Abstract：
OBJECTIVE:Clinical application of minimally invasive surgical techniques in gynecology continuous to increase steadily. Laparoscopic surgery has widely replaced open surgical technique in many routine cases. This method is obviously less traumatic and painful, requires a shorter hospital stay and recovery time. The aim of the study is to present the first operation of total laparoscopic radical hysterectomy and bilateral pelvic lymphadenectomy of cervical cancer. PATIENT AND METHOD:A 44-year-old woman was admitted to hospital for surgery due to cervical cancer stage IB1. The patient body mass index was 23.7. She was qualified for total laparoscopic radical hysterectomy (Piver type III) and bilateral pelvic lymphadenectomy. Three 5-mm trocars and 0-degree optic laparoscopic camera were used. We also used other instruments such as two atraumatic grasping forceps, a monopolar hook, Thermostapler forceps (EMED) with bipolar vessel sealing system and bipolar scissors BiSect (ERBE) for cutting, coagulation and preparation. RESULTS:The operating time was 220 minutes. Blood loss was 100 ml. The Hb drop was 1.5 g/dl. No intraoperative or postoperative complications occurred. The postoperative hospital stay was 3 days. Final histopathologic test revealed carcinoma planoepitheliale invasivum colli uteri with negative margins of vaginal cuffs. 1 out of the 15 lymph nodes identified in the removed tissue was positive for malignancy. CONCLUSION:Total laparoscopic radical hysterectomy with bilateral pelvic lymphadenectomy is a safe, effective and minimally invasive technique of diagnosis and treatment in an early stage of cervical cancer. This technique requires further evidence and evaluation before its widespread use.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Malinowski A,Pogoda Ksubject
Has Abstractpub_date
2012-02-01 00:00:00pages
136-40issue
2eissn
0017-0011issn
2543-6767journal_volume
83pub_type
杂志文章abstract：UNLABELLED:Homocysteine (HCY) is an amino acid being a methionin catabolite. The action of HCY is multi-directional and not yet fully known. Follicular fluid also contains homocysteine. Disorders of the composition of follicular fluid as an microenvironment of an oocyte may influence its development. AIM:The aim of ou...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2003-10-01 00:00:00
abstract：:This paper sums up the results of treatment with laparoscopy the patients suffering from infertility of unknown reason. Laparoscopy was performed in 75 patients and only in 21.3% of cases the reason of infertility remained unclear. In most of infertile women (90%) different factors of infertility were revealed--among ...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：OBJECTIVES:Recent studies have demonstrated that disorders of bone metabolism, which is regulated by RANK/RANKL/OPG signaling pathway, are the cause of osteoporosis. The aim of the study was to investigate the distribution of genotypes of the RANK 575C>T and RANKL -643C>T polymorphisms and to analyze their relationship...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：10.5603/GP.2016.0014
更新日期：2016-01-01 00:00:00
abstract：:Women have three very important physiological functions that are not observed in men--menstruation, pregnancy and lactation. Each of these mechanisms influences pharmacokinetics and pharmacodynamics of many drugs. Individualization of pharmacotherapy is a major challenge of modern medicine. The differences in response...
journal_title：Ginekologia polska
pub_type： 杂志文章,评审
doi：10.17772/gp/2002
更新日期：2015-02-01 00:00:00
abstract：:The myeloid lineage-derived DCs are the most potent antigen-presenting cells (APC), which are highly specialized in capturing antigens and triggering adaptive immune responses. The purpose of our study was to identify of the myeloid DCs in peritoneal fluid of women with nonmalignant ovarian tumors. With use of flow cy...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
abstract：:Literature concerning the changes caused in lipids and protein metabolism in women using gestagen preparations for contraceptive purposes is surveyed. The level of metabolic changes was found to be related to the estrogen content of the preparation. Lipid metabolism changes are in the form of increases in the total ...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：1976-07-01 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：:Emergency cerclage was performed on 27 years old patient with membrane prolapse in 21 weeks' gestation. Ultrasonographically guided amniocentesis was performed intraoperatively in order to decrease intraamniotic pressure. Aggressive prophylactic management (wide spectrum antibiotics and tocolysis-nifedipine) resulted ...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：INTRODUCTION:A standard assessment of embryo morphology at given time points does not always allow to transfer the embryo with the highest implantation potential. The effect of transfer of an improper embryo results in a lack of pregnancy or a miscarriage and, as a consequence, exposes the patient to unnecessary emotio...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：10.17772/gp/1728
更新日期：2014-04-01 00:00:00
abstract：:Authors had retrospectively analyzed basic exponents of perinatal care of 256 pregnant diabetic woman in years 1993-1998 hospitalized and delivered in Clinic of Obstetrics and Gynaecology in the town of Bytom. Our results were very similar to the other of Referent Centres Of Technical Methods Bank Used in Diagnostic a...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：:The study was carried out on 7 human placental cotyledons. Placental perfusions performed by Schneider method modified by Miller were conducted for 180 min. assessment of arterial and venous pressure in fetal blood was performed. There were no statistically significant differences between obtained values of perfusion ...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2002-08-01 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：:Concentrations of iron, zinc and copper were determined in public hair of women with threatened abortion and in full-term pregnancy. The aim of the studies was to find differences between the levels of studied elements in public hair of women with threatened abortion and in full-term pregnancy and to test whether pari...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：:Water is a substance essential for life. It creates the environment of our body, keeps it's homeostasis, enables every biochemical reaction and metabolic processes in human organism. Maternal hydratation is essential for homeostasis of two organisms and drinking water influences the amniotic fluid volume, fetal well-b...
journal_title：Ginekologia polska
pub_type： 指南,杂志文章,实务指引
doi：
更新日期：2009-07-01 00:00:00
abstract：UNLABELLED:Preeclampsia is one of the most frequent and dangerous complications of a pregnancy. In preeclamptic pregnancies the spiral arteries are not modified properly. Disturbed blood flow finally leads to hypoxia which is responsible for the dysfunction of the endothelium. Endothelial growth factor (VEGF) and place...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2007-11-01 00:00:00
abstract：:Serum levels of CA125 turned out to be a valuable parameter not only as a marker of ovarian carcinoma but also in other fields of obstetrics and gynaecology. Up to date most of the studies dealing with the subject remain experimental and their clinical usefulness is not widely acknowledged. Accessible and relatively c...
journal_title：Ginekologia polska
pub_type： 杂志文章,评审
doi：
更新日期：2003-05-01 00:00:00
abstract：:The current knowledge concerning the fibrocystic disease of the breast is presented in this work. The authors outlined the theoretical principles of the problem and the most important diagnostic methods as well as the prophylaxis and prognostic in the fibrocystic disease of the breast. ...
journal_title：Ginekologia polska
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 00:00:00
abstract：:The study presents the results of treatment of 63 women with stage IB adenocarcinoma of the cervix. The treatment consist of radical Wertheim-Meigs hysterectomy with adjuvant brachytherapy or external beam irradiation. A statistical analysis with Kaplan-Meier and cox model was conducted to assess the influence of sele...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：:Mammography can detect various types of calcification in the breast. Their correct estimation enables detection of the breast cancer in situ. In our research there have been analyzed various types of calcification available on radiograms, which have been placed in publications. The aim was to find out which of them co...
journal_title：Ginekologia polska
pub_type： 杂志文章,评审
doi：
更新日期：1996-07-01 00:00:00
abstract：DESIGN:Neonatal hypoxia is often responsible for myocardial ischaemia. To evaluate cardiac involvement in neonates, fetal and neonatal ECG recordings have been performed and parameters indicating heart dysfunction have been analysed. OBJECTIVES:Our interest has been focused on analysis of fetal electrocardiogram recor...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVES:Hypertension remains a very serious obstetric problem and a severe pregnancy complication. Hypertension in pregnancy influences the intrauterine fetal growth. Proper monitoring of antihypertensive therapy effects enables us to make suitable modifications of the treatment. The aim of the study was to evaluate...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：:Among 64 women undergoing tubal-ovarian surgery 40.6% became pregnant spontaneously. Because of 47% of the remainder patients demonstrated anovulation the induction of ovulation was performed except the cases with hypergonadotrophic hypogonadism (9.4%). After treatment the total population with ovulatory cycles increa...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：:350 patients with ovarian cancer were operated and irradiated postoperatively in the Center of Oncology in Kraków. 5-year survival with no recurrence was 41.7% (I.--77.3%, II.--44.1%, III.--7.7%). Stage, histological grade and residual volume tumor appears to be an important prognostic factors. ...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVES:To analyze the prognosis and related risk factors of patients with scarred uterus complicated with central placenta previa. MATERIAL AND METHODS:A total of 272 parturient women admitted to our hospital between June 2013 and December 2016 were selected, of whom 142 cases with central placenta previa were des...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：10.5603/GP.2019.0033
更新日期：2019-01-01 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：:EPH-gestosis is accompanied by an extensive remodeling of the extracellular matrix of Wharton's jelly. The gelatinolytic and proteolytic activities were measured. A decrease in gelatinolityc activity and an increase in proteolytic activity in EPH-gestosis were observed. The decrease in gelatinase activity in EPH-gesto...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to test the relationship between maternal serum proinflammatory cytokines level and AFI (amniotic fluid index) in pregnancies complicated by premature rupture of membranes (PROM). MATERIALS AND METHODS:The maternal serum levels of IL-6, IL-1 beta and TNF-alfa were assessed in patient...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：:The opioid system modulates the growth and development of CNS. Hypoxia increases endogenous opioids significantly. The density and distribution of mu-opioid receptors in MPOA is cyclical and sexually dimorphic. To test the hypothesis that perinatal hypoxia affects the development of the opioid receptor system in fetus...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：2000-08-01 00:00:00
abstract：OBJECTIVES:The study aimed to assess the associations between circulating vaspin levels and nutritional status (assessed on tha basis of BMI) as well as insulin resistance in PCOS. MATERIAL AND METHODS:Eighty-seven PCOS women, 48 obese and 39 normal weight, were enrolled in the cross-sectional study. Seventy-two Non-P...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：10.5603/GP.2020.0056
更新日期：2020-01-01 00:00:00
abstract：:The influence a few factors on prognosis on 5-th year survival has been estimated in 367 patients with endometrial cancer with stage I, II and III disease which underwent surgery and radiotherapy. The stage is the most important and competent authority indicators of prognosis on 5-th year survival, among prognostic va...
journal_title：Ginekologia polska
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
