The University Hospital of Puerto Real, at the forefront of gynecology and obstetrics in Andalusia


The Andalusian Society of Gynecology and Obstetrics (SAGO), in the XXIII edition of its congress, awarded the Hospital Universitario de Puerto Real three of the six prizes awarded. The works, selected from nearly 200 submitted, are directed by Juan Jesus FernandezHead of the Obstetrics and Gynecology Service at the Puerto Real Center and Director of the Research, Development and Innovation Group in Maternal-Fetal Medicine and Gynecological Oncology at the Institute for Biomedical Research and Innovation of the Province of Cádiz (INiBICA ).

Specifically, this unit received the first prize for the best high communication at the presentation by ‘Predictive model of gestational diabetes risk: multicentre study’, whose authors are Cristina Pedreño, María del Rocío Moreno, José Manuel Jiménez and Juan Jesús Fernández.

The work is carried out by this service, but eleven hospitals have participated, both in Andalusia and La Paz in Madrid, and deal with a model that allows the risk of a woman developing gestational diabetes to be calculated during her pregnancy. The aforementioned model distinguishes between early gestational diabetes (diagnosed before 24 weeks of gestation) and late-onset gestational diabetes (developing from week 24).

The second prize for best elevated communication at the presentation is titled “Customized and optimized percentile curves of fetal growth”; In this work, professionals improve the curve they use in the service to know if a fetus is growing correctly.

Weight control is one of the fundamental elements to be evaluated in the follow-up of pregnancy: changes in growth, due both to defects (growth retardation) and to excesses (overgrowth), constitute a signal of alarm. Correct classification of fetuses improves perinatal outcomes. The authors are Rocío Fuentes, María Castillo Lara and Juan Jesús Fernández and for its design, the data of more than 8,000 women whose pregnancy and childbirth were followed at the University Hospital of Puerto Real were included in the study.

First prize for the best poster for a pioneer center in a sentinel node

The first prize for the best poster went to Sara Bianca Aragón, Laura de Pablo, Ángel Vilar and Juan Jesús Fernandez for ‘Predictive model of sentinel node positivity in patients with breast cancer’, which calculates the probability that a patient operated on for breast cancer will have positive axillary nodes.

The Department of Obstetrics and Gynecology of the University Hospital of Puerto Real intervenes more than 200 breast cancers per year; Patients are assessed by a multidisciplinary team made up of radiologists, pathologists, gynecologists and oncologists. Most of the time (over 80%) patients benefit from conservative treatment.

This center was a pioneer in the province by implementing the sentinel lymph node detection technique in the early 2000s; Thanks to him, Nearly 1,500 women have already benefited from this technique which in most cases avoids the need to perform a complete lymphadenectomy (axillary lymph node dissection).

The award-winning tool predicts with great predictive ability which women will give a positive biopsy; this makes it possible to better organize surgical times, since when the probability is very low, the biopsy is performed later (not intraoperatively).

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