Prevalencia de sinequias uterinas em mulheres apos curetagem pos aborto

Orientador: Ilza Maria Urbano MonteiroDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias MedicasResumo: Introdução: A incidência de aborto espontâneo é de aproximadamente 15% e o método mais utilizado para tratamento é a curetagem uterina. Uma de suas complicações é a formação de sinéquias, que pode prejudicar a saúde reprodutiva da mulher. Devido a isso, alguns autores têm sugerido a realização de histeroscopia diagnóstica de rotina após curetagem uterina. Realizamos este estudo com o objetivo de determinar a prevalência de sinéquias em mulheres após curetagem por aborto e sua associação com características sociodemográficas e clínicas. Sujeitos e Métodos: Foi realizado um estudo de corte transversal, no qual foram incluídas 109 mulheres que apresentaram curetagem uterina por aborto entre julho de 2002 e dezembro de 2004. Estas foram entrevistadas para a obtenção das características sociodemográficas; seus prontuários foram revisados e submetidas à histeroscopia diagnóstica, para avaliação da presença de sinéquias e suas características (classificadas de acordo com a Sociedade Européia de Histeroscopia). O exame ocorreu entre três e 12 meses após a realização da curetagem por aborto, no Ambulatório de Histeroscopia do CAISM-Unicamp. A análise estatística para avaliação da associação entre a ocorrência de sinéquias e as variáveis estudadas foi realizada pelo teste qui-quadrado, teste exato de Fisher e análise de regressão multivariada. Resultados: A idade média das mulheres foi 28,4 anos; 73,4% delas apresentaram apenas uma curetagem uterina e 37,5% dos casos foram de aborto retido. A prevalência de sinéquias uterinas foi de 37,6%, sendo que 56,1% eram grau I, 34,1% grau II e 9,8% grau III. A maioria das sinéquias foi mucosa (68,3%). Dentre as características demográficas e clínicas, apenas a raça não-branca apresentou correlação positiva com a presença de sinéquia. Nenhuma das outras variáveis mostrou correlação com a ocorrência de sinéquia. Conclusões: A prevalência de sinéquias uterinas após curetagem por aborto, apesar de alta (37,6%), deve ser vista com critérios, pois a maioria foi classificada como mucosa e a severidade, Grau I. As mulheres não brancas apresentaram maior frequência de sinéquias e nenhuma outra característica sociodemográfica ou clínica mostrou-se correlacionada com a presença da mesmaAbstract: Background: Approximately 15% of all gestations will end as spontaneous abortions. Uterine curettage is the mainstay for uterine evacuation when necessary. Intrauterine adhesion (IUA) is a possible complication of curettage. Because IUA is an important cause of infertility, some investigators have been advocating for its inclusion in the routine investigational workup after every abortion curettages. The aim of this study was the evaluation of the uterine cavity of patients subjected to abortion curettage; in order to obtain direct and accurate measures of IUA prevalence in these women.and associations with social and clinical factors Materials and Methods: For this cross-sectional study, a total of 109 consecutive women have been enrolled. The investigators searched the records of UNICAMP's women¿s hospital for patients that had been subjected to uterine curettage following abortion. The hysteroscopy was performed three to twelve months after the curettage. The correlations between patients¿ characteristics and prevalence of IUA have been assessed through the calculation of chi-squares and with the Fisher¿s Exact test. Results: The prevalence of IUA was 37.6%. Most patients have had only one previous abortion (73.4%) In this study 62.4% of abortions have been classified as incomplete and 37.5% as missed abortion. The proportion of women with IUA was significantly higher among non-white women. Number of previous abortions and curettages did not correlate with presence of IUA. Most of women (56.1%) presented with IUA grade I and 68.3% were mucous. Conclusion: In the present study 37.6% of women submitted to curettage for abortion had IUA. None of demographic and clinic characteristics evaluated had been associated with IUAMestradoTocoginecologiaMestre em Tocoginecologi

Prevalence Of Uterine Synechia After Abortion Evacuation Curettage.

Intrauterine adhesion (IUA) is a possible complication of uterine curettage following abortion. Because IUA is an important cause of infertility, some investigators have been advocating its inclusion in the routine investigational workup after every abortion curettage procedure. The aim of this study was to evaluate the uterine cavity of patients subjected to abortion curettage, in order to ascertain the prevalence of IUA and its association with social and clinical factors. This was a cross-sectional study at the Human Reproduction Unit, Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp). A total of 109 women were enrolled. The investigators searched the records of Unicamp's hospital for patients who had been subjected to uterine curettage following abortion. The hysteroscopy was performed 3 to 12 months after the curettage. The correlations between patients' characteristics and the prevalence of IUA were assessed by means of chi-squared and Fisher's exact test calculations. The prevalence of IUA was 37.6%. The number of previous abortions and curettage procedures did not correlate with the presence of IUA. Most of the women (56.1%) presented IUA grade I. In the present study, 37.6% of the women subjected to curettage following abortion had IUA, which was mostly mucous and grade I. None of the demographic and clinic characteristics evaluated were found to be associated with IUA. From this study, there is no firm evidence to justify carrying out routine diagnostic hysteroscopy following abortion evacuation.125261-

Luigi Valli (1878-1931). Contribution à l'histoire des interprétations ésotériques de l'oeuvre de Dante

Figure de renom dans le milieu culturel européen des années Vingt, Luigi Valli (1878-1931) n est désormais rappelé que pour ses études sur Dante, basées sur une école herméneutique ésotérisant qui a son point d articulation dans le milieu du XIXe siècle avec Gabriele Rossetti. Suivant les traces de son maître, le poète Giovanni Pascoli, en 1922 Valli découvre les symétries de la Croix de l'Aigle , une théologie politique caché dans la Divine Comédie, une découverte qui aura des répercussions concrètes sur la politique imaginale de l'Italie fasciste et de l'Allemagne de la révolution conservatrice . Mais en 1928, avec la publication de son Il linguaggio segreto di Dante e dei Fedeli d Amore, la théologie politique occulte sera dépassé par une herméneutique ésotérique dans le sens que ce terme a acquis comme discipline académique. Après sa mort prématurée, l oeuvre de Valli sera reprise par une école , principalement Alfonso Ricolfi et Gaetano Scarlata. Mais, plus important encore, sa interprétation sera la source féconde d'un espace herméneutique ouvert aux contributions de l œcuménisme ésotérique des années Vingt (entre les plus renommés : René Guènon, Arturo Reghini et Julius Evola), mais aussi aux représentants du religionisme académique, comme Mircea Eliade et Henry Corbin.A leading figure in European culture of the Twenties, Luigi Valli (1878-1931) is now remembered for his Dantes s studies, based on an esotericist hermeneutic school which has its fulcrum in Gabriele Rossetti, in the midst of Nineteenth century. Following the footsteps of his master, the poet Giovanni Pascoli, in 1922 Valli discovers the symmetries of the Cross and of the Eagle , a political theology hidden in the Divine Comedy, a discovery that will have a real impact on the imaginal policy of fascist Italy, and on German conservative revolution . In 1928, with the publication of his Il linguaggio segreto di Dante e dei Fedeli d'Amore, the occult political theology will be overtaken by an esoteric hermeneutics, in the very sense that the term esoteric has acquired as an academic discipline. After his untimely death, Valli s work was taken up by a school , mainly Alfonso Ricolfi and Gaetano Scarlata. But, more importantly, his Dante s interpretation will be a fruitful source of an hermeneutic space a space open to contributions by the esoteric ecumenism of the Twenties (among the most famous: Rene Guènon, Julius Evola and Arturo Reghini), but also by representatives of the academic religionism , as Mircea Eliade and Henry Corbin.PARIS-EPHE-Sciences religieuses (751052336) / SudocSudocFranceItalyFRI

Prevalência de sinéquias uterinas após curetagem por aborto

CONTEXT AND OBJECTIVE: Intrauterine adhesion (IUA) is a possible complication of uterine curettage following abortion. Because IUA is an important cause of infertility, some investigators have been advocating its inclusion in the routine investigational workup after every abortion curettage procedure. The aim of this study was to evaluate the uterine cavity of patients subjected to abortion curettage, in order to ascertain the prevalence of IUA and its association with social and clinical factors. DESIGN AND SETTING: This was a cross-sectional study at the Human Reproduction Unit, Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp). METHODS: A total of 109 women were enrolled. The investigators searched the records of Unicamp's hospital for patients who had been subjected to uterine curettage following abortion. The hysteroscopy was performed 3 to 12 months after the curettage. The correlations between patients' characteristics and the prevalence of IUA were assessed by means of chi-squared and Fisher's exact test calculations. RESULTS: The prevalence of IUA was 37.6%. The number of previous abortions and curettage procedures did not correlate with the presence of IUA. Most of the women (56.1%) presented IUA grade I. CONCLUSIONS: In the present study, 37.6% of the women subjected to curettage following abortion had IUA, which was mostly mucous and grade I. None of the demographic and clinic characteristics evaluated were found to be associated with IUA. From this study, there is no firm evidence to justify carrying out routine diagnostic hysteroscopy following abortion evacuation.CONTEXTO E OBJETIVO: As sinéquias uterinas são complicações que podem ocorrer após curetagem uterina por aborto. Como se trata de causa importante de infertilidade, muitos autores têm indicado uma investigação rotineira após curetagens uterinas por aborto. O objetivo do estudo foi avaliar a cavidade uterina de pacientes submetidas a curetagem após aborto para detectar a prevalência das sinéquias e a possível associação com alguns fatores sociais e clínicos. TIPO DE ESTUDO E LOCAL: Estudo de corte transversal, realizado na Unidade de Reprodução Humana do Departamento de Ginecologia e Obstetrícia da Universidade Estadual de Campinas (Unicamp). MÉTODOS: 109 mulheres foram submetidas a histeroscopia diagnóstica ambulatorial 3 a 12 meses após curetagem por aborto. Dados clínicos foram obtidos dos prontuários médicos. As correlações entre as características clínicas e a prevalência de sinéquias uterinas foram testadas através do cálculo do qui-quadrado e do teste exato de Fisher. RESULTADOS: A prevalência de sinéquias foi de 37,6%. O número de abortos anteriores e de curetagens não se correlacionou com a presença de sinéquias. A maioria das mulheres (56,1%) apresentou sinéquias grau I. CONCLUSÕES: Neste estudo, 37,6% das mulheres submetidas a curetagem por aborto apresentaram sinéquias, a maioria delas do tipo mucoso e de grau I. Nenhuma das características clínicas e demográficas avaliadas associou-se às sinéquias. Os resultados deste estudo não autorizam indicação rotineira de histeroscopia diagnóstica em pacientes submetidas a curetagem uterina por aborto.26126

Prevalence of uterine synechia after abortion evacuation curettage

CONTEXT AND OBJECTIVE: Intrauterine adhesion (IUA) is a possible complication of uterine curettage following abortion. Because IUA is an important cause of infertility, some investigators have been advocating its inclusion in the routine investigational workup after every abortion curettage procedure. The aim of this study was to evaluate the uterine cavity of patients subjected to abortion curettage, in order to ascertain the prevalence of IUA and its association with social and clinical factors. DESIGN AND SETTING: This was a cross-sectional study at the Human Reproduction Unit, Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp). METHODS: A total of 109 women were enrolled. The investigators searched the records of Unicamp's hospital for patients who had been subjected to uterine curettage following abortion. The hysteroscopy was performed 3 to 12 months after the curettage. The correlations between patients' characteristics and the prevalence of IUA were assessed by means of chi-squared and Fisher's exact test calculations. RESULTS: The prevalence of IUA was 37.6%. The number of previous abortions and curettage procedures did not correlate with the presence of IUA. Most of the women (56.1%) presented IUA grade I. CONCLUSIONS: In the present study, 37.6% of the women subjected to curettage following abortion had IUA, which was mostly mucous and grade I. None of the demographic and clinic characteristics evaluated were found to be associated with IUA. From this study, there is no firm evidence to justify carrying out routine diagnostic hysteroscopy following abortion evacuation