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V Novachkov

Publications and source records attributed to V Novachkov.

28 records · Page 2Linked to original sources

[Tocolytic substituent treatment with Magnerot in threatened abortions and premature labor from the 16th to the 36th gestational week].

The Mg's low level in the sera and the urine correlate with clinical symptoms of uterine contraction in pregnant women from the 16th-36th gestation week. The authors present their experience with the use of removal tocolytic curing with Magnerot tabl. in the cases of 60 pregnant women with uterine pain and contractions from 16th to 36th gestation week and Pelvic Score after Bishop under 4. The effect of the curing is remarkable till from the beginning in the first 4-7 days of it, which is demonstrated with disappearing of the objective and subjective contractions (overviewed in obstetric monitor) and there is normalising of the paraclinical levels of the Mg in the sera and the urine, with normal pregnancy and birth of a healthy and alive child.

Abortion, Threatened↗

[Surgical laparoscopy--our experience].

Fifty-two of 304 infertile women were surgically treated by the time of diagnostic laparoscopy. Table 1 represents surgical treatment via laparoscopy. Forty-one (78.84%) patients had electrosurgery or laser surgery of endometriosis. Salpingo-ovariolysis was performed in 6 patients (11.53%). Salpingostomy was performed in 2 patients. Fimbrioplasty was performed by incising the peritoneal band surrounding the terminal end of the fallopian tube in 2 patients. Bleeding of vascular adhesions was followed by electrocautery. No patient required laparotomy for control of bleeding. In two patients (3.84%) with ectopic pregnancy had light arterial bleeding along the salpingostomy incision and was controlled by bipolar cautery. In three patients (5.76%) cysts up to 7 cm in diameter were treated. The capsule were dissected and removed how possible. Any residual capsule was vaporized.

Adnexal Diseases↗

[Our clinical experience in treating endometriosis genitalis externa with the preparation Danoval].

By means of the serum level of estradiol and the vaginal smear indexes the antigonadotropic activity of the preparation Danoval (2-3-isoxasol-17-ethinyltestosterone) is indirectly evaluated on 15 infertility patients with laparoscopic proved endometriosis. After 5 month's course of treatment with 400 mg daily the level of estradiol decreased from 1.54 to 0.31 nmol/l, IA from 20.8 to 10.4 and IP from 32 to 17.3. The side effects are slight and descend from the pharmacological properties of the preparation. Two patients became pregnant in three months after the treatment.

Adnexal Diseases↗

[Antibiotic prophylaxis in operations performed by a microsurgical technic].

The authors studied the effect of a single prophylactic dose of Cephalozoline in a dose of 2 g. used in 50 women, operated by microsurgical technique for tubal sterility. In comparison with 100 women with continuous prophylaxis with Ampicillin and gentamycin there was a reduction in infectious postoperative complications of the same 50 women without any disturbance in general state, pulse or laboratory parameters. Side effects due to Cephazoline were not established.

Anti-Bacterial Agents↗

[The echographic measurement of fetal transverse cerebellar diameter in the second pregnancy trimester--a "nonstandard" method for determining gestational age].

The study was carried out on 192 women with normally progressing pregnancies during the second trimester, in whom the gestational age was determined by 291 echographic measurements of the fetal anatomic parameters-the biparietal diameter, length of the femoral bone and the transverse cerebellar diameter. The coefficients of correlation between each of the indicated parameters and gestational age as high values of correlation--0.96, 0.98, 0.98 were established. A brief literary review is made on the problem for determination of gestational age by measurement of the transverse cerebellar diameter of the fetus. Making more precise some technical details of the method, the authors recommend it for routine usage in the clinical practice.

Cerebellum↗

[Folliculometry as a method for determining ovulation in insemination with frozen sperm].

The authors carried out studies retrospectively on 57 women, who became pregnant in insemination with donor frozen spermatozoa. Ovulation problems and luteal insufficiency were diagnosed in advance and treated before and during the occurring cycles. Women were divided into two groups. The first group of 25 women were examined by ultrasound transvaginal transducer for follow-up of follicle growth in the ovaries in addition to measurement of body temperature and determination of the cervical factor. The second group of 32 women, in whom follicle-metry was not performed. The frequency of conception was 0.24 in the first group, but 0.26 in the second group. It is concluded that inspite of the significance of follicle-metry for determination of ovulation the traditional methods are still valid criteria for ovulation and can be used as independent methods for determination of the time for insemination with therapeutic donor frozen spermatozoa.

Female↗

[The importance of laparoscopy in the diagnosis of tubal sterility].

Analyzing the findings in diagnostic laparoscopy the authors describe in details and interpret the results from the examined organs in the pelvis and abdominal cavity. Object of the study are 200 sterile women, admitted to the clinic of Sterility and Gynecological Endocrinology of Research Institute of Obstetrics and Gynecology for examination. The mean age of the patients is 29 years as 128 of the women suffer from primary sterility, but 72--from secondary sterility. The results are summarized and interpreted in 5 groups. Uterine body--form, size, motility, measurements, adhesions, fibrillary apparatus, patency; Ovaries--form, size, position, motility, surface, follicles; Adhesions--type, dimensions, vascularization, position (in the pelvis and abdominal cavity); Data for endometriosis--presence, size and localization of endometriomas, endometriotic cysts and outgrowths, an increased vascular line. The inference, which the authors make, is that laparoscopy is basic (and necessary) current diagnostic method for obtaining real notion for the state of internal genital organs (especially for tubal factor in female sterility) and furthermore also for evaluation of the necessity and possibility for performance of microsurgical reproductive operations.

Adult↗

[The relationship of the location of the placenta and the indices of the fetus and birth process].

The study is carried out on 200 women, pregnant for first and second time with normally progressing, pregnancy and delivered by normal mechanism at term, who are divided into groups according to the localization of the placenta, established by ultrasound examination. The number of primiparas is 50% in each group. The authors find that when the placenta is located on the uterine fundus larger children are born and hypokinetic labour activity is observed as well as protracted delivery. The site of the placenta is extremely important factor, affecting course of pregnancy and delivery.

Adult↗