Biomedical subjects

G Rojas Poceros

Publications and source records attributed to G Rojas Poceros.

5 recordsLinked to original sources

PubMed1998

[Gynecologic laparoscopy at the ABC Hospital. Analysis of 882 cases].

The objective was to evaluate the indications and clinical evolution of patients treated with laparoscopy. Eight hundred eighty two women undergoing conventional laparoscopy for gynecological pathology, patients were not preselected, preoperative and postoperative data were registered retrospectively. Main indications to perform laparoscopy were dismenorrhea and infertility. Endometriosis and pelvic adhesions were the most frequent findings detected in the study subjects. Endoscopic treatment resulted in minimal complications and short postoperative stay. As conclusion classic laparoscopy is a safe and efficacious technique for treatment gynecological pathology.

Adolescent↗

PubMed1996

[HELLP syndrome. Critical state. Current concepts].

The HELLP syndrome is an English acronym, for describing patients with Pregnancy Induced Hypertension (PIH), who also has hemolysis, elevated hepatic enzymes and low platelets, its presence is associated with a frequency of maternal mortality from 5 to 25% and when it is associated with hepatic rupture it increases to 35% and a perinatal one from 30 to 60%. It is present in 2 to 12% among women with PIH. Its etiology has not been elucidated completely, the base of its pathophysiology is an unbalance in prostanoid metabolism which conduces to generalize vasopasm with the subsequent endothelial damage and platelets activation. Sibaí describes the diagnostic parameters of the syndrome. Its initial treatment is the hemodinamic stabilization of the maternal status and the evaluation of fetal well-being for decide whether immediate delivery is indicated. HELLP appears in the puerperium in 30% of the cases. There are both maternal and perinatal severe complications, and a recurrence risk of a 4 to 27%. We emphasize the importance of early detection of the syndrome which improves maternal-fetal prognosis.

Female↗

PubMed1995

[Endometriosis. Analysis of laparoscopic findings at the A.B.C. (American-British Cowdray) Hospital].

Endometriosis approximately affects 10 to 15% of premenopausic women. Diagnosis mainly is made by laparoscopy. We revised all the laparoscopies which were made in labor service at the American British Cowdray Hospital from July 1st 1989 to June 30th 1994 in order to evaluate the incidence of endometriosis in the institution. They were made from 882 laparoscopies done, in 447 cases (50.68%) endometriosis was the main finding, this was similar to the reports published by other authors. The group of age mainly affected was from 20 to 29 years-old. Sterility was found in 53% of these patients, slightly above the results in other series. The 85% of the cases were in hospital for less than 24 hours. Complications were in 7% of them, none required a laparotomy, however.

Adnexal Diseases↗

PubMed1995

[Ehlers-Danlos syndrome in pregnancy. Report of a case and review of the literature].

The Ehlers Danlos Syndrome is a hereditary alteration of connective tissue, characterized by hyperelastic joints, tissues, and skin. The papers about the obstetric and gynecological aspects of Ehlers Danlos syndrome is mostly anecdotical and much has not originated from obstetricians and gynecologists. The complications are important for the feto-material binomial. The case presented here is related with a 39.1 of gestation associated with Ehlers Danlos syndrome, and a description of antenatal period, labor and delivery is done. Literature revision and possible relation with obstetrical care and pregnancy resolution in commented.

Adult↗

PubMed1994

[Perinatal impact of multiple pregnancy at the ABC Hospital].

Multiple pregnancy is a special event that requires a particular care because of maternal morbi-mortality, as well as fetal one, which is increased. The incidence of this event at the ABC Hospital is similar to what is reported in the literature; there is maternal morbidity and fetal morbi-mortality very low, mainly in products older than 32 weeks of gestation. Early diagnosis as well as the adequate prenatal control and pregnancy resolution by cesarean section, diminish maternal and fetal complications. Neonatal Care Unit is necessary for a better product surveillance.

Adolescent↗