RESUMEN
Our three year experiences of laparoscopic operations recto-vaginal endometriosis is presented here. We treated 15 patients. The main symptom was severe dyspaurenia. Laparoscopic (n = 14) and laparotomic (n = 1) excision of endometriotic nodules resulted in considerable pain relief. The surgical techniques was excision with scissors and bipolar coagulation. In all the procedures the anterior rectum was freed to the loose areolar tissue of the recto-vaginal septum, prior to excising deep fibrotic endometriosis. Operation time was average 135 minutes and intraoperative blood loss was minimal. Postoperative hospital stay was average 4.8 days. Fourteen patients were free from the preoperative symptoms at six month follow-up. Laparoscopic surgery for deep recto-vaginal endometriosis is an effective treatment and offers significant symptom relief.
Asunto(s)
Endometriosis/cirugía , Laparoscopía/métodos , Enfermedades Vaginales/cirugía , Adulto , Endometriosis/diagnóstico , Femenino , Estudios de Seguimiento , Humanos , Índice de Severidad de la Enfermedad , Enfermedades Vaginales/diagnósticoRESUMEN
20 patients were treated for endometriosis with combined treatment, we have divided prospectively our patients on the 2 groups. One group was operated by laparoscopic marsupialisation of endometrial cyst and coagulation. The second group was operated by stripping of lining. Second-look laparoscopy was performed after six month medical treatment. Two techniques laparoscopic was very efficacy (decrease of AFS score). The difference between them wasn't significant.
Asunto(s)
Endometriosis/terapia , Laparoscopía/métodos , Enfermedad Inflamatoria Pélvica/terapia , Adulto , Electrocoagulación/métodos , Endometriosis/cirugía , Femenino , Humanos , Enfermedad Inflamatoria Pélvica/cirugía , Estudios Prospectivos , Índice de Severidad de la Enfermedad , Resultado del TratamientoRESUMEN
Seventh caesarean section in the same pregnant woman was described. Pregnancy was terminated in 36 week of gestation cause of preterm uterine activity, after getting pulmonary maturation and estimating ultrasound fetal weight over three kilograms. The caesarean section and postoperative period were uncomplicated. There is little literature about multiple repeat caesarean sections. The authors discuss changes in outcomes and complications of multiple caesarean sections through last three decades.
Asunto(s)
Cesárea Repetida , Resultado del Embarazo , Adulto , Femenino , Edad Gestacional , Humanos , Recién Nacido , Paridad , EmbarazoRESUMEN
The authors described case of 27 years old female patient treated due to infertility of unknown etiology. The female was pregnant after series of intrauterine insemination. During caesarean section due to pelvic longitudinal lie the chocolate cyst and endometriosis of the ovary were found. The authors did not find any information in the literature about coincidence of endometriosis of female reproductive organs and full-term pregnancy.
Asunto(s)
Endometriosis , Neoplasias Ováricas , Complicaciones Neoplásicas del Embarazo , Adulto , Endometriosis/diagnóstico , Femenino , Humanos , Neoplasias Ováricas/diagnóstico , Embarazo , Complicaciones Neoplásicas del Embarazo/diagnósticoRESUMEN
Analysis of 200 semen samples of men from childless couples was performed in order to evaluate the sperm characteristics during the year. Estimated were following features: semen volume, sperm density, motility and percentage of pathological forms. The sperm estimation data obtained from 4 seasons of the year was statistically evaluated. Statistically significant changes were found only in the percentage of pathological sperm forms. During the spring period the observed values were significantly higher than during summer and winter. From the correlation tables it appears that together with the increase of sperm density the percentage of pathological forms decreases. Whereas increase in density is correlated with the increase of sperm motility. It was also revealed that together with the increase of the percentage of pathological forms the motility decreases. Analogical results were obtained in all seasons of the year which indicates that there is a clear regularity existing. The least apparent dependencies were found in winter period.