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Biomedical subjects

G Seidenschnur

Publications and source records attributed to G Seidenschnur.

At least 19 recordsLinked to original sources
PubMed1991

[Postoperative complications and work disability after operation on the adnexa per laparotomy and after pelviscopic surgery].

For estimations of the complaint pattern after comparatable operations per pelviscopiam versus per laparotomiam, in a retrospective study 114 patients after pelviscopic operation and 117 patients after laparotomy were examined. The most important significant differences with an advantage for the pelviscopycally operated patients had been found in asking for postoperative spontaneous miction (84.2% versus 37.2%), spontaneous defecation (68.0% versus 8.1%), the time of completely being free from pain when climbing stair (11.9 compared to 20.8 days), the time when the patient absolutely feel no pain any longer (15.8 compared to 51.7 days), in the average hospitalisation time (3.8 compared to 8.9 days) and the time for unfitness for work (24.5 compared to 48.7 days). Under consideration that also after pelviscopic operations pain occur which are to be treated the present studies confirm the clear improvement of life quality pelviscopic operations.

Adolescent↗
PubMed1990

[Neonatal percentile values for the GDR--1985. Correlation of body weight and length in newborn infants (calculation of birth weight/body length in cm. with reference to gestational age)].

Taking account of the gestational age (28th to 42nd completed week of pregnancy) the sex-related ratio of birth weight to length (g/cm) for newborn infants is reported. This shows that observation of the correlation between birth weight and length with reference to gestational age makes a more accurate classification of newborn infants possible, rather than using a two dimensional classification (birth weight week of gestation).

Birth Weight↗
PubMed1989

[Attitude and sex behavior following hysterectomy].

488 women have been asked after abdominal or vaginal hysterectomy by way of retrospective questionnaires about preoperative anxieties, postoperative psychosomatic complaints as well as disturbances of their vita sexualis. 48.6% of the patients had anxieties before operation and anaesthesia. After hysterectomy 71.9% of the women reported about hot flushes and other psycho-vegetative complaints. Although hot flushes occurred significantly more frequent in patients with salpingooophorectomy they could be observed also in one third of the women without removal of the ovaries. However libido, cohabitation frequency and orgasm ability were reduced significantly more frequent in the group of women after hysterectomy with salpingooophorectomy. This is caused by the failing blood supply to the ovary via the branches of the uterine artery. The reduce postoperative psychosomatic complaints as well as sexual dysfunctions it is important to give qualited instructions before and after the operation. On no account should a prophylactic exstirpation of the adnexa be carried out before the age of 50 years. A hormonal substitution is recommended to be done in time even for patients whose ovaries have not been removed suffering from psycho-somatio discomforts.

Adult↗
PubMed1988

[Diagnosis and surgical therapy of suppurative inflammations of the adnexa].

A report is given on 119 patients suffering from abscessforming adnexitis, mainly tubo-ovarian abscesses (40.3%) and pyosactosalpinges (38.7%). These women were operated on within the first 24 hours after admission to the hospital. Before the operation was performed 70.6% of the women had been submitted to laparoscopy. The other ones (28.4%) had unequivocal primary sign of the disease. Laparoscopic diagnosis is recommended because especially in the early phase of abscess formation no clear diagnosis by clinical examination and paraclinical findings is possible. Operation as early as possible in case of formation of a tubo-ovarian abscess is recommended by reason of the good experience and results which become apparent by small intra- and post-operative complication rate of 1.7% respectively, the short hospital stay of 12.8 days and the short time of risamblement of 53 days. The extent of the operation should depend on degree of severity of the illness, reproductive aspects.

Abscess↗
PubMed1988

[The East German Twin Study l984/85. Report of selected aspects].

Analysis of a multicentre study of the GDR in which 67 clinics with a total of 1,200 twin pairs participated over a scheduled period of 18 months. In the result a recommendation for the antenatal, intrapartal and neonatal care of gemini-pregnancy was prepared.

Clinical Trials as Topic↗
PubMed1988

[Intrauterine growth retardation--CTG findings in pre-partum oxygen respiration and transcutaneous nerve stimulation].

In 33 pregnant women with sonographic diagnosis intrauterine growth retardation (IUGR) 75 O2-mask respirations or, for a comparison, 63 transcutaneous electric paravertebral nerve stimulations (TENS) were carried out between 30 to 39 weeks of gestation. Before, during and after these measures the fetus was monitored by means of continuous CTG-registration. Both in the O2-inhalations and in the TENS the dominant CTG-changes were the rise of the acceleration frequency (in about 41% respectively 49% of the measures) and the increase of the fetal movements (in about 35% respectively 64% of the measures). In the case of some O2-respirations prognostically unfavourable CTG-changes occurred, like fetal tachycardia (in 9 experiments) and firstly occurring decelerations (in 8 experiments), Spikes not being taken into consideration. As those CTG-changes were also seen in some cases with TENS it is concluded that these findings were caused by retardation and that most probably O2-respiration cannot be charged with. Additionally a report is given on nuclearmedical measurements of the uteroplacental blood circulation and on determinations of the concentration of the serumal oxytocinase. The present study shows that by O2-respiration in connection with IUGR obviously no acute risk for the fetus exists which could be proved in the CTG. However it permits no conclusion on the therapeutic effect.

Cardiotocography↗
PubMed1987

[Second-look laparoscopy--results and pregnancy rate in patients with a state of laparoscopically assessed acute adnexitis].

A report is given on the findings of second-look-laparoscopy in 229 patients with condition after laparoscopically ascertained and classified inflammations of the adnexes which were treated on the basis of uniform criteria. We also want to report about the pregnancy rate dependent upon the degree of severity of the inflammation in 121 patients. It could be proved with absolute certainty that there was a dependence of the frequency of pathologic changes of the tubes with negative chromopertubation on the degree of severity of the preceding illness and also on the kind of the causative organisms. The most frequent pathologic findings came up after advanced fibrinous-suppurative inflammations as well as after gonorrhoic inflammations of the adnexes, the latter not depending on the degree of severity. The pregnancy rate, 1-5 years after treated salpingitis, for patients having the wish to deliver a child, came to 72.5% after serous salpingitis, 72.2% after operation of the adnex on one side and 59.1% after fibrinous-suppurative salpingitis. In connection with the demand for general laparoscopic diagnostics of the inflammable illnesses of the adnexes it is important to point to the necessity of early registration and treatment as well as to the cultural diagnostics of gonorrhoea. In the case of abscesses of the adnexes on one side and wish to deliver a child immediate operation is recommended.(ABSTRACT TRUNCATED AT 250 WORDS)

Abscess↗
PubMed1987

[Computer-assisted screening for cervical carcinoma--the results for a 10-year period].

A report is given of 10 years experiences with a computer assisted mass-screening-programme to detect pre-stages and early stages of cervical carcinoma in Rostock city. The participation in the age-groups up to 40 years was over 75%. With this programme it is possible to make statistical analysis, to control the quality of Pap-smears and colposcopical results and to identify the risk-group of unscreened women for special examinations. As a result of the programme a decrease of cervical carcinomas since 1980 of about 25% was noticed. The same situation was found in pre-stages. Inert of all registered cervical carcinomas the number of stage one-cases increased.

Carcinoma↗
PubMed1986

[Analysis of 35,013 gynecologic laparoscopies (East German survey). 1].

Statistic from 81 women hospitals in which a total of 35,013 laparoscopies had been made figures were collected by means of questionnaires (inquiry forms). The largest increase of laparoscopies (56.2%) could be found since 1980. Results showed that in 48 hospitals (59.3%) less than 50 laparoscopies were made per year. In all hospitals laparoscopy was performed under clinical conditions by the gynaecologist, mainly using endotracheal anesthesia (96.3%). 20 hospitals (24.7%) are able to perform laparoscopies in the day-time only. More than 90% of the questioned ones regarded thoracic roentgenogram, electrocardiogram as well as urine examination and hemoglobin determination as sufficient pre-examinations. 70.4% of the questioned hospitals demand a written confirmation that before the operation was carried out appropriate instructions had been given. The technical performance of laparoscopy corresponds to today's usual practice. For the pneumoperitoneum, for which 51.8% of the hospitals use an automatic system, CO2 (6.7%) is preferred. Patients are dismissed from hospital on 1st (19.8%), 2nd (50.6%) or 3rd day after the operation and later in 29.5% of the cases. Women are unable to work for an average of eight days following laparoscopy.

Diagnostic Tests, Routine↗
PubMed1986

[Analysis of 35,013 gynecologic laparoscopies (East German survey). 2].

In 81 women's hospital, in which 35,013 gynaecological laparoscopies were made, 42.9% of the specialists are able to perform laparoscopies by themselves. 51.9% of the questioned hospital directors recommend learning how to perform laparoscopies during specialization, and 48.1% plead for laparoscopy training only for gynaecologic specialists. 64.2% of the questioned ones were in favour of laparoscopy courses. Performance of diagnostic laparoscopies was recommended for all gynaecological institutions by 82.7%. In the opinion of the majority (74.8%) operative laparoscopies should be done only in larger central hospitals. It was generally agreed that chronic diseases of the lower abdomen, sterility and suspected ectopic pregnancy are indications for laparoscopy. Other acute complaints have been diagnosed less frequently by means of laparoscopy. Second-look-laparoscopies were made by 59.3% and 55.6% of the questioned doctors, mainly for checking the situation operations because of ovarian cancer and sterility. In 61.1% of all hospitals other diagnostic and therapeutic operations per laparoscopiam are done. The rate of severe complications was 0.21%, and the mortality rate amounted to 0.057%.

Curriculum↗
PubMed1985

[Telemetric labor monitoring. Clinical aspects, cardiotocographic findings and acceptance of free mobilization in labor].

Telemetric signal transmission represents a suitable technical concept for combining free mobilisation with continuous electronic monitoring of birth. The obstetric aspect of telemetric birth monitoring is discussed on the basis of a clinical-statistical analysis: a group of 127 women in labour (64 primigravidae and 63 multigravidae) were examined and the specific effect of mobilisation on obstetrically relevant parameters was analysed. The results show the advantages of this method of birth management. Freedom of decision as regards choice of posture during birth, better subjective control and less painful labour, better birth mechanics, more effective labour, shorter duration of birth, better heart-rate patterns, optimal exterior conditions and an active basic attitude of the woman in labour are the proven advantages of this method. The highly significant relationship between the degree of mobilisation and the duration of birth is emphasised as one of the most important results.

Female↗
PubMed1985

[Initial experiences with the operative treatment of tubal pregnancy by laparoscopy].

First experiences and results in 14 tubal pregnancies are reported operated on by laparoscopy. In 11 cases the tubes were removed. In 3 patients there was a conservative operation with preservation of the tubes. A laparotomy had to be done in one patient for a hemorrhage from the mesosalpinx. Duration of stay in the hospital lasts from 4 to 5 days. Second-look-laparoscopies of 9 patients whose fallopian tubes had been removed resulted in 7 normal findings. In two cases there were adhesions between omentum majus and uterus on that side operated on. Following expressions of the gestational sac in two patients there was one normal tube and in the other one slight peritubal adhesions. Two patients who were operated on conservatively had been delivered afterwards.

Adult↗
PubMed1984

[Experiences with a mobile monitoring system for fetal and neonatal cardiotachometry].

A monitoring system for fetal and neonatal cardiotachometry which set up in own instrumentation at the Department of obstetrics of the Regional Hospital of Rostock. With aid of a wireless telemetric system is it possible to estimate the fetal condition before and during of caesarean section as well as at transfer of high risk neonates.

Cesarean Section↗