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F C Menken

Publications and source records attributed to F C Menken.

7 recordsLinked to original sources

[Micro-endoscopy of the uterine cervix (author's transl)].

Since 1978 micro-endoscopy of the uterine cervix was added to routine colposcopic and cytologic evaluation of the cervix for the purpose of early diagnosis of cancer. Especially, in cases of a typical transformation zones important diagnostic information about the malignity or benignity of the lesion can be obtained. Under colposcopic guidance a suspect point is vitally stained with Cresyl violet acetate 10% solution. Colposcopy is not only supplemented by micro-endoscopy, but colposcopy with the micro-endoscope. The new micro-endoscope gives a magnification of 130 times, a diameter of 5 mm, a length of 200 mm and in a fibre-optic light cable a light source of 280 volts with 150 watts/second from a Xenon Arc Lamp, focal depth of 0.8 mm, an internal visual field of 35 mm. In 356 micro-endoscopies 3.92% showed positive findings, 12.75% showed suspicious findings, 73.04% showed negative findings and 10.29% showed other findings such as necrotic cells, bleeding or were impossible to evaluated with the micro-endoscope.

Cervix Uteri

Colposcopy in the management of early cervical neoplasia.

An outline of the capacity of colposcopy in detection of early neoplastic changes at the ectocervix and the cervical os is given. Figures are presented of results reached by combined use of colposcopy and cytology in 6,536 women (divided into age groups of over and under 30 years) including histological findings. The results emphasize the need to use colposcopy as an additional method in cervical cancer detection.

Adult

[Failures and hazards of surgical laparoscopy].

During the filling up of the pneumoperitoneum the needle can be put in the wrong direction and so blood vessels , intestinum or adhesions might be punctured. According to the authors procedure the abdominal wall is grasped by one hand or an instrument. This way the umbilicus is placed in the best position for the puncture with the Verresneedle or the trocar. Pulling with the left hand vertically the direction of the needle or trocar consequently will be parallel to the vertebral column. With this procedure, lesions of intestinum or vessels are practically impossible. In more than 4000 personally performed laparoscopies the author never saw adhesions in the region of the umbilicus except in two cases of cancer patients. If the intestinum is adherent to the umbilicus, as in the case of ileus, surgical measures are necessary.

Humans