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Biomedical subjects

G Grozdanov

Publications and source records attributed to G Grozdanov.

At least 19 recordsLinked to original sources

[The hysteroscopic diagnosis of endometrial carcinoma].

Panoramic hysteroscopy as a testing method was introduced into the Department of Obstetrics and Gynaecology at the Medical University--Plovdiv in 1995. For four years the authors have performed 308 panoramic hysteroscopies. With 19 of these cases (6.17%) the diagnosis cancer of the endometrium has been confirmed histologically, too. Using the advantages of this method within the complex of modem screening testing methods for early diagnosing of this kind of cancer, the authors have described its typical hysteroscopic image.

Carcinoma↗

[Primary carcinoma of the fallopian tube: state of the problem and a case report].

The cancer of the fallopian tube is one of the most rare malignant diseases of the female genital tract. The authors present a case of a 66-year old women, that was difficult for diagnosis and interpretation of the clinical appearance and the results of biopsic curettage. The discussion of the case is accompanied by a literature review for the last five years concerning diagnosis, prognosis and treatment of this rare disease.

Aged↗

[Hysterectomy--a time for reappraisal].

Hysterectomy is the most common non-pregnancy-related surgical procedure performed worlwide. The objective of our study was to investigate the hysterectomy by age, indication and surgical method employed during 1994-1998 in Department of Obstetrics and gynecology of Higher Medical Institute-Plovdiv, Bulgaria. During the period 1352 hysterectomies are performed. The most common indication was uterine myoma--50.3%. The most frequently the removal of the uterus is made at the age of 45-49. The low percentage of vaginal hysterectomies has been noticed--4.6%, as well as the comparatively frequent removal of the ovaries along with hysterectomy for benign diseases. A thorough analysis has been made in order to reduce the unnecessary hysterectomies, to choose the right approach and extend of the operation.

Bulgaria↗

Progesterone challenge test for evaluation of endometrial hyperplasia in postmenopausal women.

One hundred and ninety asymptomatic postmenopausal women were examined by transvaginal sonography. Progesterone challenge test (PCT) was performed in 46 of the women with measured endometrial thickness equal to or greater than 6 mm. PCT positive were 32 of these women and they underwent curettage. Endometrial hyperplasia was detected in 18 women and in 2 of the atypical hyperplasia was verified. The authors conclude that PCT is a convenient and safe screening method for women at high risk for endometrial cancer.

Endometrial Hyperplasia↗

[Neonatal birth trauma in relation to the means of delivery].

The frequency of birth trauma has fallen considerably in recent years. This decline reflects in particular a greater tendency to perform a caesarean section when difficulties of delivery would appear. Birth trauma often causes not only early, but late and continuous illness in neonates. For this reason it is an important problem in neonatal practice. 1791 newborn have been investigated: 1515 (84.5%) by vaginal delivery, 177 (9.8%) by caesarean section, 38 (2.1%) by forceps, 18 (1.01%) by vacuum extraction and 43 (2.4%) by pelvic presentation. The results show the frequency of birth trauma (5.5%) and asphyxia (5.9%) by vaginal delivery and by operative methods (19.8%--S.C., 60.5%--F., 88.8%--V.E.) and their dependence on some factors: induction or stimulation of labor, meconium stained amniotic fluid, prolonged or extremely rapid labor.

Apgar Score↗

[The biochemical changes in overweight pregnant women during the pregnancy].

The degree of weight gain during pregnancy as a risk factor for a mother and her newborn is a disputable problem. Most of the studies have shown, that maternal overweight gain has a bad effect on labor delivery outcome. The present study included 108 pregnant women, subdivided into three groups, according to weight gain during pregnancy: Group I(32) - < 12 kg, Group II(42) - 12 < - < 20 kg. Group III(34) - > 20 kg. The patients were estimated according to their age, parity, pregnancy induced hypertension and mode of delivery. The authors investigated biochemical indicators of protein, lipid and electrolyte balance. The results illustrate the influence of prenatal overweight gain on the pregnancy complication, mode of delivery and some biochemical changes.

Adult↗

[The dynamics and structure of abortions in 1981-1988].

The authors describe the question about dynamics of the structure of abortions and go through the clinical material of the Chair of Obstetrics and Gynecology in the town of Plovdiv for a period of 8 years. The total number of abortions and deliveries are indicated for the same period as the abortions are presented in accordance with the type and refer to the number of nonmarried and married women and their parity. In the inferences the authors make suggestions for liberalization of the legal status, regulating the right of women for abortion, as well as for search of other means mainly social-civic for improvement of the index of birth rate.

Abortion, Illegal↗

[Uterine hemorrhage as an indication for performing contact hysteroscopic examination].

The authors point out uterine bleedings as the most frequent indication for examination after reviewing a material of 631 hysteroscopic examinations. Hysteroscopic images of glandular hyperplasia of the endometrium are described as well as endometrial polyp, which are the most frequent cause for uterine bleedings. The contact hysteroscopy is considered as a valuable additional method for examination of women with metrorrhagia.

Biopsy↗