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Biomedical subjects

H A Hirsch

Publications and source records attributed to H A Hirsch.

At least 73 records · Page 4Linked to original sources
PubMed1978

[Antibiotic treatment of gynecologic and obstetric infections (author's transl)].

1. Obstetric and gynecologic infections especially ascending intrauterine infections, pelvic inflammatory disease (PID) and postoperative infections are usually polymicrobial infections involving enterobacteria and anaerobes. 2. The antibiotic treatment of these infections must primarily be active against the two groups of organisms mentioned. Semisynthetic penicillins, cephalosporines or aminoglycosides combined with clindamycin or one of the new large spectrum penicillins, or cephalosporines alone proved to be effective. In addition to the antimicrobial therapy surgical intervention is very often required in postoperative infections after obstetric and gynecologic surgery and for pelvic abscesses. 3. For treatment of infections in pregnancy specific side effects of antimicrobial agents concerning the mother and the fetus have to be considered. Transfer of the antibiotic to the fetus and the amniotic fluid in sufficiently high concentrations is mandatory for the treatment of intrauterine infections. 4. In cervicitis and salpingitis the possibility of a gonococcal infection has to be kept in mind.

Anti-Bacterial Agents↗
PubMed1978

[Comparison between intra and para cervical anaesthesia in therapeutic abortion (author's transl)].

Therapeutic abortion during the first trimester of pregnancy was carried out as an out-patient procedure under local anaesthesia in 40 women. The intracervical injection of 1% mepivacaine resulted in satisfactory freedom from pain just as the paracervical injection. There was no dignificant difference in the intensity of pain in intracervical and paracervical local anaesthesia. The dilatation of the cervical canal was the determining factor for pain during the procedure. The intracervical and the paracervical local block are equally suitable for out-patient therapeutic abortion in our series.

Abortion, Therapeutic↗
PubMed1977

[Sterilization by partial resection of the oviducts via bipolar electrocoagulation (author's transl)].

A total of 2,357 sterilizations via bipolar coagulation was effected at the University Clinics of Gynecology at Basel and Tübingen since 1972 and 1975 respectively. Of these, 2,143 were effected via laparoscopy. The following complications occurred which required laparotomy: in two cases, hemorrhages from the abdominal cavity as a result of the second puncture, in one case from the mesosalpinx, and, as a late complication, two extrauterine pregnancies. The method failed in the case of the two extrauterine pregnancies and possibly also in the case of two doubtful intrauterine pregnancies (0.8--1.7 per thousand). Today this surgical measure is being performed in Tübingen exclusively by the single-puncture technique an increasingly under local anesthesia. The advantages of the method are an accurately determinable coagulation zone, sparing of the mesosalpinx, low incidence of complications, absence of life-threatening incidents, and low failure quota.

Anesthesia, Local↗