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Papers by Erlinda Martinez

Research paper thumbnail of Laparoscopic Management of Unruptured Interstitial Ectopic Pregnancy

Journal of Bangladesh College of Physicians and Surgeons, 2010

A 27 years old women para -1 had a complaint of dullache pain in right iliac fossa for 5 days wit... more A 27 years old women para -1 had a complaint of dullache pain in right iliac fossa for 5 days with irregular spotting. Her previous menstrual cycle was normal but in last one month she had an irregular spotting. On examination she was normotensive. Hb% was 65%. there was no tenderness during per abdominal examination but tenderness during per vaginal examination on right side. Transvaginal ultrasonography (TUVS) detected a degenerative sub serous fibroid of 3.5 x 3 cm on the right fundoanterior side, both adnexae were normal, no fluid was present in cul-de-sac. Her pregnancy test was positive but signs and symptoms of pregnancy were absent. Operative plan was intervention by laparoscope. An unruptured interstitial ectopic pregnancy was found at the anterolateral wall of the fundus. Laparoscopic excision was done and the uterine wall sutured with 2/0 polyprolylin. Post operative outcome was good. DOI: 10.3329/jbcps.v26i3.4199 J Bangladesh Coll Phys Surg 2008; 26: 147-148

Research paper thumbnail of District Enrollment Management Committee (DEMC) Thursday, March 12, 2009 Executive Conference Room 114 Notes

Research paper thumbnail of Size, Type and Location of Myoma as Predictors for Successful Laparoscopic Myomectomy: a Tertiary Government Hospital Experience

Journal of Minimally Invasive Gynecology, 2017

IntroductIon Myomectomy is the surgical procedure of choice for symptomatic myoma in the reproduc... more IntroductIon Myomectomy is the surgical procedure of choice for symptomatic myoma in the reproductive age, especially if future fertility is desired. Myomectomy may also be performed for those who desire to preserve their uterus for social, cultural, and psychological reasons, despite having completed family size. Although myomectomies have traditionally been executed through the abdominal route, advances in technology and modern-day laparoscopic instruments have brought about a rise in laparoscopic myomectomies (LMs). LM is the surgical removal of uterine myoma through small incisions in the abdomen. It is an appropriate, if not preferred, alternative to abdominal myomectomy in well-selected patients since it offers shorter hospitalization, short recovery period and resumption of activities within 1-2 weeks, reduced risk of blood transfusion, and intraoperative adhesions. [1-3] Most frequent complications independent from surgeon's experience remain to be massive intraoperative bleeding and conversion to hysterectomy. [1] The criteria, however, which constitute proper selection of patients for LM, are still a matter of debate. Background: Laparoscopic myomectomy (LM) is a preferred alternative to abdominal myomectomy due to shorter hospitalization, faster recovery, and decreased intraoperative adhesions. The criteria, however, which constitute proper selection of patients for LM, are still a matter of debate. Since conversion to either laparoscopic-assisted myomectomy (LAM) or laparotomy (EL) entails longer time and increased costs compared to performing an open procedure from the outset, this research aims to evaluate size, location, and type of myoma as predictors for LM. Methodology: Inpatient medical records of all women who underwent LM from January 2014 to August 2016 were retrieved and reviewed. Demographic data, intraoperative records, and postoperative course were obtained. The association of size, type, and location of myomas to the procedure performed was analyzed. Results: There was no significant association between the size of the myoma or its location to the procedure performed. However, intramural and subserous myomas were associated with successful LM, while submucous myomas were associated with conversion to either LAM or EL (P = 0.010). Conclusion: LM is a difficult procedure that challenges even the most skilled laparoscopic surgeon. Proper patient selection lessens complications and decreases the risk of conversion. In this study, type of myoma may be a good predictor for successful LM; however, this conclusion may be limited by the small sample size. A large-scale multicentric prospective study is necessary to validate the role of the proposed predictors to prevent unplanned conversion to an open procedure and reduce cost and increase safety of LM.

Research paper thumbnail of Endometrial Stromal Sarcoma in the Young

Journal of Clinical Gynecology and Obstetrics, 2020

Endometrial stromal sarcoma (ESS) represents a very rare group of malignant tumors comprising les... more Endometrial stromal sarcoma (ESS) represents a very rare group of malignant tumors comprising less than 10% of all uterine sarcomas but only around 0.2% of all uterine cancer. In developing countries, the prevalence of ESS is approximately two in a million perimenopausal women between ages of 45 and 50 years. The occurrence in younger women is rare and the diagnosis frequently delayed due to low index of suspicion. Two cases of ESS diagnosed in women in the 20s age group were documented in a tertiary hospital. Both patients presented with abnormal vaginal bleeding associated with hypogastric pain and rapid abdominal enlargement. Surgery was the primary treatment modality and histopathologic examination confirmed the diagnosis. Adjuvant therapy remains controversial. ESS is a rare pathological entity, more so in the young. However, the diagnosis of a malignancy should not be missed despite rarity of occurrence in this age group.

Research paper thumbnail of Laparoscopic Management of Unruptured Interstitial Ectopic Pregnancy

Journal of Bangladesh College of Physicians and Surgeons, 2010

A 27 years old women para -1 had a complaint of dullache pain in right iliac fossa for 5 days wit... more A 27 years old women para -1 had a complaint of dullache pain in right iliac fossa for 5 days with irregular spotting. Her previous menstrual cycle was normal but in last one month she had an irregular spotting. On examination she was normotensive. Hb% was 65%. there was no tenderness during per abdominal examination but tenderness during per vaginal examination on right side. Transvaginal ultrasonography (TUVS) detected a degenerative sub serous fibroid of 3.5 x 3 cm on the right fundoanterior side, both adnexae were normal, no fluid was present in cul-de-sac. Her pregnancy test was positive but signs and symptoms of pregnancy were absent. Operative plan was intervention by laparoscope. An unruptured interstitial ectopic pregnancy was found at the anterolateral wall of the fundus. Laparoscopic excision was done and the uterine wall sutured with 2/0 polyprolylin. Post operative outcome was good. DOI: 10.3329/jbcps.v26i3.4199 J Bangladesh Coll Phys Surg 2008; 26: 147-148

Research paper thumbnail of District Enrollment Management Committee (DEMC) Thursday, March 12, 2009 Executive Conference Room 114 Notes

Research paper thumbnail of Size, Type and Location of Myoma as Predictors for Successful Laparoscopic Myomectomy: a Tertiary Government Hospital Experience

Journal of Minimally Invasive Gynecology, 2017

IntroductIon Myomectomy is the surgical procedure of choice for symptomatic myoma in the reproduc... more IntroductIon Myomectomy is the surgical procedure of choice for symptomatic myoma in the reproductive age, especially if future fertility is desired. Myomectomy may also be performed for those who desire to preserve their uterus for social, cultural, and psychological reasons, despite having completed family size. Although myomectomies have traditionally been executed through the abdominal route, advances in technology and modern-day laparoscopic instruments have brought about a rise in laparoscopic myomectomies (LMs). LM is the surgical removal of uterine myoma through small incisions in the abdomen. It is an appropriate, if not preferred, alternative to abdominal myomectomy in well-selected patients since it offers shorter hospitalization, short recovery period and resumption of activities within 1-2 weeks, reduced risk of blood transfusion, and intraoperative adhesions. [1-3] Most frequent complications independent from surgeon's experience remain to be massive intraoperative bleeding and conversion to hysterectomy. [1] The criteria, however, which constitute proper selection of patients for LM, are still a matter of debate. Background: Laparoscopic myomectomy (LM) is a preferred alternative to abdominal myomectomy due to shorter hospitalization, faster recovery, and decreased intraoperative adhesions. The criteria, however, which constitute proper selection of patients for LM, are still a matter of debate. Since conversion to either laparoscopic-assisted myomectomy (LAM) or laparotomy (EL) entails longer time and increased costs compared to performing an open procedure from the outset, this research aims to evaluate size, location, and type of myoma as predictors for LM. Methodology: Inpatient medical records of all women who underwent LM from January 2014 to August 2016 were retrieved and reviewed. Demographic data, intraoperative records, and postoperative course were obtained. The association of size, type, and location of myomas to the procedure performed was analyzed. Results: There was no significant association between the size of the myoma or its location to the procedure performed. However, intramural and subserous myomas were associated with successful LM, while submucous myomas were associated with conversion to either LAM or EL (P = 0.010). Conclusion: LM is a difficult procedure that challenges even the most skilled laparoscopic surgeon. Proper patient selection lessens complications and decreases the risk of conversion. In this study, type of myoma may be a good predictor for successful LM; however, this conclusion may be limited by the small sample size. A large-scale multicentric prospective study is necessary to validate the role of the proposed predictors to prevent unplanned conversion to an open procedure and reduce cost and increase safety of LM.

Research paper thumbnail of Endometrial Stromal Sarcoma in the Young

Journal of Clinical Gynecology and Obstetrics, 2020

Endometrial stromal sarcoma (ESS) represents a very rare group of malignant tumors comprising les... more Endometrial stromal sarcoma (ESS) represents a very rare group of malignant tumors comprising less than 10% of all uterine sarcomas but only around 0.2% of all uterine cancer. In developing countries, the prevalence of ESS is approximately two in a million perimenopausal women between ages of 45 and 50 years. The occurrence in younger women is rare and the diagnosis frequently delayed due to low index of suspicion. Two cases of ESS diagnosed in women in the 20s age group were documented in a tertiary hospital. Both patients presented with abnormal vaginal bleeding associated with hypogastric pain and rapid abdominal enlargement. Surgery was the primary treatment modality and histopathologic examination confirmed the diagnosis. Adjuvant therapy remains controversial. ESS is a rare pathological entity, more so in the young. However, the diagnosis of a malignancy should not be missed despite rarity of occurrence in this age group.