were 40,5% complications, two thirds of infectious origin main1y due to urinary tract infections secondary to bladder catheter permanence for longer than 72 hours. The other third was related to vaginal dome infection and hematoma. In a few cases there were fai...

Objective: To determine our experience with laparoscopic hysterectomy. Design: Patients from private hospitals, attended from January 1997 to December 1999. Material and Methods: Fifty patients were subjected to laparoscopic hysterectomy, uterine arteries were sectioned and in many cases the cardinal ligaments were partially sectioned as well. The uterus was removed vaginally. Results: Eighteen of them (36%) had previously received estrogen therapy. Average age was 43 year-old, 6 of them (12%) nulliparous, the remainder (88%) had had a previous pregnancy, with an average number of 3,5 gestations. Surgical indications were uterine myomata, benign ovarian cysts, adenomyosis, endometriosis, chronic pelvic pain, dysfunctional uterine bleeding and entero-pelvic adhesions. Anteroposterior colpoperineorraphy was done in 16 patients (32%). Average surgery time was 103 minutes. Uterine weight ave...

Objetive: To determine pyelonephritis incidence in pregnant women and to identify the most frequent microorganisms and their sensitivity to antibiotics. Design: Transversal, observational study. Setting. Arzobispo Loayza Hospital. Results: Pyelonephritis was present in 2,1 % of pregnant women, 58% occurred in the third trimester of gestation; all of them presented fever and pyuria, lumbalgia 92% and positive urine culture 79%; Escherichia coli grew in 87% of positive cultures. Most frequently used antibiotics as initial therapy were gentamycin (54%) and cephalotine (36%). Though, sensitivity was 100% for ceftriaxone, 96% for amikacine, 87% for nitrofurantoin, 83% for gentamycin and only 63% for cephalotine. Most frequent complications were both threatened abortion and threatened premature delivery, but there was only one abortion. Following treatment fever lasted 2 days and hospitalizati...

OBJETIVE: The present work aims at evaluating a way to administrate a drug named tibolone, among a group of patients having it as the unique therapy of hormonal replacement, but who still have some type of uterine bleeding and who are not still having definite menopause. The indication for the use of this drug is the presence of amenorrhea for at least one year. DESIGN: The idea is to administrate a combined hormonal treatment with pills derived from estrogens as well as progesterone in order to reduce to the minimal expression the endometrium, accompanied by an ultrasound assessment. RESULTS: It has been found that fifty percent of the studied patients responded satisfactorily to our therapeutic scheme. CONCLUSION: The fifty percent of the patients who have less than 7mm of endometrium, could use our therapy.

OBJETIVE: To evaluate the results of the administration of tibolone for HRT in perimenopausal uterine bleeding still present. Design: Clinical observational study. MATERIALS AND METHODS: Fifty perimenopausal women with higher serum FSH 40 IU / mL and absence of gynecological pathology, who combined treatment of tibolone and birth control pills administered in order to bring down the endometrium, then prescribe tibolone alone. RESULTS: 50% of the studied patients responded successfully to this therapeutic regimen. CONCLUSION: The therapy combined tibolone and birth control pills can be achieved amenorrhea in a group of perimenopausal women.

This case corresponds to the unusual and infrequent one of the most common conditions that warrant acute abdomen surgery presentation. A patient having a history of abortion maneuvers have been conducted eleven days before, presented to emergency with cellulitis on the right side radiating to the back-lumbar region, forming an area of approximately 30 x 15 cm .; not referring other symptoms. Twenty four hours later develop signs of acute abdomen, forty eight hours after an examination under anesthesia and curettage laparotomy was performed; the cause of all this picture: retrocecal perforated appendicitis.

These two techniques that bear the names of their authors, are the best known of all suprapubic colposuspension techniques that are used more frequently here and elsewhere in the mundo1-5; even the Burch technique has been used in the laparoscópica6,7 surgery. This study aims at comparing both conventional open surgery for assessing the existence of any advantage of one technique over the other in urinary incontinence (SUI).

OBJETIVOComparar dos técnicas que se usan en las cirugías donde se utiliza la TOT para regular y dar la tensión adecuada al Sling sub-uretral en la cura de la Incontinencia Urinaria de Esfuerzo femenina: la técnica de la gota de agua y la de la tijera de Metzembaum, para evaluar la morbilidad infecciosa de las vías urinarias y el tiempo desarrollado en ejecutar cada una de ellas.MATERIAL Y MÉTODOEl estudio, se realizó en el Servicio de Ginecología del Hospital Nacional Arzobispo Loayza, entre noviembre del 2009 y setiembre del 2011, aleatoriamente en dos grupos de pacientes: grupo "A", que utilizó la técnica de la gota de agua y el "B", que utilizó la Tijera de Metzembaum, siendo un clásico estudio prospectivo analítico observacional de casos y controles.RESULTADOSLa morbilidad infecciosa fue prácticamente la misma, pero si existió una diferencia sustancial de tiempo opera...

This work was performed at the Fertility Centre of the Archbishop Loayza Hospital, covering 3,600 patients from 1955 to 1977. They selected 1,707 who completed their study.

This work was performed at the Fertility Centre of the Archbishop Loayza Hospital, covering 3,600 patients from 1955 to 1977. They selected 1,707 who completed their study.

Assessment of Female Urinary Incontinence - urodynamic testing, treatment vaginal, abdominal Treatment Alternatives.