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Copyright of Universidad Médica Pinareña is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The case report of a 27 years patient with 17.2 weeks of pregnancy is presented, who was in the Gynecology service follow up of Mariana Grajales Coello Gynecoobstetric Provincial Hospital in Santiago de Cuba presenting a symptomatic uterine myoma with acute abdominal pain due to a necrobiosis, which forced an urgent surgical solution. The pregnant woman had a favorable clinical course and a cesarean section was carried out at the 39 weeks of pregnancy without maternal-fetal complications. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To present a case of parasitic leiomyomatosis occurring after laparoscopic myomectomy, and a review of the literature on the histopathology, pathophysiology, diagnosis, and treatment of this condition. Materials and methods: 30 year-old female patient with a history of laparoscopic myomectomy who presented to Clínica las Américas (Medellín, Colombia), a private healthcare centre, complaining of uterine bleeding lasting one month. The presence of leiomyomas was document on ultrasound. The patient was taken again to laparoscopy and four parasitic leiomyomas were found in the pelvic cavity. A search was conducted in the Medline databases through PubMed and SciELO using the MeSH terms "leiomyomatosis, parasitic", "myomectomy", "laparoscopic", "myoma", and the DeCS terms "myoma", "parasite leiomyomatosis", "myomectomy" and "laparoscopy". Results: Overall, 12 articles were selected, including 10 case reports, 1 case series and 1 narrative review of the literature. Conclusion: Parasitic leiomyomatosis is an event found most frequently at the present time after laparoscopic myomectomy, and may require surgical management. [ABSTRACT FROM AUTHOR]

Objective: To present a surgical technique for excising large submucosal fibroids using histeroscopy. Materials and methods: We report the case of a patient with two large submucosal fibroids with intramyometrial component, undergoing hysteroscopic myomectomy at Clínica SOMA, a high-complexity institution in Medellin, Colombia. We present a hysteroscopic myomectomy technique using the resectoscope for tumor volume reduction, and the use of a dissection technique that allows to create an adequate cleavage plane for complete tumor removal. Conclusion: A technique combining the use of resectoscopy with fibroid enucleation would allow to resect large tumors with shorter operating time, lower glycine use and, consequently, a lower risk of f luid toxicity and perforations. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Obstetricia y Ginecología is the property of Revista Chilena de Obstetricia y Ginecologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Obstetricia y Ginecología is the property of Revista Chilena de Obstetricia y Ginecologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

INTRODUCCIÓN: A partir del año de 2014, posterior a la comunicación de la FDA sobre el riesgo de diseminación de tejido con la técnica de morcelación, las diferentes sociedades recomiendan realizar morcelación de forma contenida. Múltiples opciones se han desarrollado para este fin, sin embargo el costo y poca disponibilidad son una barrera. Nuestro trabajo muestra el uso de una bolsa de morcelación intraperitoneal de bajo costo y fácil acceso en todos los hospitales del país. MATERIALES Y MÉTODOS: Se realizó miomectomía contenida en bolsa por laparoscopia a 6 pacientes, con un promedio de edad de 39 años. Se reseco un número máximo de 3 miomas, con un tamaño promedio de 7,8 cm. Respecto a la clasificación FIGO se resecaron miomas desde tipo 2 hasta tipo 8, incluyendo dos miomas tipo 2-5. Se utilizó una bolsa fabricada en polietileno de baja densidad, material que ha sido utilizado y probado ya en humanos. En todas las pacientes se realizó la morcelación de las piezas quirúrgicas sin complicaciones. Al final de procedimiento se verifico la integridad de la bolsa con marcación de azul de metileno. DISCUSIÓN/RESULTADOS: La cirugía mínimamente invasiva se ha convertido en la técnica quirúrgica de elección para la miomectomía, y con ella la técnica de morcelación para la extracción de las piezas quirúrgicas. Sin embargo por el riesgo de diseminación de enfermedad maligna, se desarrollaron sistemas de aislamiento de las piezas que evitaran la diseminación del tejido. El uso de una bolsa de aislamiento permite crear un ambiente independiente para la morcelación y así evitar los efectos adversos ya mencionados. En la actualidad hay varios sistemas que buscan este objetivo y publicaciones sobre su uso y posible seguridad respecto a la morcelación de los tejidos. Sin embargo el costo de este tipo de dispositivos es una limitante importante al momento de decidir la morcelación contenida, sumado a las diferentes variables encontradas en su uso, como la necesidad de perforación de la bolsa con riesgo de diseminación del tejido que se ha visto según reportes desde el 9,2% hasta un 33%, lo que indica la necesidad de perfeccionar las técnicas utilizadas. La bolsa utilizada por nuestro equipo, genera los beneficios de un sistema aislado para la morcelación, pero a bajo costo, lo que hace que se pueda utilizar en diferentes centros del país. CONCLUSIÓN: La morcelación contenida es una técnica quirúrgica actualmente utilizada y que brinda beneficios en la extracción de los tejidos. El uso de un sistema de aislamiento de bajo costo generaría un impacto en el uso de esta técnica, sin embargo se necesita más estudios en cuanto a protección y resultados a largo plazo. [ABSTRACT FROM AUTHOR]