[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.

[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.