[The level of sex steroid receptors in the myometrium during cesarean section].
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Biomedical subjects
Publications and source records attributed to V I Krasnopol'skiĭ.
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The delivery in 66 pregnant women previously operated on the uterus is analyzed. 40% of women with cicatrices on the uterus after cesarean section gave birth to children via the natural route. In order to improve the safety of spontaneous labor, echographic examination of the lower segment of the uterus in labor was carried out in these women, as well as ultrasonic cervicometry and monitoring of the detachment and delivery of the placenta.
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The principal causes of recurring prolapses are inadequate choice of surgical technique and unqualified performance of the operation proper, as well as the absence of expert evaluation of the performance capacity of this patient population. The authors suggest pathogenetically, anatomically, and functionally validated methods of reconstructive surgery permitting restoration of the position and function of the genitals and the adjacent organs and helping preserve the generative function of fertile women. Approaches to prevention of recurrences are outlined.
The authors analyze the tentative results of a multiprofile study, including a review of labor histories, examinations of pregnant women and parturients, measurements of fetoplacental hormones, study of the immunity status and microbiocenosis of the mothers and newborns, living in the first (up to 15 Ci/km2) and second (15 to 40 Ci/km2) zones of radioactive contamination. The detected shifts of a compensatory nature were found mostly in women living in the first zone. The disorders found in the women living in the second zone evidenced a decrease of the defense potential of the body, this necessitating nonspecific and correcting therapy during pregnancy, in labor and the postpartum period.
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The paper presents a rationale for and advantages of a modified Aldrich procedure in surgical treatment of patients with stress incontinence. This technique was supplemented by colpoperineoplasty in 24 patients. Long-term efficacy was assessed at 3 months to 4 years. No recurrence or complications were seen. Determinants of surgical success in these women were an appropriate patient selection with regard to urodynamic findings, meticulous performance at intraoperative stages and good rehabilitative care.
A study in 128 women with variable degrees of prolapse of the internal genitalia has identified significant functional abnormalities of both the genital and pelvic organs. Combined biphasic surgical treatment was performed simultaneously or at an interval of 3-6 months. The operation consisted in fixation of the uterus (its stump or the vaginal dome) using an aponeurotic flap and colpoperineolevatoroplasty. Long-term results were evaluated at 0.5 to 7 years. Complete anatomic and functional rehabilitation was achieved in 95.4% and a significant improvement in 3.8% of the patients.
The paper presents 10-year experience with surgical treatment of ureteral stricture in retrocervical endometriosis and suppurative adnexal diseases. The most efficient methods of diagnostic location and grading of ureteral stricture were found out. Therapeutic approaches to strictures coexisting with retrocervical endometriosis and suppurative adnexal lesions are discussed with reference to degrees of constriction and the status of the ureteral walls. The results of treatment are presented.
The current incidence of purulent inflammatory fistulas is 31.1%. An analysis of 36 patients with these fistulas has identified stages of their formation. Anaerobic flora and a primary cause of pelvic and adnexal abscess formation were major determinants of fistula formation.
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Blood laser action (red spectrum, a wavelength of 628 nm, pulsed periodic quasi-continuous duty), a noninvasive tool, was demonstrated to stimulate the immune forces of the body, which showed a 2-fold or more decrease in the incidence of inflammatory complications after cesarean operation.
A review of the outcomes of 819 cesarean sections and the causes of intranatal and early neonatal loss of full-term newborns has demonstrated that postcesarean perinatal mortality and morbidity remains fairly high. Perinatal losses are largely seen in cases of late gestosis and placental disorders, i.e. where cesarean section is performed urgently for maternal reasons. Possibilities for improving perinatal parameters are in the optimization of indications for surgical delivery and timely as well as technically correct performance of the operation and high-quality anesthesiologic support at a specialized facility, well-equipped for urgent maternal and neonatal treatment and intensive care.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.