Extramural PhD student, Department of Obstetrics and Gynecology of State Budget Professional Educational Institution of Higher Professional Education
аспирант заочной формы обучения 4 курс кафедра акушерства и гинекологии ИДПО
professor, Dr Habil. in Medicine, Department of Obstetrics and Gynecology of Federal State Budgetary Educational Institution of Higher Education, Voronezh State Medical University named after N.N. Burdenko, Ministry of Health of Russian Federation
д.м.н. ,профессор кафедры акушерства и гинекологии ГБОУ ВПО ВГМУ им.Н Н Бурденко
Rationale: the issue of female reproduction maintenance is of vital medical and social importance. This problem is especially acute for women undergoing operative delivery, since the uterus is the key reproductive organ.
The aim of the research, consequently, was to provide adequate evaluation of the lower uterus segment in the early and long postsurgical period after cesarean transection of this segment followed by using different types of suture.
Materials and methods: the research involved ultrasound diagnostics to estimate the effect of different suturing methods on the uterus scar since the 37th week of pregnancy, as well as the visual assessment of the scar during the cesarean transection, in the early postsurgical period on the 2th, 5th, 7th days and in the long postsurgical period after cesarean transection, 3 and 6 months later. There were used lab tests, functional and radio methods of diagnostics. In the early postsurgical period the characteristics under analysis included: the echo structure of the scar, uterus involution rate, the increase or decrease of tissues edema in the scar area, presence or absence of hematoma.
In the long postsurgical period, the main focus was on the echo structure of the scar, presence or absence of niches, vascularization of the assumed uterus scar, anatomic and morphological competence of the scar, statistics methods.
The results: if the scar is incompetent, the ultrasound diagnostic detects such features as uterus cavity deformation in the suture areas, local retraction, visualization of niche near the postoperative scar. The ultrasound diagnostic of the scar in the early and long postsurgical period revealed the advantageous effect of the interrupted sutures for further formation of a competent uterine scar.
Conclusions: early diagnostics of the scar condition in the early and long postsurgical period after cesarean transection as well as preconceptional preparations enable us to maintain and increase reproductive and generative potential of women, who are planning to bear children in future.