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Federación Mexicana de Ginecología y Obstetricia, A.C.

2016, Número 01

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Ginecol Obstet Mex 2016; 84 (01)


Cuál es el verdadero papel de la cirugía en la infertilidad asociada con endometriosis

Rodríguez-Purata J, Cervantes E, Luna M, Sandler B

Idioma: Español
Referencias bibliográficas: 44
Paginas: 37-45
Archivo PDF: 1890.27 Kb.


RESUMEN

Antecedentes: desde la primera publicación acerca de la endometriosis hace más de 150 años por von Rokitansky se generó una gran incertidumbre en relación con los diversos aspectos clínicos, moleculares y sociales de la enfermedad, situación que la convirtió en uno de los padecimientos más desafiantes para los ginecólogos. Los principales problemas han sido: el dolor pélvico, la dismenorrea y la infertilidad, sobre todo por su difícil diagnóstico, además de que las estrategias de tratamiento son hasta cierto punto limitadas. Se ha publicado una gran cantidad de artículos relacionados con las dificultades de la mujer con deseo reproductivo y sus opciones de tratamiento.
Objetivo: revisar la evidencia científica actual y lograr el convencimiento de los médicos de primer contacto que tratan pacientes con infertilidad asociada con endometriosis del abordaje menos invasivo, y que la cirugía es, incluso, potencialmente perjudicial en muchos de los casos.


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