Akusherstvo i ginekologiia

Endometriosis is a relatively common disease which rarely involves the bowel, and even more rarely occurs with intestinal obstruction. Gastrointestinal tract is involved in 3 to 37% of women with endometriosis such as the frequency is highe…

In women suffering from endometriosis and infertility, the decision as to when and how to perform surgical excision and/or fertility treatment is mainly based on clinical guidelines and expert opinions. However, so far data from randomized …

OBJECTIVE: The Sudy aimed to analyze performed laparoscopic operations in ovarian endometriosis. MATERIAL AND METHODS: A retrospective study was carried out including 336 patients with pelvic endometriosis who were operated laparoscopicall…

Transvaginallaparoscopy (TVL) has been described by S. Gords in 1990's. Comparig to histerosaqlpingograpy (HSG) it allows visualization of tubal mucosa. Transvaginal laparoscopy is alternative of conventional laparoscopy for infertility pat…

Endometriosis associated sterility affects 30%-50% of patients with pelvic endometriosis and the pathogenesis is complicated and controversial. The laparoscopic approach in modern surgical conservative treatment includes laser/diathermy abl…

OBJECTIVE: The study aimed to describe localization and size of the lesions in pelvic endometriosis MATERIAL AND METHODS: A retrospective study was carried out including 375 patients with pelvic endometriosis who were operated in St. Marina…

OBJECTIVE: Endometriosis is a benign disease, which ranks third in mortality from gynecological morbidity after inflammatory conditions and myoma. We tried to evaluate serum iron and hepcidin levels and seek their connection with the develo…

"Deep endometriosis" includes rectovaginal lesions as well as infiltrative forms that involve vital structures such as bowel, ureters, and bladder. Deep endometriosis, defined as adenomyosis externa, mostly presents as a single nodule, larg…

OBJECTIVE: To investigate frequency and characteristics of tubal factor in patients, diagnosed with endometriosis and sterility. MATERIAL AND METHODS: The invastigation includes 124 patients, diagnosed with endometriosis and history of ster…

Autonomic innervation is responsible for the correct function of the organs in the pelvis. Retroperitoneal surgery is associated with trauma of the nerve structures. For this reason a detailed knowledge of topographic anatomy of the pelvis …

Laparoscopic autofluorescence imaging of endometriosis is a new method to properly detect the disease. Autofluorescence in contrast to conventional white light laparoscopy enables us to visualize the entire extent of disease and to recogniz…

Endometriosis is an estrogen-dependent, chronic gynecological disorder. Although endometriosis is a benign lesion, it shares several common characteristics with invasive cancer. Numerous epidemiologic studies indicate, that endometriosis pa…

OBJECTIVE: The purpose is to investigate the characteristics of the performed mini-invasive surgical treatment by patients with III-IV stage of pelvic endometriosis and to establish the advantages of this surgical approach, such as the conc…

The first studies on the clinical use of ultrasound contrast agents (UCAs) with contrast specific imaging techniques were published at the beginning of this century. A couple of years later sulphur hexafluoride (SonoVue, Bracco, Milan) was …

In this article authors are analyzing the current state of the morphological-macroscopic and microscopic diagnostics of precancerous and cancerous tumors and lesions of the uterine cervix it is made a brief, retrospective view of the develo…

The implementation of three-dimensional (3D) transvaginal (TV) ultrasound (US) in gynecology increases progressively. The method is successfully used in the diagnosis and differential diagnosis of benign gynecological pathology--congenital …

PURPOSE: Although endometriosis is a benign disorder recent studies suggest endometriosis could be viewed as a neoplastic process. Objective of this study is to explore the epidemiology of synchronous neoplasms (SPN) in women with severe en…

Malignant transformation of endometriosis accounts for less than 1% of the cases. Most often it occurs in ovaries--75%. Extragenital tumor progression of endometriosis in pelvis and bowel constitutes 21.3%, the recto-sygmoid part of the col…

PURPOSE OF THE STUDY: To determine the frequency of usage of combined oral hormonal contraception/COHC/ and its efficiency in women with chronic pelvic pain/CPP/. MATERIALS AND METHODS: Three-hundred and seventy, consecutively admitted in t…

Clinical confusion and inappropriate management continues to surround endometriosis. It is poorly recognized that the disorder can exist in two different morphological forms that have different symptoms, signs and prognosis. Earlier classif…

OBJECTIVE: By setting the structure of gynaecological morbidity to determine the frequency of chronic pelvic pain /CPP/ and the most common diseases, presented with CPP. MATERIALS AND METHODS: A prospective study was conducted in the Gynaec…

The pathogenic mechanisms which lead to development of endometriosis are still unclear. Despite that the immunological mechanisms are not the primary, there is no doubt that they take a part in pathogenesis of the disease. In current review…

OBJECTIVE: To determine the frequency and analyze the findings during laparoscopy in women with chronic pelvic pain /CPP/. MATERIALS AND METHODS: The study was conducted in the period 01.03.2004-01.07.2007 in the Gynaecological clinic at th…

OBJECTIVE: To determine the trend in application of the basic therapeutical procedures in the most common gynaecological diseases combined or not with chronic pelvic pain /CPP/. MATERIALS AND METHODS: In the prospective study conducted in t…