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GO 1 > Prolapso Genital > Flashcards

Prolapso Genital Flashcards

1
Q

Concepto

A

Descendo de órganos pélvicos

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2
Q

Es secundario a

A

Debilidade del suelo pélvico

  • isquiococcicigeo
  • elevador del alo
  • diafragma pelviano
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3
Q

En mujeres con más de 60 años se indica cirurgia en 50%

A

No, con más de 70 años

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4
Q

Aparato de suspensión

A

Fascia endopelvica
Ligamento cardinal
Ligamento uterosacro

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5
Q

Aparato de sostén

A
  • Diafragma principal : isquiococcigeo y elevador del año

- Diafragma acessório : transverso profundo, cuna perineal

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6
Q

Cuna perineal

A 
Transverso superficial 
Bulbo cavernoso 
Isquiocavernoso
Esfínter externo 
Elevador del año
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7
Q

Músculo elevador del año

A

Externa : iliococcigea

Central: pubococcigeo

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8
Q

Etiologia

A
  • Fator traumático : parto vaginal
  • aumento dá Pa abdominal
  • fator trófico : idade
  • fator somático
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9
Q

Classificação

A

1: não chega ao introito
2: não sobrepasa o introito mas chega
3: exterioriza

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10
Q

Cual es la referencia para estadificar el prolapso

A

Hímen

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11
Q

Formas clínicas

A
  • Anterior : uretra, parede vaginal anterior y vejiga
  • Apical/ médio : útero
  • Posterior : parede vaginal posterior, recto y asas intestinales a través de Douglas
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12
Q

Colpocistocele

A

Vejiga + parede vaginal anterior

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13
Q

Colporectocele

A

Parede vaginal post + recto

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14
Q

Elitrocele ou doglascele

A

Protusion de asas intestinales

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15
Q

Prolapso de cúpula

A

Anterior + apícal + posterior

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16
Q

Clínica

A 
Sensación de bulto 
Incrementa con tos, valsava y bipedestacion
IOE ( 80% ) 
Incontinencia fecal 
Leucorrea
Dispaurenia
17
Q

Que leva en consideración para Qx

A 
Edad 
Paridad
Síntoma
Vida sexual 
Tipo de prolapso 
IOE associada
18
Q

Quando usa pesario

A

Cuando es CI Qx

19
Q

Cirurgia vaginal

A

Histerectomia
Colporrafia
Culdoplastia de mcall
Colpopexia sacroespinosa

20
Q

Culdoplatia de mcall

A

Para hérniacao de saco de Douglas

21
Q

Que es colpopexia sacro espinosa

A

Muno vaginal con ligamentos sacroespinosos

22
Q

Cirurgia abdominal

A
  • Colpopexia sacra ou promontório fijación

- ligadura del enterocele

23
Q

Cirurgia para cistocele

A

Colporrafia anterior

24
Q

Cirurgia para rectocele

A

Colpoperineorrafia post con miorrafia de elevador

25
Q

Cirurgia para enterocele

A

Resseca saco herniario y oblitera fundo de saco

26
Q

Indicación de histerectomia vaginal

A

Histerocele grado 2 y 3

Prolapso total

27
Q

Prolapso de muñón vaginal / cúpula vaginal

A

Cirurgia de Simón pratts por via vaginal ou sacropexia por via abdominal

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