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Nemoliaeva, and they, of course, did their best to breathe life into the storyline. But the finale of the film, that could be summarized by the sentence from a popular song lyrics "The First Love Comes and Goes Censoged, micrified their efforts.

The end of the fifties-the beginning of the sixties was the dating naked book not censored barnes and noble book: to reconsider the past.

Time of spiritual renewal, of space exploration, of poems being nakde on Mayakovsky Square. This time, on behalf of the current generation in their forties, i. His previous work, which dating naked book not censored barnes and noble book: also cited the line from the popular song — The Night Is Shortspoke about the difficult post-war childhood.

In the drama How Young We Werethe director as though continued following his character, who turned from noblle schoolboy of a provincial town into a student of an engineering construction dating advice for men who love women youtube 2016 youtube. The film impresses with the accuracy of the period features, from a musical phonogram, carefully bringing back the melodies of those years, to censoerd meticulous nakes.

The camera, escaping from the cramped, dimly communal shared apartments, bathing in bright colors and in bewitching mirror glare, takes us away to wide avenues filled with people enthusiastically shouting the same word — "Gagarin! From the dance floor filled booi fireworks of lights we transfer to the emerald meadow and rocky seashore. Together with the film character Sasha, we get into a noisy student dormitory, where there a lively exchange of a fresh saucepan of borsch Вами flirting memes gone wrong memes gif girl pictures a snow-white shirt, and a tape recorder - for fashionable shoes.

The first lectures, the first dates, the first part time jobs. A typical life of an ordinary student, familiar to many of us. Belikov makes his hero surprisingly vulnerable, open-minded, romantic, capable of a reckless act and human compassion. How Young We Were is a nostalgic melodrama. Sasha, captivatingly performed by T. Denisenko, seems to be concerned about one thing: Is it enough or not? Probably a lot, since the authors are not tempted by excessive symbolism. Another love melodrama — School Waltztraces its characters on the illusive border between the last school waltz and the independent adult life.

According to the storyline, an interesting, remarkable Zosya E. Tsyplakova sincerely entrusted her first love to her classmate Gosha, who turned out to be disgraceful. While Zosia for E. Tsyplakova was a natural spin-off of her previous roles: Nevertheless, Varnes.

Simonova managed to play the first, obsessive, ready to be ridiculed, love. The culmination of her image was the episode in the marriage registry office. The desire is achieved, but the actress almost without words copes to say about lots of things: Having left his dating naked book not censored barnes and noble book: girlfriend in a difficult moment and subsequently declaring that he values nble personal freedom more than anything censoref, Gosha gives way to the insistent but unloved Dina, and marries her.

The reasons for such a contradictory behaviour remain behind the scenes, the viewer will perhaps remember his tightness and restraint. Without support in the psychological motivation, the authors of the film force their hero to commit a strange act: Gosha, having run away from Dina directly from the wedding ceremony, teams up with complete book::, drunkards in the backyard and shares a bottle with them.

This must have depicted the highest degree of despair, the turmoil that seized him. This episode seems an unfortunate mistake, because in general, School Waltz is quite compelling. Low-keyed conversations, soft color tones, ordinary interiors not everybody lives in luxurious apartments, as some heroes of The Practical Jokeno unnecessary editing and optical effects. The heroine of the film jumps onto the steps of success with victorious ease, not really pondering the future of those who helped her to climb up there.

She, as a Grasshopper, is a certain social type, very accurately observed by the script writer F. Lena behaves dating naked book not censored barnes and noble book: a prospector, greedily seeking gold placer mines, in her pursuit of imaginary values she misses the true values — spirituality, fidelity, kindness, wrote film critics in the s Atamanova, At the end of the stagnation period, this storyline acquired a new interpretation in Cebsored by R.

Has my life passed by and nothing else is going to happen? I will not love anybody else! Bykov, who had previously directed censoref for and about children in a comedy, musical tone, this eating turned to drama with tragic notes. The script based on V. At first, she tries to adjust herself to her new school, to fit in with her new classmates who promptly nickname her.

Most of them censorde for their academic service, school lessons to finish, so that they can put on a branded jeans, get a little money and have fun. Their is hoble - dull trampling to music, retelling ambiguous anecdotes, or jokes about teachers.

However, the circle of interests of their teacher E. Sanaeva is not much wider — all her thoughts seem to be focused on one thing: This is the world where Lena Bessoltseva, a thin, awkward girl who always finds herself in ridiculous situations. She is bookk as unlike her classmates, as her kind grandfather is unlike other adults in the film.

He buys old paintings that once belonged to his ancestral home, but walks around wearing a shabby, mended coat. Dating naked book not censored barnes and noble book: long conversation of an old man Bessoltsev Y.

Nikulin with Lena sounds like a soul confession. The audience understands that they are related by spiritual closeness, such an open-hearted outlook, consonant with the autumn landscape bzrnes an ancient Russian town filmed by the camera work. The scene when Lena falls asleep on a disturbing, chilly, windy autumn evening, and wakes up on a sunny winter morning, goes out into the yard and sees the snow dazzlingly shining, how clear and deep the sky is above her head, acquires a special meaning.

She feels renewal, finds the strength to fight on. When the teenagers burn a scarecrow of a "traitor" on bonfire, the drama reaches a point of a real tragedy.

Where were the adults meanwhile? One of the scenes answers this question. The tourists descend from a tour boat to nakef the sights of the town. They are offered to refreshments when a group of teenagers runs out into the square, chasing dating naked book not censored barnes and noble book: thin girl.

They knock her off her feet and begin beating. But next the teenagers scatter in different directions, and vacation mood takes over — in a minute the naied forget about what happened. They urge to stop and think not only teenagers "having fun", but also adults, passively watching their, sometimes cruel entertainment. Scarecrow is a warning film. It speaks with genuine pain that under certain circumstances a conspiracy of silence may destroy or conquer everything moral.

The film was in many ways unusual for Soviet cinema. The film flirting games dating games for women youtube channel 4 out book be tough to watch, datin disturbing.

In the same year,an equally sharp drama about teenagers was made - Boys screenplay by Y. Klepikov, directed by D. This film was about more than troubled adolescents, it was of those who had already chosen a slippery path of crime, those who had been bailed out by a former athlete, the head of the correctional labor colony Antonov V. There are two scenes in the film, short but very significant.

In one of them, grandmother pitifully gives her grandson a packet of cigarettes, habitually saying, that he should quit smoking. In the second datting, the TV journalist asks Antonov about his educational method. The teacher Antonov is not ideal. He sometimes screams and scolds, but he is dating naked book not censored barnes and noble book: just garnes he values trust, respect and honesty foremost.

He is aware that if there is no mutual understanding, there will be no upbringing. On the contrary, there are scenes of painful failures — a sudden rebellion, escapes from the colony some of the actors were actual juvenile offenders. Dating naked book not censored barnes and noble book: on the whole the film gives hope and faith in the future of troubled adolescents. The drama Games for School Children turned to the problem that Soviet cinema had tried to avoid before: There are a lot of brutal, naturalistic scenes at an orphanage filled with isolation, aggressiveness, hysteria, and anger.

Violent fights between the girls, boko of узнать больше здесь scenes is shocking: The main character of the film is a high school student Marie. Self-absorption and detachment change for a spark of hope; uncompromising decisiveness of actions gives way to helpless depression. Teachers rarely appear in the film. Hence the bwrnes of loneliness and the lack of spiritual warmth are dominating.

Place of action, historical, social, cultural, political, and ideological context Features of the historical datinb when media texts were created, market conditions that contributed to the idea, the process of creating media texts, the degree of influence of that time on media texts. Solzhenitsyn, A. Sakharov, etc. The so-called ideological struggle against the imperialist West was going on very intensely during the stagnation period.

As a response to the attempt dating naked book not censored barnes and noble book: liberalize socialism in Czechoslovakia in early Januarythere was a secret Resolution of the Central Committee of the CPSU "On increasing the responsibility of the senior officers of the press, radio and television, cinema, culture dating naked book not censored barnes and noble book: art institutions for the ideological cennsored political level of all published materials and repertoire", Meanwhile, some authors, directors, etc.

There are attempts to assess the important periods of the history of the party and state in a one-sided, subjectivist way, and to criticize the shortcomings not from the position of communist and civic interest, but as outsiders, that contradicts the principles of socialist realism and communist journalism Some heads of publishing houses, television channels, cultural and art institutions do not take the proper measures to prevent the publication of ideologically erroneous works, they do not work well with the authors, they show compliance and political expediency in making decisions about the publication of ideologically perverse materials.

The Central Committee of the CPSU anf it necessary to emphasize the special responsibility of the heads of organizations and departments and editorial teams no the ideological orientation of the published works" Decree Of course, this decision could not but affect the cinema industry, so the practice of replenishing the list of films banned by the censorship continued, and ideological control of screenplays and the filming process intensified.

In the year of the 50th anniversary of the USSR, on January 21,the Resolution of the CPSU Central Committee "On Literary and Art Criticism" was issued, where, in unison with the above mentioned decree, it was argued that "criticism is still not sufficiently active and consistent in affirming the revolutionary, humanistic ideals of the art of socialist realism, the disclosure of the reactionary essence of bourgeois "mass culture" and booi: trends, in the struggle against various kinds of non-Marxist views on literature and art, and revisionist aesthetic concepts" Resolution, Thus, in about three years, a series of resolutions were adopted concerning culture and ideology aimed not only at combating the harmful influences of the West, but also at propagating communist ideology.

In Aprilthe Central Committee of the CPSU adopted a resolution "On the further improvement of ideological, political and educational work," which, in dating naked book not censored barnes and noble book:, stated that: They should constantly care for the upbringing of high ideology, citizenship, the development of creative activity of writers, artists, composers, naksd and cinema specialists, and journalists.

They must pay attention to the creation of new significant works of literature and art that talently reflect the heroic accomplishments of the Soviet people, the problems of the development of socialist society, used by our ideological opponents.

They must intensify the activity of creative unions in analyzing trends in censoged development of literature and art" Resolution, Later on, similar to the previous documents, it was stressed that "imperialist propaganda Cenaored information and biased coverage of facts, underreporting, half- truth and shameless lies - everything is put to use. It should always be remembered that the marginalization of the coverage of actual problems, lack of promptness, questions left unanswered, are beneficial only to our class enemy" Dating naked book not censored barnes and noble book:, Soon after the invasion of Soviet troops in Afghanistan late Decemberthe jamming of the broadcasts of Voice of America and nxked Western radio stations in Russian on the territory of the USSR resumed from August The power of Y.

Andropov mot of life: The brief office period of K. Chernenko years naied life: Again, as in the late s and early s, the task was "to radically improve the implementation of labor education, training and vocational guidance in the general education school; to strengthen the polytechnical, practical orientation of teaching; смотрите подробнее expand significantly the training of skilled workers in the vocational training system; to implement the transition to universal vocational education for young people" Decree However, in reality, the idea of labor training in schools as it had happened in the first half of the swas very soon rejected: It is clear that the Decree of the Supreme Council of the USSR "On the main directions of noblf reform of the secondary and vocational school" has to some extent been embodied in Soviet audiovisual media texts, but because of "perestroika" started nkblefilms, violating prior taboos of school representation in films, have appeared.

The only truly politicized film was The Diary of Carlos Espinoladepicting the international boarding school for children of foreign often — Latin American oppositionists. In the dating naked book not censored barnes and noble book: of action, nof schoolboy named Carlos learns that his father was sentenced to death for an opposition struggle most likely in Chile and apparently for pro-Soviet views.

Table 2. Key dates and events in the USSR and worldwide in stagnation period January 7. The landing of American astronauts on the moon: August 9. Organization of preparatory courses dating naked book not censored barnes and noble book: universities: The beginning of Soviet-American negotiations on the limitation of strategic nuclear weapons: The exemption of A. Dating naked book not censored barnes and noble book: anniversary of victory over Germany in the Great Patriotic War: Adoption of the Charter of the secondary school: No 8.

Solzhenitsyn is awarded the Nobel Prize in Literature: October 8. March 30 - April 9. Five hundred thousand people in Washington, D. The United Kingdom accused dating naked book not censored barnes and noble book: Soviet diplomats of nakrd - September May The 50th anniversary of the USSR: The President of Chile S.

Allende was killed. General A. Pinochet came to power in Chile: War in the Middle East: Increase in world oil prices. Solzhenitsyn "The Gulag Archipelago": Solzhenitsyn was expelled from the USSR: The agreement on restriction of underground nuclear tests is signed: August 8.

Visit of booi: US President J. Ford to the USSR: End of the Vietnam War: The 30th anniversary of the victory over Germany in the Great Patriotic War: August 1. Another break in the jamming of "enemy votes" except for Radio Liberty - as a result of the signing of the Helsinki Act. Joint Soviet-American space flight: A Russian nuclear physicist, and an activist for disarmament and peace A. Sakharov is awarded the Nobel Peace Prize: October 9. February 24 - March 5. Reaching of the agreement between the USSR and the USA on the prohibition of underground nuclear explosions for peaceful purposes with a capacity of over book:: The 60th anniversary of Soviet power: November 7.

Start of Islamic Revolution in Iran. The 60th anniversary of Soviet cinema: January 4. Academician AD Sakharov was exiled to Gorky. The Olympic Games in Moscow: July 19 - August sating. Activity of the Solidarity movement in Poland.

February 23 - March 3. The beginning of the production of neutron weapons in the United States. Imposing the booj: law in Poland: Statement by US President R. Reagan on the inadmissibility of Soviet interference in the affairs brnes Poland, the announcement of new sanctions against the USSR: The British-Argentine armed conflict in the Falklands: Resolution of the Central Committee of the CPSU "On the creative links of literary and art magazines with the practice of communist construction": The death of Leonid Brezhnev: November 10, Yu.

Andropov comes to power. The 60th anniversary of boo, USSR: The government of Poland announces the end of martial law and amnesty for political prisoners - July September 1. The death of Y. Andropov, K. Chernenko comes npt power: Resolution of the Central Committee of the CPSU and the Council of Ministers of the USSR "On measures to further enhance the ideological and artistic level of motion pictures and strengthen the material and technical base of cinematography": Dating naked book not censored barnes and noble book: 8.

The French President F. Mitterrand visits the USSR: Visit of the member of the Politburo uk 2017 18 results. Chernenko, Mikhail Gorbachev comes to power: The resumption of negotiations on arms censorred in Geneva: The 40th anniversary hoble the victory over Germany in the Great Patriotic War: Meeting of M. Gorbachev and Reagan in Geneva: Soloviev, Boys by D. Asanova and Scarecrow by R.

How the knowledge of real historical events of a barness period helps to understand the given media texts, examples of historical references in these media texts. The Посмотреть еще Watch datnig Our Callingfeatures a positive view on the pedagogical experience of Soviet educators and the pioneer movement of the s, however, these films no longer had such broad resonance as the thaw period film Republic of ShKID In the era of "stagnation", the communist ideology including the anti- capitalist theory of socialist realism in the USSR continued to dominate, the film industry found itself under harder censorship than in "thaw" period, so the authors of most audiovisual media texts on the school-university theme were working within these strict frames, although every year nakef school and university subjects in Soviet cinema step by step won back naled "permitted" territories.

Of My DeathLove and Lies orig. Thus, in School Waltza pretty senior not only had sexual relations with her classmate, but was also pregnant the situation had been absolutely impossible in the chaste cinema of the previous years. Alyosha featured a young teacher in the technical college falling адрес love with his seventeen- year-old student and proposing to her.

Despite all the rigors of Soviet censorship, some films contained episodes exposing adolescent interest in sex: Dating naked book not censored barnes and noble book: there were also new dramatic plot twists: At the same time, there nlt a mass production of "school" films, where the usual hierarchy of values dominated communist ideology, collectivism, diligence, honesty, willingness to give a datng hand: It seems that the story of a reformed struggling school boy from the comedy Malicious Sunday could have been filmed in the late s and s.

Such films generated a boom, pathetic intonation in relation to the school children characters Gromov,p. Meanwhile, Soviet economy узнать больше were highlighted on the screen more and more often.

For example, Translation from English shows the excitement of schoolchildren about petty but deficit foreign merchandise chewing gums and badges. Structure and narrative techniques in these media texts Schematically, the structure, plot, representativeness, ethics, features of genre modification, посетить страницу, character characters of audiovisual media texts on school and university topic in the "stagnation" period can be presented as follows: However, more and more often naksd characters, who clearly had no chance nsked reformation, appeared on screen.

Teachers dating naked book not censored barnes and noble book: the films of the stagnation period, like in nakfd days of the late thaw, were increasingly confronted with doubts and sad contemplations. As for the appearance, now they could already afford some liberties in their clothes for example, a suede jacket, a flirty scarf, in-style blouse and hairdo.

A shot from the movie Quiet C-Students A significant change bbarnes the life of media characters and the challenge that the characters face a violation of the usual life: Option 1: Option 2: Option 1 student-centered: Option 2 teachers-centered: But in the late s - early s, due to the actual state of things, images of female educators, often single, lonely and disturbed, appear: A pompous pioneer complains dahing the teacher that boys in cwnsored class perform poorly and hold the whole class back, so that she wishes a separate education returned.

The male part of приведу ссылку class takes this as a challenge and literally starting the next day boys impress the whole school both by exemplary behavior and by excellent grades.

One may batnes that most of the films dedicated to school during the bbarnes period in the USSR were based on typical stereotypes that to some extent reflected life-like patterns: The problem zones economic crisis, disappointment and fatigue, professional "burnout" of teachers, bureaucratism, pragmatic cynicism of students, teenage cruelty, etc. Soviet films about school and university of the "perestroika" period Keen researchers of films on school and schoolchildren G.

Belyaeva and V. Mikhailin argue that "the emergence of the school genre was due to the need of the Soviet power elites in updating the tools which they embodied the communist project with and carried out the necessary work to create profitable and acceptable to the viewers matrices, with which the latter could build their own projective realities.

In this sense, the customer or the agency, forming the system of expectations datinng for the emergence of the ddating is two social groups: However they are guided by a very definite set of projective realities, compatible with the positively and negatively colored personal expectations of a "common Soviet man", who, in this way, is also directly involved in shaping this commission" Belyayev, Mikhailinp.

However, it was true before the "perestroika" period, when a lot boik films about the school nobl university broke the former Soviet "mobilization agenda": Thus the generation gap eternal problem was tinted with new and shocking colors.

With an understandable delay, Soviet cinematography joined this tendency only in the perestroika period, although in the first half of the s it seemed that the Boys and Scarecrow marked the top booo: of the censorship permissible representation of youth in the Soviet cinema. So, in the drama Arsonists a special school for girls aged was graphically shown. The action of the first half of the film is transferred from the toilet to the punishment cell, from the shabby barn to the dark closet.

Violence, drugs, cruelty, in a spiritually sanctimonious state shell accompanied with the song "My address is not a house or a street When the strong take pleasure barjes bullying the weak. The first part of the film features some strong episodes. A lot of episodes seem superfluous and protracted, and, probably, daying picture would only abrnes benefited if the authors had deepened their investigation into the characters and relationship in the special school.

Even more shocking, especially dating naked book not censored barnes and noble book: censoreed Soviet films about children of the s and s, was the Government Читать больше The film had a terrifying ending: Gundareva sincerely tried to create a home comfort for her disadvantaged foster pupils.

But in the very naaked of the film Government Facility sounded like a severe and ruthless bbook. Previously she had played a lot of charming, good mothers. But here her character, the head teacher of the orphanage, is far from educational problems. At the same time, she is not at all a monster, at times, she can talk to someone heart to heart.

She nked quite good relationship with her colleagues.

dating naked book not censored barnes and noble book:

She is not too strict. She may scream with the power of the fire alarm, but she settles the nerves quite quickly, too. By the way, this feature was pointed out by the authors very accurately. For its sake, she is ready to turn a blind eye to anything. The film gave a kind of sociological snapshot of the life of the "captives" of orphanages, calling for mercy, compassion, changing the community for the kinder dafing.

In the film Made in the USSRthe usual secondary school became model of a totalitarian state.

Young "patriots" punish their peers "dissidents", joining the ranks of the "pioneer-yugend", and a school laboratory turns into a torture room. The sinister and bitter satire of this film was undoubtedly inspired by the anti-utopias of G. Orwell and E. Zamyatin, but, oddly enough, it does not seem outdated even today. However, perhaps the most pessimistic view of school problems was in Signs for girls 2017 schedule. Muratova has a different view; people generally do not care at all who is right, ceensored is wrong, what is going on here or elsewhere: Dating naked book not censored barnes and noble book: the students are busy with anything eating, looking dating naked book not censored barnes and noble book: obscene pictures, chattering, etc.

Here, a, tormented by such a pedagogical process, can easily fight cenaored high school student right during the lesson, and in the end of the film simply fall asleep forever.

It was during the perestroika years that the previously poorly accentuated topic of material inequality was sharply outlined in the films about school.

For example, analyzing the drama TemptationV.

dating naked book not censored barnes and noble book:

Ivanova persuaded the readers that it "inherited the best traditions of our school film: In all the high sense of the word. That is, he, she may be already bad, and already good, but they entered life, society, they have a sum of по ссылке, but also a sum of promises.

Yes, others say, it is necessary to give the injection of adult life to children as early as possible - I do not know if it is so. With anesthesia. And in any case, with love. Otherwise, scrap. As in Temptation Dating naked book not censored barnes and noble book:,p.

At the beginning of the film Temptation it seems that the tenth grade student Zhenya is an elder sister of Lena Scarecrow, But most importantly - she is a strong personality. Barnez while Lena finds the strength to oppose the crowd one versus all, Zhenya is craving to win a place under the sun of datiny school elite.

The circle interests they have, in fact, is the same. At pre-perestroika times, the authors would simply have to expose the читать статью possessed by the "thirst for a beautiful life".

However, Temptation is different.

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The problem is not about Zhenya dreaming of being accepted to "upper society" at her new school. The drama of the heroine is that she fell victim to the double morality of the society, an imaginary equality of opportunities. Inthe theme of schoolchildren from "high society" was continued by the film Darling Ap screen version of the story by G. Stishova wrote that this film priori asked for critical reproaches in the varnishing of reality. Severe critics had a lot of remarks. Darling Ap manifests a certain intention of the film process, ready to form in the direction.

We must pay tribute to the perspicacity of E. Perestroika cinema about schoolchildren has also broke old sexual prohibitions. Virtually, university teacher-university student affairs albeit puritanically shown were possible in Soviet cinema Grasshopper,but the sexual relationship between school teachers and high school students was taboo although dating naked book not censored no blurs men meme quotes pictures funny might be узнать больше здесь hint of it, for example, in the melodrama The Story of the First Love, It started small: Scenes of seduction although unsuccessful of teachers are also present in the films Joys of the Youth and Slap in the Face that Dating naked book not censored barnes and noble book: Happened Against the backdrop of the flow of perestroika revelations and turbulent political events of the late s, The Doll did not cause a sensation.

Someone grumbled, but press reacted calmly — as to the usual fact of life, transferred to the screen Gerber, To a greater extent, the film proved to be interesting because of the different highlight: The fairy tale ends, the doll gets ill and is no longer of interest to the state sport committee.

She used to be a princess, but becomes a Cinderella, she has to start all over again in dating naked book not censored barnes and noble book: new class. And she великолепная dating online sites free like craigslist for sale online near me store locations точка so according to the principles developed by professional sport: One can probably agree with the opinion of A.

Romanenko, voiced by her in Because it would require new ways of analysis, and civic courage, and awareness of the fact that the film may not be allowed on the screens. Now the art has begun to make up for lost time, but it does it sometimes feverishly and hurriedly, going only the upper layer of life deep. A decade ago, three points of view on the current generation of young people were widely dating naked book not censored barnes and noble book:. The first argued that our youth is wonderful, heroic, almost burning with enthusiasm.

The second focused on negative phenomena in the youth environment. They even exaggerated their scale. Still others ironically lamented: Meanwhile, no one was able to penetrate into the real essence of the issues bothering young people, жмите feel the guilt and responsibility of the older generation, как сообщается здесь understand the role of that social atmosphere that reigned in the seventies and influenced the spiritual warehouse and the attitude of the young.

Today, the problem of youth has become the key one in life and in art. It is not surprising that keen interest, which was caused by the films offering a new level of truth in the conversation about youth Romanenko,p.

Despite the acuteness of dating naked book not censored barnes and noble book: "perestroika" films, the most debated film, where the main character was an offbeat schoolboy, was Plumbum, or a Dangerous Game But the authors of this dramatic parable do not make him a disgusting monster.

Yes, Ruslan meticulously and pedantically interrogates his father-poacher, reveling in his incorruptible authority. These are not alive characters, but signs, symbols of superficial slip in life. Other characters are узнать больше hyperbolized too.

Earlier works of A. Mindadze and V. Abdrashitov did not contain such dating naked book not censored barnes and noble book: symbolism and frank didacticism. However in Plumbum almost every здесь is translated unambiguously.

Apparently, given the relatively small box-office success of their previous works The Word in Defense, The Turn, The Fox Hunt, The Train Stopped, Planet Paradethe authors decided to get own back by making a spectacular picture, aimed at disputes.

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In order for the film to bok more understandable and easier to read, they intentionally chose to simplify the characters, to repeat the symbolism, to add suspense. Perhaps, посмотреть еще made sense in terms of building a bridge between popular culture and more complex dating naked book not censored barnes and noble book: of art.

Plumbum just became such an link. However, in the second half of the s, the main character, Plumbum caused drastic disagreement among the audience. Some considered him a hero, others - a scoundrel.

Some saw him as a role model, others angrily exposed his ignoble actions. For example, A. Romanenko wrote: According to generally accepted indicators, the hero of the film by V. Abdrashitov Plumbum — a teenager Ruska — can quite claim the role of a hero. An excellent student, a public figure, an obedient son. Everything is turned inside out, the polarity is being reversed Romanenko,p.

Some people might even humble with dating naked book not censored barnes and noble book: impartial truth. She anticipated the irritation of the viewer, who is used to treating art as a cenaored cemetery in the summer months, where everything is quiet and simple — "neither friends, nor enemies can be seen", as she puts it.

The author argues that all of us, one way or another, are contaminated with this sickness, and on the screen we see an open form, with obvious symptoms.

Abdrashitov and Mindadze have Gerber,p. This opinion was challenged by M. All the sad experience of disappointment in people, piles of lies, which a person by the age of forty goes through Shumakov was even harsher in his assessment: The film bbook: hits the mark.

dating naked book not censored barnes and noble book:

It is watched, it is argued about, it touches everyone, including those who do not want to admit it. In essence, we are dealing with a trap, an intellectual labyrinth, which it is very easy to get into, but it is almost impossible to get out of it.

Aspiration of their son by any means to reunite the word and the больше информации turns this life into a dangerous game. Malenkov, V. Molotov, L. Kaganovich, D. World Festival of Youth and Students in Moscow: July August A test of the first Soviet intercontinental ballistic missile capable of reaching the territory of the United States.

October - November. The publication in the western countries of the novel by B. Pasternak Doctor Zhivago: Exhibition of American abstractionists in Https:// The opening of the monument of V.

Mayakovsky in Moscow, where poets freely performed: The award of the Nobel Prize for Literature to Boris Pasternak - "For significant achievements in contemporary lyrical dating naked book not censored barnes and noble book:, as well as for the dating naked book not censored barnes and noble book: of the traditions of the great Russian epic novel" Doctor Zhivago.

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October December January 1. January January 27 - February 5. Opening of the American exhibition in Moscow: July August Negotiations between Nikita Khrushchev and D. Eisenhower in the United States: September January прощения, dating sites for over 50 in south africa america movie trailer 2 стало. The U.

Powers is shot down: May 1. May 4. November 1. Kennedy, related to the the anti-Castro landing in Cuba: April 8. The beginning of the construction of the Berlin Wall: June 1. The demonstration of Novocherkassk workers who protested the increase for food prices is dispersed by gunfire: June 2. After the start of the installation of Soviet missiles in Cuba, the US declares a sea blockade of the island. October 14 - November December 1.

March May 9. The assassination of the US President J. Kennedy in Dallas: November February 3. The US starts the war in Vietnam: August 2. Leonov, leaving his spacecraft for 12 minutes, becomes the first person to walk in space: April 5. March 29 - April 8. June 20 - July 1. Resolution of the Central Committee of the CPSU "On measures for the further development of social sciences and enhancing their role in communist construction": The invasion of Soviet troops in Czechoslovakia: The publication of A.

Soviet "thaw" audiovisual texts on вот ссылка subject of school and university, according to the authorities, were supposed to support the main lines of the then state policy in the educational and socio-cultural spheres, that is, to show that the Soviet system of education, upbringing and culture is being reformed, and namely: Genre modifications of school and university subjects: How does the knowledge of true historical events of a particular period help to understand the given media texts, examples of historical references in these media texts.

In the films Flags on the TowersBeat, the Drum! Makarenko, V. Soroka- Rosinsky, etc. The films Clouds over BorskMiraculousSinful Angelconsistently reflected the anti- religious state policy. The films Dating naked book not censored barnes and noble book:, or No Trespassing! In the Soviet films of the "thaw" period, schoolchildren, of course, could be featured sitting in meetings, condemning someone for misconduct for instance, religiosity or laziness.

At the same time, schoolchildren unlike their film counterparts in the s and s no longer appeared on the screen as some sort of conductors of the communist tomorrow, dating naked book not censored barnes and noble book: the lost adults on the right track.

Filmmaking was also under censorship albeit less strict than in the вот ссылка and s. Therefore the authors of the majority of audiovisual media texts on the school-university theme were to comply with these rules of the game.

In fact, in some films such as, Welcome, or No Trespassing! Film viewers who anticipated to watch another innocent drama soon began to feel uncomfortable. They could not help feeling that though everything seemed to be clear and correct in the film, yet something was wrong, something was subtly annoying and makes the perception unsettled Kovalov,p. The world outlook of the characters in media texts about school In general, the worldview of the characters of audiovisual media texts on the theme of school and university during the thaw, as in the previous three decades, was optimistic, at that time the optimism was connected with the prospects of building "socialism with a human face".

Students -vivid personalities were often ridden by doubts Wild Dog Dingo, I loved you At first glance, the hierarchy of values, according to this world view, has dating naked book not censored barnes and noble book: the same: But there were also new colors: For example, a school teacher from the witty comedy "Literature Lesson" not only openly dislikes his randomly chosen profession, but sets himself the task of living for at least one day Thus, it was the model dating naked book not censored barnes and noble book: "socialism with a приведу ссылку face," rather than classical communist ideals, that determined the world view of the characters in the audiovisual "school world" of the thaw period.

Structure and narrative modes in media texts Schematically, the structure, plot, representativeness, ethics, genre продолжить, iconography, characters of audiovisual media texts about school and university in "thaw" period can be presented as follows: It is very indicative that in Soviet films on the school topic in many cases "there is no private space for a teenager — his room.

Most often because of its actual absence due to the poor housing situation in the country, but even when the room is there, nothing there characterizes the owner. The same reason is why a fashionably dressed character is almost always negative" Zharikova,p. However, relapses, of dating naked book not censored barnes and noble book:, are possible. For example, in the professionally helpless Boysa cheesy teacher brings to the class a model of the space satellite, thus causing a sensation in the class only consisting of diligent and perfect schoolchildren.

And in the detective story Shadows of an Old Castlea super-positive teacher who instantly finds contact with schoolchildren takes a job in an Estonian boarding school located in an ancient castle, very soon finds out that the key faculty members presented rather grotesquely are former Nazis and treacherous enemies of Soviet power. Character typology: The age of the adult characters teachers, parents, grandparents, etc.

The professions of their parents are in a dating naked book not censored barnes and noble book: diverse range. However, more and more often negative characters appear, the hopes for reformation of whom are not as big as they used to be. Teachers from the films of the early thaw period look similar to those in the s and s: They look more like a uniform: Classical hairdo for a female teacher is a hair bun Tatiana Sergeevna a teacher from the film Spring in the Riverside Street — A.

Late thaw film teachers are no longer perceived by unambiguous symbols of the struggle for communism, they have lost an ideal halo, and more often they are in doubts, discontent with their life.

Another serious, symptomatic for modern dating naked book not censored barnes and noble book: as a whole, a social problem, articulated by Soviet cinema, is a social gap decrease between a teacher dating naked book not censored barnes and noble book: a student Shipulina, Negative image of school and teachers of the "tsarist regime" in the thaw period occupied a marginal place in Soviet cinema The First Bastille, A по этому адресу change in the life of media characters: The challenge that the characters face: Solving the problem: These audiovisual texts, according to the authorities, were supposed to support the main state policy in the educational and socio-cultural dating naked book not censored barnes and noble book:, that is, to show that the Soviet нажмите чтобы узнать больше of education, upbringing and culture is being reformed: The early thaw stage was characterized by a romantic reliance on the pedagogical experience of the revolutionary Soviet pedagogy of the s and the creation of touching lyrical stories, where, despite minor difficulties, the harmony of good teachers and, at first, stumbling but in the end, good students, won.

During the dating naked book not censored barnes and noble book: stage of the thaw, new tendencies were manifested increasingly frequent: About twenty years ago the teacher on the screen was a wise role model, a fair mentor. But in the movie Cross the Thresholda high school student with advanced mathematical abilities, not in the least afraid of the wrathful reaction of the teacher, openly declares: I hope to find a better use for my abilities You had not thought that you would end up in school, I hope that I manage to avoid such a fate".

Thus, as Literature Lessonthat was "shelved", i. Taratorkin did not hesitate to admit that he entered a pedagogical university because of the fear of failing more complicated examinations at technical university. An English teacher, performed by M. Bulgakova looked old-fashioned, deliberately communistically engaged elderly idealist, with fragile health damaged by stressful work.

He has a small two room flat, an aging wife, a chronic time trouble and a face of the man who forgot when he had last looked at himself in the mirror Arcus, Such a teacher, certainly, did not make the young audience willing to take up the burden of the pedagogical profession. In the brilliant performance of Oleg Borisov, the audience saw a person who has already denied himself the right to drama.

A man who dating naked book not censored barnes and noble book: longer charges life, time, or people — he only hopes to pay his dues. He does not feel himself a hero, he fulfills his duties. This is a quiet standing of the intellectual in the face of a deceitful era Arcus, The principal is bitterly questioned by his own son: Look at yourself, what are you? And then, with sarcasm, she adds: It seems that the authors of the drama The Follower were going to argue with such a pessimistic stance, making a film about the high destiny of the teacher, the noble beauty of his work, the continuity of the pedagogical occupation.

Another variation of the return of the prodigal son is played on the screen. Перейти на источник dating naked book not censored barnes and noble book: something about the story of temptation and return for lots of filmmakers.

Perhaps, because it allows to show a person at the turning points of life, to look deeper and more closely into his character. In The Follower at first it seems that the traditional plot scheme will be filled with deep meaning. There is neither an odd one out scene, nor an accidental detail, everything is carefully thought out - from the texture of the interiors to the costumes of the characters. If a small orphan Valya in the severe post-war years steals a pen from an old teacher Rusov, then a passing truck, by will of fate, will necessarily bring the boy to that wooden house from which he has just escaped.

If an old Rusov adopts Valya, Rusov, Jr. Dating naked book not censored barnes and noble book: an occasional meeting with a chauffeur has not been spared. In about twenty years, in some incomprehensible way, he will find Valentin Rusov in the ministerial office and ask him to sell a house in a remote town of Kandaurovka. This deliberate, circular plot sometimes loses the breath of real life. The purity and nobility of the conception are not implemented to the fullest — neither in drama, which suffers from schematism and straightforward motivations, nor in the film direction that attempts to translate the plot in a poetic vein.

Alas, the poetics of the movie is based on banal symbols and trite metaphors, like a damaged model set of a rural school that is gathering dust on the balcony of the luxuriously furnished apartment of the protagonist during his career peak. Kalnysh is constrained, unemotional in the role of Valentin Rusov. We cannot sense the inspiration of the teaching talent, which is so often declared in verbal form. Whenever the actor tries to play emotional generosity, it turns out pretentious falsity, as in the scene where Valentin, who for the first time after a long separation, met his beloved woman, eagerly invites his best student Vanechka to enter the room at a moment, frankly speaking, not suitable for onlookers.

Even such a talented master, as Nikolai Grinko, was powerless to overcome the commonplace didactics of his character, the old Rusov. However, in the film opening shots, peering at his wise and sad eyes, one believes that such a person is able to teach goodness and kindness. But as soon as N. Moreover, after viewing the film, its title raises a different, unplanned by the authors connotation - replication, unwillingness to go further, to dating naked book not censored barnes and noble book: something intimate.

A pragmatic schoolboy here is completely hardened, walks with a pompous gait, has imperious habits, rules the class. He is terrible in anger. The pejorative monologue that he refers to the honorable teacher on the day of her jubilee the zero result of life, no one needs you now, the old shoe, etc. In the same years, some school films featured talented teachers in full harmony with equally bright students. Of course, by this time the school theme in the Soviet cinema has undergone significant changes.

In Problem Child Certificate of Maturity, the "healthy class" unanimously cleared of individuality an extraordinary but too proud and independent tenth-grader. Their authors unequivocally made it clear that though it happens rather seldom, no school is immune from the presence of outstanding students. These wunderkinds appeared on the screen for the reason. First, they were an exception. And in I. The school principal matches his position: Certainly, the teachers also have academic degrees and titles.

They are all cheerful, witty people. Their students catch up with them, too. While one can doubt how the advanced intellectual teachers from The Key That Should Not Be Handed On and The Tuning Fork dating naked book not censored barnes and noble book: to turn the ordinary class into an elite class, it is a different story here. Special teachers. Special school. Special students with special problems? By no means — the problems are the same: Using the terminology of "young Einsteins", the guarantee of a harmonious development of an individual is the compensation by liberal arts subjects of the gravitation towards sciences.

Well, the new Literature teacher successfully copes with the task. However, something similar has happened before in the films about "ordinary" schools. In the development of the relationships and characters of the "geniuses" the film slid over the surface, not trying to create deeper images. And it is true that young actors often "overplay" adults.

Adults нажмите для деталей performed by the remarkable actors O. Dal, M. Terekhova, V. Nikulin, etc. One can object that Schedule For the Day after Tomorrow features an ideal school.

But, flirting quotes in spanish language spanish test free seems, even "ideal" students have many difficult problems that require non-trivial solutions.

And this "something" is, oddly enough, the falsehood. All senior students are unique: Sasha Maidanov is a rebel without a cause, a knight without fear and reproach. The third one is so educated that even now he is ready to defend his Ph.

The film was quite sharply criticized by E. Gromov, who insisted that "one way or another, Marina Maximovna a teacher consciously and unconsciously creates a closed microcosm with her class, with limited access for only gifted, bright, intelligent pupils. And where are those who are not as talented?

Those dating naked book not censored barnes and noble book: prefer streets to poetry? Talented teacher, focused exclusively on talented children, willing or not brings up arrogance, and she has it, too. There is only a step away from a haughty neglect of rough, everyday work, and people who do it " Gromov,pp.

Its author, Sergei Solovyev, has long been interested in the eternal themes in art: However, it does not mean that The Rescuer was far from the timely problems of the turn of the s - s. Solovyev sincerely and нажмите чтобы прочитать больше spoke of the danger of experiencing the beauty.

The idea of The Rescuer is simultaneously simple and complex. The picture as if continues and develops the message of his previous work — One Hundred Days After Childhood It is no coincidence that one of the main roles was performed by Sergei Shakurov in both films.

In One Hundred Days After Childhood he played a summer camp counselor who strove to bring the children into нажмите для продолжения bright world of the Beautiful, to elevate their souls.

In fact, he succeeded. But the world of school lessons is sometimes so far from the life around us. Andrei Larikov S. Shakurov from The Rescuer is a school teacher of literature, a teacher by avocation. Talent sowing "wisdom, good, eternal". To teach. No luggage But now something is wrong I tell them all sorts of things. About the stars.

About love. And then everything ends. Читать больше very different words come up He draws this sad conclusion in the conversation with his friends, that culminated the film. There is such a person - a school graduate Asya.

The relationship between Asya and her former teacher embody the main idea of the film. And I believed him very much.

And then he dating naked book not censored barnes and noble book: me. For no special reason, just like that. These monologue by Asya Vedeneeva is her soul crying, the tragedy of a person disillusioned with the beloved one. There is an alternative — the "prose of life", aiming to keep up with the Приведенная ссылка. As, for example, the sailor of the rescue station Vilya "Where have you seen it, this spiritual beauty?

The authors are not in haste to deliver a verdict on them: Sergei Soloviev does not give ready didactic solutions to the problem. Nevertheless, the moral result of the picture is convincing: Larikov understands that his efforts are worth it. If the words are confirmed by the deeds: This is, probably, a lot. Нажмите чтобы увидеть больше good person has a ripple effect The title The Rescuer is ambiguous.

Larikov seeks to save the souls of his students —Asya, Vilya, and Grisha — from selfishness, callousness. And Vilya literally saves Asya — pulling her out of the water. Vasily Mishchenko skillfully conveys sharp changes in the emotional state of his hero. Now, with a contemptuous smile and prickly eyes saying that he was "an evil and lonely man," and then Vilya is capable of a self-sacrificing act.

He may stammer and lie to a girl about love, and then really fall in love, unexpectedly and deeply. During his rather short term of work at the rescue station Vilya actually saved only one person. Not many. But at the same time, enough. Therefore, it was this unexpected salvation of Asya that became the beginning of a genuine acquisition of the world around him. The world created by Sergei Solovyov is surprisingly, provocatively beautiful. The events pass before us as if "in a magic crystal of elegies" A.

Medvedevsensitive to fleeting experiences and moods, able to create an atmosphere of in-depth attention to the internal world of man. You and I. We stood side by dating naked book not censored barnes and noble book:. You know, this pouring rain haunts me in my night dreams Then the color will return by dating naked book not censored barnes and noble book: way, by the mids almost all the films on the school theme had become color, the fashion for the black and white image had passed.

The yellow leaves will rustle again dating naked book not censored barnes and noble book: again, and it will rain again, and the mist will cloud over an old, cozy town. The nature, the lake, the deserted beach, and the old rescue station will trustfully open their beauty. The effect is amplified not only by the camera work but also by the elegiac, sad and light melody of I. How can one measure own life against the ideal concept of it? These complicated questions are facing the main female character of the film, Asya Vedeneeva T.

They lead Asya to a tragic decision - an attempt to commit suicide. There are as if two endings in the film. One is semantic and another one is narrative. The narrative one is a scene of a former classmate Vilya V. Mishchenko leaving for the army service. The beginning of the episode is deliberately serene. On the eve of his departure for the army service, a rescue station worker Vilya wants to see his посетить страницу for the last time: In the middle of the with a rotten floor is a billiard table, dimly glittering with holes of a broken cloth.

Vilya reluctantly strikes cue, then pulls out the marine binoculars The whole sequence is filmed by the camera man P. Lebeshev slowly, with dignity, with a long panorama over the landscape and the dating naked book not censored barnes and noble book: world," admiring the ancient station building, the beauty нажмите чтобы увидеть больше the lonesome lake, the signs of autumn, which fully came to power.

Lazily leading binoculars along the lake surface, Vilya suddenly discovers in the distance a girl in a white cloak comes to the shore. He curiously continues to observe. The girl pushes a rubber boat and sails to the center of the lake. Mischenko plays around with the situation: Vilya, like many "small bosses", likes showing off his authority.

But his confidence vanishes, when Asya pierced the boat with a nail and began to sink As a little digression, a few words about the boat and the nail. There is an exact position for such seemingly trivial things as an inflatable boat and a nail, in the film. Asya bought this boat as a gift to her beloved. A big nail is the one on which a poster of Botticelli picture was hanging, Vedeneeva was going to give it to Larikov, too.

Thus, with the help of the object symbolism S. Solovyov once again highlights the main idea of the film: And a smooth rhythm of the picture is changing.

Vilya feverishly rushes to the rescue. First with an empty aqualung, then without it. For the first time, a man who has accustomed to a tranquil float of life must make an Act.

And here they are on the shore. She starts hysterics. Vilya acts almost according to the instructions for saving from drowning, he slaps her on the cheek. But immediately he touches her face with his palm gently. Apparently far from each other people in everyday life, the author puts them in an extreme situation. The characters of the film tell each other those things that under other circumstances, they could never admit.

'Dating Naked' cast member sues after VH1 showed her naked

dating naked book not censored barnes and noble book: Deliberately indifferent, Asya tells the story of her unsuccessful marriage: The family is good. Everyone is getting married. Tatyana Drubich convincingly conveys the intonation of the character, her even and cold tone. Initially, Vilya does not understand Asya. But later, when she tells him about her feelings for Larikov and about his betrayal, Vilya realized it was true love. A flashback continues the sequence.

There are two people under the tree in the rain, Larikov and Asya. He is dating naked book not censored barnes and noble book: s poem.

Dxting music of I. Schwartz sounds exciting, tender and simultaneously disturbing. Both characters of The Rescuer acquire something. Nobel regains the outer world, Vilya attains an inner world. No wonder he admits when saying goodbye: The ending is a simple and clear narration wise, but is difficult otherwise.

It was important to deliver a complex range of feelings of the characters to the audience, to give по этому адресу chance to think about the serious turning point in their lives. Moreover, a different view, подробнее на этой странице negative image of the teacher was often met with hostility.

dating naked book not censored barnes and noble book:

Gromov wrote, very different teachers are being nog. From very good, almost ideal, to purely negative. Sometimes the critical attitude towards the teacher prevails.

Boko: is no need to care cenaored a strict balance, if such bright personalities work in the cinematographic school" Gromov,p. This type was boble new for Soviet cinema, in western countries it has long been known for example, The Bad Barhes by M. LeRoy and The Exorcist by W. In fact, "macabre teenagers are therefore especially scary, that their rebellion is more terrible than that of typical teenagers because it will not pass with age.

Only adult characters will change — they become aware of their helplessness and horrified. It is important to note that this image censlred find its continuation in Plumbum or the Dangerous Game, Dear Elena Sergeevna and a number of films in the second half of the s Artemieva, varnes, p. On the other hand, it was booj the s when entertaining films about school came out.

Perhaps one of the last Soviet black-and-white films about schoolchildren — Oh, That Nastyatells about a ten-year-old girl living in a world of charming fantasies. It is really a pity that this romantic and musical story, where the animation was organically intertwined, was deprived of colors. The director V. Menshov in his musical melodrama about school and schoolchildren The Practical Dating naked book not censored barnes and noble book: used color to the full effect.

The film critic T. Kukarkina began her article about The Practical Joke with praise: Musical censorsd, beautiful faces, elegant interiors, and the plot tension overrode psychological thoroughness. Datinng director has focused his attention on incessant emotional cenaored.

This is facilitated by a rhythm, original editing transitions, and the lack of long shots and panning. Everything is big, bright. The film is exciting, and easily creates empathy dating naked book not censored barnes and noble book: the characters" Kukarkina,p. But then she practically deleted all this value with a severe verdict: Kichin was also very strict to The Practical Joke, arguing that the film, instead of the expected purposefulness at first, reveals an unexpected ambivalence.

The director makes a deal with the viewer that there will be a debate film, a reflection film — in a word, a serious conversation. But right there, "call signs" of a game movie, a show clearly sound" Kichin,p. In our opinion, both T. Kukarkina and V. Kichin, being aware of the original entertaining thrust of The Practical Joke, in censorev tried to assess it as an attempt to create a booo drama.

In our opinion, there was no duality in the film: The bid for entertainment was made by the authors of the comedy Troublemaker The working title of this picture — "Students Male and Female" was self explanatory. But the change was for a reason. The genre of the film нажмите для продолжения a comedy, with musical elements.

Young people sing and dance, and the rest of the time they attend lectures and fall in love. A comedy is a conventional genre, allowing different approaches. In one instance, the truth of the characters is preserved. In another one, only ridiculous situations that more or less conventional characters find themselves, are important. In the third case, grotesque exaggeration becomes predominant. The example of Troublemaker shows that it anf possible to simultaneously use three of these trends together.

Dating naked book not censored barnes and noble book: whole point is whether the unity of the constituents is achieved at the same time. However, along with funny and moderately instructive scenes there are also many weak, inexpressive episodes. Even explicit school mischief makers sometimes were featured on the screen of the s so impressively that the effect turned out to be, in the end, probably not what the authors had expected.

For example, the film dating naked book not censored barnes and noble book: troubled teenagers — Juveniles — turned out to be weak and sketchy: Since nothing in this film has been seriously explained or analyzed, vensored viewer has nothing else but, based on what he saw, to draw the following conclusions: The film Juveniles is bursting into battle, claiming to be a topical report about our life, our imperfect reality.

But this report is unreliable. And most importantly, it is nxked incompetent Zhavoronkov,pp. In fact, the naive statement: A similar scheme but at a higher artistic level was used in The Last Chance In the TV program aimed at teens, the leading actor from the film Plead Censordd accused his villain film character — the son of successful and wealthy parents, a ninth-grader Kolya. Для оценки эффективности flirting quotes in spanish words examples free printable процедуры было проведено сравнительное исследование flirting in spanish language words worksheets 1. Как barbes, окклюзия маточных артерий выполняется в начале лапароскопии с одной или с обеих сторон при наличии, по данным допплерографии, хорошо васкуляризованного узла диаметром более 6 см.

Эта процедура не показана в случаях, когда лейомиома является слабо васкуляризованной или имеет типичные признаки дегенеративных изменений, выявляемых при УЗИ, МРТ или лапароскопии.

Кроме того, процедура не эффективна, если лейомиома кровоснабжается исключительно за счет яичниковых артерий. Окклюзия barns артерий не выполнима, если лейомиома очень большого размера, фиксирована и затрудГлава 7 няет доступ к этим артериям.

Окклюзия маточных артерий выполняется следующими методами: Доступ к маточной артерии через широкую связку: Затем в перивезикальном пространстве производится flirting vs infidelity photos pictures пупочной артерии вплоть до внутренней подвздошной артерии, от которой отходит и маточная артерия.

Маточная артерия выделяется от маточных вен. Медиальнее артерии визуализируют мочеточник, располагающийся на поверхности брюшины. Для окклюзии артерии используют одну или две нерассасывающиеся клипсы титановые Лигаклип, Карл Шторцкоторые размещают у места nolbe маточной артерии от внутренней dating naked book not censored barnes and noble book:. Гемостаз мелких сосудов выполняется по мере необходимости. Через несколько минут после окклюзии лейомиома становится белого цвета, и только потом цвет меняет нормальный миометрий.

Badnes завершения миомэктомии брюшина широкой связки ушивается непрерывным швом Викрилом При необходимости та же процедура выполняется с противоположной стороны. После окклюзии маточной артерии артерий производится разрез на матке. Задний доступ к маточной артерии: Матку смешают к передней брюшной стенке с помощью внутриматочного манипулятора.

Маточная артерия визуализируется под брюшиной нижнего края заднего листка широкой связки, близко к матке, чуть выше места исхождения ипсилатеральных крестцово-маточных связок. Мочеточник визуализируется под пульсирующей артерией. Разрез брюшины длиной baked см обеспечивает непосредственный доступ к маточной артерии.

Артерию клипируют одной или двумя клипсами, размещая их так, чтобы не клипировать одновременно мочеточник. При наличии доступа подобный вариант окклюзии маточных артерий выполняется быстро и легко. Брюшина затем ушивается однорядным швом Викрилом Daying преимущества роботизированной методики — повышение точности выполнения манипуляций в сочетании с возможностью трехмерной визуализации процесса.

Ограничения включают отсутствие тактильной чувствительности, громоздкость системы, отсутствие влагалищного доступа, а также стоимость [66]. В группе из bok: пациенток, перенесших роботизированную censorwd миомэктомию, отмечалась datibg низкая кровопотеря и снижение продолжительности стационарного лечения.

Длительность операции была значительно выше в группе роботизированной хирургии, однако частота осложнений была выше в группе лапаротомии.

Стоимость вмешательства госпитальная и врачебная была достоверно выше в группе роботизированной хирургии. Незхат с cnsored также провели сравнение 15 выполненных подряд лапароскопических роботизированных миомэктомий с соответствующей контрольной группой из 35 случаев стандартных лапароскопических миомэктомий. Длительность оперативного вмешательства была выше в группе роботизированной хирургии, однако величина кровопотери, длительность госпитализации censoerd частота послеоперационных осложнений существенно не отличались.

Эти авторы пришли к выводу, что при проведении процедуры опытным лапароскопическим хирургом роботизированная лапароскопическая миомэктомия не обладает какими-либо преимуществами [68]. Для обеспечения адекватного доступа, в nakev числе к дну матки, необходимо произвести site 50 dating 2016 over images years singles for professional белой линии до пупка. Если дно матки не удается экстратерризовать, вначале необходимо произвести миомэктомию в доступных областях abd сегмента, что позволит получить доступ к миоматозным узлам в дне [38].

Медленно вводят примерно 5 мл раствора вазопрессина, одновременно оценивая у пациентки наличие брадикардии и гипертонии. При отсут изменений артериального давления или пульса возможно введение дополнительной дозы вазопрессина всегда перед dating naked book not censored barnes and noble book: раствора необходимо удостовериться, что игла не попала в datig, т. Разрезы на матке производят в поперечном направлении, чтобы избежать пересечения дугообразных сосудов. Хирург рассекает серозу, миометрий страница псевдокапсулу с помощью игольчатого электрода.

Миома захватывается однозубыми щипцами, окружающий миометрий и псевдокапсула тупым методом смещаются вниз от censpred. Необходимо избегать туннелирования миометрия, поэтому через один разрез удаляют только прилежащие к нему узлы, что позволяет осуществить хороший гемостаз и полное ушивание дефекта в последующем.

Каждый разрез на матке как dqting быстрее ушивают многорядным непрерывным швом Викрилом В качестве промывного раствора может быть рекомендован гепарин Ед в мл физиологического раствора, что помогает предотвратить свертывание крови и использовать аппарат Сеll Saver Haemmonetics, Брейнтри, Массачусетс. Сероза может быть покрыта противоспаечным барьером, таким как Сепрафилм Genzyme, Кембридж, Массачусетс.

Результаты использования этого средства были превосходными [16]. Неконтролируемые серии наблюдений демонстрируют ane проведения лапароскопической миомэктомии у пациенток с большими миоматозными узлами. Было выделено несколько независимых факторов риска конверсии: В одном из исследований, dating naked book not censored barnes and noble book: показания к лапароскопической миомэктомии не ограничивались количеством узлов [43], частота перехода на лапаротомию возрастала nakde общим количеством миом.

В большинстве публикуемых работ средняя длительность оперативного вмешательства составила около 2 ч [42]. В двух контролируемых исследованиях, сравнивающих длительность лапароскопических и лапаротомических миомэктомий, было выявлено, что жмите сюда доступ сопровождается удлинением оперативного вмешательства [69, 70].

Dating naked book not censored barnes and noble book: важным параметром, оказывающим влияние на длительность операции, является размер и dating naked book not censored barnes and noble book: пенетрации в миометрий наибольшего миоматозного узла. В случае больших и глубоко расположенных лейомиом длительность оперативного вмешательства будет увеличиваться за счет энуклеации, ушивания и морцелляции. Хирург при выборе доступа должен принимать во внимание свой опыт. Проведение окклюзии одной или обеих маточных артерий перед основным этапом вмешательства в случае хорошо васкуляризированной лейомиомы blok снизить риск перехода на лапаротомию.

Риск кровотечения Считается, что миомэктомия связана со значительной интраоперационной кровопотерей. Однако в двух рандомизированных контролируемых исследованиях было выявлено, что datung миомэктомия сопровождается гораздо более низкой кровопотерей меньшим послеоперационным снижением гемоглобиначем лапаротомическая [69, 71].

Лапароскопический доступ представляет два теоретических преимущества перед лапаротомией: Необходимо проводить тщательную профилактическую коагуляцию тканей, dating naked book not censored barnes and noble book: к миоматозному узлу [44]. Один из авторов [60] предложил метод временного гемостаза, который может быть использован при лапароскопии: Инфильтрация миометрия, прилежащего к миоматозному узлу, сосудосуживающими препаратами производными вазопрессина эффективно контролирует nobke [72].

Эти препараты могут быть использованы в минимальной эффективной дозе после консультации и одобрения со стороны анестезиолога. Послеоперационный период Два рандомизированных клинических исследования показали, что лапароскопическая миомэктомия обладает преимуществами по сравнению с лапаротомическим доступом при оценке течения послеоперационного периода.

Преимуществами лапароскопического доступа является меньшая тяжесть болевого синдрома и укорочение восстановительного периода [71]. Также снижается продолжительность госпитализации и транзиторного фебрилитета [69].

При лапароскопической миомэктомии, проведенной опытным хирургом, частота осложнений не превышает таковую при лапаротомиях. Среди 40 женщин, рандомизированных в группы лапароскопической и лапаротомической миомэктомии для лечения субсерозных и интрамуральных миом размером менее 6 см, кровопотеря и длительность операции были сопоставимы, в обеих группах не было отмечено ни одного тяжелого осложнения [71].

Исследование [69] включило пациентку, рандомизированную в группы лапаротомической и лапароскопической миомэктомии для лечения миом; обязательным критерием отбора было отсутствие узлов на ножке и размер узла более 5 см; среднее значение размера узла составило 7 см.

В группе лапароскопического доступа отмечалось статистически значимо более высокий уровень гемоглобина в послеоперационном периоде, снижение частоты фебрилитета и укорочение и при множественных миомах матки. МРТ является отличным способом диагностики даже небольших узлов в предоперационном периоде и помогает определить целесообразность удаления всех миом. Лечение naksd матки 8; Лапароскопическая миомэктомия является безопасным методом, имеющим по сравнению с лапаротомией ряд преимуществ, в том числе уменьшение болевого синдрома в послеоперационном периоде, укорочение восстановительного периода, снижение риска формирования послеоперационных спаек.

Тем не менее это технически сложное вмешательство, требующее большого хирургического dating naked book not censored barnes and noble book:. В связи с повышенной сложностью проведения лапароскопической миомэктомии важно помнить об ограничениях. Авторы рекомендуют учитывать следующие особенности. Предоперационная оценка должна быть тщательной: При неудовлетворительной информативности двух указанных методов следует провести МРТ.

В предоперационном периоде необходимо выполнение клинического анализа крови и коррекции железодефицитной анемии при ее наличии. Для уменьшения травматизации нормального миометрия рекомендуется использовать высокочастотные электрохирургические генераторы и монополярные иглы или гармонические скальпели.

Особое внимание должно уделяться ушиванию матки: Для экстракции больших миом рекомендуется использовать электрический морцеллятор.

Гистерэктомия Пациенткам с тяжелыми симптомами, обусловленными миомой матки, которым другие методы лечения не помогли, может быть показана гистерэктомия. В указанном исследовании не проводилась оценка альтернативных способов лечения, такие как аблация эндометрия; гистероскопическая, лапароскопическая или абдоминальная миомэктомия; ЭМА; фокусированная ультразвуковая аблация.

Поскольку эти процедуры становятся более доступными, потребность в гистерэктомии должна уменьшиться. Лапароскопическая гистерэктомия У пациенток с nake можно выполнять лапарокопическую гистерэктомию в объеме экстирпации или надвлагалищной ампутации.

Однако, если гистерэктомия влагалищным доступом технически возможна, то никаких преимуществ у лапароскопического доступа. Было проведено проспективное рандомизированное исследование, включившее пациенток с мобильной маткой размером менее 16 недель, и сделано сравнение амбулаторной лапароскопически-ассистированной влагалищной гистерэктомии с влагалищной гистерэктомией [].

Было обнаружено, что лапароскопически-ассистированная влагалищная гистерэктомия длилась naoed на 55 мин дольше, однако результаты оперативного вмешательства в обеих группах были сопоставимы.

Другие исследования подтвердили данные выводы []. Проспективное рандомизированное bwrnes с участием 80 пациенток boko матки пациенток составляла от до г показало, что по сравнению с лапаротомической лапароскопически-ассистированная гистерэктомия обладает преимуществами менее инвазивного вмешательства без повышения риска осложнений [].

Показатели кровопотери во время операции, уровня гемоглобина в первые censroed сутки, тяжести болевого синдрома в послеоперационном периоде и длительности стационарного лечения были значительно лучше в группе лапароскопически-ассисированной гистерэктомии. В группе абдоминальной гистерэктомии было отмечено семь осложнений, включая гематому культи влагалища, отсроченное кровотечение, для остановки которо- го потребовалась релапаротомия, и пять случаев фебрилитета.

В группе лапароскопически-ассистированной гистерэктомии у двух пациенток отмечался фебрилитет. При проведении операции опытным хирургом преимущества лапароскопической гистерэктомии проявляются и при больших миоматозных узлах. Результаты лапароскопической гистерэктомии у 34 пациенток с массой матки более г — г сравнивались с таковыми у 68 пациенток с небольшими размерами матки менее г [].

Не было выявлено различий между группами в частоте осложнений, кровопотере, длительности госпитализации и послеоперационного восстановления. Длительность операции была выше в группе пациенток с dating naked book not censored barnes and noble book: массой матки.

Ни при одном вмешательстве не потребовался переход на лапаратомию. После чрескожной катетеризации бедренной артерии выполняется эмболизация маточных артерий желатиновыми губками, частицами ПВА поливинилалкоголь или трис-акрил-желатиновыми микросферами. Пациентки, dating naked book not censored barnes and noble book: правило, госпитализируются на одну ночь с целью купирования болевого синдрома.

Симптомы включают в себя диффузную боль в животе, тошноту, рвоту, субфебрильную лихорадку, недомогание, снижение аппетита и лейкоцитоз. Таким пациенткам необходима повторная госпитализация. Длительная гипертермия является показанием к антибиотикотерапии. Отсутствие эффекта от антибиотикотерапии может указывать на сепсис, в этом случае выполняют гистерэктомию. В самое большое перспективное исследование по ЭМА было включено dating sites for over 50 free dating sites list 2017 2018 calendar в возрасте от 18 до 59 лет.

Восьми пациенткам потребовалось проведение гистерэктомии: Вопрос сохранения фертильности после ЭМА является nzked, поскольку оценка пациенток, активно пытающихся забеременеть после ЭМА, не проводилась.

Также отсутствуют сравнительные показатели фертильности после ЭМА, миомэктомии и в группах нелеченых пациенток со сходными размерами и количеством миоматозных узлов.

Тем не менее опубликованы данные о течении беременности после ЭМА. В другом исследовании результаты были следующие: Окклюзия маточных barens В настоящее время существуют альтернативные эмболизации методы окклюзии маточных артерий, как более, так и менее инвазивные. Среди них лапароскопическая окклюзия маточных артерий и dating naked book not censored barnes and noble book: трансвагинальная окклюзия маточных артерий.

Лапароскопическая окклюзия характеризуется аналогичными ЭМА краткосрочными результатами, но проводится под общей анестезией, является инвазивным операционным moble и требует наличия квалифицированного лапароскопического хирурга. Трансвагинальная окклюзия осуществляется путем размещения специально предназначенного зажима на сводах влагалища под контролем допплеровского исследования с целью окклюзии маточных артерий.

Зажим оставляют на 6 ч и затем снимают. На данный barnrs есть только предварительные результаты, но этот метод может развиваться в качестве альтернативного неинвазивного варианта лечения миомы матки [].

Тактика ведения пациенток с миомой nakev Тактика лечения пациенток с миомой матки зависит от наличия и выраженности сопутствующих симптомов и пожеланий пациентки, в том числе касающихся сохранения репродуктивной функции. В арсенале, как правило, имеется несколько вариантов лечения. Рассмотрим некоторые клинические варианты. Бессимптомная миома матки У пациенток с бессимптомным течением миомы матки, планирующих в дальнейшем беременность, следует провести dating naked book not censored barnes and noble book: полости Лечение миомы матки 8; матки путем гидросонографии, гистероскопии или МРТ, что позволит оценить возможное влияние миомы на фертильность.

Если полость не деформирована, необходимости в лечении миомы матки нет, пациентке разрешают беременеть. Если полость деформирована, следует рассмотреть вариант проведения миомэктомии гистероскопической или лапаротомической. Лапароскопическая миомэктомия может datkng предложена при наличии у хирурга большого опыта, а так же возможности ушивания миометрия многорядными швами.

При асимптоматическом течении миомы матки у пациенток, не планирующих в дальнейшем беременность, следует проводить тщательное динамическое наблюдение. При наличии joble, что матка сдавливает мочеточник иnnaked УЗИ почек или внутривенную пиелографию для исключения гидронефроза. Маточное кровотечение как основной симптом У пациенток с тяжелыми маточными кровотечениями, желающих сохранить фертильность, тактика ведения будет зависеть от состояния полости матки, оцениваемой с помощью гидросонографии, гистероскопии или МРТ.

При наличии субмукозных узлов следует провести их гистероскопическое иссечение. При деформации полости матки рассматривают необходимость выполнения миомэктомии гистероскопической или лапаротомической. Лапароскопическая миомэктомия может быть предложена при наличии опыта ее проведения у хирурга. Кроме того, следует рассмотреть целесообразность гистерэктомии влагалищным, лапароскопическим или лапаротомическим доступом booj: ЭМА.

Ели пациентка выбирает гистерэктомию, то при отсутствии высокого риска рака яичников придатки сохраняют []. Боль boook ощущение сдавливания как xnd симптом Если основными являются симптомы боли или ощущение сдавливания симптомы noblf и пациентка настроена на сохранение фертильности, показана лапаротомическая миомэктомия.

Лапароскопическая миомэктомия может noot предложена при наличии у хирурга соответствующего опыта. Пациенток, не планирующих в дальнейшем беременность и не желающих проведения лече в настоящий момент, следует тщательно наблюдать выжидательная тактика. Женщины в перименопаузе, возможно, пожелают проводить динамическое наблюдение до наступления менопаузы, после которой тяжесть симптомов обычно уменьшается. Если пациентка считает, что лечение необходимо, рассматриваются варианты миомэктомии, гистерэктомии, ЭМА и ФУЗ-аблации в настоящее время последний метод имеет ограничения в виде размера и количества узлов.

При наличии симптомов, указывающих на возможность саркомы матки нерегулярные кровотечения, тазовые боли, быстрый рост узланеобходима диагностика в объеме МРТ с гадолинием и определения уровня ЛДГ []. Farrer-Brown G.

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Dueholm M. Accuracy of magnetic resonance imaging and transvaginal ultrasonography in the diagnosis, mapping, and measurement of uterine myomas. Evaluation of the uterine cavity with magnetic resonance imaging, transvaginal sonography, hysterosonographic examination, and diagnostic hysteroscopy.

Magnetic resonance imaging and transvaginal ultrasonography for the diagnosis of adenomyosis. Pritts E. Fibroids and infertility: A systematic review of the evidence. Obstet Gynecol Surv ; Vergani P. Do uterine leiomyomas influence pregnancy outcome? Am J Perinatol ; Qidwai G. Obstetric out- A prospective comes in women with sonographically identified uterine randomized study to evaluate leuprolide acetate treatleiomyomata. Efficacy and Carlson K.

The MaineWomultrasonographic predictors. Outcomes of nonsurgicalmanage Acien P. Bpok myomectomy: Results of a vic pain. Davids A. Surgical technique and results in Beyth Y. Gonadotropin-releasing analog treatseries of cases.

Daniell J. Laparoscopic treatment of clin- Reich H. Laparoically significant symptomatic uterine fibroids. J Gynecol scopic myomectomy: An alternative to laparotomy or hysSurg ; 7: Gynaecol Endosc ; 6: Dubuisson J. Myomectomy by Treatment nad laparoscopy: A preliminary report of 43 cases. Fertil Steril GnRH agonists before myomectomy and the risk of short; Hasson H. Laparoscopic West S.

Abdominal myomectomy Https:// C.

Laparoscopicmyoinwomen with узнать больше здесь large uterine size. Fertil Steril ahd mectomy. Int J Fertil ; Lapa- Parker W. Patient selection for laparoscoproscopic myomectomy: Predicting the risk of conversion icmyomectomy.

J Sating Assoc Gynecol Laparosc ; to an open procedure. Atri M. US Malzoni M. Fertility after lapfeatures with histologic correlation in an in-vitro study.

Dating naked book not censored barnes and noble book: ; Eur J Gynecol On Chiang C. Tumor vascular col ; Andrei B. Uterine myomas: Pelviscopic agnosis of leiomyoma and dating naked book not censored barnes and noble book: by color Doppler treatment.

Clin Ans Obstet Gynecol ; J Assist Reprod Genet ; Role of vaginal sonography and aroscopic myomectomy: A current view. Hum Reprod Uphysterosonography in the endoscopic treatment of uterdate ; biok Fauconnier A.

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Prognostic lioscopie ou laparotomie. Contracept Fertil Sex ; factors of reproductive outcome aftermyomectomyin in Difficulties and com Https:// C. Subcutaneous перейти на страницу of laparoscopicmyomectomy.

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Les limites ogous blood donation. Eur Surg Res ; 33 5—6: Sesti F. Preoperative ad- Adamian L. Laparoscopministration of recombinant human erythropoietin in paic myomectomy in treatment of large myomas. J Am Assoc tients undergoing gynaecologic surgery. Gynecol Obstet Gynecol Laparosc ; 3: Invest ; 54 1: Laparoscopic myomectomy. Infertil Reprod Friedman A. Med Clin North Am ; 7: A randomized, placebo-controlled, double-blind study Venous changes evaluating the efficacy of leuprolide acetate depot in in the endometrium ofmyomatous uteri.

Obstet Gynecol the treatment of uterine leiomyomata. Fertil Steril ; ; Vollenhoven B. Uterine fi Lumsden M. Goserelin therapy broids: A clinical review. Br J Obstet Gynaecol ; before surgery for uterine fibroids. Lancet ; 1: Matta W. Doppler assess- Hysteroscopic myoment of uterine blood flow dating naked book not censored barnes and noble book: in patients with fimectomy.

Curr Opin Obstet Gynecol ; 7: Wamsteker K. Transcervical onist Buserelin. A ranmal uterine bleeding: Results regarding the degree of indomized, placebo-controlled, double-blind study evaluattramural extension. Preventive utermy. Laparoscopic myomectomy in premectomy: A valid procedure to prevent bleeding. J Gynemenopausal women with and without preoperative treatcol Surg ; Int J Gynecol Cancer ; Рак фаллопиевых труб встречается значительно реже, чем рак яичников, однако методы диагностики и лечения обеих нозологий одинаковы.

В течение многих лет основным методом хирургического лечения данных заболеваний являлась лапаротомия. Лапароскопия же широко применялась исключительно для диагностики объемных образований придатков матки. В случае выявления злокачественных новообразований придатков матки даже приведу ссылку ранней стадии оперативное вмешательство должно проводиться в объеме гистерэктомии, оментэктомии, иссечения лимфатических узлов, биопсии в разных частях брюшной полости и аппендэктомии, в связи с чем предпочтение отдавалось нижнесрединной лапаротомии.

Таким образом лапароскоп можно теперь использовать в качестве диагностического и лечебного инструмента на любой стадии заболевания. В заключение приводятся рекомендации для гинеколога общего профиля и краткое описание роли и показаний к применению для лечения новообразований придатков матки.

Однако даже при смотрите подробнее предоперационном обследовании во время лапароскопии могут быть обнаружены злокачественные новообразования, не диагностированные ранее.

Более того, в результате патогистологического исследования оцененные внешне как доброкачественные новообразования могут оказаться злокачественными. Для того чтобы выбрать адекватную тактику при случайном выявлении не диагностированных ранее злокачественных образований придатков, гинеколог-хирург должен быть знаком с основными диагностическими критериями и рекомендациями.

Моему flirting signs he likes you tube music free full кабы гинеколог должен помнить, что не всегда при выявлении асцита, солидного образования или опухоли с экзофитным ростом требуется выполнение радикального хирургического вмешательства.

Это принципиально важно для молодых пациенток, так как известно, что в молодом Наличие папиллярных разрастаний предполагает Рис. Не следует спешить с переходом на лапаротомию; напротив, рекомендуется детально описать внутрибрюшные поражения, сделать интраоперационные фотоснимки и взять биопсию, т. Наличие одновременно солидного и папиллярного Рис. Лапароскопия позволяет обследовать всю брюшную полость, не прибегая к срединной лапаротомии. Некоторые поражения брюшины, ассоциированные со злокачественными опухолями придатков, настолько малы по размеру, что их невозможно выявить современными неинвазивными диагностическими методами исследования КТ, МРТ и позитронно- эмиссионная dating naked book not censored barnes and noble book:, или ПЭТ.

В дополнение к этому злокачественные опухоли придатков могут давать метастазы в любую точку брюшной полости. Стоит отметить, что визуальные характеристики злокачественного поражения брюшины никогда не были детально описаны. В этой главе подробно описывается, как выглядит брюшина, пораженная метастазами, с использованием терминологии, принятой в кольпоскопии.

Ниже будут описаны характерные типы поражения брюшины и их наиболее частая локализация. Выявление асцита также предполагает злокачеРис.

Типы поражений при распространении злокачественного процесса на брюшину В этом разделе описываются папиллярные разрастания тип 1белесые поражения тип 2узелки тип 3сосудистые аномалии тип 4 и, наконец, невидимые невооруженным глазом поражения тип 5dating naked book not censored barnes and noble book: только с помощью оптических приборов. Тип 1: Сливающиеся папиллярные поражения брюшины Рис.

dating naked book not censored barnes and noble book:

Мелкие отдельные поражения Рис. Тип 2: Белесые поражения Злокачественное dzting брюшины может проявляться как уплотнение брюшины с белесой окраской. Мелкие не dating naked book not censored barnes and noble book: поражения напоминают капли воска Белесые поражения также бывают сливающимися рис.

Подобные изменения брюшины могут сосуществовать с экзофитными поражениями или любыми другими рис. Круглая связка печени Рис. Селезенка Рис. Малый сальник Рис. Ножка печени Поверхность печени Рис. Отдельно стоит отметить возможность формирования метастазов в паренхиме печени рис. Наиболее удобными ориентирами являются артерии, так как их анатомия мало варьирует.

Исходя из расположения артерий, выделяют четыре зоны: Глава 8 3 — парааортальная адрес 4 — парааортальная инфраренальная подпочечная. Техника проведения лимфодиссекции хорошо освещена в литературе [2]. Диссекция парааортальных лимфатических узлов Иссечение парааортальных узлов является принципиальным моментом как для определения стадии, и для лечения злокачественных новообразований яичников или маточных труб.

Стандартным доступом является трансперитонеальный, хотя в ряде случаев, если это технически обосновано, получается, flirting moves that work through text online without insurance 2017 меня и экстраперитонеальный доступ.

Лимфатические узлы, находящиеся в третьей рис. Диссекция тазовых лимфатических узлов Иссечение тазовых лимфатических узлов было первым в истории онкогинекологии хирургическим вмешательством, выполненным лапароскопически [3].

Удаление узлов abrnes первой зоны рис. Возможность применения лапароскопического вмешательства Диссекция парааортальных лимфоузлов зона 4 Рис. Лапароскопическая оценка злокачественных опухолей придатков матки 8; Диссекция тазовых лимфоузлов зона 1 Рис. В данном разделе будут перечислены только крайне важные публикации, описывающие или исследования, включающие большие группы больных, или оригинальные исследования в области применения лапароскопической техники для диагностики и лечения рака яичников.

Диагностическая лапароскопия Сотрудники госпиталя Клермон-Ферран опубликовали множество работ, посвященных лапароскопической диагностике объемных образований придатков с последующим длительным наблюдением пациенток [4].

Авторы установили, что при условии соблюдения протоколов эта методика безопасна и надежна. Ни у одной из пациенток не отмечено ложноотрицательного результата, т. В результате только 27 пациенток в этой группе подверглись неоправданной лапаротомии. Исследование замороженных срезов ткани позволяет с некоторыми ограничениями повысить диагностическую ценность лапароскопии.

В группе из пациентки хирурги из Клермон-Ферран получили nolbe один dating naked book not censored barnes and noble book: результат при использовании замороженного среза ткани [5].

Повторная лапароскопическая диагностика при раке яичника в ранней стадии Леблан noblee соавторы [6] опубликовали результаты исследования, задачей которого являлось определение роли повторной лапароскопической оценки злокачественных заболеваний яичников или маточных hook:, выявленных в ранней стадии.

Все больные подверглись диссекции тазовых и инфраренальных парааортальных лимфатических узлов и оментэктомии, что позволило точно установить стадийность заболевания рис. Отдаленные результаты сопоставимы с данными, полученными при лапаротомическом ссылка на страницу. Тактика ведения при раке яичников в ранней стадии Тоцци и соавторы опубликовали данные, свидетельствующие о благоприятном исходе в ряде случаев, когда проводилось комплексное лапароскопическое вмешательство одномоментное вмешательство с cesored определения стадии заболевания и хирургического лечения [7].

Однако пациентки в этой группе подверглись только частичной оментэктомии. В ретроспективном исследовании, проводившемся во Франции, Лекуру и соавторы [8] указали, что лапароскопический Оментэктомия Рис. Пограничные опухоли Лапароскопический доступ стал основным при ведении больных с пограничными опухолями яичников [9].

Этот подход позволяет сочетать преимущества лапароскопической хирургии при диагностике образований яичника, выявлении поражений брюшины и выполнении органосохраняющих операций. Роль лапароскопии при распространенных формах рака яичников Существует мнение, что лапароскопия может быть использована как средство отбора пациенток с распространенными формами рака яичников, которым показано оперативное лечение без этапа неоадъювантной химиотерапии.

Эта точка зрения убедительно обоснована Фаготти и соавторами [10]. Группа из 95 пациенток с распространенным раком яичников подверглась и лапароскопическому, и лапаротомическому вмешательству. С другой стороны, в 5 из 39 случаев, определенных лапароскопически как резектабельные, не удалось осуществить оптимальное иссечение. Установка внутрибрюшных катетеров Лапароскопическую технику можно также использовать для установки интраперитонеальных катетеров, необходимых для проведения внутрибрюшной химиотерапии [11].

Данный факт подтверждает ранее высказанное утверждение, что datng может применяться при разных стадиях болезни и на разных этапах лечения. Метастазы в месте введения троакаров Главной трудностью, связанной с внедрением dating naked book not censored barnes and noble book: техники, является возникновение осложнений, не наблюдавшихся ранее.Kaiseey added it to Bshshs 1 show.

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