Minimally invasive interventions in diagnosis and treatment of intrauterine pathology in women with infertility

Currently, the concern of endometrial dysfunction is still relevant and is of increasing interest. This is because of new factors have been identified that affect the reproductive function in women. Chronic endometritis and endometriosis mainly affect women of childbearing age, which threatens normal cyclic transformation of the endometrium and tissue receptivity. This consequently affects the main function of the endometrium, which is to ensure successful implantation of the fertilized egg and the development of the chorion and embryo. A detailed understanding of the functioning of the endometrium with a combination of chronic endometritis and endometriosis will improve their diagnosis and treatment.

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Current status of endometrial dysfunction in the combined pathology of uterus: a literature review

Burova

Жаркин

Murzina

et al. 2021

V.F.Snegirev Archives of Obstetrics and Gynecology

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Modern aspects of the fascial structure of the pelvic floor (literature review)

Мусин

Yashchuk

Казихинуров

et al. 2021

V.F.Snegirev Archives of Obstetrics and Gynecology

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The pelvic floor fascia in women has attracted the attention of obstetricians-gynecologists, proctologists and rehabilitologists due to their possible role in the development of pelvic organ prolapse and the appearance of pelvic pain. The development and improvement of new surgical techniques entails a comprehensive study of previously known approaches. For instance, regarding fascial tissues, studying the actual use of fascial flaps in plastic and reconstructive surgeries is of particular interest. This necessitates an accurate definition of and knowledge about structure of the fascia and their variations. In addition, knowledge of the fascial structure of surgical methods for treating prolapse, such as the installation of mesh prostheses in the reconstruction of the pelvic floor in the absence of alternative methods of correction. Primarily postoperative pain, a more in-depth study of the fascial anatomy of the pelvic floor can help reduce these adverse outcomes. The morphological and physiological characteristics of the perineal fascia presented in the teaching materials and teaching aids are not descriptive in nature and are far from the descriptive practice of obstetricians-gynecologists in the selection of methods for surgical correction of genital prolapse. This work is a literature review compiled from the sources of the electronic national bibliographic database of scientific citation of the Russian Science Citation Index and the English-language text database of medical and biological publications PubMed, created by the National Center for Biotechnological Information of the USA. To search for data, such key queries as fascia, pelvic floor, pelvic floor anatomy, genitourinary diaphragm, chronic pelvic pain were used, both individually and collectively.

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Ascherman Syndrome: From Etiology to Prevention

Remneva,

Belnickaya,

Igitova

et al. 2024

jour

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Asherman's syndrome is a mysterious, multifaceted disease characterized by the formation ofintrauterine synechiae, up to complete obliteration of the uterine cavity. This is a very controversial topicbecause of its pronounced effect on both the reproductive prognosis (infertility, habitual miscarriage) andgynecological symptoms (menstrual dysfunction of the type of oligo-amenorrhea). Although the syndromehas been extensively studied, there is no clear evidence of both its prevention and effective treatment. Themain reason for the formation of intrauterine adhesions is recognized by most authors as endometrial injury.Understanding the pathogenesis of their formation is necessary to prevent the development of endometrialfibrosis and sclerosis. The review article presents in detail the causes of the disease, risk factors, clinicalmanifestations, and methods for diagnosing this syndrome. Therapeutic measures are presented in step-bystep low-traumatic ways to eliminate intrauterine adhesions with subsequent restoration of menstrual andreproductive functions. Particular attention is paid to anti-relapse prevention through the prescription ofintrauterine anti-adhesion gels.

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Minimally invasive interventions in diagnosis and treatment of intrauterine pathology in women with infertility

Cited by 3 publications

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Current status of endometrial dysfunction in the combined pathology of uterus: a literature review

Current status of endometrial dysfunction in the combined pathology of uterus: a literature review

Modern aspects of the fascial structure of the pelvic floor (literature review)

Ascherman Syndrome: From Etiology to Prevention

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