ABSTRACT
Twenty-seven pregnant women with cicatrices on the uterus after cesarean section had US-monitored spontaneous deliveries with calypsol analgesia (the drug was permanently i.v. infused). The intactness of the uterine walls in the postpartum period was checked up by bicontrast ultrasonic scanning and hysteroscopy.
Subject(s)
Cesarean Section/adverse effects , Cicatrix/etiology , Obstetric Labor Complications/etiology , Uterine Diseases/etiology , Vaginal Birth after Cesarean , Cesarean Section/statistics & numerical data , Cicatrix/diagnostic imaging , Cicatrix/epidemiology , Cicatrix/surgery , Female , Humans , Obstetric Labor Complications/diagnostic imaging , Obstetric Labor Complications/epidemiology , Obstetric Labor Complications/surgery , Pregnancy , Preoperative Care , Reoperation/statistics & numerical data , Time Factors , Ultrasonography , Uterine Diseases/diagnostic imaging , Uterine Diseases/epidemiology , Uterine Diseases/surgery , Uterus/diagnostic imaging , Vaginal Birth after Cesarean/statistics & numerical dataABSTRACT
A single-row suturing of the incision on the uterus after cesarean section with separate muscular-muscular sutures by synthetic dissolving threads holds good promise. Such suturing helped optimize the reparative processes in the uterine cicatrix and reduce the incidence of postoperative pyoseptic complications. Kaproag, an antibacterial suture material made in this country, proved to be the best for the purpose.
Subject(s)
Cesarean Section/methods , Absorption , Anti-Infective Agents , Evaluation Studies as Topic , Female , Humans , Polyglactin 910 , Pregnancy , Suture Techniques , Sutures , Uterus/surgeryABSTRACT
Ultrasonic examination of the suture site on the uterus was carried out in 7-10 days following a cesarean section in 73 women. Several types of characteristic echograms were distinguished, evidencing the adequacy of the reparative processes at the site of suture on the uterus. The authors find the double-contrast echoscopic examination of the postoperative uterus highly effective, and much more informative than common ultrasonic examination. Synthetic suture material is recommended.
Subject(s)
Cesarean Section , Sutures , Uterus/diagnostic imaging , Caprolactam , Catgut , Female , Humans , Nitrofurazone/administration & dosage , Polyglactin 910 , Postoperative Period , Pregnancy , Quinoxalines , Reoperation , Surgical Wound Dehiscence/diagnostic imaging , Surgical Wound Dehiscence/surgery , Ultrasonography , Uterus/surgeryABSTRACT
Successful management of 26 normal deliveries has demonstrated a high diagnostic value of ultrasonic examination of the cicatrix on the uterus before, during, and immediately after delivery. Employment of this method to choose the strategy of labor management helped reduce the number of vaginal examinations in a number of cases and do without control manual examinations of the postpartum uterine cavity.
Subject(s)
Cesarean Section , Cicatrix/diagnostic imaging , Uterine Rupture/prevention & control , Uterus/diagnostic imaging , Vaginal Birth after Cesarean , Cicatrix/pathology , Female , Humans , Pregnancy , Rupture, Spontaneous , Ultrasonography , Uterus/pathologyABSTRACT
The study was undertaken to examine 105 cases showing great discrepancies++ between the true fetal mass and that estimated from echographic evidence. Main reasons for high inaccuracies were outlined in predicting fetal mass and possible ways of reducing the frequency of mistakes in estimating fetal mass from prenatal ultrasonographic findings were proposed.
