ABSTRACT
Pelvic exenteration is an operative method for one-moment removal of pelvic organs, including reproductive tract, bladder and rectosidgmoid. It most common indicated in gynecologic oncology for treatment of locally advanced cancer or recidive with central location. Pelvic exenteration can be used for healing of patients with genital cancer. Frequency of serious complications can reach 50%, that emphasizes the need of careful discuss of risks and benefits with the patients who are indicated for that kind of operation. For the period 2004-2012 common 46 exenterations are performed at FSHOG "St. Sofia", form which 9 are total (TE), 14 anterior (AE), 7 posterior (PE), 16 modified posterior exenterations (MPE). Average operative time is 459 min (237-620 min), depending on the type of operation. Average blood loss is 1200 ml (800-2500 ml). Report of the complications shows that eight patients have had 1-st degree complication.
Subject(s)
Genital Neoplasms, Female/surgery , Pelvic Exenteration/methods , Blood Loss, Surgical , Female , Humans , Operative Time , Pelvic Exenteration/adverse effects , Postoperative Complications/etiologyABSTRACT
The authors report three cases with postpartum hemorrhage in the immediate puerperium and their management.
Subject(s)
Postpartum Hemorrhage/surgery , Postpartum Period , Adult , Female , Humans , Postpartum Hemorrhage/diagnostic imaging , Postpartum Hemorrhage/etiology , Treatment Outcome , UltrasonographyABSTRACT
Cervical carcinoma is the third most common gynaecologic malignancy and is typically seen in younger women, often with serious consequences. The International Federation of Gynaecology and Obstetrics (FIGO) staging system provides worldwide epidemiologic and treatment response statistics. Magnetic resonance imaging (MRI), although not included officially in that system, plays an integral role in the evaluation of patients with cervical carcinoma. After the histological diagnosis has been made, MRI is recommended for noninvasive evaluation of tumor extent, often helping in designing optimal therapy. MRI renders excellent soft tissue contrast, allowing direct tumor visualization and assessment of tumor volume, depth of penetration, and extension to adjacent tissues. MRI obviates the use of invasive procedures such as cystoscopy and proctoscopy, especially when there is no evidence of local extension. MRI staging, when available, is invaluable for identifying important prognostic factors and optimising treatment strategies. The objective of this review is to discuss the MRI staging of the uterine cervical carcinoma, to propose a comprehensive, clinically relevant MRI examination for the assessment of uterine cervical carcinoma, and to present the correlation between MRI and pathologic imaging in comparison to the FIGO staging system.
ABSTRACT
The authors make a review on this problem for first time in Bulgarian literature and for the first time by us operated with the Misgav Ladach method--cesarean section. The authors describe 50 cases wit Ladach method and as control 20 with Pfannenstiel. The authors establish shorter duration of the operation-Si] and 56.3 min. respective in benefit for Misgav method; the babies were extracted at 5.5 and 12.3 min. respect. The mothers with Misgav had better prognosis at the time of dehospitalization.
