Abordaje quirúrgico en el manejo terapéutico del cuerpo lúteo hemorrágico

Abstract

ABSTRACT: Objective: To analyze the surgical approach methods used in the treatment of the hemorrhagic corpus luteum through the bibliographic review of updated scientific evidence collected from indexed sources to establish its efficacy and limitations. Specific objectives: 1. To classify the current therapeutic methods available for the management of the hemorrhagic corpus luteum depending on whether they are medical or surgical. 2. To compare the emerging therapeutic methods with the conventional treatments used in the hemorrhagic corpus luteum. 3. Describe the current surgical therapeutic methods for the management of the hemorrhagic corpus luteum in order to establish its therapeutic capacity. Materials and methods: Descriptive study, based on the search for updated scientific articles in indexed bibliographic sources. Conclusions: The hemorrhagic corpus luteum is an emergency medical situation, characterized by pelvic and lower abdominal pain associated with transvaginal hemorrhage and hemoperitoneum. It simulates other medical conditions such as ectopic pregnancy, therefore an adequate differential diagnosis is essential. Treatment methods include: expectant management, in which the evolution of the clinical picture is evaluated and pharmacological therapy is used for symptomatic treatment; surgical management includes: laparotomy, whose usefulness was widespread a few years ago. Currently, laparoscopy represents the gold standard of treatment due to its benefits compared to laparotomy.