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Other Services

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MATERNAL-FETAL UNIT

The services provided by specialists in Maternal Medicine -Fetal include:

- High resolution ultrasound, including Level II.
- Fetal echocardiography.
- Genetic counseling.
- Amniocentesis.
- Chorionic villus sampling.
- Cordocentesis.
- Consultations on high-risk obstetrics.
- Recommended services.
- Routine control tests in low-risk population.

Currently there are routine biochemical (AFP and beta-hCG) and biophysical (high-resolution ultrasound) tests to all pregnant women in order to identify possible birth defects in the fetus practice.

In pregnancy it is advisable to make at least three scans: at 11-13, 20-22 and 30-36 weeks of pregnancy.

Of these scans, the most important for prenatal diagnosis are those between 11-13 and 20-22 weeks. The reason is that at this time most chromosome abnormalities can be detected and some of the severe malformations discovered. These tests are suitable to be performed by an experienced practitioner.

Specific tests in the high-risk population.

It is shown that there are a number of conditions that increase the chance of having a child with birth defects. These conditions or risk factors are what determine if it is advisable to perform a specific technique of prenatal diagnosis, in addition to routine monitoring tests, to a pregnant patient. These techniques are particularly suitable, inter alia, in the following cases:

- Maternal age above 37 years.
- Previous children carrying malformations.
- Breast disease (diabetes, etc.).
- Children of parents with autosomal dominant diseases with morphological abnormalities.
- Maternal exposure to teratogens.
- Embryopathic maternal infections (rubella, cytomegalovirus, toxoplasmosis, etc.).
- Increased nuchal translucency and/or abnormal ductus venosus.
- Triple screening at a rate higher than the population risk.
- EBA test with an index greater than the population of individual risk.

GYNECOLOGICAL ENDOSCOPY UNIT

Outpatient gynecological surgery

Gynecological endoscopic surgery is a modern discipline that brings advances in gynecological endoscopy and minimally invasive surgery that allows a series of surgeries without admission. Recovery is rapid, allowing patients to return immediately to their daily activities.

Local, regional anesthesia or sedation (superficial and short-term general anesthesia), is used and takes place in a fully equipped operating room for safety. Ambulatory gynecological surgery uses modern optical devices, such as the hysteroscope, which is inserted through the uterus neck or the laparoscope through a small incision in the navel.

Hysteroscopy

Diagnostic hysteroscopy.

This is a bloodless procedure, which allows direct viewing of the inside of the uterine cavity or matrix. For this purpose a small telescope, called a hysteroscope –whose thickness is only 4 millimeters– is introduced through the cervix.

It is not necessary to practice points or sutures or incisions in the skin, because the natural orifice of the cervix is used. The intervention is usually performed without anesthesia, although sometimes it is performed under local anesthesia. Usually it lasts between 20 and 30 minutes and is performed on an outpatient basis.

Operative hysteroscopy.

In those cases where an endometrial polyp is to be removed, for example, hysteroscopy allows removal by a technically simple intervention frequently performed under local or regional anesthesia.

To do so, a surgical hysteroscope that allows the introduction of the tools to make operative resolute action on this and other endometrial or uterine problems (fibroids) is used.

Laparoscopy.

Laparoscopy is a minimally invasive surgical technique that allows access into the abdominal cavity without the need for intervention in the open.

This procedure is performed under anesthetic sedation and recovery is quick, because only between 2 and 3 hours are required to discharge. Its usefulness is that it allows us the visualization of internal genital organs such as the uterus, ovaries and fallopian tubes, which can reach a diagnosis in cases of chronic pelvic pain or conjugal sterility, among others.

Advantages of gynecologic endoscopic surgery

The recovery is better and faster than traditional surgery, as interventions are very short and admission to the medical center is of very short duration, so that the possibility of postoperative infections is lower than in conventional surgery.

The cost generated is lower and can be performed on small surgical units, so the cost of the procedures is lower than if they occurred in hospitals or large clinics.

Notably, the surgical techniques used are modern and careful, and anesthetic procedures enable fast recovery and have very few side effects.

Usefulness of gynecologic endoscopic surgery.

By gynecological endoscopy it is not possible to know the origin of surgery vaginal bleeding or anatomical abnormalities. We can distinguish among:

- Changes of the endometrium (atrophy or hyperplasia).
- Endometrial polyps.
- Endometrial adhesions.
- Partitions uterine or uterine malformations.
- Fibroids (benign tumors).

Gynecological endoscopic surgery allows the operation without admission:

- Endometriosis.
- Ovarian tumors.
- It is the fastest way to perform a tubal ligation method.
- It is used very effectively for the diagnosis of some cases of infertility.

DYSPLASIAS UNIT

What is Cervical Cancer?

It is a malignant tumor of the cervix. It is the most common cancer in Mexican women, killing one woman every two hours in our country.

It evolves slowly and there is no discomfort, until bleeding occurs, which may indicate that the disease is far advanced and thus its handling is difficult, requiring surgery or radiotherapy (radiation).

It affects young women of reproductive age which affects their family life, and when death occurs, their children are left orphaned.

How can I detect it?

The best way to prevent cancer is by a colposcopy.

What is colposcopy?

It consists in observing the cervix through a microscope, with which you can watch the pre-malignant lesions or those produced by the human papilloma virus.

It is not painful and the result is obtained at the time of realization.

How should I have Colposcopy?

Colposcopy can be done at any stage of the cycle, except during menstruation and should be repeated every six months or at least once a year.

What women should have Colposcopy?

- Every woman who initiated sex.
- Women with normal Pap results.
- Vaginal discharge.
- Women with Pap results showing:
- “Cervical Dysplasia or intraepithelial neoplasia”
- Any abnormal bleeding through the vagina.
- Vaginal bleeding after intercourse.
- Presence of genital lesions (ulcers, warts, warts).
- Women who were operated in the womb (hysterectomy).
-Women with a history of human papilloma virus infection or cancer.

What conditions are required to take Colposcopy?

- Women should not be menstruating.
- No sex two days before the study.
- Do not to apply creams or pessaries a day before the study.

What injuries can be found during colposcopy?

It may be a precancerous lesion, infection human papilloma virus, cancer and a sample of tissue should be taken (biopsy) for examination by the pathologist and confirm the existence or absence of the disease.

What treatments do I have to follow?

Treatments are performed when there are precancerous lesions, early cancer or infection by human papilloma virus. They are conservative treatments; they may prevent the removal of the womb (hysterectomy), so that after treatment the woman can get pregnant.

What are those treatments?

Cryosurgery is the freezing of the matrix, so that the lesion is destroyed.

Electrosurgery (conization) is the extraction of fragment of tissue where the injury is.

Laser rays: the destruction of the lesion by these rays.