[Plastic adjustment in hypertrophy of labia minora]. / Plastická uprava hypertrofie malých pyskov ohanbia.

OBJECTIVE: Advantages of clinical resection for the correction of hypertrophy of labii minores are described. SETTING: 2nd Gynecological-Obstetrical Clinic, Medical Faculty, UK and Faculty Hospital and Policlinic, Bratislava, and Clinic of Plastic Surgery, Medical Faculty, UK and Faculty Hospital and Policlinic, Bratislava, Slovakia. METHODS: 26 plastic adjustments of labia minoris pudendi have been made in the course of two years. Hypertrophy of labia minoris decreased the quality of life from both physical and psychical points of view, resulting in the requirement of plastic adjustment. The authors refer to the details of surgical procedure for the correction of hypertrophy of labia minoris pudendi. The wedge-shaped resection may be recommended as the most suitable mode of correction with subsequent suture of individual leaves of mucosal duplicity of labia minoris. CONCLUSION: The wedge-shaped resection and plastic correction saves natural color, sensitivity, shape and size of labia minoris. There was a high satisfaction with the intervention. In the control examination after two months, up to 98% of the patients were satisfied with the results of the operation. The resection of the margins of the hypertrophy of labia minoris is most frequently complicated by postoperative edema, scars, deformities and changed sensitivity. The simple uncomplicated operation procedure incorporates this surgical procedure into one-day surgery in gynecology and plastic surgery.

[Screening for hemolytic streptococcus group B in pregnancy and prevention of infection in neonates]. / Skríning hemolytického streptokoka skupiny B v tehotnosti a prevencia infekcie novorodencov.

OBJECTIVE: The aim of this study was to evaluate the influence of Group B streptococcus (GBS) screening and intrapartum antibiotic prophylaxis to the incidence of GBS disease in newborns. DESIGN: Prospective non-randomised study. SETTING: IInd Clinic of Obstetric and Gynaecology LFUK and FNsP Ruzinov, Bratislava, Slovakia. METHODS: We enrolled 3023 newborns (754 in the study group, 2269 in the control group), which were born between 1.9.2000 and 31.3.2003. In both groups we compared following variables: total number of infectious diseases in newborns, number and forms of GBS neonatal disease, number of perinatal death due to GBS disease. RESULTS: There was no GBS disease in the study group of 754 newborns. Mothers of these newborns had one screening culture in 35-36th week of gestation. One swab was taken from vagina and anus. GBS carriers (161-21.4%) were administered i.v. intrapartum antibiotic prophylaxis with Penicillin G i.v., or, when allergy to penicillin was in history, with Clindamycin i.v. In the control group of 2269 newborns, whose mothers had no prevention, the incidence of GBS neonatal disease reached 7.5/1000 newborns (17 cases). The incidence of invasive GBS neonatal disease was 2.6/1000 newborns. CONCLUSION: The authors have noticed a significant decrease in incidence of GBS neonatal disease after implication of GBS screening and intrapartum antibiotic prophylaxis.

[Premature fetal membrane rupture after amniocentesis in the second trimester and successful use of fibrin glue--case report]. / Predcasný odtok plodovej vody po amniocentéze v II. trimestri a úspesné vyuzitie fibrínového lepidla--kazuistika.

OBJECTIVE: The aim of this study was to evaluate fibrin sealing in management of premature rupture of membranes after amniocentesis in early second trimester. DESIGN: Case report. SETTING: II. gynekologicko-pôrodnícka Klinika LFUK NsP Ruzinov, Bratislava; Department of Obstetrics and Gynecology, Spectrum Health--Blodgett Campus, Grand Rapids, USA. SUBJECT AND METHOD: In this case report authors report the use of fibrin sealant (Tissucol KIT, Immuno, A) in management of premature rupture of membranes after genetic amniocentesis. The sealing was performed in 19 + 0 week of pregnancy, 15 days after amniocentesis. The pregnancy was terminated by caesarean section in 34-th week, 98 days after sealing. The newborn was in stable condition, without clinical or laboratory signs of infection. No skeletal deformities or adverse effects of fibrin sealant were observed. Neurological examination in 3 month of age evaluates the psychomotorical development as normal. CONCLUSION: We consider the perinatal outcome of this pregnancy as positive.

Immunohistochemical markers in uterine tumour diagnostics.

The recent fast growth of data on new markers and their identification in different cellular structures results in the need of narrow selection with regard to their applicability. The aim of the review is description of application possibilities of immunohistochemical methods in the diagnostics of pathological processes in the cervix and body of uterus. (Fig. 5, Ref. 43.)