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…

OBJECTIVE: To compare the efficacy of laparoscopic assisted vaginal hysterectomy (LAVH) and vaginal hysterectomy (VH) carried out on the occasion of non-malignant diseases and lesions of the female genital system, by assessing the: operativ…

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…

Leiomyomas of the Fallopian tubes are rare and their correct diagnosis is extremely difficult. Usually they are incidental findings seen at autopsy or unrelated surgical procedures: A 34-year-old woman presented with lower abdominal pain. T…

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. Marin…

Concepts of medical treatment are constantly evolving and improving. This opportunity provides treatment with High Intensity Focused Ultrasound (HIFU). In Europe and Asia more than 10,000 patients with uterine fibroids have been successfull…

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 ste…

In 1968 K. Richter treated post-hysterectomy prolapse of the vaginal stump by fixating the vaginal stump to the sacrospinous ligament via transvaginal route. Nowadays most authors perceive this technique as an inseparable component of vagin…

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…

Chronic pelvic pain is a common condition. The sources of pelvic pain are multifactorial, and their causes are difficult to determine. Pelvic congestion syndrome (PCS) is associated with varicose ovarian veins and/or varicose veins in the p…

UNLABELLED: There is a great variety of operative techniques for laparoscopic hysterectomy described in scientific literature. MATERIAL AND METHODS: The authors give variants of the laparoscopic hysterectomy technique summarizing their two…

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 …

Laparoscopic surgery is a surgical approach with proven advantages in the contemporary treatment of gynaecological diseases. It is applied with proven results in oncologic patients in order to respect certain rules. Mini-invasive approach h…

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…