Biomedical subjects

A Rosmanich

Publications and source records attributed to A Rosmanich.

16 recordsLinked to original sources

PubMed1994

[Superficial invasive squamous carcinoma of the vulva].

We present our experience at University of Chile Clinical Hospital, about superficial scamous vulvar carcinoma, during January, 1967 and april, 1992. We studied eight patients, mean age 57.1 years. Diagnostic was histopathologic in all cases. Three patients were submitted to simple total vulvectomy; other three were treated by total vulvectomy and bilateral inguinal lymphadenectomy (classic form of treatment). The other two cases, were submitted to simple in one case and partial vulvectomy in other, with lymphadenectomy by separate bilateral inguinal incisions. Histopathological study proved in situ scamous carcinoma near invasive focus at 50% of all cases. Follow up was between 2 and 25 years, mean 10.5 years. In one patient, carcinoma in situ relapsed at 2 years and 8 months after treatment, and then, at 8 years after primitive treatment. In other patient, and anal carcinoma was demonstrated 20 years after vulvectomy.

Adult↗

PubMed1993

[Female genitoperitoneal tuberculosis an in force pathology].

We present the experience during 1987-1991 years, about Female Genital Tuberculosis, at the University of Chile Clinical Hospital. We present 16 cases with histologic and bacteriologic demonstration; in two cases also positive cultures for myco bacterium tuberculosis. It is made emphasis about personal characteristics of patients physical examination findings, laboratories procedures and technics of diagnostic, treatment and posterior control of patients. We comments utility of new procedures as laparoscopy, gynecologic sonography and A.D.A. analysis of ascitis.

Adnexal Diseases↗

PubMed1993

[Medical liability lawsuits according to specialties in Chile].

One-hundred forty-five cases of medical liability lawsuits originating in Chile from January 1987 to June 1991 and studied at the Medico Legal Service, were reviewed. A persistent increase in the number of accusations is observed in these five years. The principal medical specialties involved are Obstetrics and Gynecology (32%), General Surgery (18%), Internal Medicine (15%) and Pediatrics (9%). Seventy seven percent of implicated physicians were accredited specialists. Fifty percent of cases originated from Santiago and 60% from public hospitals. Eighty three percent of analyzed medical records were complete and in 70% the number of laboratory tests requested was adequate. The most frequent conditions that motivated lawsuits were acute fetal distress and puerperal sepsis in Obstetrics and Gynecology, acute abdomen and intra-operatory cardiac arrests in Surgery and sepsis in Internal Medicine. The risk of an unfavorable consequence that may lead to a lawsuit is present in every clinical condition, even in seemingly simple situations.

Adolescent↗

PubMed1993

[Medical and legal aspects of medical liability lawsuits].

The principal legal resolutions about medical liability lawsuits in Chile are analyzed. The causes for the accusations and for the increase in the number of suits in Chile, according to research performed by the authors, are described. An improvement in patient-physician relationships, a better alliance among physicians, a correct certification of medical specialties, the demand of adequate technological and humans resources to perform medical functions optimally, the supervision of medical work and the legal support and advice of medical societies are recommended strategies to prevent these lawsuits.

Chile↗

PubMed1991

[Intraepithelial squamous cell carcinoma of the vulva, 1972-1989].

We report our experience about intraepithelial squamous carcinoma of the vulva, consisting of 20 cases with clinical and histopathological diagnosis, at the University of Chile Clinical Hospital. Between december 1972 and october 1989. The age of patients was between 30 and 78 years old, median age 57.6 years old. Clinical HPV infection was detected in three cases (15%) 17 patients were submitted to simple total, vulvectomy (94.5%) without operatory mortality. The follow-up was between 3 months and 11 years (mean follow-up 6.5 years). Recurrence was observed in 2 patients (11.1%) of the 18 submitted to treatment.

Adult↗

PubMed1991

[Urethral diverticulum].

Experience about urethral diverticulum in the female, is presented by the University of Chile Clinical Hospital's Services of Obstetrics-Gynecology and Urology, from 1954 to 1990 years. 34 cases were studied. This pathology was more frequent in patients in there forties and fifties. Diagnosis was made by clinics, endoscopy or urethrography. Treatment was surgical in 91.3%, using Te Linde's technic, with few complications; 85.5% of patients are free of disease.

Adolescent↗

PubMed1989

[Verrucous carcinoma of the vulva].

We reported a case of verrucous carcinoma of the vulva, (VCV) presented at an 71 year old caucasian woman, who was admitted to University of Chile Clinical Hospital, December 11, 1987. She had complained of vulvar itching, pain and a tumor at left labium mayor during the last ten years. The tumor was removed, and then a simple vulvectomy with bilateral superficial lymphadenectomy through separate groin incisions was performed. All the 27 inguinal nodes were free of metastasis, and the vulvar skin presented a mixed dystrophy with light atypia (VIN I). She is alive and well one year after surgical treatment.

Aged↗

PubMed1988