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Biomedical subjects

G Panayiotis

Publications and source records attributed to G Panayiotis.

3 recordsLinked to original sources

Extramembranous pregnancy in twin gestation.

An ususual case of extramembranous development of 1 infant in a twin pregnancy is described. The pregnancy was associated with the intermittent loss of liquor and a bloody discharge starting at the 26th week of gestation. Spontaneous delivery occurred at the 32nd week of gestation; the first infant was delivered by vertex and the second by breech presentation. The first infant was normal, but the second infant, who died shortly after delivery, had most of the external features of dysplasia renofacialis. (Potter facies). The gestation was diamniotic, dichorionic, and with a single placenta, but the side of the affected twin was markedly circumvallate, with short, thick membranes that covered no more than 10% of the infant.

Abnormalities, Multiple↗

Extramembranous pregnancy: a case report.

A rare case of extramembranous pregnancy is reported. It was associated with intermittent loss of liquor and bloody discharge beginning at about the 25th week of gestation. An anencephalic infant was delivered alive from a breech presentation during the 31st week of gestation. The placenta was markedly circumvallate, with short, thick membranes which did not cover more than 10% of the infant. The course of the pregnancy and the examination of the infant and placenta are discussed, and the pertinent literature is reviewed.

Adult↗

Major gynecologic surgical procedures in the aged.

The results of major gynecologic operations in 160 women over the age of 65 were reviewed and compared with the results in 120 younger women 40--55 years old. Most of the complaints of the elderly group were related to genital prolapse. These conditions caused daily discomfort and anxiety. Contrary to the practice in the younger group, most of the operations in the elderly were vaginal. Vaginal hysterectomy was the preferred procedure in most cases of uterine prolapse. Spinal anesthesia was used, as it is rarely contraindicated in the elderly. Postoperative complications were few and did not cause prolongation of hospital stay. There was only one postoperative death, a mortality rate of 0.6 percent. When care is exercised in medical evaluation, choice of anesthesia, and performance of the operation, the elderly patient usually can tolerate major gynecologic surgical procedures well, and should not be lightly disqualified from receiving the benefits.

Adult↗