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Biomedical subjects

A J Kresch

Publications and source records attributed to A J Kresch.

8 recordsLinked to original sources
PubMed1998

Initial experience with a physiologic morcellating resectoscope.

A new physiologic morcellating resectoscope allows operative hysteroscopy to be performed with a physiologic distention medium, thus reducing the risk of dilutional hyponatremia and cerebral edema secondary to excessive absorption of nonphysiologic fluid. To study this new technology, we gathered in vitro data with the SL resectoscope with dual-function electrode (FemRx, Sunnyvale, CA). Coupled to a standard monopolar electrosurgery unit and operating in normal saline or Ringer's lactate solution, extirpated uteri showed equivalent depth of tissue necrosis with this new physiologic morcellating resectoscope as with a conventional monopolar resectoscope used in an electrically nonconductive fluid.

Electrocoagulation↗
PubMed1998

Laparoscopic supracervical hysterectomy with a new disposable morcellator.

Laparoscopic supracervical hysterectomy (LSH) can be performed more easily with a powered morcellator for removal of the uterus. Available laparoscopic morcellators are expensive and may be difficult to use, but a new, powered, disposable instrument was developed (Diva; FemRx, Sunnyvale, CA) to morcellate the entire uterus for easy removal through a 15-mm cannula. Twelve consecutive women for whom subtotal hysterectomy was indicated underwent LSH by standard laparoscopic protocol and were monitored postoperatively for a minimum of 1 month. In the current trend of "less is more," LSH is an emerging option for less extensive hysterectomies and can be made more cost and time effective with a single-use powered morcellator.

Adult↗
PubMed1997

Initial experience with hysteroscopic endometrial resection/ablation using a new specialized tissue aspirating resectoscope.

Hysteroscopy is gaining increasing acceptance among surgeons as the initial surgical treatment of choice for managing abnormal uterine bleeding and submucous fibroids. With refinements in electrosurgery and laser ablation instruments, and the development of continuous-flow resectoscopes, hysteroscopic techniques are proving to be cost-effective alternatives to hysterectomy for an ever expanding range of treatment indications.

Journal Article↗
PubMed1997

Continuous real-time monitoring of patient fluid status during hysteroscopic surgery.

Although the development of continuous-flow resectoscopes has revolutionized hysteroscopic surgery, the necessity of using electrolyte-free irrigating solutions to distend the uterus has also introduced a risk of serious or fatal clinical complications should a patient absorb an excessive volume of fluid during the operation.

Journal Article↗
PubMed1984

Laparoscopy in 100 women with chronic pelvic pain.

Laparoscopy was used to evaluate 100 women who consistently reported pelvic pain in the same location for a minimum of six months. These findings were compared with those of 50 asymptomatic women who underwent laparoscopy for tubal ligation. Overall, 83% of the group with pelvic pain had abnormal pelvic organs as compared with 29% of the asymptomatic group. Adhesions were the most common pathology accounting for 38% and pelvic endometriosis accounted for 32% of the symptomatic group. Results of this study suggest that pelvic pain reported to be in the same location for a minimum of six months, is usually associated with organic pathology.

Adolescent↗