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Biomedical subjects

M Gávai

Publications and source records attributed to M Gávai.

4 recordsLinked to original sources
PubMed2005

Hypogastric artery ligation for intractable pelvic hemorrhage.

OBJECTIVE: To assess the outcomes of bilateral hypogastric (internal iliac) ligation performed to control intractable pelvic hemorrhage and avoid hysterectomy. METHODS: A review of indications and outcomes for 117 cases of bilateral hypogastric artery ligation over 15 years (1990-2004). RESULTS: Apart from a slight lesion to the hypogastric vein, no complications were observed. Hemorrhage was effectively controlled in all 37 obstetric cases. In 13 of these cases, the uterus was preserved even when there was cervical pregnancy, placenta previa, placental abruption, uterine atony, and uterine rupture, and 4 women were delivered of mature infants. Hemorrhage was effectively controlled in 41 of 80 gynecologic cases. Prophylactic reduction of pelvic blood flow was the indication for the procedure in 39 cases, 5 of whom involving Jehovah's Witnesses adverse to blood transfusion. The uterus was preserved in only a few of the 41 controlled cases, but one woman (so far) was delivered of a mature infant. CONCLUSION: Hypogastric artery ligation was found to be indicated if (1) life-threatening pelvic hemorrhage could not be controlled by conservative methods; (2) prophylactic reduction of pelvic blood flow was needed to prevent anticipated hemorrhage; and (3) preservation of reproductive function was desired. The procedure was found to be safe and usually effective and should be taught during obstetric and gynecologic training.

Delivery, Obstetric↗
PubMed1992

[Clinical significance of intrauterine growth retardation].

The authors have examined the measure of the influence of the proportional and disproportional retardation on the results of the pre- and subnatal observation of the fetus and on the frequency of perinatal mortality and newborns' morbidity, premature birth and newborns born with low birth weight. The authors have stated the two types of retardation leads to a higher global perinatal mortality mainly by causing a more frequent intrauterine mortality. Comparing the results of the retarded newborns to those of the somatically normally developed neonates they prove it from several aspects that the proportional retardation means a much higher risk for the newborn than the disproportional retardation which is also a risk factor. The new NDN classification system elaborated and used by the authors is suitable for differing the two types of retarded newborns.

Female↗
PubMed1989

[Incidence over 10% of premature deliveries in Hungary (based on the experience in Borsod-Abaúj-Zemplń County)].

The incidence over 10% of premature delivery in Hungary was studied. The cause which motivated this work was the fact that despite of several preventive and therapeutic measures the incidence e.g. in BAZ county surpassed even the average of the country. Professors of clinics in different countries of Europe as well as medical societies dealing with this question have been consulted about the matter of whether it was sufficient to consider a neonate a premature infant and the delivery a premature one solely on the basis of birth weight (under 2.500 g). Data of BAZ county proved that this determination was misleading and proposals are made concerning the modification on the basis of the examinations of the authors.

Female↗