The article presents the modern classification of extrahepatic biliary ducts injuries in laparoscopic cholecystectomy. Three groups of biliary ducts intraoperative injures risk factors are described. The basic methods of preoperative and intraoperative prophylaxis of the biliary ducts injury and diagnostic methods are offered. The variations of surgical correction according to the level of biliary ducts injury and time duration of injury are recommended.
ОрГанОсОхраняЮЩее КОмбинирОваннОе леЧение эКтОпиЧесКОй беременнОсти с имплантацией в ШейКе матКи на срОКе 7 неделЬ беременнОсти (Клинический случай)Аñêоëьñêàÿ С.И., Аëèêбåðовà С.И., Поïов Ю.В., Лåбåдåв Д.П., Нå÷àåвà О.Е.
Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий ФМБА РоссииШеечная беременность -актуальная медико-социальная проблема, характеризующаяся достаточно высокой летальностью и часто приводящая к потере фертильности у женщин репро-дуктивного возраста. Данный клинический случай демонстрирует возможный подход в органо-сохраняющем лечении на фоне развития обильного кровотечения у женщины, заинтересованной в осуществлении репродуктивной функции, с использованием высокотехнологичных малоинва-зивных методов лечения в комбинации с химиотерапией.Ключевые слова: шеечная беременность, эмболизация маточных артерий, гистерорезектос-копия, метотрексат.
ConservAtive CombinAtion treAtment of CerviCAl eCtopiC pregnAnCyfor 7 weeks of pregnAnCy with the use of seleCtive AngiogrAphiC uterine Artery embolizAtion, followed by hysterosCopiC reseCtion of the ovum Askolskaya S.I., Alikberova S.I., Popov Yu.V. Lebedev D.P., Nechaeva O.E.Cervical pregnancy is a currently important medical and social problem, characterized by relatively high mortality and often leads to a loss of fertility in women of reproductive age. This clinical case demonstrates a possible approach of conservative therapy in conditions of excessive bleeding in women interested in the reservation of reproductive function, using high-tech minimally invasive methods of treatment in combination with chemotherapy.
Endometriosis is a common pathological condition characterized by the presence of endometrial glands and stroma outside the uterus, most frequently in the pelvis. Despite the ability to demonstrate infiltrative growth and tendency to local recurrence and invasion, endometriosis is considered as a benign proliferative disease. An increasing incidence of extragenital endometriosis (including that in young patients) and difficulties associated with its visualization during ultrasonography lead to a delayed diagnosis, resulting in an increase in the number of cases of advanced endometriosis, which requires long-term treatment. The improvement of a screening ultrasound tomography technique and development of specific ultrasound criteria for preventive examination will ensure rapid identification of patients requiring treatment. In this retrospective study, we analyzed 57 cases of extragenital endometriosis detected during preventive examinations of women between 2014 and 2019. Each case was analyzed with the consideration of ultrasound characteristics together with clinical and gynecological data. We evaluated location, size, contours, and structure of foci. We propose a method of extended ultrasound examination in women with suspected extragenital endometriosis.
In order to improve the results of treatment of patients with malignant ovarian tumors the clinical, morphological and genetic characteristics of mucinous tumors were analyzed. There are 4 cases of mucinous ovarian tumors: the case of mucinous cystadenocarcinoma ovarian associated with dermoid cyst; the case of the giant metastases to ovarian from colorectal mucinous adenocarcinoma; the case of mucinous metastases to ovarian associated with malignant mesotheliomas; the case of the low-grade mucinous neoplasm (mucinous cystadenocarcinoma of the appendix) presented with pseudomyxoma peritonei and mucinous ovarian tumor.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.