El síndrome de Fitz-Hugh-Curtis es una perihepatitis producida por una peritonitis secundaria al ascenso de bacterias, como resultado de una enfermedad infl amatoria pélvica. En la etapa crónica se pueden observar adherencias entre la pared abdominal y la superfi cie hepática, caracterizadas por la semejanza a "cuerdas de violín". Esta imagen es considerada criterio diagnóstico. Se presenta un caso de hallazgo de síndrome de Fitz-Hugh-Curtis, pesquisado durante la inspección rutinaria de la cavidad abdominopélvica, al fi nalizar una histerectomía laparoscópica. PALABRAS CLAVE: Síndrome de Fitz-Hugh-Curtis, perihepatitis crónica, adherencias en cuerda de violín SUMMARY The Fitz-Hugh-Curtis Syndrome is a perihepatitis secondary to peritonitis caused by ascending bacteria from a pelvic infl ammatory disease. During the chronic phase may be observe adherences between the abdominal wall and the liver surface characterized by a "violin string" similarity. This image is considered criterion for the diagnosis. A case of incidental Fitz-Hugh-Curtis syndrome observed during a routinely abdominopelvic cavity inspection at the end of a laparoscopic hysterectomy is presented.
RESUMENEntendemos por endoscopia a aquellos procedimientos que permiten diagnosticar y tratar patología por medio de instrumentos con los que se observa el interior del cuerpo humano. Los primeros tratamientos por medio de endoscopia fueron realizados por Hipócrates. Luego a través de la historia son múltiples los precursores, pioneros y tantos otros que entregaron invenciones que permitieron llegar hasta el laparoscopio moderno. Convirtiéndose en una herramienta indispensable en la actual cirugía ginecológica mínimamente invasiva. Las nuevas tecnologías han permitido desarrollar la robótica, de la cual no han permanecido ajenos los procedimientos laparoscópicos. Así es como nace el robot Da Vinci, que más que una tecnología del futuro, ya constituye una realidad del presente en la cirugía laparoscópica ginecológica.
PALABRAS CLAVES: Laparoscopia, cirugía mínimamente invasiva, cirugía robótica, Da Vinci
SUMMARYWe understand by endoscope to those procedures that allow diagnosing and treated pathologies by means of instruments with which we observed in the interior of the human body. The first treatments by means of endoscope were made by Hipocrates. Soon through history the precursors, pioneers and so many others are multiple that gave inventions that allowed arriving until modern laparoscopy; becoming an indispensable tool in the present minimally invasive gynecological surgery. The new technologies have allowed developing the robotics technologies of which the laparoscopy procedures have not remained out. Thus the Da Vinci robot has born, who more than a technology of the future already constitutes a reality of the present in the gynecological laparoscopic surgery.
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