LEGRADO UTERINO INSTRUMENTAL PDF

adriana ruiz de leon. Updated 14 February Transcript. Técnica de Legrado Uterino Instrumentado. Choose a template. Pitch – FinancePitch. How is Legrado Uterino Instrumental abbreviated? LUI stands for Legrado Uterino Instrumental. LUI is defined as Legrado Uterino Instrumental rarely. Request PDF on ResearchGate | Anestesia intracervical para la realización del legrado uterino instrumental | Objetive We performed an open, prospective.

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It seeks to promote medical-scientific writing and thereby support research and creativity in Medicine.

LUI – Legrado Uterino Instrumental | AcronymAttic

The journal aims as well to support the medical-biological sciences related to health as to have a space for history, philosophy and ethics. Medical writing without relation to science is promoted: Surgical treatment is the treatment of choice for the management intrumental incomplete abortion.

Uterine curettage is a procedure widely used; manual vacuum aspiration is another safe therapeutic option. Long-term complications of these methods are intrauterine adhesions and intsrumental. This has been linked to abnormal uterine bleeding, and probably is the most frequent indication for a hysterectomy. Objective of this study is to determine if there is a relationship between surgical methods of treatment for incomplete abortion and the prevalence of adenomyosis in patients subject to a hysterectomy.

This is a retrospective, comparative cohort study. We reviewed medical records of patients who underwent a hysterectomy between and We evaluated age at the time of hysterectomy, preoperative diagnosis, number of pregnancies, cesarean sections, abortions, curettage and uterine evacuation by manual vacuum aspiration. Pathology reports were reviewed to document adenomyosis.

Statistical analysis was made with chi square. From patients who underwent a hysterectomy, we included patients with incomplete abortions history.

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Uterine curettage was performed in patients, manual vacuum aspiration in 92, and both procedures in No differences were found in pre-operatory diagnoses, age, births, cesarean sections and abortions. We found adenomyosis in Manual vacuum aspiration is associated with less trauma of the uterine cavity than uterine curettage for the management of incomplete abortion. We utetino manual vacuum aspiration as the method of choice for the management of incomplete abortion.

El presente es un estudio retrospectivo, comparativo de cohortes. La prevalencia de adenomiosis fue de Spontaneous abortion is defined as spontaneous termination of pregnancy before the 20 th week, counted from the first day of the last menstrual period, or an infant born with a birth weight less than g. Treatment of spontaneous abortion may be medical, surgical or expectant. Both options have been linked to a lower rate of complications.

Unfortunately, not all patients have access to these resources. It consists in removing the contents of the uterus mechanically with sharp devices. This procedure is performed under general or regional anesthesia. Manual vacuum aspiration MVA is a safe option for insrrumental treatment of incomplete abortion. The reasons for this attitude include lack of knowledge leggado the technique, lack of appropriate equipment, and distrust in the effectiveness of the procedure.

One complication, often associated with surgical management of incomplete abortion, is the formation of intrauterine adhesions.

These are linked to damage of the basement membrane of the endometrium in a pregnant uterus, just when it is more vulnerable. Even without a universally accepted clinical picture, adenomyosis has been linked to, among other symptoms, with a high incidence of abnormal uterine bleeding. The objective of this study is to determine if there is a relationship between surgical methods of treatment of incomplete abortion instrumental uterine curettage and manual vacuum aspiration and the prevalence of adenomyosis in patients subjected to a hysterectomy for benign disease.

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This is a retrospective, comparative cohort study; conducted at the ” Dr. With prior approval of the Ethics Committee of our institution, we reviewed medical records of patients who underwent a hysterectomy between January and December Patients were contacted by telephone, instrumemtal or telegram to request their consent to participate in uteerino study.

We evaluated age at the time of the hysterectomy, preoperative diagnosis, and number of pregnancies, cesarean sections, abortions, curettage and uterine evacuation by manual vacuum aspiration. Finally, the pathology report was revised to document adenomyosis. Statistical analysis was performed using chi square test. We reviewed instrumentzl records of patients who underwent hysterectomy during the period between January and December We detected patients with a history of uterine curettage, manual vacuum aspiration or both procedures.

The most common preoperative diagnoses for hysterectomy were abnormal uterine bleeding, uterine myoma and pelvic relaxation. The average age of patients was The number of pregnancies in the overall group was, on average, 3. The number of births was in average 2. The number of caesarean sections was 0. Uterine curettage was performed in patients; manual vacuum aspiration in 92 patients, and in 17 patients both procedures had been made. The preoperative insstrumental when patients instruemntal scheduled for hysterectomy were similar regardless of a history of uterine lgrado, manual vacuum aspiration or both procedures.

These preoperative diagnoses were in patients with history of uterine curettage: Instrumentak, in patients with a history of manual vacuum aspiration the most frequent diagnoses were: Other less frequent preoperative diagnoses were: The frequency of these diagnoses was similar regardless of the procedure performed.

Upon comparing the results for age, number of pregnancies, births, caesarean sections and abortions in inatrumental with a history of uterine curettage, manual vacuum aspirations or both procedures, utefino statistically significant differences were found.

The ,egrado are shown in Table The prevalence of adenomyosis in patients with history of uterine curettage was On uferino other hand, in patients with history of manual vacuum aspiration the adenomyosis prevalence was 4. The prevalence of adenomyosis in patients with history of both procedures was 5. Adenomyosis is a benign condition that is defined as the presence of endometrial glands and stroma in the thickness of the myometrium. Many aspects of this disease are still controversial.

However, it has been accepted than adenomyosis occurs due to the rupture of the basement membrane of the endometrium, producing an invasion of endometrial glands and stroma towards the interior of the myometrium. A related factor associated with the development of adenomyosis is uterine trauma. It is important to note that in the study we found that the prevalence of adenomyosis was three times greater in patients who underwent uterine curettage when compared with patients who underwent manual vacuum aspiration for treatment of incomplete abortion.

Increased uterine trauma, caused by sharp instruments used during uterine curettage, could probably be responsible for the increase in the prevalence of adenomyosis in these patients.

Legrado uterino instrumental | EndlessVideo

In this sense, manual vacuum aspiration has been described as a safe, effective and low cost strategy for incomplete abortion treatment. Manual vacuum aspiration can be made on an outpatient basis, with a lower rate of complications during the procedure than uterine curettage and with a lower rate of long-term complications. This last is transcendental, the resulting aftermath of therapeutic strategies for the management of incomplete abortion include the formation of intrauterine adhesions 2 and the development of adenomyosis.

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In conclusion, with these results we can say that the use of manual vacuum aspiration is associated with less trauma of the uterine cavity than uterine curettage for the management of incomplete abortion.

Thus, it can be associated with a lower number of long-term complications. Also considering the previously described benefits of this technique, we can recommend manual vacuum aspiration as the method of choice for management of incomplete abortions. Inicio Medicina Universitaria Treatment for incomplete abortion with manual vacuum uterlno is related with Previous article Next article. April Pages Treatment for incomplete abortion with manual vacuum aspiration is related with lower prevalence of adenomyosis in women who underwent a hysterectomy.

Facultad de Medicina y Hospital Universitario Dr. This item has received. Patients who underwent surgical treatment for incomplete abortion. Results are on average. Adenomyosis prevalence and incomplete abortions management.

Show more Show less. Objective of this study is to determine if there is a relationship between surgical methods of treatment for incomplete abortion and the prevalence of adenomyosis in patients subject to a hysterectomy. Statistical analysis was made with chi square. We recommend manual vacuum aspiration as the method of choice for the management of incomplete abortion. Uterine curettage, manual vacuum aspiration, adenomyosis, Mexico. Introduction Spontaneous abortion is defined as spontaneous termination of pregnancy before the 20 th week, counted from the first day of the last menstrual period, or an infant born with a birth weight less than g.

Unfortunately, not all instrumenral have access to these resources. The objective of this study is to determine if there is a relationship between surgical methods of treatment of incomplete abortion instrumental uterine curettage and manual vacuum aspiration and the prevalence of adenomyosis in patients subjected to a hysterectomy for unstrumental disease.

Material and methods This is a retrospective, comparative cohort study; conducted at the ” Dr. Patients were contacted by telephone, e-mail or telegram to request their consent to participate in instrumetnal study. Finally, the pathology report was revised to document adenomyosis. Results We reviewed medical records of patients who utrrino hysterectomy during the period between January and December Uterine curettage was performed in patients; manual vacuum aspiration in 92 patients, and in 17 patients both procedures had been made.

The frequency of these diagnoses was similar regardless of the procedure performed. The results are shown in Table 1. Expectant versus surgical treatment for miscarriage Review.

Technical and managerial guidelines for prevention and treatment. Surgical procedures to evacuate incomplete miscarriage.

Does dilation and curettage versus expectant management for spontaneous abortion in patients undergoing in vitro fertilization affect subsequent endometrial development? Early pregnancy failure current management concepts. Subscribe to our Newsletter.

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