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HH Riedel

Publications and source records attributed to HH Riedel.

3 recordsLinked to original sources

Intensity of Pain after Pelviscopic Operations

To study postpelviscopic pain as related to the temperature of insufflated carbon dioxide (CO2) gas, a cohort study was conducted with two groups of 100 women. In one group the CO2 was warmed before insufflation, and in the other it was not. The patients were asked to rate the pain they felt during the operation and on the first and second postoperative days using a scale from zero (no pain) to 10 (unbearable pain). No significant differences were detected between the groups in terms of age, consumption of analgesics, and pain. Women for whom the CO2 was warmed before insufflation experienced less pain and required only a few analgesics.

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Pelviscopic Survey in Eastern Germany

In 1994 a survey conducted in eastern Germany reported 27,595 pelviscopies from 101 clinics and 3307 hysteroscopies from 53 clinics. Clinics reported 129 serious complications by pelviscopy that required laparotomy or second-look laparoscopy. The complication rate was 4.6/1000 procedures. One death occurred during pelviscopy and none during hysteroscopy. The trend to perform endoscopy was 71.7% for pelviscopy and 80.5% for hysteroscopy, which is continuously increasing.

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Manifestation of Endocrine Deficiency after Sterilization

Sterilizations have increased during the past 3 years in the new federal countries of Germany. Whereas approximately 800 procedures were performed in the years 1989/90, our current study revealed that approximately 20,000 procedures were performed from 5/31/91-6/1/92. This development and the fact that we coagulated the uterine tubes with endocoagulation and bipolar high frequency methods prompted us to undertake a study to determine whether endocrine deficiency resulted after sterilization. The results revealed that the sterilization caused postoperative changes of menstruation in more than 20% of the women. Climacteric difficulties were present in about 4% of the cases. We concluded endocrine evaluation of these patients which confirmed our clinical results.

Journal Article↗