Biomedical subjects

Petar Draca

Publications and source records attributed to Petar Draca.

4 recordsLinked to original sources

PubMedDate not supplied

Ovarian conservation and repositioning in radical hysterectomy performed for cervical cancer: experimental and clinical observations.

The author presented an experimental procedure of subperitoneal respositioning of the ovaries into the region of abdominal wall associated with conservation of infundibulopelvic ligament, in female dogs. Relaparatomy was performed a year later. There were no significant changes in ovaries displaced both subperitoneally and subcutaneously. In seven patients under 36 years of age, who underwent the surgical procedure of radical hysterectomy for cervical cancer, ovaries were repositioned intraperiotoneally into the region of lower rim of the kidney associated with conservation of vascularization across the infundibulopelvic ligament. One patient presented with a cystic degeneration of the right ovary, whereas the others presented with normal ultrasonographic findings. Urinary estrogen values, estimated a year following the surgical procedure, ranged within normal values.

Adult↗

PubMedDate not supplied

[Fistulas in gynecologic and obstetric surgical procedures].

INTRODUCTION: The study pointed to the significance and most frequent causes of development of fistula following gynecologic and obstetric surgical procedures. PREVENTION AND MANAGEMENT OF FISTULAS: Some possibilities of prevention, i.e. the necessity of correct administration of surgical procedures have been described. The authors pointed to the imperative of knowing the structure of vesicovaginal region and administration of adequate surgical technique. They described surgical procedures in most frequent gynecologic operations in prevention of ureteral injuries. They have presented 25-year result of operative treatment of these patients and treatment of postoperative fistulas at the Department of Obstetrics and Gynecology in Novi Sad. In regard to the number of gynecologic operations in that period (23067), the incidence of fistulas was not high (43). CONCLUSION: During the last years, the incidence is constantly decreasing, due to application of appropriate surgical techniques, careful manipulation, and administration of up-to-date surgical materials.

Cesarean Section↗

PubMedDate not supplied

[Current issues in contraception].

INTRODUCTION: The authors analyze contemporary methods of contraception. Regarding oral contraception, they point to agents which decrease the efficacy of oral contraception. They also deal with agents which increase the level of estrogen, thus increasing side effects (paracetamol, vitamin C). ORAL CONTRACEPTIVES: Oral contraceptives may also have an impact on the efficacy of some medications (anticonvulsants, antidepresants). Health risks of oral contraceptives are also mentioned, as well as WHO's, guidelines for women using contraceptives based on risks and benefits. OTHER METHODS OF CONTRACEPTION The authors also offer criteria for use of bioactive intrauterine devices (IUD), with recommendations of WHO. Besides men's, there are women's condoms, which are very reliable protection against infections, but their negative side is that they are rather expensive. Bad sides of vaginal wash are also emphasized, although this method is rather widespread in the world. CONCLUSION: At the end, the authors quote the Internationa Family Planning Fund (IFPF) which considers IUD to be the most reliable method of contraception nowadays.

Contraception↗

PubMedDate not supplied

Abdominal sling surgery--artificial sacro-uterine ligament.

Abdominal sling surgery is defined as attachment of either the connective tissue graft (fascia lata) or some synthetic material (Mersilene) to the anterior wall of the exposed vaginal vault following total hysterectomy or to the posterior wall of the uterine cervix in total and subtotal uterine prolapse, whereas the other end is attached to the anterior longitudinal ligament extending along the anterior surface of the vertebrae. Our analysis comprised 45 operations: 20 cases of vaginal vault prolapse following vaginal hysterectomy; 7 cases of vaginal vault prolapse following HTA: 2 cases of prolapse following subtotal hysterectomy; 3 cases of nondefined TH; 2 cases following Burch operation; 1 following Kocher; 1 following Manchester, 1 following Neugebauer-Le Fort operation in which HTA was performed 2 times. Abdominal sling operation was associated with the following surgical procedures: sling in 13 cases, sling + douglasorrhaphy in 16 cases, sling + douglasorrhaphy + colpoperineoplastics in 6 cases, sling + colpoperineoplastics in 9 cases and sling + marshall marcetti in 1 case. Recurrence of enterocele was recorded in 5 patients in whom closure of the douglas pouch had not been performed. This procedure was therefore later included into our approach to the operation. The abdominal sling operation has been a logical and physiologic approach to surgical therapy of genital prolapse, particularly of the vaginal vault prolapse following total hysterectomy. This operation ensures subsequent normal sexual relations.

Adult↗