Jugoslavenska ginekologija i opstetricija最新文献

A six-year-old child, whose mother had been taking Hydanphen tablets for 14 years, is presented. The child had a harelip and some other symptoms of the fetal hydantion syndrome. The mother became pregnant again, no abortion was advised, and she gave birth to a healthy child. A possible teratogenic effect of anticonvulsants is discussed.

From 1973 to 1980, assisting 59,068 vaginally completed deliveries, the authors encountered 19 hematomas of the parametrium (0.032%). Labour was prolonged in 13 out of these 19 cases and the instruments applied were the outlet forceps in 6 and the vacuum extractor in 2 cases, while the expulsion of the child in 5 cases was helped by an intravenous injection of Syntocin. Half the parturients were in the third and half in the fourth decade of their life; a third of them were primiparae. Clinically the picture of atony or uterine rupture prevailed. In the development of the hematoma of the parametrium a large number of etiological factors are to be pointed out: birth injury, parity, age, predisposition, and others. In 6 women subtotal hysterectomy, in 4 the ligature of the uterine artery, and in 5 the evacuation of the hematoma were applied, while in the remaining ones the treatment as conservative.

Presented are the results of bacteriologically examined ejaculates from 113 patients who had never had any symptoms of inflammation in the genital tract region. In 40.7% of them Staphylococcus epidermidis was found in the ejaculate next to other bacteria meant to be the cause of the inflammation of the genital tract in men. A comparison was made of the bacteria in the urine voided before ejaculation and in the cervix and vagina of the patients' views with the species in the semen.

The study included 170 women subjected to menstrual regulation. The double-valve band syringe was used in 96 and the electric pump (the vacuum source usually used at the Department) in 74 cases. Nearly all the procedures were performed under general anesthesia, using 8 mm, 10 mm or 12 mm plastic rigid cannulae. Three abortions with the hand syringe also required dilatation and curettage, and all three women suffered blood loss exceeding 100 ml. There was one cervical laceration surgically repaired and a case of adnexitis reported among the hand syringe group. Immediate complications occurred in 7.3% of the cases using the hand syringe and in 4.1% of using the electric pump. The mean procedural time was 4.2 minutes and 4.0 minutes, respectively, with the hand syringe and the electric pump. Only three women reported complications or complaints at the follow-up visit, all of them from the electric pump group.

A rare case of a clear cell carcinoma of the ovary (paramesonephric carcinoma of the ovary) is presented. Besides clinical implications, the authors discuss controversies concerning the histogenesis of these tumors.

Out of 1425 deliveries, episiotomy was applied in 669 cases: 667 mediolateral (46.8%) and only 2 medial (0.01%). In the author's opinion, prevention consists in the first place in the control of anemia, both before and after delivery. Antibiotics were administered to febrile women and those with the surgical termination of labour.

A case of congenital paresis of the supranuclear facial nerve on the left side in a newborn is presented. His mother has also congenital central facial nerve paresis and for this reason the same anomaly in the newborn was considered to be due to a genetic defect in the intrauterine development. No other lesions in the pyramidal tract were observed. At the infant's birth, a mild form was found of the partial pneumothorax which spontaneously disappeared. The authors suggest a multidisciplinary approach in the study of congenital facial nerve lesions.

The echographic characteristics of 215 breast tumours were analysed. The validity of echomammography (EM) in the diagnosis of breast tumours was assessed by the analysis of receiver operating characteristic curves. The dependence of the success of the diagnosis on the rigour of the chosen diagnostic criteria is presented. In the same manner the successfulness of the evaluation of the nature of tumour was tested with various combinations of echographic diagnostic signs. By using the ROC curves of the prior and posterior probability of the disease and the detectability index, the degree of applicability of EM was compared in the diagnosis of carcinomas, cysts, and benign breast tumours.

A case of perineal endometriosis at the site of on episiotomy scar is reported. The first disorders in the scar appeared soon after the second delivery at the woman's age of 25. Surgical treatment was applied six years after the appearance of the first symptoms. Endometrioma recurred briefly after the excision. Clinical data suggested decidual autologous transplantation during manual uterine exploration.

For analysing estrogen in the urine of pregnant women an immunological method based on the principle of hemagglutination inhibition is applied. A total of 45 normal pregnant women were examined to check normal values, along with 30 pregnant women with EPH gestosis. Urine estrogen determinations were made concurrently by an immunological (Estrotec) and a chemical (Ittrich) method. Comparative studies gave satisfactory results, with the linear correlation coefficient r = 0.68 (p 0.05). In normal pregnant women the progressive increase in estrogen values coincided with progressing gravidity. In pregnant women with severe forms of EPH gestosis, estrogen values were in the pathologic range and in accord with the severity of the disorder and the issue of pregnancy.