Minimally invasive multivessel coronary bypass surgery: Angiographic patency data.

Objective: Minimally invasive multivessel coronary artery bypass grafting (MIM CABG) has demonstrated its safety, effectiveness and high rate of reproducibility. However, minithoracotomy CABG is still rarely performed. In this study, we retrospectively analyze the CT-angiographic graft patency rates for the patients subjected to this operation.

[Development and practical implementation of organ preservation surgery in case of placenta accreta in patients with a scar on the uterus].

Comparative analysis of methods for preventing/stopping intraoperative hemorrhage during surgical delivery of patients with placenta accreta (temporary balloon-assisted occlusion of common iliac arteries, internal iliac artery ligation; uterine artery embolization - UAE) has shown that internal iliac artery ligation is not effective. UAE and especially balloon-assisted occlusion of common iliac arteries have demonstrated a significantly greater effect due to the temporary 'devascularization' of the uterine corpus. It has been proved that an innovative surgical technique - a lower segment Caesarean section (LSCS) significantly reduces intraoperative blood loss.

A multicenter, randomized, phase III study comparing the efficacy and safety of follitropin alpha biosimilar and the original follitropin alpha.

Objective: The aim of the present study was to investigate the therapeutic equivalence between the follitropin alpha biosimilar and the reference medication in women undergoing assisted reproductive technologies (ART).

Study Design: This multicenter, randomized (1:1), embryologist-blinded, parallel-group, comparative phase III study involved 110 women aged 20-35 years old with tubal and/or male factors of infertility. All of the subjects underwent controlled ovarian hyperstimulation (COH) using a gonadotropin-releasing hormone antagonist (GnRH-ant) protocol.

Transatlantic Air Travel in the Third Trimester of Pregnancy: Does It Affect the Fetus?

Most commercial airlines allow pregnant women to fly up to 36 weeks of gestation. Available information suggests that noise, vibration, and cosmic radiation present a small risk for the pregnant air traveler. The goal of the study was to assess the possible effect of transatlantic flights on the condition of the third-trimester fetus.

[The results of primary audiological examination of the children presenting with intrauterine growth retardation and normotrophics born after multifetal and singleton pregnancies].

The objective of the present work was the comparative study of the state of the acoustic analayzer in the full-term and premature infants born after multifetal (MP) or singleton (SP) pregnancies with the body weight at birth corresponding to the gestational age (normotrophics) and presenting with intrauterine growth retardation (IUGR). The method of distortion product otoacoustic emissions (DPOAEs) was employed in the study. It has demonstrated that the normotrophic babies born at the gestational age over 34 weeks after singleton pregnancy pass the DPOAEstest significantly more frequently than normotrophics of the same gestational age born after multifetal pregnancy.

[The evaluation of the hearing function in the premature infants with intrauterine growth retardation during the third and sixth months of life by recording auditory steady-state response].

The objective of the present work was to study the function of the retrocochlear auditory pathway in the premature infants with intrauterine growth retardation (IGR) in comparison to that of the normotrophics of a similar gestational age during the third and sixth months of life by recording auditory steady-state responses (ASSR). The audiological examination by the method of auditory steady-state response (ASSR) involved 127 children at the 3d month of life and in 97 children at the 6th month of life. It was shown that the ASSR thresholds at certain frequencies during the 3d and 6th months of life of the children born after the 32d week of pregnancy were significantly higher than in the children born after 32 weeks gestation.

[The hearing function in the one-year old children with intrauterine growth retardation evaluated by two objective audiological methods].

The objective of the present study was to collect objective information about the hearing function in the prematurely born infants suffering intrauterine growth retardation (IUGR). The audiological examination of 77 patients at the age of 12 months was performed using two different methods making use of distortion product otoacoustic emission (DPOAE) and evoked auditory steady state responses (ASSRs). Hearing disorders were diagnosed in the children presenting with grade II and III IUGR born prior to the 34th week of pregnancy.

[Changes in auditory function during first 6 months in premature children with intrauterine growth retardation].

Aim: To define an influence of intrauterine growth restriction to forming of hearing function of preterm infants.

Patients And Methods: The audiological test by the method of distortion product otoacoustic emission (DPOAE) was performed 3 times (during supposed dates of birth; 3 months old; 6 months old) in 136 premature children born while different gestation periods. Children were divided into 2 groups: premature children with intrauterine growth restriction (IUGR) and premature children with normal weight for their gestation age (normotrophy).

Soft forceps.

Objective: The risk of maternal and fetal trauma and, chiefly, the fear of law suits, have contributed to a significant decline in rates of forceps-assisted deliveries and an increase in rates of cesarean sections, especially in the United States. Our experience with gas-sterilized forceps blades covered with a soft rubber coating--the "soft" forceps--is described.

Method: Ninety-six women who required a forceps-assisted delivery for standard indications were randomly allocated to 2 groups.

[Perinatal hypoxic CNS lesions in neonates].

The paper reviews the causes of perinatal brain lesions, shows the involvement of disturbances of cellular membrane structural and functional properties and blood-brain barrier permeability in the pathogenesis of hypoxic CNS lesions for neurospecific proteins. It also provides evidence for the principles of management of pregnancy, labor and early neonatality at a risk for cerebral abnormalities to reduce childhood disability.

[Biophysical activity of the fetus during labor in EPH-gestosis].

Fetal respiratory and motor activities were studied in 105 parturients with EPH gestosis of varying severity and in 25 reference ones. The results evidence that, in contrast to the antenatal period, normal fetal condition in labor is associated with biophysical inertness, this fact confirming the known viewpoint on the intranatal fetal hibernation. Active management of labor in parturients with doubtful and abnormal biophysical parameters on the eve of delivery impairs the natural mechanisms of fetal defense in labor.

[Possibility of predicting intrauterine fetal growth retardation by a single ultrasonic examination (using varying standards)].

The paper deals with early prediction of fetal growth retardation and its severity in a newborn from single ultrasound fetal biometric findings (biparietal head size, chest and belly diameters) at week 20 of pregnancy. The prediction was made by employing the developed varying standards for these parameters as percentile curves and tables. A stepwise prediction of fetal growth retardation was proposed for obstetric in- and outpatient settings, which was presented as an IBM personal computer dialogue program.

[Fetal biophysical profile in EPH gestosis].

Fetal biophysical profiles (FBP) have been obtained in 111 women with toxemia of pregnancy at 34-42 weeks. Six biophysical parameters were tested: nonstress test, fetal respirations, motility and tone, amniotic fluid volume and placental maturity. The test findings were compared with pregnancy outcomes, controlling for intrapartum fetal distress.

[Ultrasonic placentometry in pregnancy].

The authors developed mathematical formulas for the determination of the size of the placenta during the pregnancy based on the technique of ultrasonic scanning. Healthy pregnant females with 19-40 weeks of gestation underwent ultrasonic placentometry. Reference placental volumes were defined.

[Treatment of fetal hemolytic disease by hemosorption].

Hemosorption was used in the combined treatment of fetal hemolytic disease (FHD) for the first time. It was demonstrated that hemosorption was a method of choice in pregnant females with manifest sensitization and a history of stillbirth resulted from an edematous type of the disease. A decrease (by a factor of 10(2) to 10(6] in the Rh antibody titers in the blood of the pregnant after hemosorption, and reversibility of echocardiographic signs of FHD, and normalized fetal cardiac performance were regarded as a beneficial prognostic sign.

[Cesarean section in reducing perinatal mortality and morbidity].

The practicability of expanding indications for cesarean section in order to reduce perinatal mortality and possible prevention of perinatal losses by the correct choice of the method of delivery have been assessed through the analysis of the performance of Moscow hospitals. Perinatal mortality and morbidity can be reduced through means other than expanding indications for cesarean section. Further studies are needed to improve the management of labor and standards of neonatal care, particularly so for preterm infants.