scholarly journals The evaluation of uterine arteries embolization value in functional surgery in patients with uterine myoma

2005 ◽  
Vol 54 (3) ◽  
pp. 45-49
Author(s):  
М. М. Daye ◽  
D. A. Niauri ◽  
V. К. Ryjkov ◽  
I. V. Sergeeva

The experience of constant embolization of uterine arteries (60 patients) has shown that constant intravascular occlusion of uterine arteries in some cases may be considered as rational intervention and an alternative for organ-saved surgery. Temporary embolization of uterine arteries (20 patients) orientated to decreasing of intraoperative bleeding risk allows to perform reconstructive-plastic uterine surgery in optimal condititons.

2015 ◽  
Vol 19 (1) ◽  
pp. e2014.00189 ◽  
Author(s):  
Yong-Soon Kwon ◽  
Hyun Jin Roh ◽  
Jun Woo Ahn ◽  
Sang-Hun Lee ◽  
Kyong Shil Im

2018 ◽  
Vol 1 (2) ◽  
pp. 169-172
Author(s):  
I.I. Grishin ◽  
◽  
V.A Roshchina ◽  
O.I. Kauseva ◽  
Yu.E. Dobrokhotova ◽  
...  

2017 ◽  
Vol 10 (4) ◽  
pp. 310-314
Author(s):  
V A Vukolova

Relevance. The issue of obstetric bleeding has always been acute. In the last decades, there has been a significant improvement in prophylaxis techniques as well as bleeding control during both vaginal and operative delivery. Yet, hemorrhage complications continue to endanger the mother's life and require a lot of effort from the hospital staff. Thus, it is essential that we develop more efficient prophylaxis techniques when dealing with obstetrics patients with the uterus scar and low insertion of placenta. The aim of the research was to assess the hemostasis when using hemostatic uterus suture (by Radzinsky modification). Materials and methods. The surgery process was analysed together with the post-surgical period in relation to obstetrics patients with the second cesarean transection and low insertion of placenta. For prophylaxis of hypotonic hemorrhage, a compression suture (by Radzinsky modification) was applied to the lower uterus segment. Maternity patients were administered perioperative antibiotic prophylaxis and methylergometrine (1,0 ml) immediately after the extraction of infant from uterus. Intraoperative bleeding was assessed gravimetrically. It was followed then by monitoring the postsurgical period, including the temperature reaction, clinical blood analysis, ultra sound diagnosis of the uterus involution and the control of the uterine arteries. Results. There were no complications during the postsurgical period, as well as nosological consequences, including sub involution and lochiometritis; also, the temperature did not exceed 37,0 С and the blood tests did not show high white blood cell count at the time the patients were released. The uterine arteries had unchanged blood circulation, similar to the condition before pregnancy. All the obstetrics patients under analysis were released with no complications on 4-5 day after the delivery. Conclusions. The compression suture can be considered an efficient and safe method for prophylaxis of hypotonic hemorrhage in relation to the high risk group of obstetrics patients.


2019 ◽  
pp. 110-118
Author(s):  
A. E. Mitichkin ◽  
Yu. E. Dobrokhotova ◽  
N. Yu. Ivannikov ◽  
V. I. Dimitrova ◽  
O. A. Slyusareva ◽  
...  

The cohort prospective comparative study investigated the efficacy of mifepristone use in patients after surgical treatment of uterine myoma. It was shown that the use of mifepristone at a dose of 50 mg/day in a continuous mode for 3 months after surgical treatment for proliferating uterine myoma led to the absence of recurrences of the disease for 2 years after the drug withdrawal. The use of mifepristone after embolization of uterine arteries allowed to significantly reduce the size of the node by 25% during 12 months and by 50% (p<0.05) after 24 months. Complex treatment of uterine myoma, including myomectomy and drug therapy with mifepristone, allowed to realize reproductive function in 46% of patients, and delivery through the natural birth canal occurred in 24% of patients.


Author(s):  
Yuksel Oguz ◽  
Fatma Gonca Eldem ◽  
Barbaros Cil ◽  
Cem Sanhal ◽  
Gülenay Gençosmanoğlu-Türkmen ◽  
...  

<p>We aimed to report a case of uterine arteriovenous malformation (UAVM) which was successfully treated by uterine artery embolization.</p><p>A multiparous 23-year-old woman referred to our clinic for 7 weeks scar pregnancy. On ultrasound, incisional 32×37 mm gestational sac surrounded with non-pulsatile high flow vessels was demonstrated. Uterine artery embolization was performed with Gelfoam by interventional radiology. The post-embolization arteriogram showed complete embolization of the UAVM with slow flow of contrast in both uterine arteries.</p><p>In clinical suspicion, UAVM can be diagnosed with Doppler ultrasonography and can be treated successfully with either uterine artery embolization or uterine surgery. UAVM is commonly diagnosed in women of childbearing age, angiographic embolization should be the firstly preferred treatment.</p>


2006 ◽  
Vol 39 (23) ◽  
pp. 33
Author(s):  
BRUCE JANCIN
Keyword(s):  

Sign in / Sign up

Export Citation Format

Share Document