Two techniques of pyramidalis muscle dissection in Pfannenstiel incision for cesarean section.

OBJECTIVES: The aim of the study was to compare two techniques of pyramidalis muscle dissection during cesarean section. MATERIAL AND METHODS: A total of 108 patients undergoing a cesarean section were randomly allocated to group I (N = 57), with the pyramidalis muscle left attached to the rectus muscles, and group II (N = 51), with preservation of the connection between the pyramidalis muscle and the rectus sheath. RESULTS: There were no statistically significant differences between the groups regarding surgery duration, blood loss and postoperative pain. After three months, patients from group II more frequently reported paresthesia in the scar region (47.1 vs. 28.1%; p = 0.041), but their self-assessment of the abdominal appearance and presence of the bulging below the wound were comparable with group I. CONCLUSIONS: None of the two techniques of pyramidalis muscle dissection appear to be superior to the other. The technique leaving the pyramidalis muscle attached to the fascia gave more frequent paresthesia during a 3-month follow-up.

The PCR assessed prevalence of Chlamydia trachomatis in aborted tissues.

BACKGROUND: Infections caused by Chlamydia trachomatis (ChT) are the most prevalent sexually transmitted bacterial infections worldwide. ChT is a cause of cervicitis, endometritis, salpingitis, tubal infertility and ectopic pregnancy. Perinatal infections with ChT have been associated with premature rupture of membranes, stillbirth, preterm delivery, and in newborns with conjunctivitis and pneumonia. There are controversial data referring to the association between colonisation by ChT and the risk of spontaneous abortion. Only few studies investigated the prevalence of ChT antigens in aborted tissues. AIM: To determine the prevalence of ChT in patients with spontaneous pregnancy loss using Polymerase Chain Reaction (PCR). MATERIALS AND METHOD: We completed prospective analysis of 50 patients after spontaneous abortions. The prevalence of ChT infections was assessed by PCR performed in samples taken during curettage following miscarriage. RESULTS: ChT was present in 16 (32%) of samples. Other pathogens of the lower genital tract were found in cultures from 11 patients. CONCLUSIONS: The prevalence of ChT infections in early abortions in this study was found to be surprisingly high. It implies the importance of screening of women planning pregnancy and pregnant women for this disease.

[Guillain-Barre syndrome during CMV infection complicating twin pregnancy--a case report]. / Zespól Guillain-Barre w przebiegu ostrej cytomegalii wiklajacej ciaze blizniacza.

A rare case of Guillain-Barre syndrome in the course of an acute CMV infection during twin pregnancy was reported. A clinical picture, diagnostic procedure and therapeutic management of CMV infection and its complications were presented. The reported case indicates that CMV infections should be taken into account in differential diagnosis in pregnant women with unclear neurological symptoms.

[Skinning vulvectomy in the treatment of carcinoma in situ of the vulva--case report]. / Skinning vulvectomy w leczeniu przedinwazyjnego raka sromu--opis przypadku.

There has been a case presented of multifoci preinvasive cancer in a twenty three years old female. In the case an operation has been performed involving a superficial excision of the changing vulvar skin. On the basis of meta-analysis we compared the efficiency of the performed surgical method and other destructive techniques used in the intraepithelial vulvar neoplasm treatment.