[New approaches to the diagnosis and treatment of inflammatory diseases of the adnexa uteri]. / Novye podkhody v diagnostike i lechenii vospalitel'nykh zabolevanii pridatkov matki.

The paper summarizes follow-ups of 2500 patients with inflammatory diseases of the uterine appendages, provides evidence for the benefits of laparoscopic diagnosis and treatment of all types of this condition, which makes it possible to verify the diagnosis and perform less traumatic organ-sparing operations. To use combined antiinflammatory antibiotic therapy in view of the etiology of inflammation, as well as immunomodulators is the requisite condition for treating acute types of a disease. The new approaches to the diagnosis and treatment of inflammatory diseases of the uterine appendages substantially improved therapeutical outcomes and maintained female reproductive function.

[The prevention of the adhesive process after surgical interventions in gynecological patients in the reproductive period]. / Profilaktiki spaechnogo protsessa posle khirurgicheskikh vmeshatel'stv u ginekologicheskikh bol'nykh v reproduktivnom periode.

Dynamic laparoscopy making use of special tubes was carried out in 149 patients (30 with acute inflammatory diseases of the uterine tubes, 80 following reconstructive surgery on the tubes suffering from tuboperitoneal sterility, 9 operated on the internal genitals). Repeated laparoscopic examinations were carried out in the course of 14 days, every 2-3 days. The course of the postoperative period was assessed by the presence of adhesions, hyperemia, edema, and exudation. Adhesions were separated, during mixtures were delivered including antibiotics, corticosteroids, enzymes, rheopolygluquins; chromohydrotubations was carried out. Dynamic laparoscopy in patients with inflammatory diseases of the internal genitals helped detect positive results 2-3 days after intensive care was started and prevent adhesions. This method appears to be particularly valuable if used after inflammatory processes and interventions on the internal genitals in young, more so in nulliparous women planning to have children in future.

[Ultrasonic examination of the status of the ovaries and endometrium after the treatment of tubal and peritoneal infertility]. / Sostoianie iaichnikov i éndometriia po dannym UZI v protsesse terapii posle likvidatsii trubnogo i peritoneal'nogo besplodiia.

The authors analyze the usefulness of ultrasonic examination for the assessment of ovarian and endometrial status in 84 patients operated on for tubal and peritoneal sterility. After surgery the patients were recommended nootropic agents and cyclic vitamin therapy for 3 months. In cases with concomitant diseases (endometriosis, small pelvis varicose veins) synthetic estrogen-gestagen drugs, anticoagulants, disaggregants were prescribed. If the treatment did not result in pregnancy in 2 months, ovulation stimulants (clostilbegit, choriogonin) were prescribed. Drug therapy had a favorable effect on ovarian and endometrial function. Ultrasonic examination may be recommended for monitoring ovarian and endometrial status.

[Dynamic laparoscopy in patients with gynecologic diseases]. / Dinamicheskaia laparoskopiia u ginekologicheskikh bol'nykh.

Follow-up laparoscopy is of great help in the evaluation of progress of inflammatory pelvic disease and postoperative course in patients operated on for tubal and peritoneal infertility. The use of special cannulas allows repeat laparoscopies in a patient at any time, without new abdominal punctures. Follow-up laparoscopy enables drug administration into the inflammatory site, laparoscope-guided water insufflation and early abolition of adhesions.

[Experience with the treatment of infertility]. / Opyt lecheniia bo'lnykh s besplodiem.

Pathogenetic treatment policy was determined on the basis of the research data obtained from 1210 patients exposed to laparoscopy in combination with chromosalpingoscopy and biopsy of the ovary. The combined treatment resulted in the recovery of reproductive function in 52 per cent of the patients.