Endoscopic surgery in gynecology: state and development prospects

In the clinical lecture the main principles of arranging endovideosurgical carein gynecology are substantiated on the basis of the material of 17,5 thousandslaparoscopies and 10 thousands hysteroscopies. The detailed analysis of possibilities of endoscopic methods in operative gynecology is given. The peculiarities of laparoscopys application are depicted in cases of tube-peritoneal infertility, uterine and ovarian tumors, pyoinflammatory diseases of uterine adnexa, ectopic pregnancy, maldevelopment of female genital organs, stress incontinence in women. Perspectives of endovideosurgical technologies in gynecological practice are also shown.

Pain syndrome with genital endometriosis

In the clinical lecture contemporary possibilities of endoscopic surgery in diagnostics and correction of reproductive health disturbances in women are demonstrated. Wide range of indications for laparoscopy in case of different gynecological diseases is shown, relative contraindications are determined. The authors analyze the effectiveness of different endovideosurgical invasions applied for treatment of womens reproductive health dysfunction.

Asphyxia with a reduced oxygen content in the environment (clinical lecture)

Asphyxia due to a decrease in oxygen concentration in the inhaled air is not common. Nevertheless, the mass media fairly regularly inform the population about its episodes in wine cellars, silos, and children in closed spaces. Quite a serious problem is exogenous hypoxia in miners as a result of accidents with the release of firedamp, carbon dioxide poisoning of submarine crews in case of failure of ventilation systems. The modern extreme sports enthusiast who are actively engaged in mountain tourism and mountaineering, speleology (including diggers), amateur piloting of sports aircraft and balloons, diving, etc. are subject to such lesions. In the available special literature sources on the topic “Asphyxiation due to a decrease in the concentration of oxygen in the environment”, there are almost no reports related to lifetime pathogenetic characteristics, diagnosis, and the basics of providing medical care to such victims. There are isolated recommendations on the provision of medical care for mountain sickness, while other options for exogenous asphyxia are considered only from the standpoint of forensic medical examination, in most cases — posthumously. Based on isolated domestic and foreign research works, personal theoretical and clinical experience, we have developed an algorithm for diagnosis and medical care at the stages of the route of a victim with exogenous hypoxia.

Role of trace mineral deficiencies in decreased fertility and infertility (clinical lecture)

The clinical lecture is a continuation of our report on antioxidants published in one of the preceding issues of the magazine. In the current context of COVID-19 epidemic, the efforts to struggle for preservation of human life and health using all possible sanitary and anti-epidemic (preventive) measures, as well as advanced diagnostic and therapeutic tools, imply fertility preservation in the population together with positive solutions to national demographic challenges in the long term. Testicles are one of the reservoirs for the virus in the male body. This is indirectly confirmed by the sex hormone level alterations in COVID-19 survivors compared to healthy people. Oxidative stress associated with impaired fertility results from antioxidant and trace mineral deficiency. The role of trace minerals, zinc and selenium, in these processes together with possible approaches to adjustment of their levels in the context of COVID-19 pandemic are discussed in detail.

MEGALOBLASTIC ANEMIA

The clinical lecture presents information on the diagnosis and treatment of megaloblastic anemia. The lecture is ntended for practitioners of therapeutic profile.

Urosepsis. Pathogenesis, diagnosis and treatment

Modern data on terminology, classification, pathogenesis, diagnostics and treatment of urosepsis were presented in clinical lecture. Particular attention is paid to laboratory and clinical criteria for assessing the severity and prognosis of the disease, as well as methods for preventing urosepsis.