[Diagnostic problems in a case of fibroma ovarii].

Fibroma ovarii is a solid benign tumor which consists of fibrous tissue. It is usually hard, but there may be small cystic spaces due to degenerative changes. The incidence of fibroma ovarii is about 8 to 10%.

[Hysteroscopy in cases of benign intrauterine formations in the postmenopause].

Unlabelled: Submucous myomas and especially endometrial polyps are often found in the postmenopause. There are no reliable clinical or ultrasound criteria to predict their malignancy potential. The D&C is insufficient diagnostic and therapeutic method in case of benign intrauterine formations.

[Seven-year-experience in the hysteroresection of submucous myomas].

Aim Of The Research: to summarize the results of hysteroscopic resections of submucous myomas, performed in the last 7 years in our clinic and to compare the results with those cited in the literature.

Material And Methods: 124 women at the age of (from) 24 to 66 years were operated, 63 of them (50.6%) were under 40 years and 42 women (33.

[Corpus alienum in the uterus--diagnostic and therapeutic hysteroscopy].

The aim of the authors is to assess the potentialities and the application of hysteroscopy for diagnosis and treatment in cases of foreign body in the uterine cavity. Twenty eight women with different kinds of foreign bodies are included in the research: 17 patients with "lost" IUD in utero after failed attempts for blind extraction; 4 cases with unresorbed sutures after cesarean section; 1 case of uterine tamponade, incorporated in the uterine cesarean suture; 5 cases of residual tissue after interrupted pregnancies and unsuccessful D&C. The clinical symptoms, the hysteroscopic findings, the used equipment, the complications and the postoperative results are described.

[Endometrial cysts of the vagina and the vulva (case reports and a literature review)].

Two cases of low-genital-tract-endometriosis are presented. First case is of a big endometriotic cyst of the labia minor, clinically presented as a Bartholin's gland cyst. Second case represents a vaginal cyst which mimics urethral diverticulum.

[Complications following surgery and radiotherary in 108 patients with cervical cancer].

Objective: To evaluate the most common complications following surgery and radiotherary of cervical cancer based on own experience and to compare them to the complications rates reported by other authors.

Material: One hundred eight patients with invasive cervical cancer, staged (IB-IVB) are enrolled in the study. They all had been operated on in Varna between the period XI.

[Modern treatment of early-stage cervical cancer].

Aim: In our study we tried to summerise our and foreign experience in the area of early stages of cervical cancer treatment

Material And Methods: We examined 500 patients with early stage cervical cancer for 10 years period (1996-2006).

Results: We analised the following important factors when treating the early stages cervical cancers: the histopathology type of tumour, the type of the conisation, the number of the tissue sections, the resection line numbers, the LVSI and the desire of the patients to preserve fertility.

Conclusions: When treating lesions with depth of invasion 1-3 mm we may use conosation if there is no invasion in the LVSI.

[Bony fragments in the uterus cavity].

A rare kind of uterine pathology is considered in the article--the presence of bony fragments in the uterine cavity. Three cases with such findings are cited. Pathogenesis, clinical symptoms, diagnostic and therapeutic methods are discussed.

[Torsion of a nongravid leiomyomatous uterus].

The torsion of a nongravid uterus is not of frequent occurence. The leading reasons are a presence of an adnexial formation or leiomyomas. In this case report it has been presented a 65-year old patient with a hard abdominal pain.

[Lactofem--using of vital lactic acid bacteria in the cases of vaginal microflora imbalance].

The authors describe the microbiological content of the vaginal ecosystem in healthy, reproductive aged women, as well as women with different types of vaginitis, and the recovering possibilities that LACTOFEM offers. It contains vital H2O2 - producing Lactobacillus acidophilus and Lactobacillus rhamnosus.

[Hysteroscopy in women with reproductive problems].

Unlabelled: Authors discuss the potentialities of hysteroscopy in revealing the causes of sterility and infertility.

Aim: to establish the most common hysteroscopic findings in women with reproductive problems and the results of the performed hysteroscopic procedures.

Design: prospective study.

[Cytolytic vaginosis--clinical and microbiological study].

47 women at reproductive age were diagnosed with cytolytic vaginosis according to their clinical and microbiological findings, including abundant lactobacilli/score 0 by Nugent/, free nuclei due to cytolysis, paucity of leucocytes, over 200 colony of HP/+/Lactobacillus spp., but no fungal growth. Heavy growth of HP/+/Lactobacillus spp.

[Acute intermittent porphyria and pregnancy (case report)].

A case of acute intermittent porphyria [AIP] known before pregnancy is reported in a patient who delivered by elective caesarean section. The pathogenesis of the disease, its symptoms and diagnosis are described as well as specific aspects of its clinical manifestation and differential diagnosis during pregnancy The therapeutic approach both during and out of pregnancy is discussed.

[Using GnRH-agonists (Zoladex) in the treatment of genital endometriosis].

Methods And Materials: The study is prospective and involves 112 patients suffering from pelvic endometriosis aging from 19-38 years. (28.6 average age).

[Intrauterine infection in premature rupture of fetal membranes--dynamics].

Unlabelled: One of the controversies in the theoretical and practical obstetrics is the relationship between the length of the latent period after the PROM and the incidence of the intrauterine infection (IUI).

Aim Of The Study: To establish how the incidence of IUI changes with the duration of the latent period after PROM.

Design: Prospective study.

[Intrauterine infection in cases with premature rupture of fetal membranes--incidence, structure].

Objective: The study deals with the question about the real incidence of the intrauterine infection (IUI) after PROM; the correlation between the clinical manifestation of IUI and histological findings as well as its relationships with the incidence of the neonatal infections.

Design: Prospective study.

Methods And Patients: One hundred eighty two pregnant women with premature delivery and their newborn infants were included.

[A rare case of a Mullerian tract anomaly].

A case of a Mullerian tract defect in a 26-years old patient is reported. The anomaly is detected during an undesired pregnancy. Diagnostic methods used in that case are described.

[Hysteroresection of submucous myomas after treatment with zoladex].

Unlabelled: The early and heavy clinical symptoms of the submucous myomas demand early surgical intervention. The new alternative to the classical abdominal operation is the transcervical hysteroresection which is miniinvasive and organ-preserving procedure.

Objective: to assess the effect of the preoperative treatment of the patients with Goserelin acetate (Zoladex) on the intraoperative measures (operation time, intraoperative complications, difficulty of the procedure).

[A case of abdominal pregnancy in 16-th gestational week].

The authors report a rare case of an abdominal pregnancy in 16-th gestational week. The diagnostic difficulties and management of the abdominal pregnancy are discussed.

[Localization of leiomyoma with respect to the placenta--factor for complications during pregnancy?].

We are presenting two cases of pregnant women with leiomyoma of the uterus, diagnosed antepartum. In both cases the patients were admitted on an emergency basis due to premature uterine contractions. In both cases preterm hemorrhage and fetal malpresentations were observed.

[Hysteroscopic ablation of the endometrium in cases of dysfunctional uterine bleeding--advantage of preparations including zoladex].

Hysteroscopic endometrial ablation (HEA) is a new alternative for patients with dysfunctional uterine bleeding (DUB), resistant to medical treatment. The relatively thin endometrium is a big advantage at the time of operation. In this article the results of an initial series of hysteroscopic operations (HEA) are given--as a whole and depending on preoperative treatment with GnRH-agonist.

[The diagnostic value of dilatation and curettage in endometrial carcinoma].

The diagnostic accuracy of endometrial curettage is studied in 75 patients treated for endometrial cancer with respect to: 1. Detection of endometrial cancer; 2. Histologic type and grade of the cancer; 3.