Vol 54, No 5S (2005)
- Year: 2005
- Articles: 124
- URL: https://journals.eco-vector.com/jowd/issue/view/4368
- DOI: https://doi.org/10.17816/JOWD.545
Пленарные доклады
Dmitry Oskarovich Ott and his contribution to obstetrics and gynecology
Abstract
The history of St. Petersburg keeps many great names that made the glory of Russian science and medicine, including such giants as N.I. Pirogov, S.P. Botkin, I.P. Pavlov, V.M. Bekhterev. The name of Dmitry Oskarovich Ott is certainly in this row.



Surgical correction of congenital malformations of the fetus and newborn
Abstract
Over the past decade, the problem of congenital malformations has acquired great medical and social significance. The urgency of the problem and the priority of the development of this direction has increased in connection with the introduction into practice of methods of prenatal diagnostics, which created the basis for the active prevention of the birth of children with multiple developmental anomalies or their timely surgical correction. The significance and state of this problem is evidenced by statistics. According to the National American Center for Birth Defects, 10 to 20 million babies with congenital anomalies are born annually in the world.



Modern views on some topical issues of laparoscopic surgery in gynecology
Abstract
To date, more than 30,000 laparoscopic operations have been performed at the clinical bases of the department (31st City Clinical Hospital and TsPSiR). The widespread introduction into clinical practice of laparoscopic interventions for various pathologies of the genitals and the accumulated experience of their implementation made it necessary to revise some approaches and determine the most optimal, scientifically grounded positions when choosing an operative access and methods for performing gynecological operations.



Endometriosis as a scientific, medical and social problem
Abstract
Endometriosis is characterized by a variety of forms and variants of the clinical course, paradoxical aspects of etiopathogenesis. Many years of our own experience and analysis of the work of the Russian Association of Endometriosis indicate that this disease is a serious social problem due to the prevalence of such symptoms as debilitating chronic or cyclic pelvic pain, reproductive dysfunction and menstrual cycle in its clinical picture.



Reviews



Total laparoscopic hysterectomy in the grossly enlarged uterus
Abstract
Introduction: Avoiding laparotomy by performing laparoscopic hysterectomy, of various types, has been shown to be beneficial in a number of ways. Shorter recovery times, shorter length of hospital stay and convalescence period, and earlier return to work than after abdominal hysterectomy are some of the positive factors cited. However, it is often considered that there is a size limitation of 14-16 weeks’ gestation to the feasibility of laparoscopic hysterectomy. Whilst a number of studies have shown that the laparoscopic-assisted vaginal hysterectomy (LAVH) successfully manages the large uterus, little has been published regarding a total laparoscopic approach.



The total laparoscopic hysterectomy - a modern route of hysterectomy. Is there a benefit?
Abstract
Objective: Total laparoscopic hysterectomy - a suitable approach to hysterectomy compared to the abdominal way.
Introduction. Hysterectomy is the most frequent surgery performed on female patients (approximately 70,000 per year in Germany). In more than 90% of the cases, it is indicated for benign disorders. In 1996 about 8% of the operation were done by laparoscopy, in 2002 it was done in about 12% of the cases. Only a very few recent publications focuses on per- and postoperative complications of the total laparoscopic hysterectomy. The advantage of the laparoscopic approach has been mainly associated with a short hospital stay and a quick convalescence. The object of this study was to list the advantage and the complications of the laparoscopic hysterectomy.









Tape related complications of mid- urethral sling procedures for female urinary stress incontinence
Abstract
Introduction. The mid-urethral sling procedures (MUS), like tension free vaginal tape (TVT) or transobturator tape (TOT) procedures are recent modalities for managing female urinary stress incontinence. They have been rapidly gaining popularity worldwide but little has been published to date on the nature and symptoms of associated complication






Possibilities and principles of mathematical assessment of the results of laparoendoscopic operations in patients with tuboperitoneal infertility
Abstract
Relevance. A promising search stage in predicting treatment results using multivariate analysis on a computer is designated as the development of a fundamentally new direction in reproductive operative gynecology.
Purpose of the study. Study of the individual contribution of each of the necessary, sufficient risk criteria in the event of TBI with the formation of the combined most informationally significant signs that contribute to the implementation of the planned volume of laparoendoscopic operations.



Diagnostic accuracy of fertiloscopy in the examination of patients with infertility
Abstract
The urgency of the problem. Clinical studies indicate that the tuboperitoneal factor is the most common cause of infertility (40 - 70%). It is known that the informative value of the indirect methods for assessing the state of the pelvic organs (ultrasound scanning, GHA, EchoGss), widely used to date, does not exceed 60 - 70%. The direct visualization method - transabdominal laparoscopy (LS) - is highly informative, almost 100%. However, at the diagnostic stage, the use of this method is not always justified, because requires hospital conditions, general anesthesia, is quite aggressive and invasive. In this regard, the endoscopic method - fertiloscopy (a combination of transvaginal hydrolaparoscopy, chromohydrotubation and hysteroscopy), which is distinguished by simplicity and ease of implementation, seems to be promising.
The aim of the study was to study the availability and information content of fertiloscopy in the examination of patients with infertility.



Emergency surgery for complicated inflammatory diseases of the uterine appendages
Abstract
The relevance of research. The problem of diagnostics and treatment of purulent inflammatory diseases of the uterine appendages (UHPD) remains relevant.
The purpose of this study: to study the quality of care for patients with HVHPM at the prehospital and hospital stages



Evolution of reproductive surgery
Abstract
Purpose: To show the main stages of formation, the current state and promising directions for the development of reproductive surgery in gynecology.
Object and methods. This report is based on the data of clinical investigations of more than 350 women with tubal - peritoneal infertility. The results of масrо, microsurgical and laparoscopic methods of Fallopian tubes plastics were estimated by means of comparative analysis. The results of transcervical recanalization of Fallopian tubes in case of their proximal occlusion were also evaluated. An addition, we analysed the experimental data of animal investigations (rabbits) and studied available scientific articles.



Surgical treatment of tubal- peritoneal sterility in patients with hydrosalpinx
Abstract
Objective: the detrmination of indications and contraindications for reconstructive-plastic surgery of uterine tubes in patient with hydrosalpinx.
Materials and methods. We have operated 159 female patients with tubo-pertironeal sterility, which resulted from existence of hydrosalpinx. All patients were underwent salpingoneostomy with application of laparoscopic (n=122) or microsurgical (n=47) technique. In 26 cases the microbiopsy of ampullar part endosalpinx of uterine tube with subsequent investigation of its ultrastructure by method of light and electronic microscopy (microscope “Hitachi”, Japan) was performed.



The peculiarities of pregnancy and labor & delivery course in patients after laparoscopic correction of sterility
Abstract
Reproductive health of the woman is the important condition of favorable prospects of each nation. The overcoming of married couple sterility is a question of state importance, but correct management of pregnancy and the choice of delivery method in pregnant after operative treatment of sterility is no less significant.






The efficacy of laparoscopy in adolescent girls with purulent pelvic inflammatory disease (pid)
Abstract
Material and methods. The target of medical examination of 98 adolescent girls at the age from 14 to 17 years with purulent PID was to establish the correlation between the clinical sings and the degree of destruction, revealing during






The expediency of mandatory combined endoscopy in increasing of assited reproductive technology efficiency
Abstract
Introduction. Evaluation of 168 patients participating in IVF programs was performed depending on the results of combined endoscopic examination and subsequent treatment. The pathology of endometrium was detected in more than half of the cases, while hydrosalpinx was revealed in 20% of the patients, and every tenth patient suffered from endometriosis. The expediency of the approach under the study for preparing the patients for IVF programs has been confirmed. The present study was aimed an evaluation of expediency and efficacy of combined endoscopic examination in preparing for subsequent participation of female patients in IVF programs.



Transvaginal endoscopy: new possibilities in operative gynaecology
Abstract
Authors have applied the method of transvaginal hydrolaparoscopy (THL) in 108 patients with previous history of tubal surgery and 4 patients with benign ovarian masses and severe postoperative adhesions of peritoneal cavity. THL allows to evaluate the effect of reconstructive reproductive surgery and determine the tactics of the further treatment of women infertility. Visual control and biopsy of inner surface of ovarian cyst is the informative tool of differential diagnosis of ovarian masses.



Adhesion prevention in reproductive surgery
Abstract
Introduction. Adhesion formation in abdominal cavity is one of the leading disease. Adhesion formation after pelvic surgery is the cause of ileus, sterility and chronic pelvic pain. There is no foolproof method to prevent the adhesion constitution. There are some recommendations in the literature to prevent this process: to use crystalloids and colloids after basic operative stage, dosing irrigation the cavity with isotonic solution sodium chloride with heparin, administration of the glucocorticoid.






Endovideosurgery in treatment of female sterility
Abstract
Actuality. Sterility in marriage is a special problem of the contemporary medicine. Variety of factors causing sterility and difficulty of pathological mechanisms revealing create necessity of search and improvement of new, more effective methods of diagnostics and treatment for this group of patients. Fallopian and peritoneal factors of sterility are found in about 30% of women suffering from sterility.



Laparoscopic surgery in diagnostics and treatment of sharp inflammatory diseases of appendages of the uterus
Abstract
Introduction. Acute inflammatory diseases of uterine appendages are today medical problem that significantly affect the health of women of child-bearing age. In recent years the number of diseases of this group has increased.



Particularities of endovideosurgical treatment of fallopian pregnancy
Abstract
Actuality: optimization of operative methods is one of trends of the modem surgery. This trend is continued by endovideosurgery, the new technology, which provides not only diagnostics, but also treatment of gynecological diseases.






Dynamic laparascopy as a stage of hospital rehabilitation in patients with tubal pregnancy
Abstract
Objectives: Chlamydia trachomatis infection of the upper genital tract often results in pelvic inflammatory disease (PID), and its sequels include ectopic pregnancy (EP), miscarriage and tubal infertility. This study was aimed to evaluate the rate of C. trachomatis detection as well as anti-C trachomatis antibodies in women with EP.



Laparoscopy in the diagnosis and treatment of chronic recurrent salpingo-oophoritis
Abstract
The relevance of the problem under study is due to an increase in gynecological morbidity rates, especially an increase in salpingo-oophoritis, characterized by a chronic course, frequent recurrence, severity of consequences and significant impairment of specific functions with persistent disability in young women of reproductive age.



The using of adhesion barrier interceed in functional uterine surgery
Abstract
Introduction. Soldering disease of abdominal cavity is an often complication for organ preservated surgical treatment of fibroids. The most perspective and modem principle, providing the high preventive effect, is using of special means, dividing the wound surfaces in postoperative time. There are two kinds of antisoldering barriers, which can be used in operative gynecology: self-dissolving membranes and liquid phases.



Optimization of laparoscopic hysterectomy method in fibroids surgery
Abstract
Introduction. Hysterectomy is still the most often intervention in gynecology up to present day (Adamyan L.V. et al., 2000). The most often intervention all over the world after appendectomy is hysterectomy (Wattiez A., et al. 2003).






Experience of application of different surgical accesses in case of combined uterine pathology
Abstract
Introductions. In the structure of gynecological diseases combined uterine pathology requiring operative treatment comprises up to 20-30%. The advent of minor-invasive technologies in operative gynecology nowadays makes it possible to maximally adapt the administered operative treatment for a patient, to shorten the time of being at in-patient clinic, to improve the course of post-operative period.






Evaluation of free radical processes in metabolism in combined hyperplasias of the female reproductive system
Abstract
Relevance. It is known that free radical metabolic reactions are involved in the development and progression of the development of various destructive and hyperplastic processes in tissues. In this regard, the aim of this study was to compare the severity of disorders of the pro- and antioxidant system in single and multiple benign tumors of the female reproductive system.



To the question about selection of rational surgical route at hysterectomy
Abstract
Introduction. Hysterectomy is the most often intervention in gynecology up to present day. Varity of clinical situation is demanded individual relation in every case. Selection of surgical route at hysterectomy depends on the criteria for intervention, uterine size, accompanying gynecology and somatic pathology, interventions on organs of abdominal cavity in anamnesis, inflammatory diseases of internal genitals and endometriosis.












The experience of laparoscopically assisted vaginal hysterectomy
Abstract
Introduction. Surgical laparoscopy has been widely adopted in gynecological practice. The first laparoscopic operation was carried out in our center in 1991. Lately different types of laparoscopic hysterectomy have been applied in surgical gynecology. In our clinic we widely use laparoscopically assisted vaginal hysterectomy, which was first performed here in 1996.



Our experience of laparoscopic, vaginal and laparoscopic assistance vaginal hysterectomy
Abstract
Introduction. Hysterectomy is the most common surgery performed by the gynecologist. There are many indications for hysterectomy and uterus can be removed using any of a variety techni ques and approaches including abdominal, laparoscopic, vaginal and laparoscopic assistance vaginal.



Our experience of treating of combined forms of endometriosis using endoscopic methods
Abstract
Introduction. Despite of effective methods of diagnosis and treatment of endometriosis, implemented in recent years, substantiation of surgical tactics and operations performing in cases of combination of genital endometriosis with involvement of the adjacent organs and cellular space still causes many difficulties.


















Substantiation of adjuvant intraperitoneal chemotherapy in complex treatment of widespread endometriosis (III-IV stages)
Abstract
Preface. Hormonal therapy is the integral component of complex treatment of all forms of endometriosis. The saved up 20-years world experience shows, that the best results are achieved with GnRH-agonists using, and the basic mechanism of their action is amenorrhea achievement.



Optimal protocol of normo- and hyperthermal intraperitoneal chemotherapy (ict) in complex management of the widespread endometriosis (iii-iv stages)
Abstract
In the hyperthermic variant, intraperitoneal chemotherapy (IVT) should be started immediately after the surgical stage. Perfusion is best accomplished by inserting 2 laparoscopic irrigation tips through the trocar ports connected to the perfusion system.


















Diagnostics and treatment of benign ovarian tumors in patients with impaired reproductive function
Abstract
The urgency of the problem. The problem of diagnosis and treatment of ovarian tumors is complex and relevant, especially when determining the possibility of carrying out organ-preserving surgery in young patients with impaired reproductive function.


















The experience of synthetic materials application in pelvic surgery
Abstract
Introduction. The inconsistency of pelvic muscles is one of actual gynecological problems today, resulting in significant amount of pathological processes and decreasing a quality of life. Now most effective method in treatment of pelvic prolaps is surgical treatment with use of prolen implants.



Tvt technique on combinated operative treatment of stress urorhea and genital prolapse in women
Abstract
Introduction. Stress urorrhea in women is one of the most frequent problems in uronology and gynecology. The aim of this research is to estimate the efficiency of TVT operation on combinated treatment of stress urorrhea and genital prolapse in women.



Lesser invasive technologies in correction of stress uroclepsia in pelvic prolapse
Abstract
Conclusion. The optimal way for treatment of patients with pelvic prolapse complicated by cysto- and rectocele is combined operation which makes it possible to carry out correction of genital prolapse (including remodeling of pelvic floor) and to eliminate functional disorders of annexa.



The importance of the latent connective tissue dysplasia in the pathogenesis of the cervix elongation
Abstract
The genital prolapse (PG) is actual clinical and surgical problem. Recidive’s frequency is still 33% after surgical treatment of the complicated cases. The cervix elongation (CE), which is one from the PG’s forms, isn’t diagnosed from early stages of the development. In the scientific literature it has written about latent connective tissue dysplasia’s (CTD) importance in the PG’s development.






Comparing outcomes of tvt versus tvt obturator sling procedures in stress urinary incontinent patients: a prospective cohort study
Abstract
Objectives. Compare the subjective and objective outcomes and quality of life (QoL) in patients who underwent either a tension-free vaginal tape (TVT) or TVT Obturator sling procedure for their stress urinary incontinence.



The role of ctd in genital prolapse genesis
Abstract
Background: now the role of connective tissue displasia (CTD) in genesis of genital prolapse is known. Genital prolaps as nondifferentiated kind of CTD is a manifestation of generalized CTD on the level of reproductive system which developes in young unipara women after noncomplicated delivery without hormonal disorders and factors provided intraabdominal pressure increasing.



Criteria for choosing surgical tactics for the treatment of mixed urinary incontinence in women
Abstract
The prevalence of mixed urinary incontinence among the known clinical forms of urinary incontinence in women varies from 12 to 30% (Hampel C. et al., 1997). With an unreasonable choice of surgical tactics for the treatment of mixed urinary incontinence, the effectiveness of surgery may decrease, as a rule, due to an increase in urgent symptoms (Karram M. M. et al., 1989).



The experience of genital prolapse treatment and urine incontinence using synthetic materials
Abstract
Background: genital prolaps which developes especially in young unipara women after noncomplicated delivery without hormonal disorders and factors provided intraabdominal pressure increasing is a common manifestation of generalized connective tissue defect (CTD) on the level of reproductive system.






An application of allogenic skin's cells for a treatment of genital fistulas
Abstract
An urogenital fistulas are serious complication after heavy multiple traumas, wounds, and radical operations. We offer a method of conservative treatment of the given pathology with the help of cultures of allogenic cells.






The evaluation of contributing factors and outcomes of surgical treatment in patients with stress urine incontinence
Abstract
Introduction. Stress urine incontinence (SUI), gets the important medical and social meaning in view of its extremely high prevalence among the women of senior reproductive age, occurrence and increasing of complex of the factors promoting development of moral- psychological and social - industrial disadaptation of the women.






New possibilities for eliminating prolapse and prolapse of the anterior vaginal wall and cystocele
Abstract
Introduction. For many years the problem of the lowering and fallouts of vagina and womb remains to be actual. The wide-spread way of the surgical treatment of the lowering and fallouts of the front wall of vagina and cystocele is an anterior colporrhaphia. Its using is limited by difficulties of the operative technics in case of thinness and atrophies of fascia vesicovaginalis, and the high frequency of prolaps relapse.



Sacrovaginopexy with prolene net application in genitalia prolapsus cure
Abstract
Material and methods. 170 been operated patients at age of 35-78 (average age was 47) were under dynamic observation with complex examination during 5 years. All the examined patients were divided into 5 groups according to their pathologies. The first group consisted of 24 patients with vagina prolapsus and cysto- and rectocele.









Gyne mesh soft in surgical treatment of rectocele
Abstract
The purpose of this message is to present the results of the use of a synthetic prosthesis for plastic surgery of the posterior vaginal wall during its descent with the formation of rectocele and to inform about a new modification of the plastic surgery of the posterior vaginal wall with the Gynemesh soft prolene mesh.






Тhе using of transvaginal ultrasound of urethrovesical segment in different types of stress incontinence diagnostics
Abstract
At present the different types of stress incontinence diagnostics and treatment are the main topics of urogynecology. T1·aditional methods of clinical, urodynamic and endoscopic exams have been completed Ьу noninvasive 2D and 3D ultrasound.



Transposition of distal urethra in operative treatment of recurrent urinary tract infection in female patients
Abstract
Aims & Objectives: recurrent urinary tract infection deals with anatomical variations of meatus position in more than 10% of patients. lt can lead to retrograde permeation of bacteria during sexual intercourse. Transposition of distal urethra can significantly improve the symptoms of urinary tract infection in such group of patients.



Experience of surgical treatment of paraurethral cysts
Abstract
Introduction and objectives. Paraurethral cysts which can be refered to nonmalignant cystic lesions of vagina are often found in urogynecologic practice. At the same time such rare pathology as diverticulum of urethra with the same symptoms can be diagnosed. The main symptoms of cysts are inflammation, pain, dyspareunia and obstructive voiding. It often requires surgical treatment. The world experience confirms that extirpation of paraurethral cysts is much more preferable than marsupialization because is more radical.



Tot and TVT-O operations, comparison and long-term results
Abstract
Implantation of prolen tapes for the correction of stress incontinence is the most perspective surgical method today. Our research includes the observation over patients operated according the TOT and TVT-0 method in 2002-2005 for the purpose of evaluation of operative methods and long term results of surgical treatment.



Prevalence of mixed urinary incontinence
Abstract
Hypothesis, aims of study. Mixed incontinence can be defined, as involuntary leakage of urine associated with both urgency and exertion, and effort, sneezing, and/or coughing. It can also be defined urodynamically, as combination of urodynamic stress incontinence and detrusor overactivity.












Sexual function assessment in female with stress urinary incontinence before and after surgical treatment
Abstract
Aims & Objectives: sexual function can significantly affect human’s quality of life. It definitely decreases in female patients suffering from stress urinary incontinence. The aims of this study were to evaluate the female sexual function before and after surgical treatment of stress urinary incontinence (SUI), comparing long follow-up results of two different procedures.



Diagnostics stages in postmenopausal uterine bleeding
Abstract
Background: ultrasound sonography is methodologic base of endometrial pathology screening. The first stage of diagnostics is performed in all postmenopausal women in out-patients departments. If the increasing of M-echo more than 4 mm has been revealed the further examination should be continued.






The status of mammary glands in patients with combined hyperplasias of the organs of reproductive system after ovariectomy
Abstract
Results. Various forms of mastopathy were found in 94% of clinical cases (63 patients). The diagnosis of mastopathy was established, according to the data of ultrasonographic examination, X-ray mammography, cytological and/or histological studies. Diffuse form of chronic cystic mastitis (DCCM) was found in 74,6% of cases, nodal form of chronic cystic mastitis - in 19% of cases (including 3 patients with atypical proliferation), in 4,8% of cases fibrous adenoma of mammary gland was found, and a single case of intraductal papilloma was observed.



The influence of the hysteroscopy over the nearer and the farther results of the endometrium cancer affected treatment
Abstract
The hysteroscopy diagnostic is considered as the method of definitive diagnostic of the endometrium cancer before the operation. The hysteroscopy is worth while in cases of difficulties with the diagnostic of the diseases. It is reasonable to introduce the hysteroscopy diagnostic in the algorithm of examination of the endometrium cancer diseases.






The first experience of using of argon plasma coagulation in the treatment of benign diseases of uterus cervix
Abstract
Urgency of research. Argon plasma coagulation (APC) as a method of monopolar high-frequency action upon a tissue, for last years is more and more widely used in endoscopy, open and laparoscopy surgery to stop bleedings and for devitalisation of superficial pathological processes. But the usage of this method in outpatient gynecology is poorly distributed.






Organsaving treatment of microinvasive cervical cancer of Т1A1stage
Abstract
Introduction. Now the cervical cancer wins first place in the world and the second main place in the Russian Federation among all malignant new growths of female genitals. Thus in our country, on the average only at 10% of patients fixed preinvasive stage of tumoral process, that is absolutely inadequate to opportunities of modem medicine and testifies to a low level of screening.












Technical aspects of laparoscopic lymphodissection
Abstract
Aim. The studying of laparoscopic lymphodissection results in cancer of different location.
Material and methods. In Ryazan Regional Clinical Hospital 86 laparoscopic operations have been performed during the period 1999/2005. 64 (74,4%) patients have had colorectal cancer, 10 (11,6%) patients have had renal carcinoma and 2 (2,3%) patients - cervical carcinoma. 20 (23,2%) operations have been combined ones.
Lymphodissection technique has been identical. But lymphodissection extent was different, depending upon the spread of cancer. At colorectal cancer aortoiliac and aortoiliopelvic lymphodenectomy has been performed, depending upon tumor location. Radical nephrectomy has been accompanied by monolateral wide removal of retroperitoneal fat in aortal and iliac zones (affected side). Extend of lymphodissection has corresponded to standard radical hysterectomy in 2 patients (Vertheim’s operation).



Urgent simultaneous laparoscopic operations in gynecology and surgery
Abstract
Actuality. At the contemporary level of surgery, anesthesiology and resuscitation development, simultaneous surgery can be performed not only previously planned but urgently as well. There is the opinion that in urgent surgery, number of urgent operations should be limited to minimum numbers; the top-priority for a surgeon must be life-safe procedures performed for a patient and the intentional risk can hardly be considered as defensible.



Planned simultaneous laparoscopic operations in gynecology and surgery
Abstract
Actuality. Increase of traumatic effect during performance of simultaneous phases and additional accesses use are presented as a major reason of surgeons’ rejection to perform simultaneous correction of combined diseases with laparoscopic methods. This major reason may become disputable as laparoscopic methods are introduced in contemporary medicine.



The experience of simultaneous laparoscopic operations in gynecology
Abstract
Introduction. The invention of laparoscopic methods has allowed performing simultaneous operations on abdominal and pelvic organs without substantial increase in trauma caused by operational access. According to data from WHO (1985) - 20 - 30% of patients require simultaneous operations, however, only around 6% of them undergo such interventions.



The opportunities for simultaneous gynecological laparoscopic operations
Abstract
Urgency of the problem. Extensive introduction of laparoscopy in surgery and operative gynecology, perfection of technique and low traumatic effect of endoscopic operations allow to expand indications for simultaneous laparoscopic interventions involving various abdominal organs.









The experience of combined treatment of uterine submucous myoma
Abstract
Introductions. With the advent of new technologies in medicine, with ultrasound procedures being widely spread and available to every woman the diagnosed cases of uterine pathology today are about 40%. Submucous uterine myoma is diagnosed in every 3d-4th cases of diagnosed uterine myoma.



Laparoscopy and hysteroscopy in the diagnosis of female sterility
Abstract
Introductions. There has been huge progress in diagnosis and treatment of female sterility recently. Assisted reproductive technologies have become more available for couples who have no children. In Kirov region with population of about 1,5 mln people statistically 47,000 families suffer from sterility.



Rehabilitation of the reproductive function in patients after intrauterine surgery of hysteromyoma
Abstract
Introduction. Modem surgical techniques of hysteroresectoscopy allow to perform organ-preserving operations in patients with submucous hysteromyoma. The submucous node up to 4 cm can be fully excised with electrosurgical fragmentation, if it belongs to the 0 or Ist type of localization according to European Hysteroscopists Association classification.



The comparative assessment ofcentral hemodynamics indexes changes in hysteroresectoscopy and endometrial thermoablation
Abstract
Introduction. Traditional treatment tactics in patients with endometrial hyperplasia provides the hormonal therapy during 3 months with following histological investigation of total mucoid scrape. Surgical operation is used if there are no clinical or/and morphological effects.



Diagnostic abilities of hysteroscopy in patients with chronic endometritis
Abstract
Hysteroscopy is an important diagnostic method in the gynecology practice. The visualization of the uterus cavity can detect a lot of abnormal changes, value the prevalence of the pathology process and eliminate of the abnormal tissues.



Intestinal trauma in laparoscopy (diagnostics, treatment and prevention)
Abstract
Materials and methods. 37 intestinal traumas were studied respectively. 11 cases occured after the first trocar was placed, 20 cases - in process of laparoscopy, 6 cases were complicated with ileus in postoperative period.









The first experience of gynecological laparoendoscopy
Abstract
In last 7 years 8174 surgeries were performed, 1188 from them were simultanted. Endoscopic operations became the gold standard of reconstructive surgery of infertility. 102 hysterectomies were performed from 2000 year and 210 fibroid enucleations. Ovarian tumors were the indications for surgery in 1134 cases, endometriosis - in 104 cases, extrauterine pregnancy - in 385 cases. 35 patients underwent organ-saved surgery. Laparoscopic operations allowed to decrease intraoperative trauma, blood loss, hospital stay. We had no lethal outcomes in this group of surgery.



Characteristics of the pelviometric indexes and justification of efficiency of their use to evaluate the shape of small pelvis in adult women
Abstract
Material and methods. The study was conducted using 51 specimen of normal female pelvis with ligaments from the Fundamental Museum of Department of Normal Anatomy of Military Medical Academy. To characterize the shape of pelvis the following standard pelviometric indexes had been used: pelvic ring index (PRI), pelvic height-width index (PHWI), pelvic width index (PWI), pelvic outlet expansion index (PEI).






The role of cytomegaloviral infection in young females with ovarian resistance
Abstract
Introduction. The study is aimed at the evaluation of the effects of cytomegaloviruses (CMV) on the development of ovarian resistance (OR) and at the development of a package of diagnostic and therapeutic measures in patients with such pathology.



Markers of connective tissue dysplasia in patients with chronic venouse insufficiency
Abstract
Introduction. Pelvic varicose is associated with different gynecologic diseases (myoma, ovarian tumors, endometriosis and others). Also it may be the independent disorder and cause chronic pelvic pain, sterility. The role of connective tissue disoders in varicose progressing is studed actively.



Establishment of urgent gynecological endovideosurgery in conditions of small town
Abstract
Material and methods. To assess the psychological reaction to the stress connected to the laparoscopic intervention Spilberg - Hanyn scale have been used. Comparative analysis was used in two groups of patients with fallopian tube rupture (as a result of tubal gestation). In the Ist group there were 15 patients who had undergone laparoscopic surgery. In the IInd group there were 15 patients who had undergone laparotomy. In both groups average age of patients was 28 ± 3,1 and 30 ± 2,3 respectively. We estimated correlation between degree of anxiety and risk appraisal for surgical treatment of patients with ectopic pregnancy in both groups.



Psychological features of patients reaction on the stress connected with laparoscopic by intervention
Abstract
Material and methods. To assess the psychological reaction to the stress connected to the laparoscopic intervention Spilberg - Hanyn scale have been used. Comparative analysis was used in two groups of patients with fallopian tube rupture (as a result of tubal gestation).



Clinical significance of adaptational reactions of female organism undergoing laparoscopic operations on uterus and adnexa
Abstract
Conclusions. These parameters were directly connected to the stress caused by hospitalization with urgent surgical diagnosis. We have found that usage of laparoscopic surgery decreases level of anxiety of patients with ectopic pregnancy.


