The analysis of specific complications endovideosurgical gynecological interventions cases detected ekstraabdominal gas after laparoscopic operations with imposing carboxyperitoneum and resorption of the irrigation solution during hysteroscopy. We present possible mechanisms for the development of subcutaneous emphysema, pneumothorax, pneumomediastinum and overhydration along with discussion of methods of diagnosis and treatment.
The problem of postoperative cognitive dysfunction is relevant in obstetrics due to the initial psychophysiological state of a pregnant woman and the high frequency of abdominal delivery everywhere. When choosing the optimal method of anesthesia for a cesarean section, which would minimally affect cognitive functions, it is necessary to consider the impact of anesthesia on the memory and attention of puerperas, as well as their initial cognitive status. To assess memory and attention in women of reproductive age, in our opinion, the most appropriate tests are the MoCA-test, Benton test, Wechsler test, hospital anxiety and depression scale, and a self-assessment questionnaire. These tests are recommended by psychophysiologists and have proven themselves to be well applied in daily clinical practice. Standard test kits with a formalized (quantitative) evaluation of the results allow a rapid assessment of several cognitive functions in a limited time. This review article presents the problem of the cognitive function of pregnant women and postoperative cognitive dysfunction during pregnancy.
The review describes certain practical aspects of follicular puncture anesthesia. It presents data on the penetration of anesthetics and other drugs used during anesthesia into the follicular fluid as well as the effect of certain drugs and conditions on the reproductive outcome of treatment. Various options for anesthesia are described that can be used depending on the characteristics of the patient's psychoemotional state and the number of punctured follicles.
Nonspecific aortoarteriitis (Takayasu’s disease) is a rare inflammatory disease of the arteries that affects women of childbearing age. Many authors have reported adverse effects in the mother and fetus during pregnancy. We report a case of operative delivery 41-year-old women having a third pregnancy, which was diagnosed nonspecific aortoarteriitis at the age of 12. Our patient was observed high blood pressure. The disease was characterized by a stable course and was well controlled by taking glucocorticoids. The article discusses the question of the choice of anesthesia.
Spinal anesthesia is considered the standard anesthetic technique for elective cesarean section, but it is contraindicated in some cases. General anesthesia in pregnant women is associated with a significant increase in frequency of complications, primarily related to airway management. In this article, we propose to use a laryngeal mask airway as an alternative to endotracheal intubation during elective operative delivery, subject to certain conditions. We present two clinical cases of general combined anesthesia with the installation of a second-generation laryngeal mask airway and mechanical ventilation — in a patient with the Arnold-Chiari type I malformation and in a patient with IV grade scoliosis.
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