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Biomedical subjects

H Frangenheim

Publications and source records attributed to H Frangenheim.

At least 19 recordsLinked to original sources
PubMed1980

[The effectiveness of different methods of laparoscopic tubal sterilization (author's transl)].

If sterilization is offered today to a young multipara pointing out the possibility of eventual later recanalization the most essential point lies in thorough patient information. The patient must be informed that less aggressive techniques like thermocoagulation or mechanical tubal occlusion bear a higher risk of failure and consequently eventual pregnancy 2%-4%-7%. Such failures are part of the method and must and cannot be considered malpractice. Extensive patient information about all pros and cons is the only way to avoid future problems. Spontaneous tubal recanalization has occurred and may occur to the most skilled surgeon. After twenty years of personal experience with almost all methods of laparoscopic tubal sterilization my recommendation today is: bipolar sterilization on one site of the isthmical tubal portion with division of the coagulated tissue. Even so sufficient tubal tissue should remain intact to allow eventual later recanalization. We were never disappointed with this way of proceeding and so far, contrary to all other methods, have observed no pregnancy among our patients.

Electrocoagulation↗
PubMed1979

Ketamine--HCl--diazepam anesthesia for laparoscopy.

Laparoscopy was performed on 150 patients under ketamine-HCl-diazepam anesthesia via intravenous drip infusion. No psychomotor disturbances were noted during the emergence phase. No complications occurred during the procedures, neither from the surgical nor from the anesthesiologic point of view. No alarming stimulation of the cardiovascular system was noted. The patients became responsive within a short time, but a state of strong sleepiness remained for several hours. Therefore, ketamine-HCl-diazepam anesthesia does not appear suitable for outpatient laparoscopies but is a valuable alternative to other methods of anesthesia for laparoscopy.

Adolescent↗
PubMed1975

["Surgical" laparoscopy indications and value].

From 1971-1973, 1046 patients underwent laparoscopy in the gynecological department; 256 of the cases were surgical problems. In contrast to gastroenterological laparoscopy, surgical laparoscopy was performed in the operating room under general anaesthesia and everything prepared for immediate surgery. Major surgical interventions--if necessary--were performed immediately after laparoscopy. Indications for surgical laparoscopy were the following: preoperative evaluation of nature, extent and eventual metastases of tumors. Preoperative differentiation of acute and chronic appendicitis from other affections, particularly in younger female patients. Suspected intraabdominal hemorrhage of traumatic or non-traumatic origin. Evaluation of pathological palpatory findings in the abdominal cavity. Differential diagnosis of chronic relapsing intraabdominal complaints of unknown origin. Differential diagnosis of putrid, tuberculous or carcinomatous peritonitis with eventual biopsy. Preoperative evaluation of questions concerning surgery of liver, gallbladder or pancreas in connection with occlusive jaundice, hepatic cirrhosis or malignancy. The results of this study show, that by laparoscopy in over 50% of the patients, major surgical interventions could be avoided. Contraindications were primarily limited to pulmonal or cardiac insufficiency. The only complication (intestinal perforation), was adequately dealt with under the given operative conditions.

Abdomen, Acute↗