<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902018000200087</article-id>
<article-id pub-id-type="doi">10.29193/rmu.34.2.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abordaje vaginal para el tratamiento de las patologías de piso pélvico: aspectos anátomo-funcionales y técnicas quirúrgicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Vaginal approach to treat pelvic floor disoders: functional and anatomic aspects and surgical techniques]]></article-title>
<article-title xml:lang="pt"><![CDATA[Abordagem vaginal para o tratamento de patologias do assoalho pélvico: aspectos anatomofuncional e técnicas cirúrgicas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Briozzo]]></surname>
<given-names><![CDATA[Leonel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nozar]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Ginecotocológica A]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Ginecotocológica A]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>87</fpage>
<lpage>101</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902018000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902018000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902018000200087&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El desarrollo de la cirugía vaginal y de las diferentes técnicas terapéuticas de las patologías del piso pélvico femenino en la realidad de la ginecotocología de Uruguay ha presentado un importante desarrollo en los últimos 20 años. El objetivo es presentar la forma de abordaje diagnóstico y los fundamentos y arsenal quirúrgico de la Unidad de Patología de Piso Pélvico de la Clínica Ginecotocológica A, en base a la teoría integral. Se realiza una descripción evolutiva de las diferentes técnicas quirúrgicas implementadas y desarrolladas en nuestro medio, así como la fundamentación anátomo-funcional de las mismas. Como conclusión del análisis evolutivo es fundamental conceptualizar que las alteraciones funcionales y anatómicas de los órganos pélvicos femeninos forman parte de una unidad y no de la suma de compartimentos estancos, celdas o sectores. En este sentido, desarrollar estrategias terapéuticas quirúrgicas cada vez menos invasivas, con correcciones sitio específico, aparece como la perspectiva estratégica por sobre las correcciones estereotipadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Vaginal surgery and the different therapeutic techniques to treat pelvic floor disorders in the context of Gynecotocology in Uruguay have dramatically developed in the last 20 years. The study aims to present the different diagnostic approaches, the principles and the surgical possibilities at the Pelvic Floor Pathology Department of Gynecotocology Clinic &#8220;A&#8221;, based on the comprehensive theory. It comprises a description of the evolution of the different surgical techniques implemented and developed in our country, as well as the anatomic and functional grounds that support them.  In order to come up with a conclusion on the analysis of this evolution it is of the essence to conceptualize that the functional and anatomic alterations of the female pelvic organs are all part of a whole, rather than the addition of different domains, cells or sectors. In that sense, developing surgical strategies that are gradually less invasive and include specific-site correction seems to be the best the strategic perspective over stereotype corrections. Abordagem vaginal para o tratamento das patologias do assoalho pélvico: aspectos anatomofuncionais e técnicas cirúrgicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O desenvolvimento da cirurgia vaginal e das diferentes técnicas terapêuticas das patologias do assoalho pélvico feminino mostrou um avanço importante nos últimos 20 anos na tocoginecologia do Uruguai. O objetivo é apresentar a forma de abordagem diagnóstica e os fundamentos e o arsenal cirúrgico da Unidad de Patología de Piso Pélvico da Clínica Ginecotocológica A, baseado na teoria integral. Faz-se uma descrição evolutiva das diferentes técnicas cirúrgicas desenvolvidas e implementadas no nosso meio, assim como a fundamentação anatomofuncional das mesmas. Como conclusão da análise evolutiva é fundamental incorporar o conceito de que as alterações funcionais e anatómicas dos órgãos pélvicos femininos formam parte de uma unidade e não da soma de compartimentos estanques. Nesse sentido, o desenvolvimento de estratégias terapêuticas cirúrgicas cada vez menos invasivas, com correções específicas para um ponto específico, aparece como a perspectiva estratégica sobre as correções estereotipadas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Piso pélvico]]></kwd>
<kwd lng="es"><![CDATA[Vagina]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos quirúrgicos]]></kwd>
<kwd lng="en"><![CDATA[Pelvic floor]]></kwd>
<kwd lng="en"><![CDATA[Vagina]]></kwd>
<kwd lng="en"><![CDATA[Surgical procedures]]></kwd>
<kwd lng="pt"><![CDATA[Assoalho pélvico]]></kwd>
<kwd lng="pt"><![CDATA[Vagina]]></kwd>
<kwd lng="pt"><![CDATA[Procedimentos cirúrgicos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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