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Biomedical subjects

E A Alieva

Publications and source records attributed to E A Alieva.

At least 19 recordsLinked to original sources
PubMed2000

[Provisional ileostomy as a treatment of postoperative purulent peritonitis].

Early elimination of functional bowel obstruction in postoperative diffuse purulent peritonitis (PDPP) is an important factor determining the outcomes of the disease. Nasogastrointestinal drainage used for this purpose is capable to adequately aspirate small bowel contents from the segments located at a distance not farther than 80-100 cm. In the majority of patients with PDPP, lacking of vital capacity of bowel wall as well as insufficiency of previously laid sutures were revealed, which forced a surgeon to resort to resection; in such cases the method of choice for decompression should be the application of terminal ileostomy. Ileostomy in patients with PDPP provides adequate decompression of the bowel. The optimal terms for elimination of ileostomy is 3-4 weeks postoperatively.

Adolescent↗
PubMed1999

[Diagnosis and treatment of tuberculous peritonitis].

Basing on 73 cases, the experience in diagnosis and treatment of tuberculous peritonitis (TP) has been summarized. The analysis of principal clinical symptoms was carried out, diagnostic value of various methods of examination in TP was shown. It was established, that in majority of cases conservative therapy with application of antituberculous preparations contributed to improvement of patients' condition. In 31 patients suppuration of peritoneal liquid as well as bowel obstruction nesessitated urgent surgical intervention.

Adult↗
PubMed1993

[The effect of a decrease in body weight in patients with the polycystic ovary syndrome].

Eighty patients with the polycystic ovaries syndrome and excessive body mass were examined. In 60 patients body mass reduction resulted from diets and in 20 it occurred over the course of acupuncture. Such treatment resulted in pregnancy in 27 (33.7%) patients. Therefore, diets or acupuncture for body mass reduction are recommended for patients with polycystic ovaries and obesity as the first stage of treatment.

Acupuncture Therapy↗
PubMed1992

[Diagnostic and surgical laparoscopy in polycystic ovary syndrome].

A total of 202 patients with polycystic ovaries were involved in examination. The study has distinguished the laparoscopic signs of polycystic ovaries: smooth glossy tightly stretched surface of the ovaries with a characteristic vascular pattern or loops; the presence of subcapsular cysts. Ovarian section shows small cysts with transparent or yellowish contents. The histologic signs are thickening of the protein coating, increased count of primary, secondary and cystic atretic follicles (by 2-5 times) and a lowered level of tertiary follicles. Clinical and hormonal signs include disordered rhythm of the menstrual cycle, stable anovulation, a high (over 2) LH/FSH index, an elevated T level. Laparoscopic resection of the ovaries to make their size normal is a method of choice among this technique, standard or wide ovarian biopsy.

Adult↗
PubMed1991

[Pulsed secretion of gonadotropins in polycystic ovary syndrome].

Pulsed secretion of gonadotropins was studied in 8 women suffering from polycystic ovarian syndrome, aged 23-28. Data on the time course of LH and FSH levels were processes by Santen and Bardin's method and by harmonic analysis. The results evidence that regular ejections of LH at a frequency higher than circahoralian rhythm (about 2 impulses per h) in such patients may be the cause of the development of the polycystic ovarian syndrome. Therapy with norcolut, carried out for 3 months, resulted in development of a trend to normalization of LH secretion, FSH secretion remaining unchanged.

Adult↗
PubMed1991

[Clinical aspects, diagnosis and treatment of esophageal spasm].

Esophageal spasm Teschendorf 's syndrome) is rarely distinguished among neuromuscular diseases of the esophagus, which leads to improper treatment. Primary esophageal spasm and secondary esophageal spasm should be distinguished, the latter developing in cardiospasm or achylia of the cardia. Retrosternal pain and dysphagia prevail in the clinical picture of ++esophageal spasm . X-ray and esophagomanometry are the most informative among the objective methods of examination. In a group of 106 patients 49 had primary and 57 had secondary esophageal spasm . A complex of measures should be applied in the management of esophageal spasm+. Primary esophageal spasm is treated only by nonoperative measures (spasmolytics, tranquilizers, vitamins, acupuncture reflex therapy and psychotherapy according to a suggested scheme), a course of pneumocardiodilatation (no more than 5 sessions) is included in the management of secondary esophageal spasm+. Such treatment produced good and satisfactory results in 100% of patients with primary and in 72% of patients with secondary esophagitis. The management of secondary esophagitis is a more difficult problem which calls for further study.

Adult↗
PubMed1991

[Possibilities of echography in the diagnosis of polycystic ovary syndrome].

An examination was made to define the significance of echography in the diagnosis of the polycystic ovary syndrome. A total of 276 patients with the morphologically verified disease and 70 healthy females of reproductive age were studied. It was found that the reliable results in detecting the disease might be obtained when the ovarian-uterine index (OUI) proposed by the authors was calculated. The OUI is the quotient obtained when the mean ovary volume was divided by the uterine thickness. It was ascertained that the OUI greater than 3.5 was indicative of the polycystic ovary syndrome in 91%. The index lower than the threshold value was suggestive of normal ovaries in 85%. In general, the accuracy of the presence or absence of the polycystic ovary syndrome was 87% when the OUI was estimated.

Adult↗
PubMed1990

[Results of laparoscopy in patients with polycystic ovary syndrome after surgical treatment].

Laparoscopic studies have been done in 42 patients after laparotomic ovarian wedge resection (group 1), 12 women after laparoscopic ovarian thermocauterization (group 2) and 24 patients after laparoscopic ovarian wedge resection (group 3). Prominent adhesions were found out in the pelvis in group 1 women and milder ones in group 2 patients. The incidence of adhesions was significantly lower in group 3. It suggests that wedge resection using laparoscopy represents a method of choice for surgical ovarian correction.

Adolescent↗
PubMed1990

[Effectiveness of infertility therapy in patients with hyperandrogenism].

170 patients of reproductive age with hyperandrogenemia and infertility were examined. 101 (59.4%) patients became pregnant after the complete therapy of infertility. The examination of patients after non-effective therapy stated that they had had more height stage of androgenemia and remarkable deviation in results of genetic observation in comparison with the same indications of the pregnant women.

Adult↗
PubMed1990

[The polycystic ovary syndrome and increased body mass].

Eighty patients with the polycystic ovarys syndrome (PCOS) and excessive body weight were investigated. Weight loss was achieved by means of a diet in 60 patients, and acupuncture in 20 patients. This kind of treatment resulted in pregnancy in 27 (33.7%) patients. Therefore therapeutic diet or acupuncture may be recommended as the first stage of treatment for weight reduction in PCOS patients.

Adult↗
PubMed1990

[Androgenization in patients with polycystic ovary syndrome].

150 infertile patients with the polycystic ovary syndrome (PCOS), aged 19 to 36 years, have been investigated. PCOS was diagnosed on the basis of clinical symptoms, and the diagnosis was verified by laparoscopy, followed by histologic investigation of ovarian biopsy specimens. Hirsutism was found in 43% of the patients, while hair growth was marginal in 30% and normal in 27%. Testosterone (T) levels were increased significantly (p less than 0.05) in the PCOS patients with hirsutism or marginal hair growth, as compared to reference values.

Adult↗
PubMed1990

[Endoscopic surgery in the treatment of polycystic ovary syndrome].

202 patients with the polycystic ovary syndrome (PCOS) were investigated and divided into three groups depending on the variant of endoscopic surgical correction of polycystic ovaries. The highest conception rate (70.6%) was noted in group III; the ovaries of patients in this group were reduced to normal size as a result of dissection. We conclude that endoscopic resection of polycystic ovaries with reduction of ovarian size to normal limits may be considered a preferred variant of surgical treatment for PCOS.

Adult↗
PubMed1990

[Clinical and laboratory findings in patients with infertility and various forms of hyperandrogenism].

The study groups included 120 infertile females with hyperandrogenism: group I-47 patients with androgenic adrenal hyperfunction; group II-51 patients with androgenic adrenal and ovarian hyperfunction; group III-22 patients with androgenic ovarian hyperfunction. The patients with an adrenal pattern of hyperandrogenism demonstrated lower degrees of androgenization (lower hirsutism and clitorism) as well as a less pronounced impairment of the menstrual cycle versus the examinees from the other groups mentioned.

Abortion, Induced↗
PubMed1989

[Clinico-morphological characteristics of the polycystic ovary syndrome].

56 patients, 22 to 34 years old, with the syndrome of polycystic ovaries (SPO) were under observation. All of them underwent laparoscopic surgical correction with the abrasion of the uterus and subsequent histological examination. Primary chronic increase of the serum luteinizing hormone (LH) with the relative decrease of the level of the follicle-stimulating hormone (FSH), this resulting in the considerable increase of the LH/FSH ratio. The imbalance of the gonadotropic hormones resulted in the pronounced degenerations of granulosa and theca cells, decrease in the oestradiol and progesterone production and the increase of the androgen level. Morphologically, the rapid death of the developing follicles with their subsequent sclerotic and cystic transformation was observed as well as a sclerosis of tunics and cortical zone of the ovaries, the increase of their size. Obligatory clinical signs of SPO were, besides the sterility, oligomenorrhea starting from the menarche; facultative signs were the obesity and hirsutism in the puberty.

Adult↗