Electronmicroscopic examination of myometrium scar after use of monoand bipolar cauters

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Uterine fibroids, which, according to various estimates, are found in 50% of cases, is the most common benign disease of the female genital area. A radical method of treating this disease is surgical removal. In radical operations are actively used bi- and monopolar cauters, both for cutting and for coagulation. After such an exposure necrotic scars are often formed, leading to gross deformations of the tissue and, as a consequence, to the impossibility of a normal onset and course of pregnancy. The question of studying postoperative myometrium scars at the ultrastructural level, with the aim of possible optimization of physical parameters for the most gentle operation, is highly important, since allows to estimate changes in tissues at the level of cellular and subcellular structures. At the moment, this experience is absent in our country. The electron microscopic investigation of a myometrium subjected to an electric current is considered in the article.

Dimitry D Kupatadze

Author for correspondence.
North-Western State Medical University named after I.I. Mechnikov
Russian Federation, Saint Petersburg, Russia

PhD student. Department of reproductive health of women

Margarita M Safronova

North-Western State Medical University named after I.I. Mechnikov
Russian Federation, Saint Petersburg, Russia

MD, PhD, Dr Med Sci, Professor

Yevgeniya V Il'inskaya

Institute of Cytology of the Russian Academy of Science
Russian Federation, Saint Petersburg, Russia

старший научный сотрудник

  • Майстренко Н. А., Юшкин А. С., Физические способы диссекции и коагуляции тканей в абдоминальной хирургии. – СПб.: Фолиант Наука, 2004. – 152 с. [Maystrenko NA, Yushkin AS. Fizicheskie sposoby dissektsii i koagulyatsii tkaney v abdominal'noy khirurgii. Saint Petersburg: Foliant Nauka; 2004. 152 p. (In Russ.)]
  • Walsh PC. Cancer control and quality of life following anatomical radical retropubic prostatectomy: results at 10 years. J Urol. 1994;152:18.
  • Leblanc E. Obstet Gynev Surv. Laparoscopic Restaging of Early-Stage Adnexal Tumors: A 10-Year Experience. 2005;60(1):31-32. doi: 10.1097/01.ogx.0000148639.23721.a1.
  • Miranda C. The role of laparoscopy in emergency abdominal surgery. An Sist Sanit Navar. 2005;28:81-91.
  • Галанкин В.Н., Вишневский А.А., Головня А.И. Особенности заживления ран, нанесенных различными хирургическими инструментами // Архив патологии. – 1979. – T. 41. – № 5. – С. 49–55. [Galankin VN, Vishnevskiy AA, Golovnya AI. Osobennosti zazhivleniya ran, nanesennykh razlichnymi khirurgicheskimi instrumentami. Arkhiv patologii. 1979;41(5):49-55. (In Russ.)]
  • Стебунов С.С., Лызиков А.Н., Занько С.Н., Лызиков А.А. Безопасная техника в лапароскопии. – Минск, 2000. – 218 с. [Stebunov SS, Lyzikov AN, Zan'ko SN, Lyzikov AA. Bezopasnaya tekhnika v laparoskopii. Minsk, 2000. 218 p. (In Russ.)]
  • Shanklin DR, Sibai BM. Ultrastructural aspects of preeclampsia. II Mitochondrial changes. Am J Obstet Gynecol. 1990;163(3):943-954. doi: 10.1016/0002-9378(90)91102-I.

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