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Biomedical subjects

D Tischendorf

Publications and source records attributed to D Tischendorf.

15 recordsLinked to original sources

[The single-layer uterine suture in cesarean section. A comparative study].

Caesarean section had to be carried out in 297 cases (4.9 per cent) out of 6064 births (infant mortality 0.44 per cent). A comparison between 96 Caesarean sections with a one-layer suture of the myometrium (32 per cent) and 201 Caesarean sections with a two-layer suture (68 per cent) clearly shows less morbidity (19 per cent vs. 37 per cent) in case of a one-layer uterus suture. In those cases the postoperative loss of blood, the involution of the uterus and the healing of the scar are also more favourable. Afebrile courses clearly predominate in one-layer sutures (92 per cent to 76 per cent in two-layer sutures). Most important of all are the ability and experience of the surgeon, not the use of antibiotica.

Cesarean Section↗

[Sonographic studies of the correlation of cystopyelitis gravidarum and kidney pelvis hydronephrosis].

Ultrasound monitoring of the urinary tract was performed three times in 158 pregnant women (before the 20th week, between the 20th and 30th weeks, and after the 30th week). Dilatation of the kidney was found in 82 women (51.9 percent). All patients with pyelitis gravidarum were found to have dilatation of the kidney. Patients with hydronephrosis are a high-risk group for infection of the urinary tract. Recurrences are common among these women.

Adult↗

[Transcutaneous electrical nerve stimulation (TENS) in obstetrics].

Labour pains have been influenced by TENS (electrodes placed at Th10 to L2) in 78 women (control group comprising 46 women) during delivery. No electrostimulation of the sacral segments was carried through. The two groups were comparable well because of similarities in their age, the babies' size at birth and equal conditions during delivery. The first TENS effect observed was a marked reduction of duration of labour with no increase in pathological cardiotocographic findings. With TENS applied, primiparae have been delivered after an average of 244 minutes (control group after 358 minutes) and multiparae after 159 minutes (control group after 256 minutes). 87 per cent of the TENS group's labour and 61 per cent of the control group's labour were induced. Using TENS, clearly reduced amounts of spasmolytic agents (44:74 per cent) had to be administered during labour. 41 per cent of the TENS group women suffered episiotomy or laceration (control group: 52 per cent). 80 per cent of the women in whom TENS had been applied considered TENS as facilitating childbirth. 68.4 per cent of the primipara TENS group (control group: 18.2 per cent) and 80 per cent of te multipara TENS group (control group: 25 per cent) indicated the labour pains to be absolutely endurable (with TENS applied, the labour pains did not start until about 15 minutes prior to delivery--lack of sacral electrodes?). However, the experience gathered as well as an assessment of the questionnaires filled in, indicate that, with all the technical equipment available, women in labour expect the medical staff to provide them with care, understanding and personal devotion.

Adult↗

[The W. B. Shute episiotomy suture].

763 (40,4 per cent) of 1888 episiotomies were sutured according the technique of Shute. Postoperative healing of the wound was better compared with usual technique.

Episiotomy↗

[The conduction of labor and postlabor periods following cesarean section].

Out of 11315 childbirths under review, 109 women (0.96%) with state after secio caesarea were delivered of a child in the period from 1970 to 1978. In 63.3% of the cases it was possible to achieve a vaginal birth. With 450 caesarean sections, 2 cases of the mother mortality occurred. -- A comparison between the sectio and the re-sectio indications does not show any difference. -- Uterus rupture was noticed in 2 cases. -- In a comparative study, general palpating of the uterus is contrasted with a conservative behaviour involving haemorrhage, blood-pressure, and pulse controls. -- As a result, manual re-palpating is again recommended, however, should not be forced. In certain individual cases a conservative behaviour is also justified.

Cesarean Section↗

[Comparative studies into causes of acyclic uterine bleeding (author's transl)].

Abrasion was performed on 4,909 of 20,822 gynaecological patients (23.6 per cent), between 1956 and 1978. Variable distribution and proportionality were recorded from the most frequent diagnoses which included endometritis, glandular-cystic hyperplasia of the endometrium, and mucosal strophy. Age, body weight, parity, and records of previous abrasions are reported and compared.

Adult↗

[Umbilical cord complication as the cause for intrauterine death].

The general set of problems is discussed with reference to 3 stillbirths due to complications caused by the umbilical cord. As far as data and information on cases within this clinic are concerned, out of total of 149 dead births per 13369 births, in 12 cases (8,1%) there is definite evidence of the interrelation between complications with the umbilical cord and intra-uterine fetal death. With another 7 cases (4,7%) an interrelation is likely to be there.

Adult↗

[The Allen-Masters syndrome].

In cases where women suffer from chronic troubles in the abdominal region (genital apparatus) it is often difficult to diagnose the causes thereof. The knowledge even of seldom clinical pictures can be useful for considerations of differential diagnosis. On the basis of a case report on a traumatic insufficiency of the uterine supporting apparatus (known as Allen-Masters-Syndrom) the possible causes that may have led to this trouble are being discussed.

Adnexa Uteri↗

[Ileus due to appendicitis in the puerperium].

A report is given in a case of appendicitis after delivery in childbed. This was the third case of appendicitis within 17 657 deliveries in the gestation of the district hospital in Sangerhausen in the period from 1960 to 1975. The chronic relapsed appendicitis produced a paralytic Ileus. By using correspondent measures (infusional therapy, appendectomy, adhesion solutions) the patient could be cured without any complications. The patient feeled a Douglas-touch of pain that extended especially to the right. This was the only symptom that was noticed by the patient besides the Ileus that had been clinical well defined and secured with the help of x-ray photo.

Appendicitis↗