scholarly journals Optimization of the observation of postpartum pyo-inflammatory diseases in patients after vacuum-aspiration using the method of fluorescent spectroscopy

2018 ◽  
Vol 22 (1) ◽  
pp. 156-159
Author(s):  
O.V. Bulavenko ◽  
L.R. Ostapiuk ◽  
V.O. Rud ◽  
A.S. Voloshinovskii ◽  
T.S. Maliy

The growth of the frequency of postpartum purulent-inflammatory diseases requires the development of new approaches to their early diagnosis and treatment. The purpose of the study is to choose the optimal time for manual vacuum aspiration in patients with postpartum endometritis and to control the state of patients after it, using the method of fluorescence spectroscopy. The results of treatment of 392 patients who were on inpatient treatment in the gynecological department №2 of the City Clinical Maternity Hospital №2 were analyzed. Of these, 120 patients were selected for the diagnosis of which, in addition to the standard algorithm, the method of fluorescence spectroscopy was included. Manual vacuum aspiration was performed in 96 cases (80,0%). In 15% of patients, after vacuum-aspiration of the uterine cavity, blood serum tests using the method of fluorescence spectroscopy were carried out in dynamics. In 92,8% of them, an increase in fluorescence intensity and a shift of lmax in the short-wave region was observed, which was a reliable sign of improving the condition of the patients. Thus, the improvement of the state of patients after vacuum aspiration was confirmed at the appropriate level, using the method of fluorescence spectroscopy, which is a reliable method of diagnostics of postpartum purulent-inflammatory diseases.

2018 ◽  
pp. 40-45
Author(s):  
O.V. Bulavenko ◽  
◽  
L.R. Ostapiuk ◽  
V.O. Rud ◽  
A.S. Voloshinovskii ◽  
...  

The problem of postpartum pyo-inflammatory diseases requires the introduction of new approaches to its solution and optimization of diagnostic and therapeutic developments. The objective: was to determine the optimal time for manual vacuum aspiration of the uterus in postpartum endometritis, correction of therapeutic tactics and control of patients in the framework of the method of fluorescence spectroscopy. Materials and methods. The main group – 170 women with postpartum pyo-inflammatory diseases, control group – 40 women with uncomplicated course of the postpartum period. Their blood serum was examined using the method of fluorescence spectroscopy, in particular after manual vacuum aspiration of the uterus. Results. Fluorescence spectra were studied for 40 women of control group and 170 women of the main group, among them in 44 (25.8%) – in the dynamics during the treatment after manual vacuum aspiration of the uterine cavity. In 93.2% of the patients in the main group after it an increase in fluorescence intensity and max displacement in the short-wave region were recorded, which was a reliable sign of improving the condition of the patients. Conclusion. The use of the method of fluorescence spectroscopy in postpartum endometritis after manual vacuum aspiration of the uterus significantly helps to improve the monitoring of the process of treatment and, if necessary, to correct it in order to recover the patients in time. Key words: endometritis, manual vacuum aspiration of the uterus, the method of fluorescence spectroscopy.


2021 ◽  
Vol 21 (2) ◽  
pp. 114-148
Author(s):  
Ivanna Beru Brahmana

Manual Vacuum Aspiration (MVA) is an action to evacuate the uterine cavity up to 14 weeks gestation. In a more extensive pregnancy, it is worried that the action of the MVA is less clean so that it will still repeat the action of sharp curettage.  This article reports a multigravida aged 42 years old, G5P2A2, intrauterine fetal death (IUFD) at 18 weeks, undergoing MVA. Diagnosis of IUFD was performed using ultrasound examination. Before MVA was done, the patient was previously given 100 μg of misoprostol orally for dilation. This pregnancy was the third pregnancy with a second husband, all of whom had abortions. Manual Vacuum Aspiration had a minimal risk of uterine injury. After MVA was conducted, ultrasound examination was repeated to confirm a clean uterine cavity. It had been carried out on an indication of IUFD of 18 weeks gestation with the result of a clean uterine cavity and minimal bleeding. Furthermore, Post-Abortion Intra-Uterine Device (PAIUD) was installed adequately, not causing complaints. Based on the result, it can be concluded that MVA is effective for evacuation of uterine cavities on 18 weeks gestation.


Author(s):  
E. S. Mikhailin ◽  
L. A. Ivanova

The purpose of this work was to determine the features of the state of newborns of underage mothers. The children of minor pregnant women were examined (n=483), who were observed and gave birth to the Maternity Hospital No. 10 in St. Petersburg in 2004–2014. [1 group – 13–15 years old (n=49); 2 group – 16–17 years old (n=434)]. The comparison group consisted of 110 children of women of medium reproductive age. Significant differences in the anthropometric characteristics of newborns between groups were not found. It was shown that in children of minors of both age groups the hypotrophy of the newborn was significantly more frequently observed, as well as inflammatory diseases specific to the perinatal period (neonatal infection of the skin, conjunctivitis). Minors 13–15 years old were significantly more likely than 16–17 year olds and women of medium reproductive age to have asphyxia during labor and cephalhematoma.


Author(s):  
Jayaraman Nambiar M. ◽  
Hema Prasanna Kurri ◽  
Muralidhar V. Pai

Background: Procedures like dilatation and curettage and manual vacuum aspirations are one of the commonest procedures conducted in the outpatient Department of Obstetrics and Gynecology. Objective of present study was to find out whether intracervical block is as effective as paracervical block in patients undergoing cervical dilatation and procedures on uterine cavity.Methods: Patients undergoing dilatation and curettage or manual vacuum aspiration were given either paracevrical block or intracervical block. The pain during cervical dilatation and curettage or manual vacuum aspiration were assessed on a 10 cm visual analogue scale.Results: Mean visual analogue score during dilatation was comparable in both groups. Mean visual analogue score were comparable during dilatation in both groups before curettage or manual vacuum aspiration. Mean visual analogue scores during manual vacuum aspiration or curettage was also comparable with both groups. One patient had a serious side effect of convulsion during paracervical block.Conclusions: Intracervical block is preferable to paracervical block during procedures like cervical dilatation and on procedures on uterine cavity as intracervical block requires less technical precision than paracervical block.


2021 ◽  
Vol 17 ◽  
Author(s):  
Serkan Akis ◽  
Canan Kabaca ◽  
Esra Keles ◽  
Handan Cetiner ◽  
Hatice Akay

Background: Sarcoidosis is usually diagnosed by ruling out other granulomatous inflammatory diseases. Rarely, it may be suspected with a pathological examination after surgical intervention for another disease. The sarcoid reaction is noninfectious granulomatous lymphadenitis which can occur at nodes draining a neoplasm. We demonstrated granulomatous lesions masquerading metastasis by Positron Emission Tomography/Computed Tomography (PET/CT) in endometrial cancer. We presented two cases of endometrial cancer with sarcoidosis and sarcoid-like reactions because of their challenging clinical and radiological findings. Cases: In case 1, there was diffuse granulomatous inflammation (no metastasis) in lymph nodes (n=92) and giant cells containing calcifications (Schaumann bodies). In case 2, PET/CT revealed hypermetabolism with malignancy suspicion in the pelvic lymph nodes (maximum standardized uptake value= 13) and pathological evaluation reported a 4.5 cm tumor within the uterine cavity without any nodal metastasis. Results: PET/CT has no role in the evaluation of differential diagnosis between granulomatous lymphadenitis and metastatic disease. Conclusions: Granulomatous lesions might mimic the metastasis of coexisting malignant diseases.


Author(s):  
Tatiana Smekalova ◽  
◽  
Natalia Demidenko ◽  
◽  

The paper offers the first complete picture of the changing in the alloy composition of silver coins of the ancient Tauric Chersonesos. Coins from two largest collections were examined: the State Hermitage and the State Historical and Archaeological Museum-Reserve “Tauric Chersonesos”. In total, about 190 Chersonesean silver coins were studied by X-ray fluorescence spectroscopy. The results obtained made it possible to determine the stages of functioning of fool metallic value silver coins and to reveal the time of their transformation into conventional or credit coins. This happened at the end of the autonomous period of Chersonesos, after which silver coins were no longer minted in Chersonesos, with the exception of an episodic and controversial issue during the period of the influence of Mithridates VI.


Our knowledge concerning the state of the atmosphere lying above about 80 km. in height has been derived from experiments on radio wave reflexion as well as from studies of terrestrial magnetism and of the aurora. The information derived from radio experiments is, fortunately, in the nature of a supplement to, rather than a duplicate of, information derivable in other ways. As one of the best examples in this connexion may be mentioned the question of electrical conductivity. Here the magnetic studies of Schuster and Chapman yield an estimate of the total conductivity for currents travelling horizontally, whereas the radio measurements give the state of ionization at different levels from which the specific conductivity at those levels may be estimated. One of the most striking things about the ionosphere is the marked solar control. Speaking generally it may be said that the ionization increases and decreases as the sun rises and sets. Again, speaking generally, we may say that the main part of the ionization is caused by solar-violet light. The rays from the sun meet the outer layers of the atmosphere first and the short wave-length radiation is absorbed there, causing ionization. It thus comes about that the study of the ionosphere becomes the study of an interesting part of the sun's spectrum which cannot be detected at ground level. It also becomes the study of certain atomic processes such as photo-ionization, recombination of ions and attachment of electrons to neutral molecules such as cannot be investigated at very low pressure in the laboratory, because of the influence of the walls of the vessel confining the gas.


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