Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids.

Objective: To compare approaches to myomectomy (laparotomic, laparoscopic, and robotic). To show the relationship between the number of fibroids and the reproduction diagnosis.

Methods: Observational, analytical, retrospective, and cross-sectional study; where the surgical approach used, was evaluated in terms of surgical bleeding, time, number and weight of fibroids and reproductive results.

Robotic surgery in gynecology: review of literature.

Background: Robotic surgery carries with it the potential to transform laparoscopic surgery by providing, for the 1 time, instruments with distal ends that mimic the intricate movements of the human hand while at the same time providing the surgeon with a high-definition, three-dimensional view of the operative field.

Objective: To describe the clinical application of robotic surgery in benign gynecological conditions, as well as the components of the Da Vinci Si robotic system, analyzing the advantages and disadvantages of this type of surgical approach that it provides to the patient and in turn to the surgeon.

Method: Review of the literature in PubMed and UpToDate where the keywords of our review were searched.

[Some demographic aspects associated with ectopic pregnancy].

Background: The determination techniques of chorionic gonadotropin and transvaginal high resolution ultrasound have revolutionized the diagnosis of ectopic pregnancy.

Objective: Assess demographic aspects associated with ectopic pregnancy in Hospital Angeles del Pedregal over a 6 years period.

Materials And Methods: Descriptive and retrospective study.

[Persistent ectopic pregnancy. Peritoneal-uterine late implantation. Case report].

We report a case of a 31 years-old female previously treated with laparoscopic salpingectomy due to fimbrial ectopic unruptured pregnancy. After 33 days it was performed a repeated laparoscopy due to persistent b-hCG levels and abdominal pain. During surgical performance there were located three ectopic implantations (one uterine and two peritoneal) of active trophoblastic cells with intermittent bleeding.

[Fetal ovarian cyst. A report of a case].

Fetal ovarian cyst is uncommon; it represents the second place of fetal abdominal tumors, after urinary tract tumors. The cause of fetal ovarian cysts still remains unclear, although it is likely to be promoted by hormones. Its prognosis is usually good.

[Systemic lupus erythematous and pregnancy].

Objective: To determine the obstetrics outcomes of patients with systemic lupus erythematosus and pregnancy.

Materials And Methods: A retrospective, analytic, and descriptive case of study is presented about of the obstetrics outcomes of patients with systemic lupus erythematosus and pregnancy attended in Hospital General de Mexico Obstetrics and Gynecology Service from June, 2000 to February, 2003.

Results: Thirty-six records were reviewed.