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  • The reconstructive-plastic surgery of the inconsistent scar on the uterus via vaginal access in the absence of pregnancy

    Редактор | 2014, Practical medicine 04 (14) Innovative technologies in medicine. Part 1 | 30 июля, 2014

    V.I. EREMKINA, Y.V. GARIFULLOVA

    Kazan State Medical University, 49 Butlerova St., Kazan, Russian Federation, 420012 

    Eremkina V.I. — PhD (Medicine), Associate Professor of the Department of Obstetrics and Gynecology, tel.: (843) 236-08-73, 290-34-49, e-mail: ob_gyn@kgmu.kcn.ru ¹

    Garifullova Yu.V. — Assistant Lecturer of the Department of Obstetrics and Gynecology, tel. (843) 236-08-73, e-mail: gamgg@yandex.ru¹ 

    The article presents the authors’ own experience of reconstruction of inconsistent uterus scar through vaginal access in the absence of pregnancy. The reconstruction of inconsistent uterus scar is made to 21 patients. 19 of them (90.5%0 showed the formation of consistent scar, including 4 patients operated for endometriosis of uterus scar. 7 of them got pregnant after 1-1.5 years after the operation. 6 patients delivered in due term, 1 patient at 27-28 weeks due to heavy gestosis. The estimation of the treatment efficiency allows to consider this type of reconstruction to be highly effective and minimally traumatic surgical intervention.

    Key words: inconsistent scar on uterus, reconstruction, vaginal access.

     

     

    REFERENCES

    1. Bychkov I.V., Shamarin S.V., Bychkov V.I. Fetoplacental system in women with defective uterine scar. Detskaya meditsina Severo-Zapada, 2011, vol. 2, no. 3, pp. 10-12 (in Russ.).

    2. Akusherstvo. Natsional’noe rukovodstvo, pod red. E.K. Aylamazyana, V.I. Kulakova, V.E. Radzinskogo, G.M. Savel’evoy [Obstetrics. National leadership. Edit by E.K. Ailamazyan, V.I. Kulakov, V.E. Radzinsky, G.M. Saveleva]. Moscow: GEOTAR-Media, 2014. P. 1030.

    3. Marotta M.L., Donnez J., Squifflet J. et al. Laparoscopic repair of post-cesarean section uterine scar defects diagnosed in nonpregnant women. J. Minim. Invasive. Gynecol., 2013, 20 (3), pp. 386-91.

    4. Gabidullina R.I., Fatkullin I.F., Gur’ev E.N. et al. New features in the diagnosis of uterine scar. Kazanskiy meditsinskiy zhurnal, 2008, vol. 83, no. 1, pp. 4-7 (in Russ.).

    5. Musaeva S.A., Teppeva T.Kh., Dzhetigenova S.A. ECHO-graphic signs of uterine scar in women undergoing cesarean section. Vestnik KGMA im. I.K. Akhunbaeva, 2013, no. 3, pp. 58-61 (in Russ.).

    Метки: inconsistent scar on uterus, Practical medicine 04 (14) Innovative technologies in medicine. Part 1, reconstruction, V.I. EREMKINA, vaginal access, Y.V. GARIFULLOVA

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