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Biomedical subjects

A Katsulov

Publications and source records attributed to A Katsulov.

At least 19 recordsLinked to original sources

[Early oral intake after cesarean section and gynecological operations].

The authors present a modern review on the early oral intake after cesarean section and gynecological operations and their own experience with 130 cesarean and 100 gynecological operated women. This is for the first time on our (Bulgarian) practice. Early oral intake was well tolerated by the patients, there were no more postoperative complications associated with the new method of postoperative care. The authors recommended this approach for the clinical practice.

Cesarean Section↗

[Large uterine myoma during pregnancy and delivery - choice of management].

There are scanty of available data about the management of myoma of the uterus during pregnancy and birth. The authors describe two cases of such a pathology--big myoma of the uterus > 10 sm diameter (d.), who were treated conservatively and ended successfully, without serious complications. The pregnant women were done cesarean section and during the operation the myomas were excisiert. There were no complications intra- and postoperationem. The authors suggest that myectomy during pregnancy and cesarean section must not be don routinely.

Adult↗

[The Joel-Cohen (Misgav Ladach) method--a new surgical technic for cesarean section and gynecological laparotomy].

The authors make a review on this problem for first time in Bulgarian literature and for the first time by us operated with the Misgav Ladach method--cesarean section. The authors describe 50 cases wit Ladach method and as control 20 with Pfannenstiel. The authors establish shorter duration of the operation-Si] and 56.3 min. respective in benefit for Misgav method; the babies were extracted at 5.5 and 12.3 min. respect. The mothers with Misgav had better prognosis at the time of dehospitalization.

Cesarean Section↗

[Myopia and labor].

The authors describe 7 cases of pregnant women with high myopia to 15 diopters, who have been delivered vaginally without worsening of the vision and especially of the myopia. That's why the authors practice and recommend a vaginal delivery to women with a myopia, including high-degree myopia.

Adult↗

[The HELLP syndrome--one hypothesis].

On the basis of current literary data the author presents clinical, laboratory and histomorphological parameters, which show that HELLP syndrome and acute fatty dystrophy of liver during pregnancy have equal clinical picture, equal laboratory results, equal clinical management, equal therapeutic treatment, equal early and late prognosis for the mother and fetus (infant). The indicated up to now "specific" histological finding in the liver during fatty dystrophy of the liver of pregnant women is not sufficient foundation for division of these syndromes, because it is found in the HELLP syndrome as well, because fatty vacuoles depositions in the kidneys are discovered in (grave) preeclampsia. The author concludes that the acute fatty dystrophy during pregnancy is a manifestation, a form of HELLP syndrome, but not a disease, a syndrome sui generis.

Eclampsia↗

[Short-term antibiotic prophylaxis with doxycycline in abrasio residuorum].

The short-lived antibiotic prophylaxis finds wider and wider usage in the present obstetric practice. The authors aim to examine clinically and to use in the obstetric practice short-lived antibiotic prophylaxis with doxycycline after interruption of pregnancy and residual abrasion due to incomplete abortion. The treatment of women from the experimental group was 500 mg of doxycycline per os at once, but 100 mg twice for 6 days in women from the control group in accordance with the common usage. Attention was paid to 3 basic symptoms: temperature over 37 degrees C, pains at the lower part of the abdomen and need of additional treatment. An inference i made that inflammatory complications after the two types of antibiotic prophylaxis does not differ in frequency (p greater than 0.05). The advantages of short-lived usage are evaluated as well.

Abortion, Incomplete↗

[The plasma amino acid profile of women with a normal pregnancy and in pre-eclampsia].

The authors studied the level of some amino acids in the plasma of 10 women with normal pregnancy as well as of 16 women with moderate form of pre-eclampsia. 21 amino acids were determined by a liquid chromatograph, consisting of an automatic controller of the gradient, nonautomatic injector, fluorimetric detector and recording device. The results showed that there were differences in amino-amides of women with normal pregnancy and of nonpregnant women. Concentrations of a large part of amino acids were not changed, but some of them increased--aspargic acid, glutamate, threonine and phenylalanine or reduced--cytroline, methionine, ornithine, glycine, aspargine, alpha-amino acid during pregnancy. The values of amino-acids in women with normal pregnancy and in women with moderate form of preeclampsia did not differ. Ethanol-amine is the only exception and it is found in almost half of the women with preeclampsia. This is an original finding, which deserves further study.

Adolescent↗

[Pregnancy and myocardial infarct].

The authors described the pregnancy and delivery of a woman with unstable angina pectoris (ECG data for ischemic disease of the heart). Delivery occurred through the vagina without complications for the mother and fetus. The literary references treat the question about course of pregnancy, way of delivery and analgesia in women with myocardial infarction during pregnancy.

Adult↗

[Vaginal delivery after 2 and more cesarean sections].

Eight women with deliveries after undergone two and more cesarean section are described. Delivery occurred vaginally in 6 of them, but cesarean section was performed in two of them, whose indications were diagnosed after full dilatation of the cervical canal because of nonadvancement of delivery. A review of literature on this question is presented. Taking into consideration the literary data and their own observations an opinion is expressed that there is basis for a change in the present management of pregnant women with two and more undergone cesarean sections and is proposed to accept the concept for "trial of labor"--evaluation of the cases for vaginal delivery and those for elective cesarean section, taking into consideration criteria for delivery after cesarean section.

Adult↗