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Postoperative urinary retention - prevalence and risk factors: prospective, cohort study
Natalia Belîi1,2*, Cătălina Lozan1
https://doi.org/10.52645/MJHS.2024.3.04
The prevalence of postoperative urinary retention in a single-center surgical population from the Republic of Moldova varies between 5.5% and 7.9%, depending on the criteria for postoperative urinary retention applied. This variation highlights the need for a consensus on diagnostic criteria for postoperative urinary retention is needed. Patients with hypertension and diabetes mellitus were more likely to develop postoperative urinary retention. Patients with pre-existing neurological disorders such as positive history for stroke and diabetic polyneuropathy were more susceptible for postoperative urinary retention.
Deep endometriosis – impact on infertility, endometriosis fertility index, and reproductive prognosis (comparative study)
Nadejda Codreanu*, Elena Ivanova
https://doi.org/10.52645/MJHS.2024.3.03
EFI in patients with DIE does not reflect all aspects of infertility and has reservations, and consideration of both physical symptoms and sexual health is crucial in managing DIE to optimize fertility outcomes. These findings open the way to the feasibility of surgical treatment of DIE to improve sexual quality of life, which will reduce the need for IVF and increase the chances of spontaneous pregnancy in patients, but this conclusion requires further investigation in randomized clinical trials.
Childbirth at advanced reproductive age: the impact of biopsychosocial factors on the mode of delivery
Rodica Scutelnic1,2*, Larisa Spinei1
https://doi.org/10.52645/MJHS.2024.3.02
Advanced reproductive age has been associated with a higher risk of cesarean section compared to vaginal delivery. The influence of age is modulated by various sociodemographic, medical, and obstetric characteristics, including area of residence, education level, history of cesarean section, parity, pregnancy and delivery complications, pre-existing chronic conditions, antenatal care and provision of information on risk factors.
Laparoscopic peritoneal lavage – a new treatment strategy in spontaneous bacterial peritonitis and liver cirrhosis
Gheorghe Anghelici1,2, Tatiana Zugrav1,2*, Sergiu Pisarenco1, Oleg Crudu2, Gheorghe Lupu2, Ana Apascaritei1
https://doi.org/10.52645/MJHS.2024.3.01
The laparoscopic approach in spontaneous bacterial peritonitis in patients with decompensated liver cirrhosis allows for better sanitation of the abdominal cavity, improves peritoneal absorption, and deserves establishment as clinical practice for patients with ascites and peritonitis and cirrhosis.
Hypertrophic cardiomyopathy: literature review and case report
Aureliu Batrînac1, Ala Slobozeanu-Russu1, Natalia Belîi1,2,3*
https://doi.org/10.52645/MJHS.2022.1.11
Hypertrophic cardiomyopathy is an autosomal dominant genetic disease. The signs and symptoms of disease vary in terms of history and clinical course, ranging from the development of acute heart failure or even sudden death, while other patients may remain asymptomatic throughout life. At the same time, there is a lack of correlation between the genotype and the phenotype of the disease. Thus, within a family, of two members carrying the same genetic abnormality, one may present a clinical manifestation of severe heart failure, the other remaining asymptomatic.
Epidemiological spectrum and diagnostic management of chronic myeloid leukemia – actualization and milestones
Chronic myeloid leukemia (CML) comprises 15-20% of all leukemia cases in adults, being the most common chronic myeloproliferative neoplasm, with the patients’ immunocompromised status in the advanced phases. The international periodical literature stipulates the increased susceptibility of patients with malignant tumors to SARS-CoV-2 infection, but the contagion risk is not determined in regard to the histological type of hematologic malignancies. The aim of the study was the comparative evaluation of the current epidemiological patterns and the contemporary diagnostics output in CML, axed on the optimization of tactics of diagnosis management in the context of the pandemic with COVID-19 infection.