Stitches from the cervix
author: doctor Ambrosova I.A.
Almost 40% of miscarriages occur due to ICS (ischemic-cervical insufficiency). This pathology occurs against the background of failure of the uterine neck and painful opening of the uterus. This condition in the second trimester of pregnancy entails the prolapse of the bladder or the outflow of amniotic fluid. In the third trimester of pregnancy, ICI can cause premature birth.
In the event that istmiko-cervical insufficiency begins to progress rapidly, urgent surgical correction is required. Such an operation is performed under local anesthesia, applying to the cervix using modern suture material, which the patient chooses, small stitches. They will help the uterus cope with the increasing burden.
The optimal timing for suturing the cervix is the seventeenth - twenty-first week of pregnancy. After this operation, a woman needs 2 to 3 weeks of hospitalization, during which she will undergo spasmolytic therapy for preventive purposes or to remove the uterine tone. If necessary, the patient is prescribed antibacterial therapy.
Stitches from the cervix
The stitches are removed from the cervix on the 37th - 38th week of pregnancy. In this case, the pregnant woman also needs hospitalization.
It should be noted that if for any reason premature labor activity develops or if amniotic fluid flows, the stitches from the cervix are made at any time of pregnancy. For this operation, you need a gynecological chair and compliance with all the rules of aseptic and antiseptic. As a rule, the removal of sutures is done without anesthesia, since such a procedure is absolutely painless and fleeting.
To remove the seams is necessary in order that the arising contractions do not injure the cervix of the uterus. That is why it is very important to correct the uterine tone when applying sutures, and also, if there are even minor pains in the lower abdomen, a woman should immediately seek advice from a specialist.
In the event that the seams are removed in time, the suture material can cut and injure the tissue of the cervix. It is this condition that is the most frequent complication of surgical correction of ischemic-cervical insufficiency, especially if it was made with kapron, lavsan or silk threads.
The main indications for the removal of stitches from the cervix:
1. III trimester of pregnancy (37 - 38 weeks).
2. Departing or leaking amniotic fluid.
3. Occurrence of bloody discharge from the uterine cavity.
4. Formation of the fistula due to the opening of the sutures.
5. Development of labor activity (at any time of pregnancy).
However, the suture on the uterus after cesarean is not always possible to impose. It should be noted that in the case when it is impossible to suture the cervix through the vagina (this condition is typical for patients undergoing amputation of the cervix), the sutures are transabdominal (using laparoscopy). Also very well recommended is the most non-traumatic correction technique with the help of the Meyer ring, which is worn on the cervix.
Causes of the NI :
1. Various injuries of the uterine neck in the patient's history.
2. Damage to the cervix, which occurred during previous births.
3. Treatment of cervical pathology using invasive techniques (amputation or conization of the cervix).
4. Artificial abortion of pregnancy at a later date and abortion.
5. Congenital anomalies of the cervix.
6, Functional disorders associated with increased relaxation in the blood, connective tissue dysplasia and hyperandrogenia.
7. Increased burden on the cervix due to polyhydramnios, as well as because of multiple birth or a large fetus.
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author: doctor Kuznetsov MA
Childbirth is a long-awaited hours of expectation of the baby. Almost all women want to give birth independently through natural birth canal, but under certain indications, operative labor is performed by cesarean section in planned or emergency order.
Many women expecting a child, believe that if it came about Caesarean section, then pregnancy does not proceed as expected. Caesarean section is an extensive cavitary operation, during which a variety of soft tissues are dissected, which are successively joined by sutures.
The postoperative wound is sterile and, only in this case, there is a guarantee of wound healing under the sutures, the so-called "primary tension". The healing of the sutures depends largely on the human body as a whole. There are people who all heal quickly, whether they are postoperative sutures, or just a cut or a wound, and there are those who have this process dragged on for months.
Author: doctor Cazonova O.I.
In the process of childbirth, there are situations in which the parturient is sutured with ruptures of the cervix and perineum, as well as after the perineal incision, and this is currently occurring quite often.
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Ligation of the fallopian tubes refers to surgical methods of contraception. And it is practically irreversible reliable method of preventing unwanted pregnancy for women.
author: doctor Tyutyunnik DM
To date, it is very difficult to overestimate the urgency of the social and medical problem of miscarriages in a situation of a sharp increase in mortality and a decrease in the birth rate.
author: doctor Fedorenko NS
Since ancient times women have been interested in everything connected with the function of procreation, and any unusual sensations caused anxiety and excitement: are they all right?
author: doctor Krivoguz I.М.
Nabotova cyst of the cervix (named after the scientist who discovered the glands in the cervix) is an education in the vaginal part of the cervix. This formation occurs as a result of occlusion of the excretory ducts of the glands of the mucous membrane and the accumulation of a secretion of glands in the form of cysts.