MANAGEMENT OF A PATIENT WITH FRUIT BLADDER IN ISTHMIC-CERVICAL INSUFFICIENCY (CLINICAL CASE)

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Сергей Валерьевич Рыбников
Артем Константинович Неретин
Елена Владимировна Рудаева
Игорь Вадимович Пачгин
Вадим Гельевич Мозес
Светлана Ивановна Елгина
Анастасия Михайловна Ошлыкова

Abstract

According to various authors, isthmic-cervical insufficiency (ICI) occurs in 40 % of very early and early preterm births. The effectiveness of various methods for correcting ischemic-cervical insufficiency is widely discussed. Micronized progesterone, obstetric pessary, surgical correction of ICI are used. The surgical technique of correction has more than half a century of history with mixed results. According to various authors, when the fetal bladder prolapses in patients with isthymic-cervical insufficiency, surgical correction allows the pregnancy to be prolonged by 10 weeks or more in comparison with conservative treatment methods.

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Section

CASE HISTORY

Author Biographies

Сергей Валерьевич Рыбников, Kuzbass Clinical Emergency Hospital named after M.A. Podgorbunsky, Kemerovo

doctor of medical sciences, deputy chief physician for gynecology

Артем Константинович Неретин, Kuzbass Clinical Emergency Hospital named after M.A. Podgorbunsky, Kemerovo

head of the gynecological department N 2

Елена Владимировна Рудаева, Kemerovo State Medical University

candidate of medical sciences, docent, docent of the G.A. Ushakova department of obstetrics and gynecology

Игорь Вадимович Пачгин, Kuzbass Clinical Emergency Hospital named after M.A. Podgorbunsky, Kemerovo

candidate of medical sciences, chief physician

Вадим Гельевич Мозес, Kemerovo State Medical University

doctor of medical sciences, docent, professor of the G.A. Ushakova department of obstetrics and gynecology

Светлана Ивановна Елгина, Kemerovo State Medical University

doctor of medical sciences, docent, professor of department of obstetrics and gynecology N 1

Анастасия Михайловна Ошлыкова, Kemerovo State Medical University

clinical resident, G.A. Ushakova department of obstetrics and gynecology

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