CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTION
Objective. To study clinical and morphological features of lower uterine segment after cesarean section to identify the causes and risk of development non-viable scar.Materials and Мethods. The study comprised 100 pregnant women, 80 of whom had history of caesarean section (CS). These patients, acco...
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2016-06-01
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| Series: | Акушерство, гинекология и репродукция |
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| Online Access: | https://www.gynecology.su/jour/article/view/40 |
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| author | T. A. Perepelova M. G. Gazazyan A. I. Bezhin T. A. Ishunina |
| author_facet | T. A. Perepelova M. G. Gazazyan A. I. Bezhin T. A. Ishunina |
| author_sort | T. A. Perepelova |
| collection | DOAJ |
| description | Objective. To study clinical and morphological features of lower uterine segment after cesarean section to identify the causes and risk of development non-viable scar.Materials and Мethods. The study comprised 100 pregnant women, 80 of whom had history of caesarean section (CS). These patients, according to the results of morphological studies were divided into two subgroups. The first subgroup consisted of 39 patients with signs of morphological inferiority of the scar. The second subgroup – 41 patient, who had no evident morphological changes in the myometrium. The control group consisted of 20 female first babies born through operation of the CS. Clinical criteria of insolvency of the scar was determined on the basis of the evaluation of anamnestic data, objective and ultrasound. Morphologic study of the failure scar was associated with the presence of pathological changes of connective tissue in the scar, a high degree of disorganization and disunity bundles of smooth myocytes, significant intensity and wide distribution in myometriumhydropic (vacuolar) degeneration.Results. The studied morphological criteria were significantly higher in women with morphological signs of insolvency, compared with women who underwent surgery for the first time. In most cases, identified the mismatch between morphological, clinical and sonographic signs of insolvency of the scar. Accurate can be considered only the data of macro – and microscopic examination.Conclusion. As a result of the analysis of clinical and anamnestic data were risk groups of women who had the highest probability of insolvency of the scar after the CS. To them included: a shorter interval between the CS operations (1-2 years); presence of intra – and postoperative complications after the first CS; "immature" the cervix at full-term pregnancy, as well as anomalies of birth activity among the indications to the first CS. |
| format | Article |
| id | doaj-art-cd38feb19fa14880a99da97d658e18b3 |
| institution | Kabale University |
| issn | 2313-7347 2500-3194 |
| language | Russian |
| publishDate | 2016-06-01 |
| publisher | IRBIS LLC |
| record_format | Article |
| series | Акушерство, гинекология и репродукция |
| spelling | doaj-art-cd38feb19fa14880a99da97d658e18b32025-08-20T03:57:36ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942016-06-0110111111810.17749/2313-7347.2015.10.1.111-11839CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTIONT. A. Perepelova0M. G. Gazazyan1A. I. Bezhin2T. A. Ishunina3Kursk State Medical UniversityKursk State Medical UniversityKursk State Medical UniversityKursk State Medical UniversityObjective. To study clinical and morphological features of lower uterine segment after cesarean section to identify the causes and risk of development non-viable scar.Materials and Мethods. The study comprised 100 pregnant women, 80 of whom had history of caesarean section (CS). These patients, according to the results of morphological studies were divided into two subgroups. The first subgroup consisted of 39 patients with signs of morphological inferiority of the scar. The second subgroup – 41 patient, who had no evident morphological changes in the myometrium. The control group consisted of 20 female first babies born through operation of the CS. Clinical criteria of insolvency of the scar was determined on the basis of the evaluation of anamnestic data, objective and ultrasound. Morphologic study of the failure scar was associated with the presence of pathological changes of connective tissue in the scar, a high degree of disorganization and disunity bundles of smooth myocytes, significant intensity and wide distribution in myometriumhydropic (vacuolar) degeneration.Results. The studied morphological criteria were significantly higher in women with morphological signs of insolvency, compared with women who underwent surgery for the first time. In most cases, identified the mismatch between morphological, clinical and sonographic signs of insolvency of the scar. Accurate can be considered only the data of macro – and microscopic examination.Conclusion. As a result of the analysis of clinical and anamnestic data were risk groups of women who had the highest probability of insolvency of the scar after the CS. To them included: a shorter interval between the CS operations (1-2 years); presence of intra – and postoperative complications after the first CS; "immature" the cervix at full-term pregnancy, as well as anomalies of birth activity among the indications to the first CS.https://www.gynecology.su/jour/article/view/40the lower segment of the uteruscesarean sectionthe competence of postoperative scarsmorphological study |
| spellingShingle | T. A. Perepelova M. G. Gazazyan A. I. Bezhin T. A. Ishunina CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTION Акушерство, гинекология и репродукция the lower segment of the uterus cesarean section the competence of postoperative scars morphological study |
| title | CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTION |
| title_full | CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTION |
| title_fullStr | CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTION |
| title_full_unstemmed | CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTION |
| title_short | CLINICAL AND MORPHOLOGICAL EVALUATION OF THE CONDITION OF THE LOWER SEGMENT OF THE UTERUS AFTER CESAREAN SECTION |
| title_sort | clinical and morphological evaluation of the condition of the lower segment of the uterus after cesarean section |
| topic | the lower segment of the uterus cesarean section the competence of postoperative scars morphological study |
| url | https://www.gynecology.su/jour/article/view/40 |
| work_keys_str_mv | AT taperepelova clinicalandmorphologicalevaluationoftheconditionofthelowersegmentoftheuterusaftercesareansection AT mggazazyan clinicalandmorphologicalevaluationoftheconditionofthelowersegmentoftheuterusaftercesareansection AT aibezhin clinicalandmorphologicalevaluationoftheconditionofthelowersegmentoftheuterusaftercesareansection AT taishunina clinicalandmorphologicalevaluationoftheconditionofthelowersegmentoftheuterusaftercesareansection |