scholarly journals Hysterectomy throughout history

2011 ◽  
Vol 58 (4) ◽  
pp. 9-14 ◽  
Author(s):  
Radmila Sparic ◽  
Gernot Hudelist ◽  
Milica Berisavac ◽  
Aleksandra Gudovic ◽  
Snezana Buzadzic

Hysterectomy, which is one of the most common surgeries performed on women, dates back to ancient times. The history of hysterectomy comprises biographies of many humble men and the significant individual efforts that they made to fight the skepticism of the medical communities of their times. Many of the pioneers were ignored. Although there are a number of alternatives to hysterectomy available, it remains one of the most frequently performed gynaecological operations. The introduction of antisepsis, anaesthesia, antibiotics and blood transfusion made hysterectomy a safe procedure. Nowadays, we distinguish three different surgical approaches to hysterectomy: vaginal, abdominal and laparoscopic. The limitations of conventional laparoscopy have led to the development of robotic surgery, which has evolved over the past decade from simple adjustable arms to support cameras in laparoscopic surgery to more sophisticated four-armed machines now being in use worldwide.

2018 ◽  
Vol 05 (S 01) ◽  
pp. S22-S26
Author(s):  
Yoh Watanabe

AbstractAlthough laparoscopic surgery or robotic surgery has recently been the main procedure adopted for managing benign uterine tumors, abdominal total hysterectomy must still be learned as a basic surgical skill for obstetricians and gynecologists. Total hysterectomy is divided into two types: the extrafascial and intrafascial approaches. Intrafascial hysterectomy, represented by the Aldridge's method, is a useful and safe procedure for treatment when the patient has no cervical malignancy, including cervical intraepithelial neoplasia. Furthermore, the intrafascial approach is safely performed even in patients with firm adhesion in the Douglas's pouch and/or around the uterine cervix due to endometriosis, pelvic inflammatory diseases, or a history of intrapelvic surgery. The intrafascial approach can also effectively prevent descent of the vaginal stump after hysterectomy via the partial preservation of the uterine retinaculum. Although the Aldridge's method was originally reported to start via an intrafascial approach at the position of the internal cervical os using scissors, Dr. Kiichiro Noda created a modified version of the procedure that increases its ease and safety by changing the position and management of the parametrial tissue including the uterine artery. The details of this modified Aldridge's procedure using Noda's method are explained below.


2020 ◽  
Vol 1 (2) ◽  
pp. 176-180
Author(s):  
T. Zh. Yeginbayeva ◽  

Global processes in the musical culture of Kazakhstan are the result of the numerous events that have taken place in the country over the past 20 years. The independence of the state has become a key factor that has had a decisive impact on the economic, socio-political and cultural development of the country. We have entered a new life, which has a rich cultural heritage and was carefully preserved by our ancestors. One of the proofs is the history of Kazakh kobyz art from ancient times to the present day. Modern kobyz art is closely connected with ancient history and has a rich natural tendency for new development, based on centuries of experience. Therefore, kobyz music of the XXth–XXIst centuries absorbed the traditions of European genres and styles, and is widely used in mass music, in various directions of ethnorock, art-rock, folk and others. Two lines of development of music for kobyz and music on kobyz existed in ancient times and nowadays. From here comes the divergence of creative direction among modern composers and in ensemble performance.


Author(s):  
Ivan Romaniuk ◽  

The article reviews the textbook in three parts, in which well-known authors using primarily source documents, the work of domestic and foreign researchers have revealed agrarian relations in Ukraine from ancient times to the present. Particular attention is paid to issues of change in agriculture, socio-economic life of the village, the environment of the peasantry, the daily life of the Ukrainian countryside. Knowledge of the experience of the past agrarian system can become a reliable basis for a conscious choice of optimal ways of further progress of Ukraine as a democratic and prosperous state.


Author(s):  
Maria Helena Roxo Beltran ◽  
Vera Cecilia Machline

Studies on history of science are increasingly emphasizing the important role that, since ancient times, images have had in the processes of shaping concepts, as well as registering and transmitting knowledge about nature and the arts. In the past years, we have developed at Center Simão Mathias of Studies on the History of Science (CESIMA) inquiries devoted to the analysis of images as forms of registering and transmitting knowledge about nature and the arts – that is to say, as documents pertaining to the history of science. These inquiries are grounded on the assumption that all images derive from the interaction between the artistic technique used in their manufacture and the concept intended to be expressed by them. This study enabled us to analyze distinct roles that images have had in different fields of knowledge at various ages. Some of the results obtained so far are summarized in the present article.


Author(s):  
M. Fedorova ◽  
A. Gorchatova

The rapidly changing world around us requires constant reflection and assessment of past changes and metamorphoses in order to prepare for the challenges of the future. The speed of change today is very high and every step aimed at adapting to these changes must have an appropriate basis. The cost of errors and delay increases many times. The article presents a brief history of the evolution of the profession of architect abroad and in Russia, with an emphasis on the methods of training future architects and the disciplines studied. The retrospective analysis is aimed at identifying patterns and features of the development of professional skills from ancient times to the present. It allows us to assess how much the attitude to the profession, approaches to education and the status of the architect has changed over the past time, how gradually there was a transition from a «significant figure in society» to a «blurring of the boundaries» of the profession, its branching. The analysis of current trends presented in the second part aims to formulate the requirements for which it is necessary to prepare future specialists in the field of architecture (the development of Smart cities and co-participating design), as well as to evaluate approaches to the participation of architects in the development of Smart cities abroad.


2015 ◽  
Vol 34 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Nuriye Nuray Ulusu

SummaryLife as we know it heavily relies on biological catalysis, in fact, in a very nonromantic version of it, life could be considered as a series of chemical reactions, regulated by the guarding principles of thermodynamics. In ancient times, a beating heart was a good sign of vitality, however, to me, it is actually the presence of active enzymes that counts… Though we do not usually pay attention, the history of enzymology is as old as humanity itself, and dates back to the ancient times. This paper is dedicated to these early moments of this remarkable science that touched our lives in the past and will make life a lot more efficient for humanity in the future. There was almost always a delicate, fundamentally essential relationship between mankind and the enzymes. Challenged by a very alien and hostile Nature full of predators, prehistoric men soon discovered the medicinal properties of the plants, through trial and error. In fact, they accidently discovered the enzyme inhibitors and thus, in crude terms, kindled a sparkling area of research. These plant-derivatives that acted as enzyme inhibitors helped prehistoric men in their pursuit of survival and protection from predators; in hunting and fishing… Later in history, while the underlying purposes of survival and increasing the quality of life stayed intact, the ways and means of enzymology experienced a massive transformation, as the ‘trial and error’ methodology of the ancients is now replaced with rational scientific theories.


Author(s):  
Alexander Karnyshev ◽  

In geopolitics, the concepts of geography and territory are reduced to the fundamental aspects of relations between States, they serve as a basic method of interpreting the past, they act as the main factors of human existence, organizing all other aspects of existence around them. It is in this perspective that the article examines the attitude to Baikal in the history of the mutually linked foreign policy of Russia and China. It is noted that the Mongols and Manchus, who once conquered China, not only found themselves largely assimilated by the defeated society, but over time, a large part of their ancestral territories began to be perceived as native Chinese. Far from being justified, this also applied to Baikal, although the Yakut etymology of its name, associated with the ethnic ancestors of the Yakuts — the Huns, has been clearly traced since ancient times. Since ancient times, Buryats and Evenks who voluntarily became part of Russia have lived around Baikal. Modern development is characterized by the “penetration” of the Chinese into the business of Asian Russia. In the Baikal region, this focus has basically three goals: forest, clean water, and ownership of land and other natural resources. In a special row, it is necessary to put projects for supplying the population of some Chinese territories with Baikal water, which is planned to be transported both in bottled form and in the future through pipes.


2018 ◽  
Vol 31 (04) ◽  
pp. 236-242 ◽  
Author(s):  
Jeffrey Neale

AbstractDiverticulosis is a common condition that has increased in prevalence in industrialized countries over the past century. Estimates of developing diverticular disease in the United states range from 5% by 40 years of age up, to over 80% by age 80. It is estimated that approximately 20% of patients with diverticulosis develop diverticulitis over the course of their lifetime. Diverticular disease can be divided into simple and chronic diverticulitis with various sub categories. There are various instances and circumstances where elective resection is indicated for both complex and simple forms of this disease process. When planning surgery there are general preoperative considerations that are important to be reviewed prior to surgery. There are also more specific considerations depending on secondary problem attributed to diverticulitis, that is, fistula vs stricture. Today, treatment for elective resection includes open, laparoscopic and robotic surgery. Over the last several years we have moved away from open surgery to laparoscopic surgery for elective resection. With the advent of robotic surgery and introduction of 3D laparoscopic surgery the discussion of superiority, equivalence between these modalities, is and should remain an important discussion topic.


Author(s):  
Василий Морозов ◽  
Vasilii Morozov

The article describes the main elements of the education system, including the history of education as a direction of state social policy and its main points from ancient times to the present day. It also describes the elements of progress and regress in the education system, starting with school education. The author presents the main problems appeared in the last decade in the education system with the emergence of new types of education and educational institutions of different levels. The article touches upon the main aspects of Russian education of the last few years – such as a possible alternative to the Centralized State Exam (CSE). The article lists the disadvantages of the Western system of education, appeared in recent years in the Russian education; implemented "innovative" ideas of education, which often have a negative impact on the rules of the Russian education existing for many years. Also the author lists possible methods of fighting with the Pro-Western elements of education, their advantages and disadvantages at different levels. The key positive and negative elements of innovation in the education system, as well as the possible consequences of such action are identified. It is concluded that the solution to the problem of regression in the education system is a very important component of the state policy in this sphere and the main aim of it is to prevent the degradation of this sphere of human activity. The author specifies the possible directions and ways of solving most of the problems arising in the educational field with possible using innovations implemented in the past few years.


1974 ◽  
Vol 14 (160) ◽  
pp. 337-343 ◽  
Author(s):  
Z. S. Hantchef

Although mention of blood transfusion dates back to the origin of medicine, it may be said that the genuine history of transfusion starts at the beginning of our century.Since then transfusion has passed through several decisive phases, but it is only in the past twenty years that it has made spectacular progress and has become one of the essential components of modern medicine.


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