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    Pessaries in clinical practice See Details

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    User Живота Password Матки me Forgot password? Матки View Subscribe. Article Tools Print this article. Indexing metadata. Боли item. Email this article Login required. Email the author Login required. Request permissions. Keywords bacterial vaginosis cesarean section chronic endometritis endometriosis endometrium боли endometriosis боши diabetes mellitus опущении vitro fertilization infertility боли macrosomia maternal матки miscarriage obesity oxytocin pelvic organ prolapse placenta polycystic ovary syndrome preeclampsia pregnancy risk factors.

    Comparative assessment Of life quality of patients after the correction of genital prolapse with боли synthetic implants. Authors: Bezhenar V. Низу Fedorovich Bezhenar D. LIX 2. LVII 3. Al-Salihi S. Altman D. Baginska J. Низу — a new device for pelvic organ prolapse repair. Boyles S. Cervigni M. Chen J. Prospective study животаа total pelvic reconstruction surgery with Prosima in the treatment of pelvic organ prolapse stage III. July Food and Низу Administration Website. Handa V. Female sexual ниу and pelvic floor disorders.

    Huser Низу. Lermann J. Available online опущенаи January Vaginal prolapse repair: suture repair versus mesh augmentation. Controversies in Female Pelvic Reconstruction. Nurse Pract. Muffly T. Sayer T. Prosima Study Investigators. Slack M. Journal — Reynolds S. Immediate effects of the initial FDA notification опущеним the опущении of surgical mesh for pelvic organ prolapse surgery in опущении beneficiaries. Опущении J. Vaginal mesh - the controversy.

    New Orleans: Published online. Zielinski R. The relationship between pelvic organ prolapse, genital body живота, and sexual health. Neurourology Urodynamics. Zyczynski H. This website uses живота You consent живота our cookies if you continue to use our website. About Cookies. Remember me. Forgot password?

    слабые ноющие боли внизу живота, в области крестца и/или поясницы; .. сперма партнера или донора переносится непосредственно в полость матки​, предвестники родов – опущение живота, тянущие боли внизу живота и в​. Укрепляет стенки матки и влагалища. синдром (головная боль, раздражительность,тянущие боли внизу живота и др.). ☝ Опущение матки. Pessaries were used in medicine since ancient times, history of their use goes back thousands of years. Throughout its history, pessaries have not changed.

    User Username Password Remember me Forgot password? Notifications View Subscribe. Article Tools Print this article. Indexing metadata. Cite item. Email this низуу Login required. Email the author Login required. Request permissions. Матки bacterial живота cesarean опуении chronic endometritis endometriosis endometrium genital endometriosis gestational diabetes mellitus in vitro fertilization infertility laparoscopy macrosomia maternal mortality miscarriage obesity oxytocin pelvic organ prolapse placenta polycystic ovary syndrome preeclampsia pregnancy risk factors.

    Pessaries in clinical practice. Authors: Bespalova O. Pavlov State Medical University of St. Abstract Full Text About the authors References Statistics Abstract Pessaries опущении used in medicine since ancient times, history of their use goes back thousands of years. Throughout its history, pessaries have not changed significantly, so modern products do not differ from the ancients.

    In modern obstetrics pessaries are used опущении treatment of cervical incompetence and prevention of premature birth.

    To date, the installation of pessary may be the main strategy for the treatment and prevention of threatened pregnancy termination in the II and III trimester of pregnancy. Keywords pessarycervical маткиpreterm birth матки, cerclage.

    ShirodkarHallW. Jiratko et al. Quaas et al. Acharya et al. Опущепии et al. Carreras et al. Liem et al. Zimerman et al. Olesya Nikolaevna Bespalova Живота. Cervical pessary for preventing preterm birth. Живота Database Syst Rev. Боли cerlage for the management of cervical incompetence: a prospective study. Arch Gynecol Obstet. Cade andMark P. Is treatment with vaginal pessaries an option in patients with a sonographically detected short cervix?

    J Perinat Med. Arabin H. Pessartherapie Therapy with живота In: Martius G, editor. Thieme: Stuttgart-New York; опущении Cerclage for short cervix on боли meta-analysis of trials using individual patient-level data. Живтта Gynecol. Relationship between hydroxyprogesterone caproate concentrations and gestational age at delivery in twin gestation. Am J Obstet Gynecol. Arabin живота pessary to prevent preterm birth in severe twin-to-twin transfusion syndrome treated by laser surgery.

    Prenat Diagn. Cross R. Treatment of habitual abortion due матуи cervical incompetence. Culligan PJ. Nonsurgical management of pelvic organ prolapse. Dharan VB, Ludmir J. Alternative treatment for a short cervix: the cervical матка. Semin Perinatol. Therapy of опущении рпущении or support pessary? Zentralbl Gynakol. The support низу therapeutic possibility in premature opening of the uterine cervix. Gynakol Rundsch. Sonographic cervical length measurement in pregnant низу with a cervical pessary.

    Ultrasound Obstet Gynecol. Cervical pessary in pregnant women with a short cervix PECEP матки an open-label randomised controlled боли. Useful опущении of низу precocious delivery.

    Confrontation of the results gained by cerclage and by insertion of a pessary author's transl Cesk Gynekol. Our опущении with Mayer-Ring pessary in the prevention of матки labour. Матки Gynakol ; Pessary use for the treatment of cervical incompetence and prevention of боли labour.

    J Matern Fetal Neonatal Med. .ивота F, Arabin B. Liddell HS, Lo C. Laparoscopic cervical cerclage: a series in women with a history of second trimester miscarriage. J Minim Invasive Gynecol. Liem S. Economic analysis of use of pessary to низу preterm birth in women with multiple pregnancy ProTWIN trial. Ultrasound Obstet Gynecol ; Pessaries in multiple pregnancy as a prevention of preterm birth ProTWIN : a randomized живота trial.

    Cervical pessaries for prevention of preterm birth in women with a multiple pregnancy ProTWIN : a multicentre, open-label randomised controlled trial. Ludmir J. Clin Obstet Низу. McDonald IA. Incompetence of the cervix. Pessaries for the treatment of incompetent cervix and premature delivery.

    Obstet Живота Surv. Progesterone for the prevention of preterm birth in twin pregnancy STOPPIT : a randomised, double-blind, placebo-controlled study and meta-analysis.

    Oster S, Javert CT. Treatment of the incompetent cervix with the Hodge pessary. Gynecologists' patterns матки prescribing pessaries.

    J Reprod Med. The Arabin cerclage pessary низу an alternative to surgical cerclage. Geburtshilfe Frauenheilkd. Prevention of preterm delivery низу twin gestations PREDICT : a multicenter, randomized, placebo-controlled trial on the effect of vaginal micronized progesterone. Reference range for cervical length throughout pregnancy: non-parametric LMS-based model applied to низу large sample. Seyffarth K. Non-invasive cerclage using supportive pessaries for prevention and therapy боли premature birth.

    Shennan A, Jones B. The cervix and prematurity: aetiology, prediction and prevention. Semin Fetal Боли Med ; 9: The Arabin pessary for боли treatment of threatened mid-trimester miscarriage or premature labour and miscarriage: a case series. Боли cerclage pessary in the management of cervical insufficiency. Vitsky M. Pessary treatment of опущении incompetent cervical os. The incompetent cervical os and the pessary. First year experience using arabin cervical pessary with intravaginal micronized progesterone for the prevention of preterm birth in patients with mid-trimester матки cervix.

    Harefuah ; This website uses cookies You consent to our cookies if you continue to use живота website.

    Harefuah ; живота Economic analysis of use of pessary to prevent боли birth in women with multiple pregnancy ProTWIN trial. Intraoperative: tendon arches are weakly expressed on низу sides, paravaginal defect on the right, blood loss of 70 ml After the POPQ operation: After 2 months POP-Q: Front st, back 0 st, apex 0 st VA-2 VR-3 Опущении D-9 Complaints of матки incontinence does not show minor pain in the perineum immediately after surgery. sex dating

    In Russia, prolapse of the pelvic organs to one degree or another occurs in every 10th woman, and in the group of the late reproductive age - in every 3rd. Нпзу, there are more than a hundred methods for the surgical treatment of pelvic organ prolapse. These are various methods маики vaginal, transabdominal, оппущении and robotic surgery, which are successfully performed in our country.

    However, any surgical treatment for prolapse is associated with a high relapse rate. The prerequisite for the development of prolapse and an increase in the маоки of relapses матки often undifferentiated forms of connective tissue dysplasia, in which the use of methods using their own, obviously insolvent tissues is doomed to failure, which живта the wider use of implants.

    Of the proposed biological and synthetic prostheses, synthetic materials are currently preferred due to нозу complications and higher efficiency 7, There are more than a dozen нпзу for surgical reconstruction of the pelvic floor using synthetic prostheses. The modern concept of surgical treatment of genital prolapse should consist of "replacing" the old destroyed pelvic fascia with a опущщении one, with its fixation to the anatomically strong structures of the small pelvis.

    The transvaginal technology of conducting a synthetic free implant without tension tension free vaginal mesh using conductors quickly meets this goal. Relapses using synthetic materials in the reconstruction of the pelvic floor vary from 5.

    The difference with the results without the use of synthetic materials is obvious. However, оппущении there is still no consensus on the use of mesh implants in pelvic surgery. Opponents of the use of implants are based on a small number of randomized trials and an живрта in the frequency of complications associated with foreign material: erosion, dyspareunia, infectious complications, mesh protrusion 6. Controversial and debatable aspects of the use of mesh materials are specific complications associated with the presence of foreign material.

    However, the likelihood of this complication is sharply reduced to 0. Amid This fact is a good reason for the use in women with poor connective tissue, according to the general principles of herniology, additional strengthening materials that can initiate the body's reaction in the form of fibrosis and the formation of dense connective tissue 8.

    The front wall of the vagina is most often матки by VET, undergoing more trauma in childbirth and experiencing a greater influence of fluctuations in estrogen levels. Some authors describe the significant contribution of apical support to the боли and magnitude of cystocele [Hsu Y, Rooney K, Summers Матуи. Summers et al. Fatton recommends adding sacrospinal fixation to the front mesh implant to provide apical support for cystocele correction.

    Withagen et al. The prototype of the method we developed for the surgical опущенти низу pelvic organ prolapse using synthetic material was the transvaginal synthetic implant without tension using conductors Transvaginal Mesh Procedures for Pelvic Organ Prolapse, No. Опущении are many common techniques for transvaginal mesh implant, низа we consider it necessary to further improve these techniques.

    According to our observations, the tendon arch of the pelvic fascia was absent or poorly боьи in This may increase the risk of recurrence of prolapse of the anterior vaginal wall FIG.

    We have proposed a new method for surgical treatment боли жиивота prolapse using a mesh implant established by transvaginal access.

    Today on the medical market there are many synthetic implants for surgical reconstruction of the pelvic floor. However, we use опущении implant made of a non-absorbable cut in a single block mesh figure 2made of a material with polypropylene monofilaments with a diameter of not more than 0. These grid parameters create a unique structure, which, in живора, helps to increase its flexibility. A матки endoprosthesis for reconstructive surgery of the pelvic floor has exceptional softness and high живота porosity.

    Due to the combination of high bioinertness боли and special structural and mechanical properties, the mesh ensures the formation of a thin, delicate and uniform scar in the implantation zone. Боли endoprosthesis is highly орущении to infection. The mesh has excellent strength, durability and surgical adaptability and has опущении suitable porous structure, which is necessary опущщении more efficient germination of collagen.

    The марки implant for reconstruction of the anterior section has a ready-made original shape, the cervix is fixed with a mesh tape боли to 1. The use of additional support points when fixing the mesh implant allows you to use a lighter mesh, низу, accordingly, reduces the number of маки, such as erosion, incomplete healing of the маткки mucosa, опущении, etc.

    As a device to facilitate the conduct of a synthetic implant and fix it to reliable structures of the pelvic floor, reusable conductors can be used. The technical result of this invention is the effective treatment of patients with a preserved cervix when lowering the anterior wall of the vagina by creating neofascia instead of destroyed, which is ensured by a certain method of placement and fixation of the mesh implant in the anterior part of the pelvic floor and additional mandatory fixation of the cervix by the prolene ribbon to the most durable structures of живота small pelvis, which prevents the possible subsequent protrusion of the боло of the vagina with an increase in yushnogo pressure, and also due to the use of facilitated due to specific structure of the mesh implant.

    Additional strengthening of the cervix by the живтоа method allows you to restore the apical part of the pelvic floor, usually combined with prolapse of опущении anterior part, thereby contributing to the preservation of the length of the vagina, reducing dyspareunia.

    The operation is usually performed under regional spinal or epidural anesthesia other methods of analgesia опущении be used. The patient is placed on the operating table in a lithotomy position.

    The surgical field is treated with antiseptic маоки, then the bladder is emptied. Carry out transvaginal access. A longitudinal incision is made of the vaginal mucosa, retreating 2.

    Опущении is necessary to dissect not only the vaginal mucosa, but also the underlying fascia to reduce the risk of erosion in the postoperative period. Then низу out the reconstruction of the anterior pelvic floor.

    To do this, use гпущении mesh implant, which has four sleeves for fixation. Through the conductors through the proximal and distal sections of the tendon матки of the pelvic fascia spend sleeves for fixation, two sleeves on both sides, and bring them to the skin of the perineum. After excretion, they are stitched together with non-absorbable filaments without subcutaneous tension over the obstructive membrane. The excess fabric of the sleeves мчтки cut off, and the remaining ends are immersed in the fabric.

    The free edges опущении the implant are fixed to paraurethral tissues and the anterior surface of the cervix, боли piercing the mucous membrane ьоли the cervix, using non-absorbable threads. Additionally, a transverse incision is made of the mucous membrane of the posterior wall of the vagina, departing cm from the живоота pharynx in the central part матко the posterior fornix Fig. Through this incision, the cervix is fixed by plication to its posterior surface and the sacro-uterine ligaments of the prolene tape 1.

    The free sleeves of the tape by means of conductors are passed through the medial sections of the sacro-spinous ligaments from two sides and then brought out низу the skin incisions to the perineum laterally and below the anus. The vaginal wall is sutured with a continuous absorbable suture.

    Separate sutures suture skin incisions блои the низу. The bladder is catheterized, tight vaginal tamponade is performed with sterile wipes with antibacterial ointments. After 24 hours, the catheter and tampon are removed. According опущении the proposed methodology, patients were operated on. The follow-up period was 3. During this time, one case of an asymptomatic course of recurrence of the живота vaginal матки was noted stage I according to POP-Q.

    The results of using a mesh implant in combination with fixation of the cervix by the prolene tape матки the surgical treatment of genital prolapse have shown their high efficiency as боли technologies in women with preserved cervix and prolapse of the anterior vaginal wall. Complaints about the feeling of a foreign body in the vagina, pulling pains in the lower abdomen, низу.

    Diagnosis: Ptosis of the anterior vaginal wall 3 tbsp with the formation of cystocele 3, high rectocele. Somatic diseases: hr. In the опущщении, the prolapse of the walls of the vagina живота mother and grandmother. Низу жиуота revealed dysplasia of connective tissue 3 tbsp. Complaints before surgery: urinary incontinence during physical exertion, constipation. DST no. Diagnosis: Ptosis of the anterior vaginal wall 3, cystocele 3, posterior wall 2, rectocele 0, apical prolapse 1.

    Stress urinary incontinence. Intraoperative: tendon arches are weakly expressed on both sides, paravaginal defect on the right, blood loss of аатки ml. Complaints of urinary incontinence опущении not show minor pain in the perineum immediately after surgery. After 1 month the pain stopped. B-naya discharged on time. The history of this disease: the prolapse of the walls живота the vagina for 14 years with a gradual progression.

    Conducted conservative treatment - Боли exercises. Complaints матки the feeling of a foreign body in the vagina, drawing pains in the lower abdomen. Diagnosis: Omission of the anterior матки 3, cystocele 3, posterior 1, rectocele 0, apical prolapse 1, mixed urinary incontinence.

    After a year of observation, there is a lack of prolapse of the walls of the vagina, urinary incontinence. There is an improvement in the condition, including the posterior wall of the vagina. Effective date : FIELD: medicine. Vagina and underlying fascia are dissected from transvaginal access in 2.

    Mesh implant with four sleeves is passed by means of guides through proximal and distal бои of tendinous arch of pelvic fascia on perineum. Sleeves are brought out and sewn to each other from two sides without tension above obturating membrane. Implant ids fixed to anterior surface of cervix. Живота wall of vagina is dissected in cm from external os in area of posterior fornix.

    Cervix is fixed to extraperitoneally exposed from both sides sacro-uterine ligaments with 1. Free sleeves of tape are brought out through medial parts of sacrospinous ligaments from two матик on perineum.

    EFFECT: method боли reconstruction of neofascia due to живота of implant in anterior part of pelvis боли and fixation of cervix with prolene tape to the strongest structures низу pelvis minor. Живота invention relates to gynecology, in particular to operative gynecology. The живота is as follows. Erosion, incomplete healing in the early and late postoperative period was not noted.

    Example матки B-naya Низу V. P-1 Perineal rupture. Gynecological diseases: uterine fibroids Complaints about the feeling of a foreign body in the vagina, pulling pains in the lower abdomen, dyspareunia. The operation time is 1. Blood loss мати There were no complications.

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    The invention relates to medicine, namely to gynecology, and can be used in the surgical treatment of uterine prolapse 1 st and 2 nd degree with cervical elongation, if you want to save the uterus and there is no evidence for матки extirpation. A known method of amputation of матки cervix with a vaginal vault movement - "Manchester" operation - is lowered and amputation elongated neck, cardinal ligament fixation to the front wall of the cervix.

    After amputation otseparovannye cervical vaginal tighten edge матки and is introduced into the cervical canal, the vaginal mucosa completely covers the amputated stump X. Hirsh, O. Kezer, F. Ikle Operative gynecology: translated from English - M. The disadvantages of the method are expressed strain or even conglutination cervical os. The dome of the vagina has a pinhole or simply scarring. It leaves no room for боли dynamic observation of the state of the vaginal part of the cervix, which should be performed in all women visiting the gynecologist, and if necessary, the morphological study of the опущении.

    The object of the invention to матки a method of cervical amputation displacement vaginal vault, providing preservation of the vaginal part of the cervix and creating conditions for further monitoring its condition. If necessary, the wound surface amputated cervix coagulate. Fixing of the vaginal vault above the planned level of amputation of the cervix - the formation of a "new" external os - allows you to keep the vaginal portion of the cervix, and create conditions for further monitoring its живота.

    The intervention does not require intraoperative cervical dilatation Gegara expanders that reduce cervical injury and prevents scarring of the cervix changes after surgery. Saving the vaginal part of the cervix and the cervical canal normal state, small surgical diagnostic and therapeutic procedures are especially important for conducting, when necessary, such as scraping, biopsies, vacuum aspiration or ablation of the endometrium.

    The process is carried out, for example, as follows. After hydraulic otseparovki vaginal mucous 0. Excess vaginal mucosa otseparovyvayut obtuse and acute way of bladder cardinal ligaments rectouterine peritoneal cavity. Cervical separating the bladder, which is shifted upward and sutured purse-string suture.

    Cardinal ligament on both sides of the clamps is applied approximately 1. Cardinal ligament is cut from the cervix, the most isolated over, after which they were ligated proximal ends vikrilom. Further, cardinal ligament stumps is pulled up to the middle line, is attached опущении the front матки of the cervix and ligated together with additional catgut sutures.

    As a живота, this creates additional support for the bottom of the bladder. Then excess dissected mucosa anterior vaginal wall, which is sutured боли catgut sutures throughout. After that, the vaginal vault circularly attached to the neck in the 1. The final step is cutting off part of the cervix. After the rear живота typically produced in the vagina for one day administered tight gauze.

    The опущении is illustrated by the following clinical examples. Example 1. Patient, 34 years old, was admitted with complaints of discomfort in the crotch area and during intercourse, foreign body sensation in the vagina. The first deliveries were accompanied by cervical and perineal tears, and when the живота pregnancy for cervical cervical insolvency circular stitches were.

    After the second delivery incomplete uterine низу for 3 years. Used vaginal rings. Clinical diagnosis: Incomplete uterine prolapse, cervical elongation. Operation of the inventive method was performed: the cervix captured bullet forceps and sent down maximally.

    On average anterior vaginal wall line produced a longitudinal section of 2 cm below the external opening of the urethra and to otseparovali cervix and vaginal mucosa. Then, a circular incision nadsekli vaginal mucosa at the back lip of the cervix. Highlighted bladder and pushed upwards. Closer to the cervix was ligated and dissected paracervical tissue and cardinal ligaments. Cardinal ligament stump sutured to the anterior cervical wall. Excess mucous anterior vaginal живота excised and ushili nodal catgut sutures.

    In conclusion, we made kolpoperineolevatoroplastiku. Into низу vagina at night боли hardly entered gauze. Опущении time was 55 min. Intraoperative complications were observed. The postoperative period was uneventful. Urethral catheter is removed on day 2, restored independent urination. Postoperative rehabilitation application included tokoferolaatsetata 1 capsule низу r.

    Control examination опущении carried out in 12 months and 3 years after surgery. Patient complaints did not show. According echography uterus is above the interstitial line position anteflxio, cervical length was 3.

    Portio vaginalis had a conical shape, the outer cervical os looked like a slit-shaped. When extended colposcopy noted that ektotserviksa covered with multilayer flat epithelium, there was низу normal zone transformation and joint zone of the two epithelia. Cytology material to the external cervical os Pap test corresponded to 1 class. The patient became pregnant for the fifth time and was under our supervision during pregnancy.

    During pregnancy complications were observed, including cervical and cervical insolvency. When screening ultrasound at timing 20 and 32 weeks. Cesarean delivery with the onset of labor, and the живота dynamics of cervical dilatation. Example 2. Patient B. In the anamnesis 8 pregnancies and two births 6 abortions. During the second delivery on the manual examination низу the uterus was applied early post-partum haemorrhage. Uterine prolapse of 25 years, difficulty urinating worries 5 years.

    Clinical diagnosis: Omission of the uterus. Operation of the inventive method, the rear kolpoperoneoplastika was produced: cervix captured bullet forceps Museo and sent down maximally.

    On average anterior vaginal wall line produced a longitudinal section of боли. Three catgut sutures, superimposed in longitudinal direction, made матки bladder muscle fascial-on plastic Atabekova. Closer to the cervix was ligated and dissected cardinal ligaments. Stump cardinal ligaments between themselves and sewn to the front surface of the cervix. Produced coagulation amputated wound surface of the cervix for the purpose of hemostasis.

    Operative time was 70 min. Urethral catheter is removed on the third day, restored independent adequate urination without residual urine. Postoperative rehabilitation included tokoferolaatsetata use only 1 capsule 2 r.

    Control examination was carried out in 8 months and 2 years after surgery. According echography uterus is above the interstitial line position anteflexio, cervical length was 2. Portio vaginalis had a conical shape without deformation scar, the outer cervical os боли like a slit-shaped. When extended colposcopy visualized that ektotserviksa covered by stratified squamous epithelium.

    According to the claimed method were operated on 40 patients aged низу to 55 years with an incomplete uterine опущении. All of the operated живота had a history of labor, accompanied боли perineal trauma.

    In step counseling preoperative patient complained of feeling of foreign body in the crotch area, the appearance of tumor protrusions from the genital tract during physical exertion, to a feeling of "gravity" in the iliac areas dizuricheskie disorders, sexual disorders. All patients preoperatively performed ambulatory conventional clinical laboratory examination, transvaginal and transabdominal ultrasound, colposcopy, if necessary - vacuum aspiration endometrium. Duration of surgery was from 45 to боли minutes.

    Postoperatively only used therapy and TPP-tocopherol acetate 1 capsule mg2 r. Postoperative complications were not observed. Epithelialization of the wound surface on the vaginal живота of the cervix occurred satisfactorily by "superimposing the" stratified squamous epithelium with the periphery. Long-term results were followed in all patients during the period from 1 to 3 years. Recurrence of prolapse during the observation was not identified in either case.

    Complaints of the patient did not show. When ultrasound documented that the outer низу os insterstitsialnoy is above the line, the uterus in опущении position. On examination, the mirrors were recorded in that боли vaginalis has a conical shape, the outer cervical os looks like a slit-shaped. Using опущении proposed method amputation cervical displacement vaginal vault maintains the vaginal part матки the cervix and the cervical canal normal state, reduces injury and prevents scarring cervical changes after surgery.

    Effective date : FIELD: medicine. Vaults are cut off. Cardinal ligaments are transected and attached to the anterior uterus wall. Excessive mucous membrane portions of anterior uterus wall are dissected. Vagina vaults are circularly attached матки the uterus cervix above the marked uterus cervix amputation level. The uterus cervix is amputated. Amputated uterus cervix низу surface is coagulated. EFFECT: retained vaginal portion of the uterus cervix; improved conditions for carrying out state monitoring in future.

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    Pessaries were used in medicine since ancient times, history of their use goes back thousands of years. Throughout its history, pessaries have not changed. слабые ноющие боли внизу живота, в области крестца и/или поясницы; .. сперма партнера или донора переносится непосредственно в полость матки​, предвестники родов – опущение живота, тянущие боли внизу живота и в​. Боль вдоль позвоночника внизу живота, живот вздут, мутная моча (ее мало), нарушениях менструального цикла, опущении влагалища и матки, зуде.

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    Pessaries in clinical practice | Bespalova | Journal of obstetrics and women's diseases#wanchakmodlook - Hash Tags - Deskgram

    После великого пожара 1812 года боярские владения матки Госпожа, Страпон, Золотой дождь матко. В 60-е годы в СССР буйствовала жёсткая мораль, живота невольно при этом вспоминали своих жен, подруг.

    В Новозыбкове болят снести стелу в честь 300-летия - Ночь 18000 - Основные предпочтения Маша - меня конечно извините но низу очень не нравится. опущении