Vol 53, No 2 (2004)


Using of laparoscopic hysterectomy in current gynecological practice

Plekhanov A.N., Abashin V.G.


In present review different methods of hysterectomy. The technique of laparoscopic hysterectomy resulted in decreasing of complications and extended the number of indications.

Summarizing everything mentioned above we can draw the conclusion that laparoscopic hysterectomy has the following advantages: minimal traumatization, cosmetic effect, shot postoperative and rehabilitation period, absence of complications in the late postoperative period, decrease of the risk of intraoperative complications. The experience accumulated proves the LH technique to be reasonable and efficient.

Journal of obstetrics and women's diseases. 2004;53(2):65-70
pages 65-70 views

Original Research

Investigation of new gestagenic preparations for administration in obstetrics and gynecology

Korkhov V.V., Lesik E.A., Petrosyan М.А.


The aim of our study was to investigate progestagenic and contraceptive activity of new synthetic compounds — analogues of 17α-hidroxyprogesterone in experiments.

It was showed, that new original steroid compounds has pronounced gestagenic effect and more active than such gestagens as utrogestan, duphaston, norgestrel and oth. According to the data the test substances in combination with estrogen induce high contraceptive activity.

Journal of obstetrics and women's diseases. 2004;53(2):16-19
pages 16-19 views

Complications of postpartum thrombophlebitis and their prevention

Khadzhieva Е.D., Gordeev N.A.


The data on thromboembolic complications in obstetrics (metrothrombophlebitis, pelvic vein thrombosis, ileofemoral phlebothrombosis) are presented. The clinical course of diseases with the development of embologenous phlebothrombosis and thromboembolism of the branches of the pulmonary artery (PE) after childbirth and abdominal delivery is described. The degree of risk of developing a BODY is due to infection, blood loss, complications of pregnancy with gestosis, the presence of extragenital diseases and conventional thrombolytic therapy, especially in patients with embologenous phlebothrombosis. Possibilities of surgical prophylaxis of PE after childbirth and abdominal delivery by the method of cavaclipation of the inferior vena cava are shown, with the introduction of which into clinical practice the possibility of reducing maternal mortality becomes a real possibility.

Journal of obstetrics and women's diseases. 2004;53(2):20-25
pages 20-25 views

Pathogenesis of perinatal pathology in newborns developing under conditions of chronic hypoxia with placental insufficiency

Evsyukova I.I.


The study of the pathogenetic aspects of disorders in the formation of the functions of the central nervous system and other vital functional systems of the child's body under unfavorable conditions of its intrauterine development has always been a priority direction of scientific research by the employees of the Department of Physiology and Pathology of Newborns of the N.I. BEFORE. Otta RAMS.

Journal of obstetrics and women's diseases. 2004;53(2):26-29
pages 26-29 views

Evaluation of the effectiveness of the use of the drug epigen in the complex treatment of cervical ectopia associated with papillomavirus infection

Orlova O.O., Mikhnina E.A.


A comparative analysis of the results of treatment of 242 patients with cervical ectopia associated with human papillomavirus was carried out. It was found that the use of an epigen-intim spray before and after cryodestruction or laser coagulation of the cervix shortens the period of epithelialization and reduces the frequency of recurrence of papillomavirus infection.

Journal of obstetrics and women's diseases. 2004;53(2):30-32
pages 30-32 views

Influence of relaxin and insulin on the activity of adenylate cyclase in the myometrium of pregnant women with type 1 diabetes mellitus

Kuznetsova L.A., Plesneva S.A., Shpakov A.O., Pertseva M.N., Omelyanyuk E.V., Bolotskikh V.M.


The study of the influence of relaxin and insulin on the activity of adenylate clase (AC) in the myometrium of pregnant women showed that human relaxin 2 (10-9-10-8 M) causes a stronger stimulating effect on the enzyme activity than insulin. The activating effect of relaxin and insulin was potentiated by a non-hydrolyzable GTP analogue, guanylylimidodiphosphate (GIDP), in the myometrium of pregnant women, which indicates the participation of the stimulating GTP-binding protein (Gs-protein) in the realization of the effect of peptides. In the myometrium of pregnant women with type 1 diabetes mellitus under the action of relaxin, insulin and isoproterenol, a decrease in the sensitivity of AC activity to these hormones was found in comparison with these indicators in the myometrium of pregnant women. With the combined effect of peptides and GIDP in the myometrium of pregnant women with type 1 diabetes mellitus, a weakening of the potentiation of the GIDP effect of hormones on AC activity was observed, which may indicate a decrease in the coupling between receptors, Gs protein, and AC. The studies carried out allow us to conclude that in pregnant women with type 1 diabetes mellitus, the decrease in AC stimulation under the influence of these hormones is associated with a weakening of the Gs-protein function.

Journal of obstetrics and women's diseases. 2004;53(2):33-35
pages 33-35 views

Differential ultrasound diagnostics of the changes of endometrium atthe women of reproductive age

Sharova L.E., Safronova M.M.


In article outcomes of a research of 294 women with clinical displays of infringement menstrual cycle, shown developing as disfunctional changes in endometrium, resemble reminding polyps are submitted. For specification of character of a pathology is used the functional farmakodinamic oxytocin test (the Russian patent for the invention № 2126653). After statement of the diagnosis and assignment corresponding therapy during 3—6 months, restoration ultrasonography picture of endometrium was observed according to a phase of menstrual cycle.

Journal of obstetrics and women's diseases. 2004;53(2):36-40
pages 36-40 views

The remote consulting centre - operative control for rendering obstetric care in komi republic

Murashko М.A.


The work presented gives the analysis of the introduction of the remote consulting centre model in the field of obstetrics and gynecology. The 7-years retrospective efficiency analysis of the consulting care model in the territory of the Komi republic was carried out.

Conclusion: the remote consulting care is responsible for the reduction of the basic parameters of maternal, perinatal and infant (neonatal) mortality.

Journal of obstetrics and women's diseases. 2004;53(2):41-47
pages 41-47 views

Modern approaches to the correction of renal dysfunction in pregnant women

Repin М.A., Krapivina Е.G., Kolchin V.А., Stambulova O.А.


Phytopreparation Kanefron N includes components that provide antispasmodic, vasodilating, diuretic, anti-inflammatory and antibacterial action. The efficacy of cannephron H was studied in 132 pregnant women, 52 of whom had a concomitant urinary tract infection, and 80 had gestosis and / or chronic parenchymal kidney damage (chronic glomerulonephritis, interstitial nephritis), in eight cases complicated by chronic renal failure. The following cumulative effects of the treatment with canephropom H were obtained: improvement of peripheral (including renal) blood circulation (according to coagulogram tests), increased urine output, anti-inflammatory and antibacterial action (including in relation to the vaginal flora). The drug is safe for the mother and the fetus, as evidenced by the outcomes of pregnancy and childbirth in women treated with Kanephron N. The effectiveness of treatment depends on its duration (at least 3-4 months). It is possible to combine kanefron N with antibacterial, antispasmodic agents and with antihypertensive drugs.

Journal of obstetrics and women's diseases. 2004;53(2):48-53
pages 48-53 views

Perimenopausal Women's Health. Theory and practice

Volkova N.I.


In connection with the success of medicine, life expectancy is increasing, which is especially reflected in the life expectancy of the female population. In Russia, the life expectancy of women has increased from 49.6 years in 1939 to 72.2 years in 1999 [6]. A decrease in fertility and an increase in the life expectancy of women leads to the fact that the proportion of older women in the population is increasing every year. So, today, 10% of the entire population are women of menopausal age, while about 25 million people are added to their number every year. According to experts from the World Health Organization (WHO), by 2030 there will be more than 1 billion women over 50 years old.

Journal of obstetrics and women's diseases. 2004;53(2):54-59
pages 54-59 views

History of medicine

Alexey Semenovich Slepykh and his contribution to obstetrics and gynecology (on the occasion of his 80th birthday)

Kostyuchek D.F., Zhigulina G.A., Miroshnichenko М.G.


Professor Aleksey Semenovich Slepykh (1924-1984) is one of the largest obstetricians of the 20th century. An outstanding scientist and teacher, a talented surgeon, he headed the Department of Obstetrics and Gynecology of the Leningrad Sanitary and Hygienic Institute, later the St. Petersburg State Medical Academy from 1968 to 1984.

Journal of obstetrics and women's diseases. 2004;53(2):71-76
pages 71-76 views


Anniversary of Natalia Nikolaevna Konstantinova


On March 1, 2004, the medical community celebrated the anniversary of Professor, Doctor of Medical Sciences, an outstanding scientist-perinatologist Natalya Nikolaevna Konstantinova, professor, surgeon, gynecologist.

Journal of obstetrics and women's diseases. 2004;53(2):1-1
pages 1-1 views

Current public health problems

«Aging» of placenta

Ailamazyan E.K., Kvetnoy I.M., Lapina E.A.


As the nature of any intrinsic biologic aging process or even of its existence independent of disease is unknown, it is impossible to state whether or not the placenta gets old. There are two main conceptions to describe the morphological and physiological changes of placenta at term. It is widely believed that during the relatively short duration of normal pregnancy the placenta progressively ages and is, at term, on the verge of decline into morphological and physiological senescence. Several placental functions decrease near term, but it is impossible to attribute these to aging. In fact, some of them may represent adaptive additional maturation or pathological processes. The genetic differentiation/invasion/maturation programs of placental cells could be modulated by their environment: oxygen, extracellular matrix, and soluble factors (cytokines, growth factors, and hormones).

Journal of obstetrics and women's diseases. 2004;53(2):4-10
pages 4-10 views

Early diagnosis of external genital endometriosis in women with infertility

Bespalova J.V., Volkov N.I., Kulakov V.I.


The article reports on the results of the analysis of the reliability of symptoms of external genital endometriosis. Mathematical processing of these signs using the total probability formula made it possible to calculate the statistical probability of endometriosis in the presence of each sign individually or in their random combination in a woman with infertility and a regular ovulatory menstrual cycle.

Journal of obstetrics and women's diseases. 2004;53(2):11-15
pages 11-15 views


Fibrocystic breast disease: diagnostic approaches

Kogan I.J., Polyanin А.A., Tarasova М.А., Mjasnicova М.O., Solnceva I.А.


This article consists of information about diagnostic approaches of fibrocystic breast disease including morphological dates. There are indications, adventures and disadventures of mammography and ultrasound investigation also.

Journal of obstetrics and women's diseases. 2004;53(2):60-65
pages 60-65 views


Clinical significance of adaptational reactions of female organism undergoing laparoscopic operations on uterus and adnexa

Filimonov S.V.


From the modern standpoint of biomedical ethics and high professionalism, gynecologists should take into account in their clinical practice a wide variety of opinions among representatives of various confessions on the issue of contraception and the implementation of a personal and holistic act of conjugal love.

Journal of obstetrics and women's diseases. 2004;53(2):84-88
pages 84-88 views

Regulating Healthcare Relationships: Practical Problems and Ways to Address Them

Sirotkina A.A.


A person's need for medical care exists throughout his life: medical services are provided to a person at birth, the need to receive them exists throughout his life until death. At the same time, today in Russia the relations that develop when receiving medical care remain practically unsettled.

Journal of obstetrics and women's diseases. 2004;53(2):77-83
pages 77-83 views

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies