The history of St. Petersburg keeps many great names that made the glory of Russian science and medicine, including such giants as N.I. Pirogov, S.P. Botkin, I.P. Pavlov, V.M. Bekhterev. The name of Dmitry Oskarovich Ott is certainly in this row.

Over the past decade, the problem of congenital malformations has acquired great medical and social significance. The urgency of the problem and the priority of the development of this direction has increased in connection with the introduction into practice of methods of prenatal diagnostics, which created the basis for the active prevention of the birth of children with multiple developmental anomalies or their timely surgical correction. The significance and state of this problem is evidenced by statistics. According to the National American Center for Birth Defects, 10 to 20 million babies with congenital anomalies are born annually in the world.

To date, more than 30,000 laparoscopic operations have been performed at the clinical bases of the department (31st City Clinical Hospital and TsPSiR). The widespread introduction into clinical practice of laparoscopic interventions for various pathologies of the genitals and the accumulated experience of their implementation made it necessary to revise some approaches and determine the most optimal, scientifically grounded positions when choosing an operative access and methods for performing gynecological operations.

Endometriosis is characterized by a variety of forms and variants of the clinical course, paradoxical aspects of etiopathogenesis. Many years of our own experience and analysis of the work of the Russian Association of Endometriosis indicate that this disease is a serious social problem due to the prevalence of such symptoms as debilitating chronic or cyclic pelvic pain, reproductive dysfunction and menstrual cycle in its clinical picture.

Relevance. A promising search stage in predicting treatment results using multivariate analysis on a computer is designated as the development of a fundamentally new direction in reproductive operative gynecology.
Purpose of the study. Study of the individual contribution of each of the necessary, sufficient risk criteria in the event of TBI with the formation of the combined most informationally significant signs that contribute to the implementation of the planned volume of laparoendoscopic operations.

The relevance of research. The problem of diagnostics and treatment of purulent inflammatory diseases of the uterine appendages (UHPD) remains relevant.
The purpose of this study: to study the quality of care for patients with HVHPM at the prehospital and hospital stages

Purpose: To show the main stages of formation, the current state and promising directions for the development of reproductive surgery in gynecology.

Object and methods. This report is based on the data of clinical investigations of more than 350 women with tubal - peritoneal infertility. The results of масrо, microsurgical and laparoscopic methods of Fallopian tubes plastics were estimated by means of comparative analysis. The results of transcervical recanalization of Fallopian tubes in case of their proximal occlusion were also evaluated. An addition, we analysed the experimental data of animal investigations (rabbits) and studied available scientific articles.

Reproductive health of the woman is the important condition of favorable prospects of each nation. The overcoming of married couple sterility is a question of state importance, but correct management of pregnancy and the choice of delivery method in pregnant after operative treatment of sterility is no less significant.

Laparoscopy and hysteroscopy approaches are taking a leading position in the up-to-date diagnostic and treatment techniques in gynecology and in reproductive medicine, in particular.

Introduction. Uterine tubes occlusion at the proximal part is one of the causes of the tubal-peritoneal sterility at women. Frequency of proximal tubal occlusion according to various authors averages about 20%.

Introduction. Evaluation of 168 patients participating in IVF programs was performed depending on the results of combined endoscopic examination and subsequent treatment. The pathology of endometrium was detected in more than half of the cases, while hydrosalpinx was revealed in 20% of the patients, and every tenth patient suffered from endometriosis. The expediency of the approach under the study for preparing the patients for IVF programs has been confirmed. The present study was aimed an evaluation of expediency and efficacy of combined endoscopic examination in preparing for subsequent participation of female patients in IVF programs.

Introduction. Adhesion formation in abdominal cavity is one of the leading disease. Adhesion formation after pelvic surgery is the cause of ileus, sterility and chronic pelvic pain. There is no foolproof method to prevent the adhesion constitution. There are some recommendations in the literature to prevent this process: to use crystalloids and colloids after basic operative stage, dosing irrigation the cavity with isotonic solution sodium chloride with heparin, administration of the glucocorticoid.

Introduction. In Russia the frequency of fruitless marriages exceeds the established WHO 15% critical level and reaches 17% from total of married couples.

Actuality. Sterility in marriage is a special problem of the contemporary medicine. Variety of factors causing sterility and difficulty of pathological mechanisms revealing create necessity of search and improvement of new, more effective methods of diagnostics and treatment for this group of patients. Fallopian and peritoneal factors of sterility are found in about 30% of women suffering from sterility.

Actuality: optimization of operative methods is one of trends of the modem surgery. This trend is continued by endovideosurgery, the new technology, which provides not only diagnostics, but also treatment of gynecological diseases.

Objective: to study possibilities of dynamic laparoscopy in prevention and treatment of adhesions after surgical treatment of extrauterine pregnancy.

Objectives: Chlamydia trachomatis infection of the upper genital tract often results in pelvic inflammatory disease (PID), and its sequels include ectopic pregnancy (EP), miscarriage and tubal infertility. This study was aimed to evaluate the rate of C. trachomatis detection as well as anti-C trachomatis antibodies in women with EP.

The relevance of the problem under study is due to an increase in gynecological morbidity rates, especially an increase in salpingo-oophoritis, characterized by a chronic course, frequent recurrence, severity of consequences and significant impairment of specific functions with persistent disability in young women of reproductive age.

Introduction. Soldering disease of abdominal cavity is an often complication for organ preservated surgical treatment of fibroids. The most perspective and modem principle, providing the high preventive effect, is using of special means, dividing the wound surfaces in postoperative time. There are two kinds of antisoldering barriers, which can be used in operative gynecology: self-dissolving membranes and liquid phases.

The urgency of the problem. Myoma of the uterus is one of the most common benign tumors of the female genital organs and occupies a significant place among the pathology of the reproductive system.

Introductions. In the structure of gynecological diseases combined uterine pathology requiring operative treatment comprises up to 20-30%. The advent of minor-invasive technologies in operative gynecology nowadays makes it possible to maximally adapt the administered operative treatment for a patient, to shorten the time of being at in-patient clinic, to improve the course of post-operative period.

Relevance. It is known that free radical metabolic reactions are involved in the development and progression of the development of various destructive and hyperplastic processes in tissues. In this regard, the aim of this study was to compare the severity of disorders of the pro- and antioxidant system in single and multiple benign tumors of the female reproductive system.

Purpose. To determine differential ethiopathogenetic approach of hysterectomy in females to prevent the occurrence of genital prolapse after hysterectomy.

Objective: to compare procedure time, blood loss, postoperative period of vaginal hysterectomy using sutures versus using an electrosurgical bipolar plasma kinetic generator GYRUS.

Introduction. Surgical laparoscopy has been widely adopted in gynecological practice. The first laparoscopic operation was carried out in our center in 1991. Lately different types of laparoscopic hysterectomy have been applied in surgical gynecology. In our clinic we widely use laparoscopically assisted vaginal hysterectomy, which was first performed here in 1996.

Introduction. Hysterectomy is the most common surgery performed by the gynecologist. There are many indications for hysterectomy and uterus can be removed using any of a variety techni ques and approaches including abdominal, laparoscopic, vaginal and laparoscopic assistance vaginal.

Subject: Optimization of the postoperative stage of treatment by analogs of gonadoliberin in the genital endometriosis patients (E).

Objective. To estimate the role of hormone-dependent changes of the microrelief of endometrial epitheliocytes in pathogenesis of infertility associated with peritoneal endometriosis.

Introduction.Usage of low invasive methods in adenomyosis diagnosis helps to diagnose adenomyosis definitely by histological examination of myometrium samples.

Materials and methods. Endometriosis surgery was carried out in 401 patients.

Preface. Hormonal therapy is the integral component of complex treatment of all forms of endometriosis. The saved up 20-years world experience shows, that the best results are achieved with GnRH-agonists using, and the basic mechanism of their action is amenorrhea achievement.

Introductions. Anamnesis and clinical examination helps to determine the signs with high prognostic value for adenomyosis diagnosis, which justify usage of invasive diagnostic technique.

Objective: to investigate the relationships between ovarian blood flow, folliculogenesis and sex-steroids production during normal menstrual cycle and in women with ovarian failure

Background: the questions of operative approach reccurence and limited factors for endoscopic surgery in huge and multi-stage ovarian mass, prevention of remained actual.

The urgency of the problem. The problem of diagnosis and treatment of ovarian tumors is complex and relevant, especially when determining the possibility of carrying out organ-preserving surgery in young patients with impaired reproductive function.

Objective: the elicitation of immune status changes in patients with benign ovarian tumors and reproductive function disorders.

Objective: to reveal especiallities of reproductive function disorders in patients with benign ovarian tumors.

Introductions. Non-malignant ovary growths are the serious problems of reproductive women health. Coming and prolongation of pregnancy are possible in women with ovary tumor.

Introduction. The aim of the work is to study the opportunities of using endoscopy surgical methods for diagnosing and treating of different ovarian tumours.

Introduction. For many years the problem of the lowering and fallouts of vagina and womb remains to be actual. The wide-spread way of the surgical treatment of the lowering and fallouts of the front wall of vagina and cystocele is an anterior colporrhaphia. Its using is limited by difficulties of the operative technics in case of thinness and atrophies of fascia vesicovaginalis, and the high frequency of prolaps relapse.

Introduction. Stress urine incontinence (SUI) is one of the basic problems of modem gynecology.

Introduction. Stress urine incontinence (SUI), gets the important medical and social meaning in view of its extremely high prevalence among the women of senior reproductive age, occurrence and increasing of complex of the factors promoting development of moral- psychological and social - industrial disadaptation of the women.

Introduction. Stress urorrhea in women is one of the most frequent problems in uronology and gynecology. The aim of this research is to estimate the efficiency of TVT operation on combinated treatment of stress urorrhea and genital prolapse in women.

Background: now the role of connective tissue displasia (CTD) in genesis of genital prolapse is known. Genital prolaps as nondifferentiated kind of CTD is a manifestation of generalized CTD on the level of reproductive system which developes in young unipara women after noncomplicated delivery without hormonal disorders and factors provided intraabdominal pressure increasing.

An urogenital fistulas are serious complication after heavy multiple traumas, wounds, and radical operations. We offer a method of conservative treatment of the given pathology with the help of cultures of allogenic cells.

The aim. Analsis of effectiveness in use of sling in incontinence treating in women.

The purpose of study: improvement of surgical treatment results of cysto- and rectocele in pelvic prolapse due to combined correction of anatomic and functional disorders using lesser invasive technologies.

Objective. To compare the results of abdominal sacrocolpopexy and vaginal high uterosacral vaginal vault suspension with fascial reconstruction for the uterovaginal and vault prolapse repair.

Objectives. Compare the subjective and objective outcomes and quality of life (QoL) in patients who underwent either a tension-free vaginal tape (TVT) or TVT Obturator sling procedure for their stress urinary incontinence.

Background: genital prolaps which developes especially in young unipara women after noncomplicated delivery without hormonal disorders and factors provided intraabdominal pressure increasing is a common manifestation of generalized connective tissue defect (CTD) on the level of reproductive system.