Conservative surgical treatment in cervical dysplastic lesions associated with cystorectocele

The treatment of cervical intraepithelial neoplasia aims at removing the squamocolumnar junction area, including abnormal tissues, up to the healthy tissue. Old postpartum perineal tears associated with cystorectocele, hypertrophic cervical elongation, and first and second degree uterine prolapse are pelvic static disorders. Particular aspects of pelvic-genital static disorder are related to the vulnerability of the pelvic-perineal floor during birth. On the occasion of birth, especially when there are different forms of dystocia during labor, the degradation of soft pelvic, genital, and vaginal-perineal tissues can occur. The objective of this study was to re-evaluate the conservative treatment of cervical dysplasia, depending on the degree of cervical lesions, the surface extension, the age of the patients, and the pathology associated with cervical lesions – colpocele, cystorectocele, and urinary incontinence in the old postpartum perineal tears. In order to solve the three types of concomitant lesions, we used the Manchester operation: the anterior colporrhaphy with the recalibration of the urethra and the suspension of the cystocele, the minimal colpectomy, the lesional cervical amputation with the anterior fixation of the parameters, and the posterior colpoperineorrhaphy with high myorrhaphy of the levator ani muscles. The decision on the management of cervical dysplasia has taken into account the degree of cervical lesions, the extension on the surface, the patients’ age and the pregnancy planning, and the pathology associated with cervical lesions. The Manchester operation is a conservative surgical procedure, effective in women under 45 years old, multiparous, with present genital activity, with dysplastic cervical lesions and cystorectocele. It also solves cystorectocele, cervical dysplasia, hypertrophic cervical elongation, and first and second degree uterine prolapse

ALTERNATIVE SOLUTIONS TO THE CROP PLAN FOR THE EAST AREA OF ROMANIA, IN THE CONTEXT OF DRY-FARMING

Implementation of the dry-farming work system is one of the solutions that allow maintaining the balance between the growing demand for the production of food and plant materials with different uses, together with the negative impact that intensive agriculture has on the planet's natural resources. The paper aims to observe how some species of oilseed plants, namely Sinapisalba L., Linumusitatissimum L., and Coriandrumsativum L., can adapt to the prolonged drought conditions of the south-eastern part of Romania and its impact on the quality and quantity of the harvests obtained. Sinapisalba L. proved to be the plant with the highest sensitivity to the lack of precipitation, suffering losses of 70-80%. The emergence of coriander was higher compared to flax and mustard

Conservative surgical treatment in cervical dysplastic lesions associated with cystorectocele

The treatment of cervical intraepithelial neoplasia aims at removing the squamocolumnar junction area, including abnormal tissues, up to the healthy tissue. Old postpartum perineal tears associated with cystorectocele, hypertrophic cervical elongation, and first and second degree uterine prolapse are pelvic static disorders. Particular aspects of pelvic-genital static disorder are related to the vulnerability of the pelvic-perineal floor during birth. On the occasion of birth, especially when there are different forms of dystocia during labor, the degradation of soft pelvic, genital, and vaginal-perineal tissues can occur. The objective of this study was to re-evaluate the conservative treatment of cervical dysplasia, depending on the degree of cervical lesions, the surface extension, the age of the patients, and the pathology associated with cervical lesions – colpocele, cystorectocele, and urinary incontinence in the old postpartum perineal tears. In order to solve the three types of concomitant lesions, we used the Manchester operation: the anterior colporrhaphy with the recalibration of the urethra and the suspension of the cystocele, the minimal colpectomy, the lesional cervical amputation with the anterior fixation of the parameters, and the posterior colpoperineorrhaphy with high myorrhaphy of the levator ani muscles. The decision on the management of cervical dysplasia has taken into account the degree of cervical lesions, the extension on the surface, the patients’ age and the pregnancy planning, and the pathology associated with cervical lesions. The Manchester operation is a conservative surgical procedure, effective in women under 45 years old, multiparous, with present genital activity, with dysplastic cervical lesions and cystorectocele. It also solves cystorectocele, cervical dysplasia, hypertrophic cervical elongation, and first and second degree uterine prolapse

The Behavior of Some Alternative Crops Under the Synergic Effect of Soil Work and Climate Conditions in the Eastern Area of Romania

Water and thermal stress accentuated in the last decade, hinder farmers from obtaining rich and balanced harvests in the quality-quantity ratio. Thus, it is studied to carry out minimal soil work and to cultivate a wide range of agricultural species that have increased adaptability to climate changes. Dry farming is one of those working systems that allow the exploration of several combinations of soil works and rarely cultivated plants that can replace conventional crops. The present experiment was carried out to observe the influence of tillage on the yield of some alternative types of grassy cereals cultivated under water and thermal stress conditions in the eastern part of Romania, in the 2020-2022 agricultural years, at A.R.D.S., Braila. Rye and triticale crops were sown in three repetitions for each tillage: L1 – Plow (control), L2 – Paraplow, L3 – Scarifier, L4 – Heavy Disc, and L5 – No Tillage. The 2020-2021 agricultural year was rich in precipitation, therefore the difference in yields, for L2, L3, and L4 tillage compared to control - L1, was between -540 kg/ha and +267 kg/ha for the rye crop and between 0 - 535 kg/ha for triticale crop. Climatic conditions influenced yields, especially for triticale crops