[Two years experience of laparoscopic management of the deep posterior vaginal endometriosis]. / Dwuletnie doswiadczenia wlasne w laparoskopowych operacjach endometriozy przegrody odbytniczo-pochwowej.

Our three year experiences of laparoscopic operations recto-vaginal endometriosis is presented here. We treated 15 patients. The main symptom was severe dyspaurenia. Laparoscopic (n = 14) and laparotomic (n = 1) excision of endometriotic nodules resulted in considerable pain relief. The surgical techniques was excision with scissors and bipolar coagulation. In all the procedures the anterior rectum was freed to the loose areolar tissue of the recto-vaginal septum, prior to excising deep fibrotic endometriosis. Operation time was average 135 minutes and intraoperative blood loss was minimal. Postoperative hospital stay was average 4.8 days. Fourteen patients were free from the preoperative symptoms at six month follow-up. Laparoscopic surgery for deep recto-vaginal endometriosis is an effective treatment and offers significant symptom relief.

[Comparison of the efficacy of treatment by two laparoscopic techniques combined with medical treatment of endometriosis stage three and four]. / Porównanie efektywnosci leczenia endometriozy III degrees i IV degrees AFS dwoma technikami laparoskopowymi dodatkowo skojarzonymi z leczeniem farmakologicznym.

20 patients were treated for endometriosis with combined treatment, we have divided prospectively our patients on the 2 groups. One group was operated by laparoscopic marsupialisation of endometrial cyst and coagulation. The second group was operated by stripping of lining. Second-look laparoscopy was performed after six month medical treatment. Two techniques laparoscopic was very efficacy (decrease of AFS score). The difference between them wasn't significant.

[Seventh caesarean section with the same woman--case report]. / Siódme ciecie cesarskie u tej samej ciezarnej.

Seventh caesarean section in the same pregnant woman was described. Pregnancy was terminated in 36 week of gestation cause of preterm uterine activity, after getting pulmonary maturation and estimating ultrasound fetal weight over three kilograms. The caesarean section and postoperative period were uncomplicated. There is little literature about multiple repeat caesarean sections. The authors discuss changes in outcomes and complications of multiple caesarean sections through last three decades.

[Endometrial changes in the ovaries during full-term pregnancy: a case report]. / Zmiany endometrialne jajników towarzyszace donoszonej ciazy--opis przypadku.

The authors described case of 27 years old female patient treated due to infertility of unknown etiology. The female was pregnant after series of intrauterine insemination. During caesarean section due to pelvic longitudinal lie the chocolate cyst and endometriosis of the ovary were found. The authors did not find any information in the literature about coincidence of endometriosis of female reproductive organs and full-term pregnancy.

[Seasonal changes in results of semen analysis from male members of an infertile married couple]. / Sezonowe zachowanie sie badanego nasienia mezczyzn z nieplodnych par malzenskich.

Analysis of 200 semen samples of men from childless couples was performed in order to evaluate the sperm characteristics during the year. Estimated were following features: semen volume, sperm density, motility and percentage of pathological forms. The sperm estimation data obtained from 4 seasons of the year was statistically evaluated. Statistically significant changes were found only in the percentage of pathological sperm forms. During the spring period the observed values were significantly higher than during summer and winter. From the correlation tables it appears that together with the increase of sperm density the percentage of pathological forms decreases. Whereas increase in density is correlated with the increase of sperm motility. It was also revealed that together with the increase of the percentage of pathological forms the motility decreases. Analogical results were obtained in all seasons of the year which indicates that there is a clear regularity existing. The least apparent dependencies were found in winter period.