Dr Pacheco - Ginecólogo

25/01/2025

24/01/2025

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Auna Perú

12/12/2024

Don't miss out on our Pelvic Anatomy Expo in April 2025! This collaborative event aims to cater to the evolving need for cross-disciplinary knowledge transfer. With this course, you'll receive an improved understanding of intrapelvic neuroanatomy that has pushed the boundaries of traditional medical specialties and fostered immense collaboration opportunities between gynecologists, colorectal surgeons, urologists, and pelvic surgeons who specialize in hip, spine, and peripheral nerves.

Website & Registration: https://cvent.me/aNQLzv

21/03/2022

26/09/2020

ADENOMYOSIS VERSUS FIBROIDS

Adenomyosis is a condition where endometrium like tissue grows into the muscle layer of uterus which causes heavy bleeding and painful periods or infertility. It can co-exist with endometriosis where endometrium like tissue grows outside the uterus.

Fibroids are the commonest benign tumours that grow in the wall of the uterus. Fibroids may be completely asymptomatic or they may present with pain, bleeding, infertility, lump or pressure symptoms.

WHAT IS ADENOMYOSIS AND ADENOMYOMA ?

Adenomyosis is diffuse thickeneing of the wall and when sometimes this thickening gets organised at a place in the mucular layer of uterus it is called as adneomyoma.

IS THERE A DIFFERENCE IN ADENOMYOMA AND FIBROID?

Yes they are different in patho-physiology, presentation and technically speaking they are very different to handle during laparoscopic surgery.

Laparoscopic surgery for fibroids is called myomectomy and fibroid are tumours with well defined capsule and can be enucleated easily if expertise is available.

Conservative surgery for adenomyosis / adneomyoma is called LAPAROSCOPIC ADENOMYOMECTOMY. This is done for symptomatic young patients where uterus conservation is a priority. Technically a difficult surgery as there is no well defined capsule and its tissue is merged with muscle layer of uterus. It is not always possible to remove completely but actually debulking is done to reduce the bulk of adenomyosis and improve symptoms. Unlike endometriosis, Hysterectomy is the treatment for adenomyosis. Choice of treatment depends on patients age, symptoms, desire to conceive.

ADENOMYOSIS AND FIBROIDS CAN CO- EXIST ?

yes, it can co-exist and in several studies it found that adenomyosis and fibroids co-exist in 25-28% of women who underwent surgery either for adenomyosis or fiborids.

17/08/2020

En la Clínica Delgado Auna nos preocupamos por tu seguridad .

23/07/2020

04/07/2020

24/04/2020

Un orgullo pertenecer a esta gran familia Clinica Delgado Auna , seguridad absoluta para nuestros pacientes y para sus médicos .

17/04/2020

No salgas. Protege tu embarazo del COVID-19. De manera progresiva, el personal de salud de tu establecimiento se contactará contigo para saber sobre tu embarazo y orientarte para el parto.

27/03/2020

🚨¿Que contraindicaciones puede tener la Histeroscopia?🚨
Tenemos contraindicaciones absolutas 🗓😍👇
✅ Estar embarazada.
✅ Antecedente reciente de infección pélvica aguda o de repetición reactivada por alguna técnica diagnóstica semejante. Tenemos también contraindicaciones relativas
✅ Lesión uterina reciente (perforación o presencia de tumoración maligna dentro del útero).

24/03/2020

¿Cuándo esta indicada una Histeroscopía?😍👇😏💖🗓
✅Cuando se presentan alteraciones del ciclo menstrual y metrorragias.
✅ Para la realización de estudios de esterilidad o infertilidad (abortos de repetición).
✅ Para el diagnóstico de alteraciones morfológicas de la cavidad uterina (pólipos, miomas, hiperplasia).
✅ Para localizar cuerpos extraños o restos placentarios.
✅ Para realizar el estudio y control de malformaciones uterinas (tabiques).