VISUALIZATION OF UTERINE BIOPSIES IN THE HIGH-FREQUENCY ELECTRIC FIELD

The objective of study: to establish the possibility to identify the patients with cancer and its differential diagnosis with other tumor formation in the biopsies of uterus through visualizing glow in a high-frequency electric field. The Material and methods. There were 124 biopsies of uterus taken for histological analysis to observe malignant neoplasms and decide on the volume of surgical intervention. Visualization the glow of the biopsies of uterus was carried out in a high-frequency electric field. The results. According to histological analysis of 124 uterine biopsy samples 25 adenomyosis, 24 adenomatosis, 48 myomas and 27 uterine cancers were detected. Glow around the edges has been in high-frequency electric field in all studied biopsies. Inner glow was observed on the biopsy material, which there was a cancer tumor. The glow covered the entire area of cancer. The conclusion. These data about the luminous biopsies of the uterus in a high electric field can be the basis for creating endoscopic rapid method of uterine cancer of diagnosis

Management of Gestation with Abnormal Invasive Placenta Complicated by an Extra-preterm Premature Rupture of Membranes in a Tertiary Perinatal Centre

Aim. Assessment of methods for prolonging gestation after an extra-preterm premature rupture of membranes (PROM) in a patient with abnormal invasive placenta and the efficacy of a multidisciplinary approach for treatment of a combined obstetric pathology in a tertiary perinatal centre.Results. A clinical case is reported of PROM at 22+6 weeks’ gestation in a patient with two caesarean scars on the uterus and abnormal invasive placenta. In a tertiary perinatal centre, pregnancy was prolonged to 36+3 weeks’ term. The period between PROM and delivery was 96 days. A planned caesarean section and metroplasty were performed in the setting of temporary balloon occlusion of common iliac arteries. Blood loss was 75 mL/kg. Placenta increta without chorioamnionitis was confirmed histologically. The patient stayed in the intensive care unit for two days and was discharged home on the 8th day. The newborn was assigned the Apgar score of 6/6. For two days, ventilatory support was rendered in a neonatal intensive care unit. The newborn was diagnosed with congenital pneumonia, the first-degree hypoxic-ischemic damage of the central nervous system and transferred to the second phase of nursing.Conclusions. A multidisciplinary approach and high technology facilities in the setting of a tertiary perinatal centre allow to reduce perinatal losses and provide high-quality care to patients with an increased risk of massive blood loss with the capacity to manage organ-preserving operative delivery with full rehabilitation in the postoperative period