Prophylaxis of fibroids recurrence after conservative myomectomy in reproductive period

Conservative myomectomy is the unique treatment for women of reproductive period. Therefore it's very important to prevent recurrence of fibroids by individual antirecurrent treatment. Were examined 75 women, average age 32,4 ± 3,1 years, duration disease (fibroids) 4,29±1,5 years (from 2 to 7 years). Initial diameter of fibroids 45,82±20,76 mm, after conservative myomectomy 16,55±2,56 мм. Number of fibroids /per woman 5,18±2,5. Pharmacotherapy were provided with agonists of GnRH agonists, intrauterine levonorgestrel containing the depot - the system, antiprogestins. No significant deferens of efficiency depended from type of pharmacotherapy was found: decreased of volume of uterus, number of fibroids nodes, diameter of dominant node

MANAGEMENT OF PREGNANCY AND LABOR IN MYOPIC PATIENTS

Aim. To study the course of pregnancy and labor in women suffering from myopia.Materials and methods. A comparative analysis of pregnancy outcomes among 100 women with myopia was held. There were 48 women in the study group who had a retinal laser correction within the period of pregnancy. The control group was represented by 52 women who did not undergo the correction.Results. We noted that the peripheral laser retinopexy made possible labor through natural birth canals for women of the study group. While the control group of women underwent abdominal delivery.Conclusion. The problem of myopia during pregnancy remains the focus of attention of obstetricians and ophthalmologists, since it is very important to choose the optimal method of delivery. In this case it is necessary to take into account not only the degree of myopia, but also the state of the retina. Peripheral vitreochorioretinal dystrophic changes (PVCDC) are indication for cesarean section. It was found that the timely use of LRP for retina makes possible reducing the percentage of surgical delivery, and thereby reduces the risk of post-surgery complications

Материалы итоговой конференции молодых ученых МГМСУ им. А.И. Евдокимова, 2013 г

Хронический эндометрит занимает ведущее место в развитии нарушений репродуктивной функции, использование современных иммуноморфологических методов исследования эндометрия, позволяющих детально описать патологические изменения, происходящие на фоне воспалительного процесса в ткани (нарушение процессов апоптоза и пролиферации, дисбаланс цитокинов и факторов роста, резкое изменение ангиоархитектоники ткани), является эффективной составляющей в диагностике и последующей предгравидарной подготовке у данной категории больных