Akusherstvo i ginekologii͡a
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Akush Ginekol (Sofiia) · Jan 2013
Review Case Reports[Cesarean scar ectopic pregnancy: diagnosis with 2D, three-dimensional (3D) ultrasound and 3D power doppler of a case and review of the literature].
Cesarean scar pregnancy is rare type of ectopic pregnancy. It is associated with severe complication if it is not diagnosed early in pregnancy. We present a case of difficult first-trimester diagnosis of Cesarean scar pregnancy. In this paper we discuss the incidence of this condition, the antenatal diagnosis, the prognosis and management and the importance of 2D and 3D ultrasound technique as a diagnostic tool.
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Akush Ginekol (Sofiia) · Jan 2013
Review[Hypotension and hydration during spinal anesthesia for caesarean section].
Spinal anesthesia is the technique of choice for elective cesarean section. It is easily achievable, fast and reliable technique. Maternal hypotension is a complication of spinal anesthesia, which is associated with adverse effects on both the mother and the fetus. ⋯ In current practice the application of vasopressors to maintain arteriolar tone is the most widely used strategy for the prevention of hypotension induced by spinal anesthesia. Other methods such as left tilt of the operating table, decreasing aortocaval compression and hydration are also routinely applied. Possible four different methods of intravascular hydration: (1) crystalloid preloading, (2) colloid preloading, (3) crystalloid co loading, and (4) colloid co loading.
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The aim of this study was to determine whether HPV DNA test after cold knife conization is a predictive factor for CIN persistence or recurrence. The study also investigated whether HPV DNA test results should influence post cold knife excision surveillance. ⋯ HPV DNA testing 8 months after conization is important for predicting the risk of disease: persistence or recurrence. In addition, such testing can assist in designing patient management, since HPV DNA negative patients should undergo routine surveillance, while HPV DNA positive patients should undergo frequent and meticulous surveillance.
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Akush Ginekol (Sofiia) · Jan 2013
[Frequency, severity and risk factors for bronchopulmonary dysplasia among very low birth weight premature infants admitted in the NICU of the University Obstetrics and Gynecology Hospital, Sofia].
The progress in the perinatology improved the survival rate of the infants with extremely low birth weight and gestational age. Among the most immature of them the frequency of bronchopulmonary dysplasia (BPD) remains high.. The use of different diagnostic criteria for BPD makes comparing the results difficult. ⋯ According to the new diagnostic criteria, the frequency of BPD was about 2 times higher compared to the classical definition. Main risk factors were found to be ELBW, ELGA; additional risk carried the need for prolonged ventilatory support, patent ductus arteriosus and air leak syndrome.
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Akush Ginekol (Sofiia) · Jan 2013
Case Reports[Dysgerminoma of the ovary. Presentation of case report].
Germ-cell tumors account for about 20% of all ovarian tumors and the dysgerminoma is the most common in this group. The treatment is surgical, followed by chemotherapy and radiotherapy in greater stage than IA. The aim of this article is to present a case report of 18-years-old patient with a left ovary dysgerminoma who had undergone a surgery--left-side ovariectomy. ⋯ No data for local recurrences and distant metastases were found during the regular examinations, performed 2 years later. The treatment of dysgerminoma is discussed. This treatment must be complex one and should include radical surgery, chemotherapy and radiotherapy.