Biomedical subjects

J Sánchez Contreras

Publications and source records attributed to J Sánchez Contreras.

16 recordsLinked to original sources

PubMed2000

[Conservative treatment of interstitial ectopic pregnancy and endometriosis with laparoscopic methotrexate and potassium chloride and complementary management with nasal nafarelin. Report of a case and review of the literature].

A case of a 30 year-old patient is presented with infertility, 56 days opsomenorrhea, cervical tenderness, left adnexial mass, beta subunit of Human Gonadotrophin Corionic (HGC) of 112 mUl/mL, endovaginal ultrasonogram showed trophoblastic vascular flow with cardiac output, suggestive of ectopic gestation. Laparoscopy confirmed the diagnostic of left ectopic interstitial pregnancy, salpingocentesis was done with Methotrexate and potassium chloride and severe endometriosis was found. The postoperative control with seric levels of beta subunit HGC were negativized at 28 days. The treatment lasted 4 months with Nafarelin. The second look Hysteroscopy-Laparoscopy showed complete resolution of ectopic gestation, endometriosis improvement and bilateral tubal permeability.

Adult↗

PubMed1992

[Presence of inhibitors of activated partial thromboplastin time (TTPA). Clinical repercussion in obstetric patients].

Partial thromboplastin time, activated with kaolin (TTPA) is a qualitative test used to find defects of some factor of intrinsic via of coagulation or to rule out the presence of some circulating inhibitor. The lupus anticoagulant (LA) is part of a group of several auto-antibody with pathogenic potential in several branches of medicine, mainly rheumatology, hematology and gyneco-obstetrics. In this last area the LA has been associated with different obstetrical repercussions. The purpose of this study was to determine the main obstetrical events associated with patients with circulating anticoagulants identified by TTPA with kaolin. Ninety six patients were included in cases-control study. Group I (n = 48) cases and Group II (n = 48) controls, were selected from the same population and information source. The cases were included when presenting prolongation of more than 4 seconds of TTPA activated with kaolin regarding a control with lack of correction with normal plasma. A registration sheet for data captation, was designed specially for this study. The comparability of both groups was established, as there were no differences (significant) among the variable considered as basal. The group of cases presented with a greater frequency of habitual abortion, neonatal death and thrombotic phenomena. This relationship of autoimmunological pictures with recurrent fetal loss and thromboembolic incidents has been consistently described in literature. To this respect, several immunological abnormalities. Including positive anticardiolipin antibodies and VDRL falsely positive. The incidence, in this country of these entities, is unknown. These observations show the need of a methodologic superation.(ABSTRACT TRUNCATED AT 250 WORDS)

Abortion, Habitual↗

PubMed1989

[Evaluation of the Espinosa Flores' operation of isthmo-cervical insufficiency].

An analysis of the results obtained in 66 patients with Espinosa Flores' operation for isthmo-cervical insufficiency, operated upon at La Raza Hospital, IMSS, was carried out. The study period was from January 1st to December 31, 1988. Gestational age and pregnancy evaluation were studied. The operation was done at 15.8 weeks of gestation, in average; the cerclage procedure was used as a second choice in 12 patients (18.1%) by slipping the tape: in two patients it was repeated in three different moments, which represents 21% of failure. There were a total of 17 cases of premature rupture of membranes, which represents 21.7%. Pregnancy was solved by delivery in 33 patients (50%), and by cesarean section in 25 cases (37.8%). There were a total of 8 abortions, and the total amount of alive products being discharged from the hospital, was 48 (72.7%).

Female↗

PubMed1984