Biomedical subjects
Publications and source records attributed to Alfred Reroń.
The development of operative laparoscopy in gynecology and obstetrics has greatly increased in the past decade. The Authors attempt to show the most important applications of the laparoscopic procedures in the diagnostics and therapy of gynecological diseases.
Intrauterine device (IUD) is a widely used method of contraception in the world. The aim of our study was to examine infectious cases due to a prolonged use of IUD. We present four patients who had carried IUD for about seventeen years. On admission, all cases were presenting symptoms of acute adnexitis. On further examination, we diagnosed tubo-ovarian abscess in two patients. In our article, we carefully describe all cases and focus attention on side effects of abnormally extended period of using IUD. We conclude that the only proper way of informing patients how to use IUD and good gynecological care while using IUD may protect against severe infectious complications of the genital tract.
Uterine leiomyomas are benign tumours that arise from the smooth-muscle cells of the human uterus. They are clinically apparent in up to 20% of women and cause significant morbidity, including prolonged and heavy menstrual bleeding, pelvic pressure or pain and reproductive dysfunction. Surgery has been the mainstay of fibroid treatment and various minimally invasive procedures have been developed in addition to hysterectomy and abdominal myomectomy, but formation of new leiomyomas after these conservatives therapies remains a substantial problem. The pathophysiology of myomas is not well understood. We present some views of epidemiological, reproductive and environmental factors, which may stimulate myomas formation. We also present a brief survey of the literature about genetic predisposition, mutations, steroid hormone and growth factors concentration, which seems to pay an important role in fibrotic processes and angiogenesis observed during formation and growth of these tumours. New research into the basic biology of these neoplasms may add new treatment options for the future as the role of growth factors and genetic mutations in these tumours are better understood.
Uterine leiomyomata are the commonest neoplasms of the female reproductive system in the procreative age. In these cases operation is still a treatment of choice. The procedure's range depends on: number, size and localisation of the myomas, patient's age and possession of children. Currently uterine leiomyomata are removed more frequent by endoscopic operations. We present the technique of laparoscopic myomectomy taking into consideration very important problem--patients' qualification this procedure. We pay attention to necessity of precise closing the wound in layers after removed myoma, which seems to prevent uterine rupture during pregnancy and labour. We also present some controversial aspects of using GnRH analogues. In summary we emphasise benefits of laparoscopic myomectomy particularly for women in the procreative age, who are planning pregnancy.
INTRODUCTION: Proper diet during pregnancy is one of the conditions of correct fetal development and maintenance of good health of pregnant women. Increased demand for energy and nutritial substances is connected with growth of mother's tissue mass and also with growth of fetals mass and afterbirth. During pregnancy, quality composition of ailment is not only important, but also the quantity and regularity in taking meals. AIM: The aim of this study was to investigate nutrician status of pregnant women hospitalized in Department of Obstetrics and Gynaecology Collegium Medicum of The Jagiellonian University. METHODS: There were 96 women, hospitilized for complications during pregnancy, from 1.11.2002 to 28.02 2003, in Department of Obstetrics and Gynaecology Collegium Medicum of The Jagiellonian University, asked for filling up the questionnaire about their diet during pregnancy. RESULTS: Medium age of patients was 28.3 years. 47% of women were multiparas. Average body mass before pregnancy was 60 kg and BMI (Body Mass Index) was 21.95. 46% examined women had highschool education. In 96 of questioned women 50% took informations about proper diet during pregnancy from the pass, only 12.5% from the obstetricians. None of the questioned women defined their nutritian condition as bad or mild, for 72% it was good and for 28% very good. Most of them (69%) applied common diet without modifications, only 6% of women had good digestive diet. Alcohol was consumed occasionally by 22% of women, rest of them did not consume it at all. Majority of women, 90.5% did't smoke cigarettes, 6.5% smoked occasionally and 3% up to 10 cigarettes per day. CONCLUSIONS: 1. Obtained data suggests that nutrition habits don't change significantly during pregnancy. 2. Pregnant women are not enough informed about healthy diet during pregnancy by doctors which leads to irregularity in taking meals. 3. General nutritial status of pregnant women could be considered satisfactory in the most of cases.
Preterm delivery is still one of the most important problems of the modern obstetrics. In our country frequency of preterm delivery is 7.2-8.4% of all deliveries. Although preterm birth is the leading cause of perinatal morbidity and mortality, the diagnosis and appropriate treatment of preterm labor remains an unresolved clinical problem. A growing body of evidence supports the view that preterm labor is a syndrome with multiple causes and the urogenital infections play a very important role in the pathogenesis of preterm birth. The study analyses relationship between results of microbiological examination of cervical smear and preterm rupture of membranes.
The Authors present a delivery of conjoined twins--thoracopagus, of an 18 years old primigravida. A pregnant woman was admitted to delivery room with full cervical dilation. She underwent ultrasonography examination which showed bigeminal pregnancy--two fetus in breech presentation with the suspicion of conjoined twins. Ultrasonography measurements of fetus corresponded to gestational age of 23 weeks. The heart rate of the first fetus was about 40 per minute, the heart rate of the second fetus was undetectable. She underwent delivery through manual extraction of the fetuses. Both fetuses were female, without any signs of life. The result of the autopsy was: Hemithoracogastropagus holoacardius immaturus.