#1
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Состоятельность шва после КС
Скажите пожалуйста, через сколько месяцев после кесарева определяют состоятельность шва? И как это делается?
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#2
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#3
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Posle discussii s Dr. Chebotnikovoi ya predlozhila provesti issledovaniye o tom, mozhno li dostoverno opredelit' sostoyatel'nost rubza po USI posle cesareva.
Vse nashi vedushiye spezialisti po USI i akusherstvu poschitali etot proekt bessmislennim. Nikto is opitnih spezialistov ne schitayet vosmozhnim ozenovat' sostoyaniye rubza po USI. Tak chto informaziya k svedeniyu. Vne beremennosti schitayu takoi medot ozenki sostoyanoya rubza sovershenno ne informativnim. Цитата:
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#4
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#5
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Well, I had a chance to work closely with him too. He is wonderfull ultrasonographer and a wonderfull peson. But there is no data one so ever that proves that US accesment of the uterine scar correlates with the irsk of uterine rupture. If you find any let me know. I was talking at one of the journal clubs here at Baylor College of Medicine, which is one of the top schools in US, and suggested to do a study on this matter. The idea was rejected, all the MFM faculty and ultrasonorgaphers felt that it can't be practical. We were talking about sensitivity of US to predict risk of uterine rupture with VBAC. I don't see amy other point do to US. Well, I know it is done in Russia but this is not a standart of care at all. Let me know if you have any data.
And it has nothing to do with not being in Moscow, we take good care of the patients, trust me. I have never seen crazy complicated staff in Moscow that we take care of here every single day. It is amazing I can't remember if we met before, I worked in Practika translating Urology and finished training at Russian Research Center of OB/GYn several years after you did. Well, it is a small world after all. |
#6
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Вы не могли бы написать на русском языке.
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#7
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SCARR ASSESSMENT POST CESAREAN SECTION BY US
АБСОЛЮТНО СОГЛАСЕН С ЕЛЕНОЙ
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#8
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#9
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Смысл есть только при наличии явлений эндометрита в ближайшем послеродовом периоде и подозрении на несостоятельность рубца. В некоторых случаях позволяет быстрее решиться на оперативное лечение. Это, конечно, информация категории С. Не уверен, что найду работы по оценке диагностической значимости таких подходов. Но, с другой стороны, УЗИ в таких случаях делают в любом случае.
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