[Extraperitoneal cesarean section--an alternative or routine?].

Objective: Evaluation of the importance of extraperitoneal Caesarean section in contemporary obstetrics.

Design: Review.

Setting: Gynaecological and Obstetrics Department, Bata Hospital Zlín.

Necrotizing crepitant cellulitis of the abdominal wall following a caesarean section and subsequent hysterectomy.

A case report of necrotizing crepitant cellulitis of abdominal wall following caesarean section is presented. Because of intense haemorrhage it was namely necessary to perform additional hysterectomy and bilateral hypogastric artery ligation. Serious wound infection and sepsis were successfully treated by administration of antibiotics and repeated deep incisions.

Intravenous radionuclide angiography after unilateral hypogastric artery ligation. Suture material and recanalization.

Pelvic angioscintigraphic examination of seven patients after unilateral hypogastric artery ligation has been performed. Immediately after the operation asymmetric perfusion has been observed in all women. Subsequent control examination of 4 patients ligatured by nonabsorbable suture has shown persisting unilateral hypoperfusion.

Thermography of gluteal regions after hypogastric artery ligation.

Thermographic examination of buttocks of 7 patients after hypogastric artery ligation using non-absorbable suture has been performed. In 6 patients the possibility of eventual recanalization has been eliminated by aortography, in 1 patient by pelvic angioscintigraphy. Repeated thermographic examination of 3 patients after bilateral ligation has shown no anomalous results.

Some recent observations on the extraperitoneal cesarean section.

During the observations period of 30 months extraperitoneal cesarean section was applied in 14 cases, i.e. 4,6% of the total number of cesarean sections.

[Use of fallopian ring with laparoscopy for closure of oviduct (author's transl)].

Reported in this paper is sterilisation by application of Fallopian ring with laparoscopy voluntarily undergone by 629 women. The amount of surgical complications (4.2 per cent) was found to be substantially affected by the surgeon's experience.

[Our experiences with Mayer-Ringpessary in the prevention of premature labor (author's transl)].

After very good results with a new model of the Mayer-Ringpessary made of organic glass the authors used this "unbloody cerclage" as a method of choice with all patients in their district (180 000 inhabitants) with partus praematurus imminens. It is necessary controls to apply the method in stage of this complication in good-time. There were below 10% of immature children in 405 high risk patients and only 1,2% to 1500 g.