The assessment of the uterus scar full value after the cesarean section: the morphological aspect
Abstract
The assessment of the uterus scar full value after the cesarean section: the morphological aspects.
Purpose: The morphological assessment of uterus scars full value after the cesarean section. Materials and methods: The histological study of 23 postoperative uterus scars excised during the repeated planned cesarean section has been carried out.
Results: The full value uterus scars (in 69,6 % of cases) had formed in 4 years and later and were characterized by diffuse and microfocal fibrosis, minimum cellularity and low vascularization. 30,4% of uterus scars were not solid and consisted of large nidi of edematous immature connective tissue (with inclusions of distrophically changed mascular fibers) rich in cellular elements and capillary blood vessels with proliferating endothelium.
Conclusion: The post-cesarean section time period has determining importance for the connective tissue maturation and the full value scar forming
About the Authors
V. A. Argunov
ЯНЦ СО РАМН
Russian Federation
Russian Federation
T. Y. Pavlova
МИ ЯГУ
Russian Federation
Russian Federation
R. D. Philippova
Перинатальный центр РБ №1-НЦМ
Russian Federation
Russian Federation
References
1. Абрамченко В.В. Кесарево сечение в перинатальной медицине / В.В. Абрамченко. - СПб., 2005. - 226 с.
2. Введенский Д.В. Ведение беременности и родов у женщин, перенесших кесарево сечение с поперечным разрезом матки: автореф. дис. … канд. мед. наук / Д.В. Введенский. - Минск, 1990. - 19 с.
3. Кохан И.А. Морфология рубца на матке после операции кесарева сечения и ушивания матки различными шовными материалами: автореф. дис. … д-ра мед. наук / И.А. Кохан. - Новосибирск, 2002. - 47 с.
4. Краснопольский В.И., Логутова Л.С. // Материалы II форума «Мать и дитя». - М., 2000. - С. 65-66.
5. Кулаков В.И. Кесарево сечение / В.И. Кулаков, Е.А. Чернуха, Л.М. Комиссарова. - М.: Триада-Х, 2004. - 320 с.
6. Слепых А.С. Абдоминальное родоразрешение / А.С. Слепых. - Л.: Медицина, 1986. - 190 с.
7. Стрижаков А.Н. Кесарево сечение в современном акушерстве / А.Н. Стрижаков, В.А. Лебедев. - М.: Медицина, 1998. - 304 с.
8. Чернуха Е.А. / / Акушерство и гинекология. - 2005. -№5. - С. 8-11
Review
For citations:
Argunov V.A., Pavlova T.Y., Philippova R.D. The assessment of the uterus scar full value after the cesarean section: the morphological aspect. Yakut Medical Journal. 2007;(2):18-20. (In Russ.)
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