Anatomía y tratamiento del prolapso pélvico

Interno Nicolás Avilés E. VII Medicina Sede Centro

Consideraciones Anatómicas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Consideraciones Anatómicas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ginecología Quirúrgica. Thompson J.D: Editorial Médica Panamericana. Séptima Edición. 1993. p. 758

Consideraciones Anatómicas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 1992;166:1717-28

Consideraciones Anatómicas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Niveles de Delancey de suspensión vaginal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 1992;166:1717-28

Prolapso de Órgano Pélvico (POP) ,[object Object],[object Object],[object Object],[object Object]

Introducción ,[object Object],[object Object],[object Object],Rev. chil. obstet. ginecol. v.71 n.1 Santiago 2006 BJOG 2001; 108(6): 629-33. Am J Obstet Gynecol 2003; 189(5): 1245-50

Etiopatogenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Obstet Gynecol 1998;91:364-68 Obstet Gynecol 2004;103:31-40 European Journal of Obstetric,Gynecology & Reproductive Biology. 1993;50:83-85 Am J Obstet Gynecol 2003;189:102112 Wong M.Y, et all. Collagen content of nonsupport tissue in pelvic organ prolapse and stress urinary incontinence. 189 2003;1600 Ver Notas

Clínica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 2001 Dec; 185(6): 1332-7 Am J Obstet Gynecol 2003;189:372-79

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clínica Am J Obstet Gynecol 2001 Dec; 185(6): 1332-7 J Urol. 2005 May; 173(5): 1669-72

Examen Físico ,[object Object],[object Object],[object Object],[object Object],Clin Obstet Gynecol 1993 Dec; 36(4): 939-51 Ver Notas

[object Object],[object Object],[object Object],[object Object],[object Object],Examen Físico Clin Obstet Gynecol 1993 Dec; 36(4): 939-51

POP-Q ,[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 1996;175:10-17 Ver Notas

Grado de Prolapso Am J Obstet Gynecol 1996 Jul; 175(1): 10-7

Diagnóstico Diferencial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Profilaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],Ver Notas

Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento Médico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cochrane Database Syst Rev. 2006 Jan 25; (1): CD005654

Tratamiento Médico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],J Reprod Med. 2001 Mar; 46(3): 205-8

Tratamiento Quirúrgico ,[object Object],[object Object],[object Object],[object Object]

Prolapsos de C. Anterior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 1996;175:1418-22 Ver Notas

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prolapsos de C. Anterior Nicita Giulio, The Journal of Urology 1998;160:741-45 Migliari R, The Journal of Urology 1999;161:1255-58 Sand P, Am J Obstet Gynecol 2001;184:1357-64 DeLancey,Am J Obstet Gynecol 2002;187:93-98

Prolapsos de C. Medio ,[object Object],[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 1999;181:6-11 Obstet Gynecol 1998;92:281-85 Am J Obstet Gynecol 1994;171:1518-28 Obstetrical and Gynecological Survey 2001;56:82-83 Ver Notas

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prolapsos de C. Medio Am J Obstet Gynecol 2003;189:121-26 Cruiskshank S, Am J Obstet Gynecol 1996;174:1863-72

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prolapsos de C. Medio Cruiskshank S, Am J Obstet Gynecol 1996;174:1863-72 Jenkins V, Am J Obstet Gynecol 1997;177:44-47 Shull B, Am J Obstet Gynecol 2000;183:1365-74 Barranger E, Am J Obstet Gynecol 2003;189:1245-50 Cundiff, Am J Obstet Gynecol 1997;177:55

Prolapsos de C. Posterior ,[object Object],[object Object],[object Object],[object Object],[object Object],DeLancey J.O, Am J Obstet Gynecol 1999;180:815-23 Baessler K., Am J Obstet Gynecol 2000;182:540-44

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prolapsos de C. Posterior Porter W., Am J Obstet Gynecol 1999;181:1353-58 Kenton K., Am J Obstet Gynecol 1999;181:1360-63

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prolapsos de C. Posterior Te Linde, Editorial Panamericana, 7ª edición, pag 644 y 787

Anatomía y tratamiento del prolapso pélvico

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Anatomía y tratamiento del prolapso pélvico