Delivery of a pregnant woman with placenta accreta and uterine scar after cesarean section with the formation of placental hernia. A clinical case

2020 ◽  
Vol 6_2020 ◽  
pp. 141-146
Author(s):  
Barinov S.V. Barinov ◽  
Tirskaya Yu.I. Tirskaya ◽  
Kadtsyna T.V. Kadtsyna ◽  
Lazareva O.V. Lazareva ◽  
Chulovsky Yu.I. Chulovsky ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Clinical Case ◽  
Placenta Accreta ◽  
Uterine Scar

The optimization of reparative processes after cesarean section (clinical-experimental research)

2015 ◽  
Vol 64 (4) ◽  
pp. 4-12 ◽  
Author(s):  
Edvard Karpovich Aylamazyan ◽  
Victoriya Yuryevna Andreeva ◽  
Tatiana Ulyanovna Kuzminykh ◽  
Dmitriy Igorevich Sokolov ◽  
Sergey Alekseevich Selkov ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Comparison Group ◽  
Main Group ◽  
Control Group ◽  
Collagen Membrane ◽  
Vascular Endothelial ◽  
Actual Direction ◽  
Uterine Scar ◽  
Endothelial Growth Factor

Development and introduction of materials influenced on reparation process in a myometrium is actual direction of modern obstetrics in connection with the increase of cesarean section rate. One of such preparation is «Collost», it stimulates the processes of neoangio- and myogenesis and excludes the disorderly growth of scars tissue. Aim: To study the influence of bioplastic material «Collost» on the reparation process in myometrium after cesarean section. Objectives: to estimate the morpho-functional state of scar on uterus after cesarean sections depending on implantation of collagen membrane. Material and methods: There were included 13 female rabbits in experimental part of the study. In clinical part of the study there were included 20 pregnant woman with intraoperative application of «Collost» (main group), 30 pregnant woman without «Collost» implantation (comparison group) and 10 pregnant with vaginal delivery (control group). Results: histological, immunohistological and immunological findings of postoperative uterine scars of female rabbits showed significant differences of expressions of miosin, vascular endothelial growth factor and collagen I type. The myometrium was significantly thicker in the area of uterine scar in main group (with collagen membrane implantation) than in comparison group. Conclusions: bioplastic material «Collost» leads to full formation of muscular wall and vascular ture in the area of postoperative uterine scar.

scholarly journals CERVIX DELAMINATION IN A PATIENT WITH INVASION OF PLACENTA PREVIA TO THE UTERINE SCAR AFTER CESAREAN SECTION (clinical case presentation)

2018 ◽  
Vol 11 (5) ◽  
pp. 154-158
Author(s):  
RUSHANYA I. GABIDULLINA ◽  
◽  
GULFIRA N . KALIMULLINA ◽  
OLGA N . MIKHAYLOVA ◽  
MARAT A . MINGAZETDINOV ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Clinical Case ◽  
Placenta Previa ◽  
Case Presentation ◽  
Uterine Scar

scholarly journals Ectopic pregnancy in the uterus scar left after cesarean section: a clinical case

2018 ◽  
Vol 12 (2) ◽  
pp. 69-75
Author(s):  
A. N. Rybalka ◽  
A. N. Sulima ◽  
D. А. Beglitse ◽  
O. A. Mitrofanova ◽  
O. S. Latyshev ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Clinical Case ◽  
Reproductive Organ ◽  
Uterine Scar

The article describes a rare clinical case of ectopic pregnancy in the uterine scar left after a cesarean section. The case demonstrates the complexity of diagnosing this abnormality and managing such patients. The proposed approach allowed us to diagnose pregnancy in the uterus scar in due time, avoid hysterectomy, and preserve the reproductive organ.

A CLINICAL CASE OF AN UNDEVELOPED PREGNANCY IN A UTERINE SCAR AFTER A CESAREAN SECTION

2021 ◽  
pp. 26-34
Author(s):  
Mikhail E. Shchepelev ◽  
Tatyana V. Deripasko ◽  
Anastasiya A. Sidorova ◽  
Elena G. Drandrova ◽  
Evgeny V. Moskvichev ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Clinical Case ◽  
Reproductive Function ◽  
Childbearing Age ◽  
Pregnancy And Childbirth ◽  
First Child ◽  
Anatomical Classification ◽  
Uterine Scar ◽  
Ectopic Pregnancies

Over the past twenty-five years, the average age of a woman giving birth to the first child has grown significantly around the world. So, in Russia, currently, women begin to bring their reproductive function into action on average at the age of 26-35. This leads to the fact that obstetricians and gynecologists in their practice increasingly face with pregnancy and childbirth complicated by a uterine scar after a previous cesarean section or myomectomy. The formation of a uterine scar after any intervention entails the likelihood of long-term complications, such as a rupture of the uterus along the scar and pregnancy in the uterine scar. According to the latest clinical recommendations for ectopic pregnancy, pregnancy in the uterine scar has been added to the anatomical classification of ectopic pregnancies. The article describes a clinical case of an undeveloped pregnancy in the uterine scar after a cesarean section, it shows the difficulty of timely diagnosis of such pregnancy, which often results in improper management of patients and loss of fertility by women of childbearing age. In the described case, late diagnosis of pregnancy in the uterine scar necessitated organ-resecting surgery – extirpation of the uterus with fallopian tubes.

Clinical case of periostitis in pregnant women complicated by sepsis

2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova
Keyword(s):  
Pregnant Woman ◽  
Multiple Organ Failure ◽  
Pregnant Women ◽  
Organ Failure ◽  
Clinical Case ◽  
Clinical Observation ◽  
Infectious Agent ◽  
Modern Medicine ◽  
Multiple Organ ◽  
Number Of Patients

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.

scholarly journals Total intravenous anesthesia for cesarean section in a pregnant woman with spinal muscular atrophy

2014 ◽  
Vol 127 (18) ◽  
pp. 3350-3351 ◽  
Author(s):  
Fang Qiwu ◽  
Gao Guolan ◽  
An Jianxiong ◽  
Liu Caicai ◽  
Qian Xiaoyan ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Spinal Muscular Atrophy ◽  
Muscular Atrophy ◽  
Total Intravenous Anesthesia ◽  
Intravenous Anesthesia

scholarly journals Efficacy of Combined Laparoscopic and Hysteroscopic Repair of Post-Cesarean Section Uterine Diverticulum: A Retrospective Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Cuilan Li ◽  
Shiyan Tang ◽  
Xingcheng Gao ◽  
Wanping Lin ◽  
Dong Han ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Combined Treatment ◽  
Clinical Manifestations ◽  
Abnormal Uterine Bleeding ◽  
Lower Uterine Segment ◽  
Improvement Rate ◽  
Uterine Scar ◽  
Lost To Follow Up

Background. Diverticulum, one of the long-term sequelae of cesarean section, can cause abnormal uterine bleeding and increase the risk of uterine scar rupture. In this study, we aimed to evaluate the efficacy of combined laparoscopic and hysteroscopic repair, a newly occurring method, treating post-cesarean section uterine scar diverticulum.Methods. Data relating to 40 patients with post-cesarean section uterine diverticulum who underwent combined laparoscopic and hysteroscopic repair were retrospectively analyzed. Preoperative clinical manifestations, size of uterine defects, thickness of the lower uterine segment (LUS), and duration of menstruation were compared with follow-up findings at 1, 3, and 6 months after surgery.Results. The average preoperative length and width of uterine diverticula and thickness of the lower uterine segment were recorded and analyzed. The average durations of menstruations at 1, 3, and 6 months after surgery were significantly shorter than the preoperative one (p<0.05), respectively. At 6 months after surgery, the overall success improvement rate of surgery was 90% (36/40). Three patients (3/40 = 7.5%) developed partial improvement, and 1/40 (2.5%) was lost to follow-up.Conclusions. Our findings showed that combined treatment with laparoscopy and hysteroscopy was an effective method for the repair of post-cesarean section uterine diverticulum.

Cholangiocarcinoma in pregnancy (clinical case)

2020 ◽  
pp. 19-27
Author(s):  
A. Yu. Ralnikova ◽  
V. F. Bezhenar ◽  
B. V. Arakelyan ◽  
N. A. Tatarova ◽  
M. E. Malysheva
Keyword(s):  
Pregnant Woman ◽  
Clinical Case ◽  
Clinical Observation ◽  
Late Diagnosis ◽  
Biliary Cancer ◽  
In Pregnancy

The article discusses the problems of diagnosing biliary cancer during pregnancy, proceeding under the guise of complications associated with gestation. A clinical observation of late diagnosis of cholangiocarcinoma in a pregnant woman is presented.

CLINICAL, ECHOGRAPHIC, MORPHOLOGICAL AND IMMUNOLOGICAL CRITERIA FOR EVALUATING A WELL-FOUNDED SCAR ON THE UTERUS AFTER CESAREAN SECTION

2021 ◽  
Vol Special issue (1) ◽  
pp. 57-61
Author(s):  
Venera Kurbaniyazova ◽  
Keyword(s):  
Correlation Analysis ◽  
Cesarean Section ◽  
Correlation Coefficient ◽  
Significant Relationship ◽  
Strong Correlation ◽  
Type I Collagen ◽  
Morphological Features ◽  
Average Degree ◽  
Type I ◽  
Uterine Scar

The results of the conducted studies 102 of the manufacturer testify to the presence of essential clinical and echographic, immunological and morphological features of the "wealthy" or "insolvent" scar on the uterus after the cesarean section. The correlation analysis with the calculation of the Correlation coefficient of Gamma (G) indicates a statistically significant relationship between the average degree between the way of the delivery and the scar thickness (G = 0.55, p = 0.001), strong correlation between the ultrasound data (G = 0.74 , p = 0.002) and antibodies to type I collagen (G = 0.93, p = 0.003). Determining the level of antibodies to the type I collagen is the mostimportant criterion confirming the usefulness of the scar on the uterus.Keywords: cesarean section, uterine scar, pregnancy

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