Abstract:
OBJECTIVES:To evaluate the balloon occlusion of the internal iliac arteries during a caesarean section in the group of patients with placenta accreta spectrum. MATERIAL AND METHODS:We analysed 29 pregnant women with placenta accreta spectrum. The study group consisted of 15 patients, who underwent a caesarean delivery with temporary bilateral internal iliac artery occlusion. In the control group, we examined 14 women who had a standard caesarean delivery without any radiologic procedure. We compared pre- and post-operative haemoglobin level, necessity of blood transfusion, intraoperative blood loss, intensive care requirement, complications, duration of surgery, anaesthesia and hospital stay. RESULTS:The history and obstetric outcomes were similar in both groups. The study group required fewer blood transfusions than the control group (p = 0.0176). We administered less packed red blood cells and fresh frozen plasma. Complications were more frequent in the control group (p = 0.0014). Complications related to occlusion of the internal iliac arteries did not occur. The intensive care unit transfer was more frequent in the control group (p = 0.0329). The duration of surgery and hospital stay did not differ between groups. The anaesthesia time was longer in a study group, which related to the radiologic procedure. CONCLUSIONS:Caesarean delivery for placenta accreta spectrum with bilateral balloon occlusion of the internal iliac arteries requires fewer transfusions. It contributes to a decrease in the complication rate and maternal morbidity.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Rosner-Tenerowicz A,Fuchs T,Pomorski M,Sliwa J,Zimmer-Stelmach A,Zimmer Mdoi
10.5603/GP.a2020.0180subject
Has Abstractpub_date
2021-01-15 00:00:00eissn
0017-0011issn
2543-6767pii
VM/OJS/J/70296pub_type
杂志文章abstract:OBJECTIVES:The aim of the study was to determine whether anhydramnios affected the duration of medical abortion in cases with various indications as compared to cases with normal amniotic fluid volume. MATERIAL AND METHODS:Patients who were admitted to our clinic because of medical abortion between January 2010-Decemb...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2016.0058
更新日期:2016-01-01 00:00:00
abstract::Concentration of thyroxine triiodothyronine and reverse-triiodothyronine in serum blood of 30 pregnant women were estimated, like a longitudinal study from 5 to 41 week of pregnancy. Significant increase of concentration of all hormones was observed. We presented also estimation of iodothyronines in blood serum in lab...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to determine serum concentrations of a proinflammatory cytokine, tumor necrosis factor-alpha (TNF-α), in patients with recurrent abortions undergoing treatment with sildenafil or etanercept. MATERIAL AND METHODS:Serum TNF-α concentrations were determined for 24 patients with recurre...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/57823
更新日期:2015-07-01 00:00:00
abstract::HPV virus infections and other promotion factors in the development of carcinogenic process at 101 girls from different social groups were evaluated. Chronic infection of the cervix was found at the group of 56 smoking girls, aged 15-18, having sexual contacts with many partners. 10 of them were infected by HPV virus....
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::The questionnaire included 220 men from childless married couples who referred to the Department of Reproduction and Andrology of the Medical Academy in Lublin for 4 months in 1992. The treatment period of childlessness in those couples ranged from several months to 17 years. The authors tried to establish if, and to ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1994-01-01 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:UNLABELLED:THE OBJECTIVES: The aim of this study was to evaluate the clinical value of blood flow indicies for differentiating between benign and malignant ovarian tumours. MATERIALS AND METHODS:Realisation of the aim was based on the analysis of examinations' results of 686 ovarian tumors. For each recorded blood flo...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-08-01 00:00:00
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::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:INTRODUCTION:Malignant neoplasm of the endometrium is the most common malignant neoplasm of the female reproductive system. Toll Like Receptors (TLR) play a significant role in innate and late-immunity against infections or damaged tissues. TLRs are also involved in the development of tumors in their natural microenvir...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2020.0073
更新日期:2020-01-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0053
更新日期:2019-01-01 00:00:00
abstract:UNLABELLED:The question in the study was whether radiotherapy of women with neoplasma of genital tract leads to coagulation activation. The study group consisted of 51 women with cervical carcinoma (20 cases), endometrial carcinoma (22 cases) or ovarian neoplasma (9 cases). Fractionated dose of ionic energy were applie...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVES:Abdominal obesity is a risk factor for endometrial cancer. The negative impact of individual parameters of obesity on the procedural effects of endometrial cancer surgical treatment has been suggested. The aim of the current study was to estimate the relationship of particular parameters of obesity and in-ho...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0095
更新日期:2019-01-01 00:00:00
abstract:UNLABELLED:Chlamydia trachomatis (CT) infection during pregnancy might be the reason of an increased risk of preterm delivery and premature rupture of membranes. CT could also be responsible for the presence of intrauterine growth restriction, chorionamnionitis and post partum endometritis. It is the most common sexual...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVES:Richter operation is used for the enterocele and high rectocoele treatment. There are many modifications of the procedure. Alas, not much data concerning complications and the learning curve of Richter operation is currently at our disposal. DESIGN:The aim of the study is to analyze the course of sacrospino...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2007-03-01 00:00:00
abstract::Concentrations of two acute phase proteins: alpha 2-macroglobulin (alpha 2M) and transferrin (Tf) as well as glycosylation profiles of alpha 2M and Tf were studied in sera samples from 13 patients suffering from ovarian cancer. In the observed group of patients with ovarian cancer in whom the progression of disease wa...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2001-01-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-08-01 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::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
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:This article describes the most frequent reasons, complications and appropriate treatment of pregnancy with uterine myomas and pregnancy after the myomectomy. MATERIALS AND METHODS:It is the analysis of pregnancies and deliveries of 24 women hospitalised in Medical Academy of Gdańsk. RESULTS:The typical co...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.17772/gp/59268
更新日期:2016-01-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1981-08-01 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::Prenatal corticosteroids and exogenous surfactant therapy independently reduce the adds of neonatal death by about 40%. It is not clear however if babies who develop RDS despite prenatal corticosteroid therapy behave differently when later given exogenous surfactant. This paper presents an evaluation of the outcome of...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::The most important benefit of tocolysis is a 48-hour prolongation of gestational age in order to administer corticosteroids to reduce perinatal mortality and morbidity as well as, if necessary to gain time for "in utero" transfer to a tertiary centre with neonatal facilities. The tocolytic agents used in clinical prac...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVES:Kujawsko-pomorskie province is a region with high morbidity and death-rate from uterine cervix cancer. One of the methods of improve this situation is to perform prophylactic physical examinations to find the least advanced stages as possible. DESIGN:The aim of the study was to estimate the results of proph...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-09-01 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::Out of 4676 women administered abortions between 1965-1969, 20 (.42%) were performed for medical indications related to heart defects. Pregnancy was terminated between the 6th-12th week. Therapeutic abortion itself can be hazardous to the health in these cases due to the state of the circulatory system. The most freq...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1971-01-01 00:00:00