An important problem in reproductology is inflammatory diseases of the pelvic organs. About 60% of patients with chronic salpingoophoritis are of reproductive age, and 65-77% of cases of acute processes turn into chronic. The analysis of the scientific literature on the effect of chronic salpingoophoritis on the reproductive function of women is carried out. The diagnostic significance of the ultrasound method in assessing the state of the ovarian reserve has been studied. The analysis of the dependence of the concentration of anti-Muller hormone and the indicators of the ovarian reserve was carried out. Evaluation of the ovarian reserve should be carried out using high-frequency transvaginal sensors. These methods allow us to study the architectonics of the intra-organ bloodstream of the ovaries. Modern ultrasound machines allow you to study in detail all the indicators of the ovarian reserve and remove Doppler parameters. Dopplerography can be considered effective for assessing blood flow in the ovaries. The PD energy doppler makes it possible to evaluate intra- and perifollicular blood flow in small diameter vessels. Extensive visualization capabilities are important, capable of creating a planar and 3D image of the ovary under study. An integrated approach is needed to assess the ovarian reserve. In comparison with ultrasound examination, the level of anti-muller hormone more fully shows the activity of immature follicles ranging in size from 0.2 to 4 mm, which are visible during ultrasound examination are poorly visible.
The herpes virus is an urgent problem, particularly in the obstetrician-gynecologist practice. The main objective of this paper was to review and analyze current literature data on the effect of the herpes virus on the mother and child during gestation. A variation of the diagnosis of prenatal herpes infection was reviewed. The treatment and prevention methods of the herpes simplex virus for a pregnant woman are addressed. It was shown that preventive antihomotoxic therapy had a fetoprotective effect, significantly reducing the risk of prenatal infection. Introducing preconception preparation for a wide population cohort, including the suppression of viruses in the mother's body, is relevant. The following methodology was used during work on the article: selection of publications using modern information databases, analysis of the obtained information, systematization of materials, and presentation of conclusions. An electronic search was conducted using publications identified in the following databases: eLIBRARY.RU, Google Scholar, and PubMed.
Primary neoplasms of the abdominal cavity are rare and usually have a mesenchymal origin. Lipoma is a benign mature tumor of adipose tissue, it occurs more often in women aged 30 to 50 years. Retroperitoneal lipoma is a rare variant of lipoma, manifested by various signs and symptoms that can mislead specialists. Lipomas are more common in abdominal surgery in the gastrointestinal tract. In this localization, the main pathognomonic complication is intestinal intussusception. Diagnosis is difficult, due to the relatively slow growth of education, characteristic clinical manifestations may be absent for a long time. X-ray imaging is the preferred diagnostic method. To date, surgical resection is the priority method of treatment of this pathology. The analysis of scientific literature on the occurrence of abdominal lipomas is carried out. The diagnostic significance in assessing the condition and complications of lipomas has been studied. Clinical cases from personal practice on the basis of the State Clinical Hospital named after him are presented. Yudina. Patients with diagnoses of giant retroperitoneal lipoma and complicated small intestine lipoma by female intussusception aged 62 and 78 years, respectively. The first clinical case demonstrates the randomness of the determination of lipoma in a patient admitted to the clinic with a closed craniocerebral injury and a wound of the soft tissues of the head. Ultrasound of the abdominal cavity showed the presence of a large retroperitoneal formation of an inhomogeneous consistency. During laparotomy, a giant fatty tumor with clear boundaries was revealed, closely adjacent to the adipose tissue of the retroperitoneal space. Lipoma was removed, drainage of the abdominal cavity and retroperitoneal space was performed. Histopathological examination confirmed the diagnosis of retroperitoneal lipoma. The weight of the lipoma was 10.610 kg. The postoperative period proceeded without complications. The second clinical case shows how a long-term undiagnosed lipoma of the gastrointestinal tract leads to a complicated course, namely intussusception. Patient A. 78 years old with discomfort and abdominal pain during the last few weeks, small intestine invagination was detected using ultrasound. Diagnosis upon admission: acute pancreatitis. A resection of the altered section of the small intestine was performed. The postoperative period was favorable. The patient was discharged on the 10th day. The presented clinical cases of this disease once again confirm the importance of timely dispensary diagnosis of abdominal tumors.
Annotation: The paper presents information about defects in the soft tissues of the face and lower jaw. Anatomical disorders of this pathology limit the functions of human viability. To date, methods for eliminating defects of the lower jaw are widely used.
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