Uterine artery embolization (UAE) has become a standard therapy in the treatment of symptomatic uterine myomas. The procedure is associated with a few complications. One of them is myoma expulsion. A ...32-year-old woman was sent to our hospital with diagnosed intramural myoma with dysmenorrhea and pressure symptoms. UAE was performed since the patient preferred conservative treatment. The procedure was without any complications. Three weeks after embolization, she was readmitted because of vaginal discharge and minor bleeding. We diagnosed expulsion of necrotic myoma and performed transvaginal resection. Four months later, the patient is symptom free. Expulsion of intramural myoma can be thus considered as definite treatment and not a complication of embolization therapy.
The authors present their first experience with a new operative method (within two years' period in 18 patients) solving pelvic prolapse in women by means of installation of polypropylene (Prolene) ...mesh implant.
The authors corrected various forms and stages of POP, particularly prolapse of the vaginal stump after hysterectomy, through the installation of Prolene mesh implants or the systems Prolift Anterior, Prolift Posterior and Prolift Total.
Short-term results (follow-up 24 months) are promising. The patients present no significant subjective complaints and the objective findings are considerably improved. The authors report one particular case of point perforation of the urinary bladder with no side effects and they have not noticed any serious postoperative complications so far.
Nowadays, considering a new methodology the following factors are required: multicentre data collection, determination of rational indicating criteria (together with contraindications), analysis of per- and postoperative complications and publishing continuous clinical outcomes. This is the way how to find an adequate place for implants in a wide spectrum of operations regarding pelvic floor repair (Tab. 4, Fig. 5, Ref. 13). Full Text (Free, PDF) www.bmj.sk.
The article deals with the description of the principles of World Class Manufacturing, the pillars, techniques, procedure of implementation and PDCA cycle definition. In the case study of Fiat Group ...company is pointed to the positive introduction of WCM to producing corporate. Our application for mapping of machine faults, which was created and implemented to manufacturing company, proposes opportunity to conclusion evaluating in summary graphs and tables. A representative form of application has brought expected results, which enabled to reduce losses of company and improve company effectivity, thanks to early fault finding.
To outline possibility of successful treatment of spontaneous previable rupture of membranes in the second trimester of pregnancy.
Spontaneous previable rupture of membranes (SPROM) in the second ...trimester of pregnancy is one of the most alarming problems in current obstetrics. Perinatal mortality is about 60 %, one third of which represents intrauterine fetal demise. Surviving neonates suffer from various complications. There are different clinical approaches regarding treatment of SPROM.
We present a case of a 30 year old secundigravida with a history of SPROM at 19+1 weeks gestation. Ultrasonographic examination revealed anhydramnios. Genital cultures and laboratory studies ruled out infectious etiology of SPROM. Due to expected poor neonatal outcome, decision to attempt amniopatch as an experimental therapeutic alternative was made at 21+1 weeks gestation (two weeks after SPROM had occurred). Autologous concentrated platelets followed by autologous cryoprecipitate were administered into the amniotic cavity transabdominally under ultrasound guidance. After 3 days sonographic examination showed normal volume of amniotic fluid. On 22 postoperative day, patient notice some leaking of fluid vaginally. Fetal growth was appropriate, amniotic fluid volume was decreased, however, oligohydramnios never progressed to anhydramnios. Pregnancy ended with primary cesarean delivery at 33+1 weeks gestation. Live born male infant with 1750 g birth weight was delivered. Postnatal development was within normal limits.
Intraamniotic application of "amniopatch" may represent a possibly successful treatment of spontaneous previable rupture of membranes. This case reports the longest stop of the leaking of amniotic fluid and total prolongation of pregnancy with favorable perinatal outcome after "amniopatch" treatment of spontaneous previable rupture of membranes in the second trimester so far published in available literature.
