Abstract:
:The purpose of this study was to compare 90 Misgav-Ladach cesarean section by the Joel-Cohen method with 45 others with Pfannenstiel incision. The Misgav-Ladach technique involves the Joel-Cohen method, that is a superficial transverse cut in the cutis, a small midline incision in the fascia, then blunt preparation of deeper layers, including the peritoneum, followed by manual transverse traction applied to tear the recti muscles and subcutis. The uterus is also opened using the blunt preparation after a small cut in the midline. After the delivery of the fetus and placenta the uterus is lifted through the incision onto the draped abdominal wall. Then the uterus is closed with one layer of continuous vicryl suture. The abdomen is closed by a continuous suture of fascia, and widely spaced silk stitches of the skin. We sometimes use continuous suture of the skin. We do not close visceral and parietal peritoneum, recti muscles and subcutis. In our experience Misgav-Ladach method is 50% less time consuming, it reduces blood loss by about 250 ml. and allows for a much faster delivery of the fetus than Pfannenstiel method. The post operative outcome of the two methods is similar. Using the blunt preparation in the Joel-Cohen method causes less trauma and shortens convalescence time. We therefore recommend Misgav-Ladach method for cesarean section.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Zienkowicz Z,Suchocki S,Sleboda H,Bojarski Mkeywords:
subject
Has Abstractpub_date
2000-04-01 00:00:00pages
284-7issue
4eissn
0017-0011issn
2543-6767journal_volume
71pub_type
杂志文章abstract:CASE REPORT:A 48-year-old woman with acute urinary retention due to a big cervical leiomyoma pressing on the urethra was admitted to the Gynecologic Unit. A Foley catheterization was performed and 1500 mL of urine was drained. The gynecologic examination revealed a cervical tumor 10 cm in diameter. Acute urinary retent...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.17772/gp/1904
更新日期:2015-01-01 00:00:00
abstract::The aim of the study was to define minimal conditions necessary to isolate human spermatozoa using their swim-up potential. The efficiency of the isolation of spermatozoa from seminal fluid was tested after 1 hour incubation at 37 degrees C of seminal plasma together with isolation mediums, at the volume proportion 2:...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::During the past 15 years, the Wroclaw Medical Academy Institute of Obstetrics and Gynecology experimented on the construction of IUDs. The paper discusses the positive and negative points of those devices which were produced as compared with the Gravigard and the Copper T-200. There were 702 women observed for 7 yea...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1981-03-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine the incidence of placenta previa and to asses the relationship between the incidence of placenta previa and maternal age, parity, prior abortion and cesarean deliveries. MATERIALS AND METHODS:The records of all patients with the diagnosis of placenta previa during t...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
abstract:UNLABELLED:The process of carcinogenesis in both types of cervical carcinoma is dependent on the infection of oncogenic types of HPV. HPV infection could be diagnosed on the basis of whether or not the DNA virus in present. In pregnant women the latent-persistent infection easily changes into its active form. This proc...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
abstract::Thrombotic thrombocytopenic purpura (TTP) is characterized by microangiopathic hemolytic anemia and thrombocytopenia, accompanied by microvascular thrombosis that causes variable degrees of tissue ischemia and infarction. About 10-20% of TTP cases are associated with the pregnancy. Preterm delivery and intrauterine fe...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::A monochorionic monoamniotic (MCMA) twin pregnancy is the rarest form of twin gestation, accounting for around 1:10000 to 1:20000 of all deliveries regardless of the region of the world. All multiple gestations have a higher risk of preterm delivery due to either preterm uterine contractions or asymptomatic cervical s...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2012-12-01 00:00:00
abstract::We have analysed 6 cases of twin pregnancies with vertex presentation of the first foetus. In this cases after delivery of the first twin by vaginal route caesarean, section was made. Caesarean section of the second twin was made because of: transversal presentation with fetal distress syndrom (four cases), umbilical ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract:UNLABELLED:The purpose of our study was to analyze the efficacy of serum C-reactive protein (CRP), white blood cell count (WBC) and erythrocyte sedimentation rate (ESR) serial evaluations in the prediction of chorioamnionitis in cases of premature rupture of membranes (PROM). MATERIALS AND METHODS:A group of 80 patien...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::Multiple pregnancies are considered high risk. This qualification is associated with the multitude of conditions which are known to complicated these pregnancies. Early diagnosis of these complications is the fundamental element of clinical managements. In numerous cases therapeutic protocols are widely known and in m...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVES:The study was designed to evaluate the effectiveness of cervical cancer prophylactics by identification of the time of last cervical cytological examination as well as by recognition of frequency of repeated cervical cytological examinations and reimbursement for the examination costs in representative sampl...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to analyze the course of labor of grand multiparas (4 deliveries and more) in comparison to multiparas (2 or 3 deliveries). MATERIALS AND METHODS:A group of 400 grand multiparas were included in the study and compared with a group of 393 multiparas. All the deliveries took place in ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-12-01 00:00:00
abstract::There have been many advances in perinatal medicine, but few as impressive as those in Rh-disease. Over several decades, we have seen a disease, which once caused the perinatal death of half of all Rh-immunized pregnancies, almost disappear. The success of this medical campaign should serve as a model for the conqueri...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::Accurate diagnosis and proper monitoring of cancer patients remain important obstacles for successful cancer treatment. The search for cancer biomarkers is carried out in order to quickly identify tumor cells and predict treatment response, ultimately leading to a favorable therapeutic outcome. One such prognostic mar...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2012-07-01 00:00:00
abstract:UNLABELLED:Uterine sarcomas are heterogeneous malignancies, both clinically and histologically. The process of oncogenesis depends on gene mutations and uncontrolled mitotic cell division that is promoted by blocking pathways of apoptosis. Caspase 9 and p53 protein play an important role in the process of cell apoptosi...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1778
更新日期:2014-08-01 00:00:00
abstract::The authors studied a sensory intensity response to sodium chloride (NaCl) and a sensory hedonic response to salt in suprathreshold concentrations in 120 healthy primigravidas (age: 20-40) during three trimesters of physiological pregnancy, and in 22 healthy nonpregnant women of the same age examined on the 7th or 8th...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract::This paper attempts to assess the value of the dynamical examinations of the concentrations of the pituitary gonadotropin LH, FSH, PRL in the menstrual cycle. RIA were made on 22 sterile women with monophasic cycle and 119 sterile women with biphasic cycle in comparison with 17 women who delivered at least one child w...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:UNLABELLED:The aim of the study was to assess the significance of some perinatal risk factors and neonatal complications in occurrence of nosocomial infections in the population of NICU patients. MATERIAL AND METHODS:Analysis of risk factors was performed in all patients treated in the years 2005-2008 in NICU Departme...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2009-08-01 00:00:00
abstract::In 39 full-term neonates aged from 1 to 7 days of life, among them 24 with perinatal risk factors and 15 healthy as the control group, immunophenotyping of CD3+ and CD25+ cells using Becton Dickinson flow cytometer and monoclonal antibodies and CD3+ and CD25+ was performed. It was stated, that the mean relative and ab...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::This study was performed in 52 women in their early postmenopausal period, divided into two equal groups. The control group included women with menopausal symptoms only, women in the study group demonstrated also pruritus. All women were on estrogen replacement therapy, additionally a bacterial auto-vaccine was admini...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:The role of angiogenesis in leiomyosarcomas still remains unclear. The aim of this study was to evaluate the NRP1 expression in the leiomyosarcoma tissues and to find the relations between its expression and the clinical features. MATERIAL AND METHODS:The study group consisted of 50 patients with diagnosis ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2018.0002
更新日期:2018-01-01 00:00:00
abstract::Basic methods of contraception of unwanted pregnancy are reviewed: mechanical, vaginal devices, hormonal tablets, and IUDs. On the basis of personal experience the author considers that, compared with other methods of contraception, the intrauterine spiral is the safest device for the female organism. An evaluation...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract::Authors described gestational trophoblastic disease in 15 year old girl with concomitant disseminated intravascular clotting. beta HCG was higher that 100,000 mIU/ml. Serum beta HCG level decreased after evacuation of a molar pregnancy. Physiological level was achieved 3 months later. Theco-lutein cyst grew smaller in...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract::Three different variants of biologically agressive cervical cancers, such as: basaloid carcinoma, glassy cell carcinoma and small cell endocrine carcinoma, have been reported. Hematoxylin and eosin, periodic acid-Schiff and immunohistochemical stains were used. The course of disease and aplication of treatment has bee...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2007-09-01 00:00:00
abstract::The World Health Organization announced on 12 March 2020 a global pandemic of the new SARS-CoV-2 coronavirus causing COVID-19 disease associated with pneumonia and acute respiratory failure. SARS-CoV-2 has caused so far over 6.66 million recorded cases, of which 393,000 ended in death (as of June 1, 2020). Despite the...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.5603/GP.a2020.0127
更新日期:2020-01-01 00:00:00
abstract:UNLABELLED:There are many methods of the growth restriction therapy, but the results are still not satisfactory. Actually, we are conducting a project which main conception is based on the use of the NO donor (L-arginine) in growth retardation therapy. This amino acid is an effective NO donor and has a vasodilating eff...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2004-12-01 00:00:00
abstract::New diagnostic techniques employed in laboratories all over the world enable to create new tests for prenatal genetic diagnosis. They include cytogenetics, molecular-cytogenetics and molecular methods. Chromosomal numerical aberrations (aneuploidies) remain to be the most frequent genetic changes diagnosed prenatally ...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2013-10-01 00:00:00
abstract::Diagnostic microlaparoscopy was performed on 30 patients aged 17-41. Indications++ for these procedures were: sterility (17), tumor of the ovary (5), endometriosis (3), uterine myoma (2), pelvic pain syndrome++ (1), carcinoma of the ovary--second look procedures (1), operative hysteroscopy (1). During these procedures...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1999-08-01 00:00:00
abstract::Prognostic value of some clinical factors on the course of subsequent pregnancy in 117 women with unexplained recurrent spontaneous abortion undergoing immunization with paternal lymphocytes were evaluated in the study. The results allow to conclude that high efficiency of alloimmunization in preventing consecutive ab...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::We present a case of a 65 year-old woman with a late vesicovaginal fistula after colporrhaphy. Too late proper diagnosis of that complication caused perivesical tissue inflammation and led to damage to the urinary bladder, occlusion of the urethra as well as created a massive inflammatory tumor in the minor pelvis, wh...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00