A NEW APPROACH TO THE TREATMENT OF LARGE PARAVAGINAL HEMATOMAS
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Abstract
The aim of the research – to improve the results of treatment of patients with large paravaginal hematomas based on the developed modified method using the Zhukovsky vaginal catheter.
Materials and methods. 15 puerperas with large paravaginal hematomas (more than 10 cm) were under observation. Surgical treatment included a pararectal incision in combination with the use of a Zhukovsky vaginal catheter.
Results. Primiparas accounted for 53.3 %, multiparous 33.3 %, multiparous 13.3 %. Paravaginal hematomas in 33.3 % were combined with ruptures of the vagina, cervix. In the early postpartum period, paravaginal hematomas were found most often in 86.7 %. In 20 % of cases, hematomas were diagnosed without damage to the vaginal wall; in 66.7 % with damage to the vaginal wall. The total volume of blood loss during the use of a vaginal catheter was 850 (665; 925) ml. There were no significant changes in hemostasis and hemoglobin in the observed patients.
Conclusion. The use of an integrated approach in the treatment of patients with large paravaginal hematomas can reduce blood loss, reduce the risk of postoperative complications, and reduce the duration of hospitalization.
Keywords
Author Biographies
Сергей Владимирович Баринов,
Sergey V. Barinov
Doctor of medical sciences, professor, head of department obstetrics and gynecology N 2
Татьяна Владимировна Кадцына,
candidate of medical sciences, docent of the department of obstetrics and gynecology N 2Юрий Игоревич Чуловский,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology N 2Юлия Игоревна Тирская,
doctor of medical sciences, docent, professor of the department of obstetrics and gynecology N 2Оксана Вячеславовна Лазарева,
candidate of medical sciences, docent of the department of obstetrics and gynecology N 2Евгения Сергеевна Надёжина,
obstetrician-gynecologist, obstetric physiological department, Perinatal centerОльга Альбертовна Гребенюк,
head of the obstetric physiological department, Perinatal centerArticle Details
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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