Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 22
Filtrar
Mais filtros










Filtros aplicados
Base de dados
Intervalo de ano de publicação
2.
Urologe A ; 59(4): 416-425, 2020 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-32130447

RESUMO

As useful and necessary as radiotherapy may be, it is associated with irreversible long-term adverse effects including loss of bladder function. In the majority of cases the small bowel, sigmoid rectum and ureter are also affected. The extent of injury depends on the irradiated area, the applied dose and the quality of application. Three factors are essential when choosing a urinary diversion: the length of functional ureter, the position of the bowel outside of the irradiated area and the type of diversion. A continent diversion is best performed through a ascending-transverse or transverse-descending colon pouch. The efferent segment is diverted through the umbilicus. The simplest technique for an incontinent diversion is a conduit using the ascending colon or the right colon flexure. If the length of the ureter does not suffice for such a conduit, the ideal solution is a transverse conduit, as this conduit can be attached to both renal pelves, while simultaneously allowing free choice of the lateral location of the stoma. In case of an exenteration, a double stoma on one side of the body should be avoided in order to prevent maintenance issues.


Assuntos
Pelve Menor/efeitos da radiação , Pelve/efeitos da radiação , Lesões por Radiação , Derivação Urinária , Colo , Humanos , Ureter
3.
Angiol Sosud Khir ; 24(4): 90-94, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30531775

RESUMO

OBJECTIVE: The study was aimed at assessing the venous outflow from the small pelvis after surgical correction of pelvioperineal reflux with the use of reference methods of examination. PATIENTS AND METHODS: We examines a total of 43 female patients (aged 41.5±5.2 years) presenting with pelvic varicose veins and subjected to phlebectomy on the external genitalia, perineum and lower limbs. All women had no evidence of pelvic venous plethora. All women underwent the following examinations: ultrasonographic angioscanning of pelvic and lower-limb veins, emission computed tomography of pelvic veins prior to operation, as well as 1, 6 and 12 months after surgical interventions. We evaluated efficacy of phlebectomy in elimination of pelvioperineal reflux and varicose syndrome, the frequency of detecting valvular insufficiency of pelvic and lower-limb veins, dynamics of the coefficient of pelvic congestion syndrome in the immediate and remote postoperative periods. RESULTS AND DISCUSSION: No cases of relapses of valvular, perineal varicosity, repeat appearance of varicose veins on the lower extremities, occurrence of signs of pelvic venous congestion were revealed. The frequency of detecting valvular insufficiency of the parametrial, uterine, gonadal and iliac veins remained unchanged. The coefficient of pelvic congestion syndrome did not alter either (Cpcs=0.8±0.11 at baseline versus Cpcs=0.78±0.1 after 12 months). CONCLUSION: The obtained results are indicative of a steady state of the venous outflow from the small pelvis in women with pelvic varicose veins and pelvioperineal reflux after surgical removal of vulvar, perineal and superficial femoral veins.


Assuntos
Embolização Terapêutica , Pelve Menor , Varizes/cirurgia , Procedimentos Cirúrgicos Vasculares , Insuficiência Venosa/cirurgia , Adulto , Embolização Terapêutica/efeitos adversos , Embolização Terapêutica/métodos , Feminino , Humanos , Pelve Menor/irrigação sanguínea , Pelve Menor/fisiopatologia , Extremidade Inferior/irrigação sanguínea , Masculino , Pessoa de Meia-Idade , Fluxo Sanguíneo Regional , Tomografia Computadorizada de Emissão/métodos , Resultado do Tratamento , Ultrassonografia Doppler Dupla/métodos , Varizes/diagnóstico , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Procedimentos Cirúrgicos Vasculares/métodos , Insuficiência Venosa/diagnóstico
4.
Angiol Sosud Khir ; 24(3): 70-75, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30321149

RESUMO

The problem of chronic venous insufficiency in women during pregnancy is of current concern. A total of 115 pregnant women in the first, second and third trimesters of gestation were examined in a stage-wise manner. During the first stage we conducted a comprehensive clinical study with the obligatory consultation by the obstetrician-gynaecologist. At the second stage, all women were subjected to ultrasonographic examination of the venous system of both lower extremities and the small pelvis. Studying the diameters of the deep veins of the right and left lower limbs, as well as the paired veins of the small pelvis demonstrated no statistically significant differences, which made it possible to evaluate these parameters as a whole. In all pregnant women, the lumen of the examined vessels was uniform, with the veins being patent, compliant, stained on colour Doppler mapping. Respiration-synchronized, phasic blood flow was registered. In the course of the study it was revealed that the diameter of the veins of the lower limbs and small pelvis increased as gestation proceeded. The findings of ultrasonographic angioscanning showed that by the third trimester of pregnancy the diameter of the femoral vein was 1.5-fold larger and that of the popliteal vein was 1.4-fold larger. The diameter of the veins of the pampiniform plexus of the ovaries during gestation was noted to have increased 1.13-fold. This was accompanied and followed by deterioration of tonic-and-elastic properties of the venous wall and the development by the third trimester of valvular insufficiency with the emergence of venous congestion. Seventeen (16%) women were found to have varicose syndrome. The above mentioned alterations of venous haemodynamics appeared to lead to impairment of blood flow in the affected veins and to the emergence of thrombogenic zones in the valvular sinuses. Of the 115 women examined, 77 (67%) were found to have degree 1 sludge and 36 (31.3%) had degree 2 sludge, with the D-dimer level in these women having increased to 773.3±37.5 ng/ml. Degree 3 sludge was observed in 2 (1.7%) women previously operated on for acute venous thrombosis. Their D-dimer level amounted to 954.3±43.2 ng/ml. It was demonstrated that studying the valvular sinuses for detection of sludge during examination of pregnant women allowed obstetricians-gynaecologists and physicians of ultrasonographic diagnosis to form risk groups for the development of deep vein thrombosis and to timely take appropriate measures aimed at prevention of the pathology concerned.


Assuntos
Veia Femoral/diagnóstico por imagem , Pelve Menor/irrigação sanguínea , Extremidade Inferior/irrigação sanguínea , Veia Poplítea/diagnóstico por imagem , Ultrassonografia Doppler Dupla/métodos , Varizes/diagnóstico por imagem , Insuficiência Venosa , Trombose Venosa , Adulto , Feminino , Veia Femoral/fisiopatologia , Produtos de Degradação da Fibrina e do Fibrinogênio/análise , Humanos , Veia Poplítea/fisiopatologia , Gravidez , Trimestres da Gravidez/fisiologia , Reprodutibilidade dos Testes , Medição de Risco , Varizes/fisiopatologia , Insuficiência Venosa/complicações , Insuficiência Venosa/diagnóstico , Insuficiência Venosa/fisiopatologia , Trombose Venosa/diagnóstico , Trombose Venosa/etiologia , Trombose Venosa/prevenção & controle
5.
Lakartidningen ; 1152018 10 09.
Artigo em Sueco | MEDLINE | ID: mdl-30325475

RESUMO

Preclinical studies indicate that an optimal diet during pelvic radiotherapy may be able to prevent radiation-induced survivorship diseases that diminish cancer survivors' intestinal health. We do not yet know what this optimal diet might be because scientific studies needed to determine what dietary advice might best be given to patients during treatment. Oncology clinics in Sweden were contacted to determine the nature of dietary advice given to gynaecological and prostate cancer patients at each clinic before, during and after radiotherapy. Reports from these clinics revealed that dietary advice given to patients differs from one clinic to another. This was as expected, since it was known that the scientific evidence needed to identify the best possible diet is not yet available. Clinical studies of the effects of different diets are urgently needed if we are to prevent survivorship diseases that decrease intestinal health.


Assuntos
Serviços de Dietética/normas , Neoplasias dos Genitais Femininos/radioterapia , Neoplasias da Próstata/radioterapia , Lesões por Radiação/prevenção & controle , Radioterapia/efeitos adversos , Antidiarreicos/administração & dosagem , Catárticos/administração & dosagem , Dieta com Restrição de Gorduras , Fibras na Dieta/administração & dosagem , Feminino , Humanos , Pelve Menor/efeitos da radiação , Masculino , Refeições , Enfermeiras e Enfermeiros , Nutricionistas , Probióticos/administração & dosagem , Inquéritos e Questionários , Suécia
6.
BMJ Case Rep ; 20182018 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-29930178

RESUMO

Paralysis of the femoral nerve secondary to iliopsoas haematoma is a rare post-traumatic complication. Because of the large differential diagnosis, a high level of suspicion is required for its early recognition. Treatment modalities are controversial due to the rarity of this entity. An 18-year-old student presented with complete paralysis of the knee extensors and a sensory deficit on the anterior side of the thigh 5 weeks after a sport accident. MRI of the lesser pelvis showed an iliopsoas haematoma. Surgical decompression was performed and recovery was complete at 6 months of follow-up.


Assuntos
Neuropatia Femoral/etiologia , Hematoma/diagnóstico por imagem , Paralisia/etiologia , Músculos Psoas/lesões , Adolescente , Diagnóstico Diferencial , Hematoma/cirurgia , Humanos , Pelve Menor/diagnóstico por imagem , Imagem por Ressonância Magnética , Masculino , Músculos Psoas/diagnóstico por imagem , Músculos Psoas/cirurgia , Resultado do Tratamento
7.
Angiol Sosud Khir ; 23(4): 171-180, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29240072

RESUMO

The article is a literature review presenting modern data on applied anatomy of the pelvic veins, diagnosis and treatment of pelvic varicose veins, pelviperineal reflux and vulvar varicosity, lower limb varicose veins, which were caused by pathological reflux from varicose pelvic veins. Presented is the information on tactical approaches in treatment of combined varicose veins of the pelvis and lower limbs, surgical decision-making for correction of pelviperineal reflux, methods of operative and phlebosclerosing interventions on pelvic and superficial veins of the perineum and lower limbs.


Assuntos
Pelve Menor/irrigação sanguínea , Extremidade Inferior/irrigação sanguínea , Escleroterapia/métodos , Varizes , Procedimentos Cirúrgicos Vasculares/métodos , Insuficiência Venosa , Doenças da Vulva , Feminino , Humanos , Seleção de Pacientes , Varizes/complicações , Varizes/cirurgia , Insuficiência Venosa/etiologia , Insuficiência Venosa/terapia , Doenças da Vulva/etiologia , Doenças da Vulva/prevenção & controle
8.
Urologe A ; 55(10): 1350-1352, 2016 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-27126675

RESUMO

A 17-year-old young man presented at our clinic with asymptomatic microhematuria. Ultrasonography and computer tomography found an intraperitoneal lesion of unknown dignity located on top of the bladder. Surgical exploration and histological examination confirmed the diagnosis of a secondary pelvic spleen, a lien bipartitus.


Assuntos
Coristoma/diagnóstico por imagem , Hematúria/diagnóstico por imagem , Hematúria/etiologia , Pelve Menor/diagnóstico por imagem , Pâncreas , Doenças da Bexiga Urinária/diagnóstico por imagem , Adolescente , Coristoma/patologia , Diagnóstico Diferencial , Hematúria/diagnóstico , Humanos , Pelve Menor/patologia , Masculino , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia/métodos , Doenças da Bexiga Urinária/patologia
10.
Angiol Sosud Khir ; 21(2): 94-100, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26035571

RESUMO

The authors studied peculiarities of pelvic organs lesions in patients presenting with secondary small pelvic varicose veins (SPVV) induced by endured thrombosis of iliac veins. The study included a total of 70 patients after endured thrombosis of iliac veins verified by radiodiagnostic methods. The average duration of thrombosis amounted to 3.8 years. The patients were subdivided into two groups. The Study Group comprised 48 patients presenting with small pelvic varicose veins revealed by duplex scanning; the Control Group was composed of 22 patients with no varicose pelvic veins. It was determined that characteristic features of patients with secondary SPVV having developed after iliac veins thrombosis included chronic pelvic pain, dilatation of cavernous veins of the rectum, inguinal vein varicosity and varicose veins of the groin and anterior abdominal wall. Formation of secondary SPVV after endured iliac vein thrombosis leads to disorders of pelvic organs, similar to those in primary varicosity, but more often being functional. Endured iliac veins thrombosis in formation of secondary SPVV leads to urination impairments with prevalence of moderately pronounced symptomatology. Small pelvic organs dysfunction in women with secondary SPVV due to endured iliac veins thrombosis manifests itself in dyspareunia, leukorrhea, and dysmenorrhea.


Assuntos
Dismenorreia , Veia Ilíaca/cirurgia , Dor Pélvica , Transtornos Urinários , Varizes , Insuficiência Venosa , Trombose Venosa/complicações , Dismenorreia/epidemiologia , Dismenorreia/etiologia , Dismenorreia/fisiopatologia , Feminino , Humanos , Pelve Menor/irrigação sanguínea , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados da Assistência ao Paciente , Dor Pélvica/etiologia , Dor Pélvica/fisiopatologia , Flebografia/métodos , Federação Russa/epidemiologia , Ultrassonografia Doppler Dupla/métodos , Transtornos Urinários/epidemiologia , Transtornos Urinários/etiologia , Transtornos Urinários/fisiopatologia , Varizes/diagnóstico , Varizes/epidemiologia , Varizes/etiologia , Varizes/fisiopatologia , Veias/fisiopatologia , Insuficiência Venosa/diagnóstico , Insuficiência Venosa/epidemiologia , Insuficiência Venosa/etiologia , Insuficiência Venosa/fisiopatologia , Trombose Venosa/diagnóstico por imagem
11.
Lasers Med Sci ; 30(1): 147-52, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25053520

RESUMO

Endometriosis is a chronic disease affecting mainly women of the reproductive age. Its most common manifestations include impaired fecundity, pelvic pain, and dyschezia. Laparoscopic removal of endometriotic foci remains to be the gold standard for the treatment of endometriosis. More effective techniques of endoscopic approach-among others, laser application-are continually being developed. The aim of the study was to evaluate the efficacy of laparoscopic treatment with the use of CO2 laser ablation vs. electroablation with regard to pain complaints in the affected patients. The study included 48 women (aged 22-42) with varying degrees of endometriosis of the lesser pelvis. The Numeric Rating Scale (NRS) was used to evaluate pain intensity before the surgery in all patients, followed by either laser ablation or electroablation of the endometriotic foci. The results of the laparoscopic treatment were monitored after 3 and 6 months postoperatively. p value of 0.05 was considered to be statistically significant. Patients from both groups reported less intensive pain before/during menstruation (dysmenorrhea) 6 months postoperatively, with more distinct tendency in the electroablation group (p = 0.004) as compared to the laser ablation group (p = 0.025). Despite the initial improvement reported at the 3-month checkup (p = 0.008), 6 months postoperatively, a statistically significant increase in pain intensity was noted in both groups (p = 0.016 and p = 0.032 for CO2 laser ablation and electroablation, respectively). Both surgical methods seem to be effective only in the treatment of endometriosis-related dysmenorrhea, whereas the intensity of other pain complaints (dyspareunia, dysuria, dyschezia, pelvic pain syndrome (PPS)) has remained on the same level.


Assuntos
Dispareunia/terapia , Endometriose/cirurgia , Terapia a Laser , Lasers de Gás/uso terapêutico , Dor Pélvica/terapia , Adulto , Endometriose/patologia , Feminino , Humanos , Laparoscopia , Pelve Menor/patologia , Pelve Menor/cirurgia , Resultado do Tratamento , Adulto Jovem
12.
Vestn Rentgenol Radiol ; (2): 31-7, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25272721

RESUMO

OBJECTIVE: To perfect and estimate the possibilities of using a mini-invasive diagnostic procedure under magnetic resonance (MR) guidance in the complex anatomic situations in cases of pathological small pelvic changes of unknown origin. MATERIAL AND METHODS: Ten small pelvic interventions were made under MR guidance. The indications for bone biopsy under MR guidance were poor visualization of bone changes or their absence during radiography, including computed tomography. Small pelvic organ and soft tissue biopsies were carried out in the situations of complex location of pathological changes adjacent to critical organs, large vascular and neural structures. All interventions were done using a high-field MR scanner. Freehand biopsy was performed in a stepwise fashion under axial and sagittal T2-weighted image control. RESULTS: Informative histological material was obtained in 100% of cases. No complications were observed. CONCLUSIONS: It became possible to verify the diagnosis based on morphological findings and to timely determine management tactics only by target biopsy under MR guidance in these 10 patients with small pelvic changes of unknown origin.


Assuntos
Biópsia por Agulha , Pelve Menor/patologia , Imagem por Ressonância Magnética Intervencionista/métodos , Neoplasias Pélvicas/diagnóstico , Adulto , Biópsia por Agulha/instrumentação , Biópsia por Agulha/métodos , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pélvicas/classificação , Reprodutibilidade dos Testes
13.
Aktuelle Urol ; 45(5): 374-6, 2014 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-25166856

RESUMO

Retropubic tumours without contact to bones or surrounding tissues are extremely rare with only 22 cases being reported in the literature. The majority of tumours described within these reports are osteochondromas in 17 cases, 2 cases of leiomyoma and one case of each fibroma, fibrosarcoma and nodular fasciitis. We now report the case of a 52-year-old-man with a retropubic ganglion cyst, which was resected "in toto" by laparoscopy.


Assuntos
Coristoma/diagnóstico , Cistos Glanglionares/diagnóstico , Pelve Menor , Sínfise Pubiana , Coristoma/patologia , Coristoma/cirurgia , Diagnóstico Diferencial , Disuria/etiologia , Endossonografia , Cistos Glanglionares/patologia , Cistos Glanglionares/cirurgia , Humanos , Laparoscopia , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Prostatite/etiologia , Tomografia Computadorizada por Raios X
14.
Vestn Khir Im I I Grek ; 173(6): 37-42, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25823309

RESUMO

The authors analyzed the experience at the period from September 2000 to January 2014. The total exenterations of the small pelvis were performed on 23 patients (12 men and 11 women) at the age from 37 to 71 years old. Supralevator total exenterations with full visceral reconstruction were carried out in 13 cases out of 23. Total infralevator pelvic exenterations were used in 10 cases. There wasn't the intraoperative lethality. Patients (3 cases) died in postoperative period. Postoperative complications developed in 10 patients, though serious complications, which required an application of surgical strategy were noted only in 3 cases. The mean life span consisted of 29 months. The performance of total exenteration of the small pelvis considerably increased the life span of the patients and in case of application of reconstructive methods allowed restoration of quality of life to high level and obtaining moral, psychological and social rehabilitation.


Assuntos
Recidiva Local de Neoplasia/cirurgia , Exenteração Pélvica , Complicações Pós-Operatórias , Qualidade de Vida , Procedimentos Cirúrgicos Reconstrutivos/métodos , Neoplasias Retais , Neoplasias Urogenitais , Adulto , Idoso , Feminino , Humanos , Pelve Menor/patologia , Pelve Menor/cirurgia , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Exenteração Pélvica/efeitos adversos , Exenteração Pélvica/métodos , Exenteração Pélvica/mortalidade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/mortalidade , Complicações Pós-Operatórias/psicologia , Complicações Pós-Operatórias/cirurgia , Neoplasias Retais/patologia , Neoplasias Retais/cirurgia , Estudos Retrospectivos , Federação Russa , Análise de Sobrevida , Neoplasias Urogenitais/patologia , Neoplasias Urogenitais/cirurgia
15.
Ann Plast Surg ; 73(5): 578-82, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23759962

RESUMO

Although an abundance of literature exists regarding frequently lifted body areas, there are few reports about body contouring of the mons pubis. Therefore, this paper describes the first clinical results from a new technique, which surgically lifts the mons pubis using superficial fascial system suspension. Fifty patients underwent a lower body lift, including a superficial fascial system suspension of the mons pubis. After a mean follow-up period of 16.9 months (range, 6-31 months), patients were evaluated by standardized preoperative and postoperative photographs using the Pittsburgh Rating Scale. In addition, all patients completed a Likert-type scale questionnaire pertaining to body satisfaction and other bodily changes. Scores from the Pittsburgh Rating Scale improved significantly (P=0.03) from 2.76 (0.43) [range, 1-3] preoperative to 0.5 (0.59) [range, 0-2] postoperative. Fifteen (30%) of the patients assessed the new contour as very good, 26 (52%) patients as good. Eight patients developed a temporary edema in the mons pubis and 1 patient developed an infected fascia suture granuloma, which had to be removed. A mons pubis lift with the aid of the superficial fascial system is a safe surgical technique, which can easily be integrated in body contouring surgeries of the torso.


Assuntos
Pelve Menor/cirurgia , Procedimentos Cirúrgicos Reconstrutivos/métodos , Tela Subcutânea/cirurgia , Perda de Peso , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados da Assistência ao Paciente , Satisfação do Paciente , Estudos Retrospectivos , Inquéritos e Questionários
16.
Artigo em Russo | MEDLINE | ID: mdl-24341216

RESUMO

AIM: Determine levels of sIgA, IgG, IgA in vaginal secretion and saliva of women of reproductive age with chronic inflammatory diseases of small pelvis organs (IDSPO) at exacerbation stage and remission period. MATERIALS AND METHODS: Clinical-laboratory and gynecological examination of 105 women was carried out. Based on the results obtained 3 groups were formed: patients with IDSPO at exacerbation stage; patients at remission stage; clinically healthy women. sIgA, IgG, IgA parameters were studied in vaginal secretion and saliva in women with IDSPO at exacerbation stage and remission period by radial immune diffusion in gel by Manchini method. RESULTS: An increase of immunoglobulin level in vaginal secretion of women with IDSPO at remission period and a sharper increase of these parameters during exacerbation of the disease compared with women of the control group were detected. During analysis of sIgA, IgG, IgA levels in saliva in the same groups of women the results were obtained that give evidence that the presence of IDSPO and local immune reaction do not lead to the changes of these parameters. CONCLUSION: The obtained parameters on the dependence of an increase of immunoglobulin levels in vaginal secretions and the degree of intensity of the inflammatory process give basis to use them with the aim of additional diagnostics.


Assuntos
Infecções/imunologia , Infecções/patologia , Vagina/microbiologia , Adulto , Doença Crônica , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Imunoglobulina A/imunologia , Imunoglobulina A/isolamento & purificação , Imunoglobulina A Secretora/imunologia , Imunoglobulina A Secretora/isolamento & purificação , Imunoglobulina G/imunologia , Imunoglobulina G/isolamento & purificação , Infecções/microbiologia , Pelve Menor/patologia , Pessoa de Meia-Idade , Saliva/imunologia , Vagina/imunologia , Vagina/patologia , Esfregaço Vaginal
17.
Vestn Khir Im I I Grek ; 172(6): 64-6, 2013.
Artigo em Russo | MEDLINE | ID: mdl-24738206

RESUMO

The study was devoted to the problem of postoperative eventrations in gynaecological practice. Coaptation removable sutures were applied in order to prevent similar complications. Operations were performed in the cases of desolate condition of purulent disease of the uterus and uterine appendages with diffuse suppurative peritonitis. An advanced operative technique of suturing through all layers of abdominal wall demonstrated its high efficacy. No one patient (from 39) had the eventration or wound abscess.


Assuntos
Abscesso Abdominal/cirurgia , Técnicas de Fechamento de Ferimentos Abdominais , Laparotomia/efeitos adversos , Doença Inflamatória Pélvica/cirurgia , Deiscência da Ferida Operatória/prevenção & controle , Técnicas de Sutura , Abscesso Abdominal/etiologia , Adulto , Feminino , Humanos , Cuidados Intraoperatórios/métodos , Laparotomia/métodos , Pelve Menor/cirurgia , Avaliação de Resultados em Cuidados de Saúde , Doença Inflamatória Pélvica/complicações , Reoperação/efeitos adversos
18.
Vestn Rentgenol Radiol ; (4): 42-9, 2012.
Artigo em Russo | MEDLINE | ID: mdl-23214029

RESUMO

The purpose of the study was to develop the ultrasound study (USS) and magnetic resonance imaging (MRI) semiotics of small pelvic masses after hysterectomy, to comprehensively use USS and MRI for the diagnosis of these masses, and to define indications for MRI. One hundred and seventy-five female patients with small pelvic masses after hysterectomy were examined. For the specification of the pattern of small pelvic masses and their differential diagnosis, USS and MRI were carried out in 175 and 72 patients, respectively. Four groups of the masses were identified; of them there were tumor-like masses of the uterine appendages in 67 (38.2%) patients, ovarian tumors in 31 (17.7%), other additional masses of the small pelvis in 27 (15.4%), and a mixed variant of its masses in 50 (28.5%). The findings suggest that it is reasonable to concurrently use USS and MRI in the diagnosis of small pelvic masses following hysterectomy for the specification of their pattern and their differential diagnosis. The benefit of MRI is that information images of the basic structures of the small pelvis can be obtained in patients with a marked commissural process after hysterectomy in the absence of limitations in large mass sizes. Practical guidelines were proposed to comprehensively use USS and MRI for the diagnosis of small pelvic pathology.


Assuntos
Cistos/diagnóstico por imagem , Histerectomia/efeitos adversos , Imagem por Ressonância Magnética/métodos , Doenças Peritoneais/diagnóstico por imagem , Complicações Pós-Operatórias/diagnóstico , Ultrassonografia/métodos , Anexos Uterinos/patologia , Adulto , Pesquisa Comparativa da Efetividade , Cistos/etiologia , Cistos/fisiopatologia , Diagnóstico Diferencial , Feminino , Humanos , Histerectomia/métodos , Pelve Menor/patologia , Pessoa de Meia-Idade , Neoplasias Ovarianas/diagnóstico , Doenças Peritoneais/etiologia , Doenças Peritoneais/fisiopatologia , Guias de Prática Clínica como Assunto
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA