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Volume 53, Issue 4, 2025
Online ISSN: 2560-3310
ISSN: 0350-8773
Volume 53 , Issue 4, (2025)
Published: 30.06.2025.
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Contents
01.12.2008.
Case Reports
POSSIBLE COMPLICATIONS OF TOTALANESTHESIAE DURING CAESAREAN SECTION
The authors in this work presented the case of itterative Caesarean Section. In this intervention they had a complication of endotracheal anaesthetic. Although general anaesthetic, according report the most authors, generally appliance anaesthetic during Caesarean Section, this anaesthetic have a certain failure. This are: difficult intubation, intubation in oesophagus, insufficient relaxation on myometrium, risk of depression - foetal’s central nervous system, unadequate reaction on drugs etc. Some authors have a pioritydaju of regional method according safety. Because of that all we believe, that heed is necessary in work and everybody obstetrician must conscious of this risk, like as application generally anaesthetic such as and regional anaesthetic by woman who has just given birth. In this effect we suggest that knowledge and experience of anaesthesiologies are very important.
G. Relić, K. Grujić, D. Cvetnić, M. Bogovac, R. Vlašković
01.12.2006.
Original scientific paper
PREGNANCY TERMINATION AT PRENATALLY DIAGNOSTIFIED FETAL ANOMALY: TWO PROTOCOL COMPARATION
Medical abortion (i.e. abortion induced by pharmaceutical agents) is a method of pregnancy termination administered most often in the second trimester in case of either fetal malformations or absence of fetal heart tones (missed abortion. Aim of the study was to compare effects of two regimens of drug adminstration for pregnancy termination in case of fetal anomalies registered in the second trimester of pregnancy. The investigation was performed in 52 patients of the Universitasklinik fur frauenheilkunde, Allgemaines krankenhaus (AKH), Klinische Abteilung fur Gynakologie und Geburtshilfe, Abteilung fur pranatale diagnostic und therapie and comprised two groups of patients in whom pregnancy termination was performed in the second trimester because of the presence of fetal malformations. Comparison analysis of the effect of the two regimens for pregnancy termination has been conducted in two groups of patients: Group A, who received R R R Cergem (Gemeprost) and Group B, who received a combination of Myfegine (Myfepriston) and Cyprostol (Misoprostol). Complete medical abortion occurred approximately at the same rate in both investigated groups (Group A - 10 (35.7%); Group B - 9 (37.5%). Curettage (Vacum aspiration) following the incomplete medical abortion was required in the group R R with Gemeprost in 18 (64.3%), and in the group with Myfegine /Cyprostol in 15 (62.5%) patients. A regimen of mifepristone pre-treatment followed by misoprostol applied in the Group B presented with financial benefits according to the present time prices of drugs in Austria relative to the regimen administered in the Group A, in which the cost of a single or a two-day treatment by gemeprost was significantly more expensive.
M. Bogovac, D. Bettelheim, G. Relić
01.12.2006.
Professional paper
TUBAL PERITONEAL FACTOR AS A REASON OF INFERTILITY OF THE WOMAN
Nowadays, hysterosalpingography and laparoscopy are routine methods of exploration of the oviduct passability.The tests were made at department of infertility at the Gynecology and Obstretics Institute of Clinical Center of Serbia in the period from 01.01. untill 31.12.1998. The three hundred patients, on which hysterosalpingography (HSG) was made, and patients, on which chromolaparoscopy was made, were involved by prospectus studies. The analysis shows, that between hysterosalpingographical and laparoscopical investigation of the passability of the oviducts there exists an extremely high statistical difference in the distributions of findings of particular modalities of the passability of the oviduct. Two-way passability of the oviducts with growths of tissue has been established in a higher percentage in the patients who were examined laparoscopically, while the other alternations have been diagnosed hysterographically i a higher percentage. A statistical processing of data resulted in a significantly high statistical difference in the patients with two-way occlusion of the oviducts, whereas for other modalities no statistically significant difference has been established. The most researchers describe high perccentages of growths of tissue, from 64,0% to 72,0%, which have not been established by HSG. Growths of tissue have been confirmed by this investigation in a high percentage (70,0%). Establishing the passability of the oviducts is particularly important for further treatment of the patients.
B. Stanojević, Lj. Vojvodić, M. Bogovac, G. Relić
01.12.2006.
Professional paper
EARLY INTRAOPERATION COMPLICATIONS IN THE WOMEN WITH MULTIREPEATED CESAREAN SECTION
In period of ten years from o1.01.1990- till the 30.06.1999 on the University clinic of Gynecology and Obstetric in Pristina there were 2474 repeted cesarean section. With two S.C. were 2041, with three S.C. were 343, with the four S.C. 74 and with the five S.C. were 16 women. Intraoperation risck in repeated S.C. was defined with preasants of the erly intraoperation complicatios such as (hysterectomia caesarea, lesio vesicae urinariae and laesio intestini). We separate the early intraoperations in the women with the second and third S.C., and early intraoperation complications in the women with the fourth and fifth S.C. Results of the study showes that there were no statistical important differences.
G. Relić, M. Bogovac, Lj. Ristić
01.12.2006.
Professional paper
FALSELY NEGATIVE AND FALSELY POSITIVE HISTEROSALPINGOGRAPHICAL FINDINGS
Falsely negative hysterosalpingographical (HSG) finding presents regular HSG finding, but the laparoscopical is pathological alterations. Falsely positive HSG findings presents pathological HSG finding, but the laparoscopical is regular finding. A high frequency of falsely negative results can be explained first of all by the presence of growths of tissue. It is known that by HSG peritubar adhesions can be suspected, but they can be diagnosed with absolute certainty only laparotomically and laparoscopically. In the period from 01.01. untill 31.12.1998. the falsely negative and falsely positive HSG findings were identified on 60 patients, which were tested by HSG method and laparoscopy. Obtained results are showed ta2 bular and graphically. Statistical data processing is carried out by Mc Nemar test (c MCN test). In the case of the HSG pathological finding, the same pathological finding has been proved in 28 (63,6%) persons, a different pathological finding in 9 (20,5%) and regular finding in 7 (15,9%). The frequency of falsely negative HSG findins is 25,0% and falsely positive HSG findings 15,9%. The frequency of falsely positive findings extends from 14,6%, 17%, 20% to 29,6%. The majority of authors state that the incidence of falsely negative findings ranges from 15,5%, 15,9%, 18%, 20,7%, 22% to 24,0%. The pathological HSG points out to the necessity of laparoscopy, while the regular HSG is not sufficient proof of normal oviducts and the peritoneal factor
B. Stanojević, Lj. Vojvodić, M. Bogovac, G. Relić
01.01.2004.
Professional paper
GENESIS, PATHOPHYSIOLOGY AND TREATMENT OF PREMATURE LABOUR
Premature labour is provoked by noumerous causes that represent a combination of socioeconomic, maternal and fetal factors, that usually act together. The introduction of of tocolytic agents in obstetric practice has not appeared to substantially change the incidence of preterm delivery. This problem is still one of the unsolved ones in perinatal medicine. The aim of the study was to present how structural and functional anomalies of placental physiology can be connected with this disarrangement of pregnancy.In our study of 327 pregnancies controled in our unit in 41 (13,26%) symtoms of premature labour were present: contractions, vaginal bleeding, abrevation and dilatation of cervical ostium. With adequate treatment, in form of combination of tocolytics, spasmolytics, hormones, nonsteroid antiinflammatorz drugs, antibiotics and atimycotics we have posponed delivery to term in 34 (82,92%) of cases. The use of appropriate medications, that blocks pahtophysiological mechanisms responsible for preterm labour in most cases we can enable prolongation of gestation and term delivery.
A. Mitreski, M. Bogovac
01.12.2004.
Case Reports
HYSTERECTOMY AND GESTATIONAL TROPHOBLAST DISEASE
Although nowadays is importance of surgery as primary method of gestational trophoblast disease treatment smaller than earlier,appliance of the surgical procedure is still valuable addition to the modern therapy of these diseases. We present a patient with mola hydatidosa where hysterectomy had been done as operative way of this disease treatment.
G. Relić, M. Bogovac, R. Vlašković, Z. Jakšiċ, S. Zakić, B. Rajović
01.01.2002.
Professional paper
INTRAUTERINE GROWTH RETARDATION - PERINATAL RISK IN THE NEWBORN INFANTS
Aim of the study was to determine presence and incidence of perinatal risk in the newborns presenting with the
signs of IUGR or hypotrophy <5% during a 3-year period, and in this way to point the significance of intrauterine diagnostics and special screening during the labor as to reduce the incidence of these factors. Methods: There were 18412 deliveries at the Department of Obstetrics and Gynecology in Novi Sad during the 3-year period out of which number, 560
(3.04%) newborns with IUGR or intrauterine hypertrophy <5%. Results: In the investigated population of 560 newborns
with IUGR or hypertrophy <5%, the following factors of perinatal risk have been recorded: manifest pathological cerebral
signs in 30 cases ( 5.36%), convulsive crises in 6 (1.07%), the crises of apnea and cyanosis in 10 (1.78%), intracranial hemorrhage in 17(3.03%), hyperbilirubinemia in 25 (4.46), hemolytic disease in 6 cases (1.07%), hypoglycemia in 1(0,18%),
disorders of pulmonary ventilation in 26 cases (4.64%) whereas congenital anomalies were evidented in 19 ( 3.39%)
newborn infants. Exanguination transfusion was administered in 4 (0.71%) and transfusion in 9 (1.61%) newborns with
IUGR, i.e. intrauterine hypotrophy <5. Conclusion: The results of investigation show the significant presence of perinatal
risk factors in the population of the newborns with IUGR leading to the increased morbidity in later periods of life.
M. Bogovac, S. Aleksić, Lj. Dobrić, G. Relić