SÁINZ BUENO , José Antonio

Objectives The objective of our study was to establish whether the type of levator ani muscle (LAM) avulsion diagnosed 6 months after delivery influences the integrity of the LAM at 1 year after delivery and determine its influence on the levator hiatus area. Study Design This observational prospective cohort study included 192 primiparous...

La torsión anexial durante el embarazo es una entidad muy poco frecuente y casi siempre ocurre en el con texto de una masa anexial. Es importante establecer el diagnóstico mediante ecografía y en caso de duda se recomienda la utilización de laparoscopia diagnóstica para realizar el tratamiento lo más precozmente posible.

Pelvic organ prolapse (POP) of the posterior compartment encompasses various conditions that may have similar clinical presentation, including obstructed defecation and presence of a bulge in the vagina. Management of posterior compartment POP requires accurate diagnosis of the underlying pathology to provide the correct treatment. Currently,...

Introducción: La variante lipomatosa del angiomiofibroblastoma de vulva es un tumor mesenqui mal infrecuente con pocos casos descritos en la literatura. Es un tumor benigno de crecimiento lento cuya importancia reside en su diagnóstico correcto, diferenciándolo del angiomixoma agresivo, ya que tienen un manejo distinto. Caso clínico: Paciente...

Referido al caso iconográfico número 15. Afectación hepática debida a infección fetal congénita por citomegalovirus.

Afectación hepática debida a infección fetal congénita por citomegalovirus.

Introduction: Complete atrioventricular block (CAVB) is rarely seen, as it occurs in only 1:11 000 to 1:20 000 newborns. There is a serious risk of mortality in CAVB, mainly in those cases associated with hydrops, fetal cardiac frequency ≤ 55 beats/minute, and pre mature delivery. Case Report: Case of complete atrioventricular block with a poor...

Objectives: To determine the rate of pelvic floor trauma, levator ani muscle (LAM) avulsion as well as the mean difference in levator hiatus area, after normal vaginal deliveries (NVD) and vacuum assisted deliveries (VD), assessed with three-dimensional transperineal ultrasound (3D-TpUS). Materials and methods: Prospective observational study...

The objective of the study was to evaluate the difference in the stiffness between a healthy cervix (no pre-invasive lesions [NPILs]) and a cervix with a pre-invasive lesion (PIL). In the PIL group, we determined whether there was a difference in stiffness between the cervix with persistent low-grade lesions (>2 y, LSIL-persistent) and that...

Nuestro objetivo era determinar si la influencia de las características clínicopatológicas pueden mejorar la predicción de metástasis en los ganglios linfáticos no centinelas (GLNC) a partir de un punto de corte de copias de ARNm determinado en la biopsia del ganglio linfático centinela (GLC). Métodos: Se realizó un estudio observacional...

Our aim in this study is to evaluate the inter- and intraob server correlation of the different shear-wave elastography (SWE) pa rameters (stiffness) in both control and pathological groups. Methods: Evaluations of cervical stiffness measurements were performed in 39 non-pregnant patients (21 cases without gynecological pathology and other 18...

Background: To design a software-applied predictive model relating patients clinical and pathological traits associated with sentinel lymph-node total tumor load to individually establish the need to perform an axillary lymph-node dissection. Methods: Retrospective observational study including 127 patients with breast cancer in which a...

Objectives: To correlate the identification of fetal head position through digital examination (DE) and transabdominal ultrasound (TAU) prior to vacuum delivery. A secondary objective was to recognize how knowledge of the exact fetal head position affects the placement of the cup. Method: Women in active labor at term with normal singleton...

Purpose: To evaluate stiffness changes occurring in the healthy uterine-cervix according to age, parity, phase of the menstrual-cycle and other factors by shear wave elastography (SWE). Methods: Evaluations of cervical speed and stiffness measurements were performed in 50 non-pregnant patients without gynaecological pathology using SWE...

Background: Complicated operative vaginal deliveries are associated with high neonatal morbidity and maternal trauma, especially if the procedure is unsuccessful and a cesarean delivery is needed. The decision to perform an operative vaginal delivery has traditionally been based on a subjective assessment by digital vaginal examination combined...

Vaginal delivery is one of the most important risk factors for future pelvic floor dysfunction. Although modifiable risk factors for levator ani muscle (LAM) avulsion have been identified, the mechanism by which it is produced has not been described. Different researchers have hypothe sized that the lesion of the LAM could be due to bulging...

The aim of this study was to evaluate the inter- and intraobserver correlation of the different intrapartum-transperineal-ultrasound-parameters(ITU) (angle of progression (AoP), progression-distance (PD), head-direction (HD), midline-angle (MLA) and head-perineum distance (HPD)) with contraction and pushing. We evaluated 28 nulliparous women at...

Objective: To perform a multicenter study of muscle recovery in levator ani muscle (LAM) avulsion during the first 12 months postpartum according to the type of LAM avulsion suffered. Methods: This was a multicenter prospective observational study including 242 pri miparas. Transperineal ultrasound was performed at 6 months and 12 months...

Background: Recently, a specific methodology has been defined, using transperineal ultrasound, for the differential diagnosis of middle compartment prolapse [uterine prolapse (UP) or cervical elongation (CE) without UP] based on the difference in the pubis-uterine fundus distance at rest and with the Valsalva maneuver, with a cutoff point of...

Objective: Superb Microvascular Imaging (SMI) Doppler is a novel technique. We aim to evaluate intra- and interobserver reliability of SMI Doppler for the assessment of normal placental microvasculature. Materials and Methods: A prospective observational study was conducted including 11 pregnant patients. Ultrasonography placental assessment...

Introduction: Forceps delivery is associated with a high rate of levator ani muscle (LAM) trauma (avulsion) at 35%-65% whereas data on avulsion rates after vacuum delivery vary greatly. Nevertheless, a common characteristic of all previous studies carried out to evaluate the association between instrumental deliveries (forceps and vacuum) and...

Introduction: Levator ani muscle (LAM) lesions are the most frequent injuries of the pelvic floor during delivery. Ten to 36% of women report this lesion during their first delivery. Many risk factors have been proposed but very few evaluate the aspects that can influence during natural vaginal delivery. Method: A prospective observational...

Background: The identification of late-onset fetal growth restriction (FGR) fetuses remains a challenge, given the difficulty to distinguish them from healthy small for gestational age (SGA) fetuses. Given the limitations of conventional Doppler for the identification of placental insufficiency, the appearance of superb microvascular imaging...

Objective: Description and assessment by 3-D transperineal ultrasound of modifications suffered by pelvic floor muscles during the passage of the fetal head through the birth canal during the second stage of labor, as well as the identification of the precise moment in which levator ani muscle avulsion takes place. Materials and methods:...