Subject(s)
Coronavirus Infections , Severe acute respiratory syndrome-related coronavirus , Aspirin , Betacoronavirus , COVID-19 , Female , Humans , Infant , Infant, Newborn , Pandemics , Pneumonia, Viral , Pregnancy , Pregnancy Outcome , SARS-CoV-2ABSTRACT
The authors tried to assess considerably of the cervical electroconisation in the cervical cancer prophylaxis. The 2555 women with cervical erosions were treated by electroconisation. The electroconisations were performed when cytological and colposcopical examinations were unsuspected and conservative treatment in these cases has failed. Histopathological studies after conisation's samples demonstrated in 97% cases paraphysiological cervical changes. In 3% treated women cervical intraepithelial neoplasia was diagnosed. In one case cervical carcinoma was diagnosed in postoperative material. In this study 97% efficiacy of cervical electroconisation was demonstrated. Authors suggest that cervical electroconisation is recommended method in the treatment of cervical paraphysiological changes and plays important role in cervical cancer prophylaxis.
Subject(s)
Carcinoma/complications , Carcinoma/surgery , Pregnancy Complications , Uterine Cervical Neoplasms/complications , Uterine Cervical Neoplasms/surgery , Adult , Carcinoma/mortality , Electric Stimulation/methods , Female , Humans , Middle Aged , Pregnancy , Survival Rate , Uterine Cervical Neoplasms/mortalityABSTRACT
Among micro-organisms infecting vagina whose dominant genus is Gardnerella vaginalis anaerobic bacteria are often present. Well-known damaging tissues and cells features of anaerobic bacteria are taken under consideration as factors which are conductive to generating pathological changes in cervical epithelium. The aim of this study was evaluation of cytological smears (Pap smear, Gram stain and H + E stain) in women with Gardnerella vaginalis infections of vagina and uterine cervix. The research was carried out on 1180 women hospitalised in the prior of fourteen months in Obstetrics-Gynaecological Department of the Municipal Hospital in Kielce. It was proved that characteristic microscopic feature of vagina and uterine cervix Gardnerella vaginalis infection is the absence of lactic acid bacillus, Lactobacillus vaginalis in vaginal contents and a presence of a small number of polynuclear neutrophil leucocytes. Marker cells (clue cells) are easily recognised in microscopic image in vaginal smears stained by Gram's method as well as Papanicolaou method. High sensitivity and specificity of these markers suggest usefulness of cytological smears in diagnosing Gardnerella vaginalis infections.
Subject(s)
Cervix Uteri/microbiology , Cervix Uteri/ultrastructure , Gardnerella vaginalis/isolation & purification , Vagina/microbiology , Vagina/ultrastructure , Vaginal Diseases/microbiology , Adult , Female , Humans , Papanicolaou Test , Vaginal SmearsABSTRACT
Among micro-organisms infecting vagina whose dominant genus is GV anaerobic bacteria are often present. There are reports that GV infections of vagina and uterine cervix, apart from their well-known negative role in obstetrics practice can play a role in carcinogenic processes of uterine cervix. The aim of the study was to assess characteristic colposcopy images of cervix in women with Gardnerella vaginalis infection. The research was carried out on 1180 women hospitalised in the period of 14 months. Many observations lead to conclusions that pathognomic clinic feature of Gardnerella vaginalis infection of uterine cervix is visible in colposcope presence of clean, translucent mucus in external cervical os and opaque vaginal contents in the rear vaginal vault. High hydrogen ion concentration in vaginal contents (pH 6.0 and over) correlates with positive "fishy odour test" of this contents. Gardnerella vaginalis infection of vagina and uterine cervix concerns women with existing erosion-type changes of uterine cervix. Visible in colposcopic test restless and "spotted" images visible after Schiller test are pathognomic colposcopic features of Gardnerella vaginalis infection.
Subject(s)
Cervix Uteri/microbiology , Colposcopy/methods , Gardnerella vaginalis/isolation & purification , Urinary Tract Infections/microbiology , Uterine Cervical Neoplasms/diagnosis , Adult , Female , Humans , Neoplasm StagingABSTRACT
Authors presented successful conservative treatment early diagnosed cervical pregnancy. After this procedure abdominal hysterectomy was not necessary.
Subject(s)
Cervix Uteri/diagnostic imaging , Pregnancy, Ectopic/diagnostic imaging , Pregnancy, Ectopic/therapy , Adult , Female , Humans , Pregnancy , Ultrasonography, PrenatalABSTRACT
The authors carried out a tentative evaluation of the factors regarded as increasing the proneness to endometrial cancer development. Particular attention was paid to pathological hyperplasia of the endometrium. The studied material consisted of 592 women (76 with endometrial cancer and 516 with endometrial hyperplasia). The incidence of pathological hyperplasia of the endometrium was six times higher than that of endometrial cancer. Endometrial cancer was found mainly in postmenopausal women. Apart from pathological hyperplasia of the endometrium, among other factors characterizing women developing endometrial cancer, hypertension should be mentioned in the first place. In the postoperative material obtained from women operated on for endometrial cancer (76 cases) and pathological endometrial hyperplasia (244 cases) the character of pathological changes in removed ovaries in 2/3 of the cases pointed to hyperplastic non-malignant lesions. In 1/3 of the women either no pathological changes or only fibrosis and ovarian tissue atrophy were found in the ovaries.
Subject(s)
Endometrial Hyperplasia/pathology , Uterine Neoplasms/pathology , Adult , Atrophy , Female , Fibrosis , Humans , Middle Aged , Ovary/pathology , Postmenopause , Risk Factors , Uterine Neoplasms/surgeryABSTRACT
In the paper authors consider the problem if Chlamydia trachomatis infection of urogenital tract exerts an influence on postoperative course in women who were operated in the gynaecology department. 186 women have been examined in this study. Using the criteria for selective screening for Chlamydia trachomatis infection proposed by Handsfield, 29 women with higher risk for chlamydial infection were seperated. The personal details have been obtained by standardized questionnaire. Using the immunoenzymatic test "Chlamydiazyme" the incidence of Chlamydia trachomatis infection of the cervical canal was studied in 29 women from groups of higher risk for this infection. No Chlamydia trachomatis antigens were found in this group. These results don't answer the question if Chlamydia trachomatis infection of urogenital tract exerts an influence on postoperative course in women who were operated in gynaecology department, because it is to small trial.
