Biomedical subjects
Publications and source records attributed to G Wergien.
154 aspirations of ovary cysts by laparoscopy are reported. 16% of cysts have relapsed after 1 till 7 years. Cytologic investigation and investigation of tissue of cysts are recommended. The advantages of aspiration by laparoscopy over the vaginal blind aspiration are discussed.
In cases of acute adnexitis laparoscopy is an excellent diagnostic method. By this way we found in 182 patients with clinical symptoms only 50,5% acute inflammatory diseases of adnexa. On the other hand there was a normal genital status in 18,1%, acute appendicitis in 9,9%, ectopic pregnancy in 7,7% etc. Clinical examinations and second-look-laparoscopy 6--8 weeks after ending the treatment cases of salpingitis alone showed the best results. Patients with more extensive inflammatory reactions had more adhesions too. An early diagnosis and treatment under hospital conditions is recommended. We have good experiences with immediately operation in cases of suppurative inflammation of the adnexa, which are only diagnosticate by laparoscopy.
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During the past nine years 2700 laparoscopies with 0,4% complications were performed. By reason of the increasing interest for laparoscopy it is refered to cause and avoidance of those complications. Exact technique, an optimum of equipment of apparatus and increasing experience are very important for the laparoscopic examination with the lowest risk.