Akusherstvo i ginekologii͡a
-
Vasa previa are umbilical vessels which run along the fetal membranes over or near the internal cervical os. Unprotected by the umbilical cord or placenta these vessels most often originate from velamentous insertion, low-lying and/or bilobated placenta. ⋯ In this review we present two cases of prenatally diagnosed vasa previa with successful perinatal outcome. An outline of the major sonographic markers and criteria used in the ultrasound diagnosis and differential diagnosis, as well as a step-by-step algorithm of the ultrasound examination in cases with suspected vasa previa is proposed.
-
Akush Ginekol (Sofiia) · Jan 2008
[Five years survival in patients with endometrioid ovarian cancer versus patients with serous ovarian cancer].
The ovarian cancer is the most malignant disease from all oncogynecological localizations. There are different scientific opinions whether the different histological types have different prognosis and survival. The aim of our research work was to evaluate if the endometrioid cancer of the ovary has a different prognosis from the serous ovarian cancer. ⋯ In patients with endometrioid and serous ovarian cancer, while taking into consideration the age, grading, stage and level of cytoreduction--there is no difference for the five years survival or the length of survival.
-
Akush Ginekol (Sofiia) · Jan 2007
Randomized Controlled Trial[Diprivan versus midazolam in combined anaesthesia with ketamin for minor gynecological surgery].
We tested the hypothesis that diprivan/ketamine (D/K) anesthesia would offer advantages compared to midazolam/ketamine (M/K) in patients undergoing minor gynecological surgery. After patient written consent, 60 healthy women, which were scheduled for elective termination of pregnancy were randomly allocated into two groups. Operating conditions, recovery, pain, postoperative nausea and vomiting (PONV) and patient's satisfaction to anesthesia were assessed. ⋯ Immediate recovery was faster with patients given diprivan than midazolam. Patients receiving M/K experienced more PONV in recovery room. D/K is preferable method of anesthesia for ultra-short gynecological procedure compared to M/K because of faster recovery and decreased incidence of PONV.
-
Akush Ginekol (Sofiia) · Jan 2007
Randomized Controlled Trial Multicenter Study[A placebo-controlled, double-blind, randomized trial of single daily dose of anti-muscarinic drug solifenacin succinate in patients with overactive bladder].