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J J Kjer

Publications and source records attributed to J J Kjer.

At least 19 recordsLinked to original sources
PubMed1994

[Laparoscopically treated extrauterine pregnancy].

During a period of 12 months 55 women were treated for 56 ectopic pregnancies. Forty of the 56 (71%) procedures were performed laparoscopically. The duration of operation was 74 minutes when a conservative procedure was used, and 83 minutes where a salpingectomy was performed. The median duration of a diagnostic laparoscopy followed by laparotomy in 12 women was 83 minutes. Four women (13%) had persistent trophoblast, which necessitated a second operation. Two patients had a second laparoscopy because of lower abdominal pain, but did not need further treatment. Median hospitalization time (including diagnosis and second procedures) for the laparoscopically treated women was three days (range one to 16 days).

Female↗
PubMed1994

[Is routine microscopy of tissue from induced abortions necessary?].

This study was performed in order to evaluate the importance of routine microscopy of tissue from legal abortions performed before the end of the 12th week of pregnancy. The tissues recovered from 580 abortions were examined carefully macroscopically before they were sent to microscopy. Five hundred and fifty-four samples (95.5%) were judged by macroscopic examination to contain the normal products of pregnancy. These all contained chorionic villi when examined histologically. Macroscopic examination was inconclusive in the remaining 26 samples (4.5%), 22 of these samples proved after all to contain chorionic villi when examined histologically. We conclude that histological examination of tissue from legal abortions is unnecessary in most cases if it is replaced by careful clinical examination of the sample, only to be followed by microscopy if the findings are uncertain.

Abortion, Induced↗
PubMed1994

[Laparoscopic vaginal hysterectomy].

Laparoscopic assisted vaginal hysterectomy (LAVH) is a rather new operative procedure in Denmark. During the period 1.12.1992-28.02.1993 we performed ten LAVH. The procedure is described. The operations were performed with bipolar coagulation and subsequent cutting with scissors. The average operating time was two hours. The average uterine weight was 130 g and total average hospital stay was two 2.8 days. In one patient laparotomy had to be performed due to arterial bleeding close to the right ureter. One patient developed a postoperative haematoma with temporary stasis of the right ureter. Both patients recovered. Adequate laparoscopic training in humans and animals is mandatory before LAVH is performed. In the learning phase it is advisable that the uterine size does not exceed 200 g.

Adult↗
PubMed1994

Herniation of the omentum after laparoscopy.

The use of laparoscopic surgery is increasing. With this new type of surgery new complications will occur. One of these complications is herniation via the troicart incision as a result of the use of large troicarts. This problem could be solved by using the Z-incision technique or by suturing the fascia. Two cases of herniation of the omentum are described and discussed.

Adult↗
PubMed1994

Laparoscopic sterilization under local anesthesia.

Fifty-two women were sterilized through laparoscope under local anesthesia with Filshieclips. The majority (94%) were satisfied with the method. During the operation three patients were submitted to general anesthesia due to adhesions (two) and inadequate relaxation (one). Admission period and sick leave were reduced to a minimum.

Adnexal Diseases↗
PubMed1993

[Intraobserver and interobserver variation in measurement of the pelvic diameter using DeLee's internal pelvimeter in Cesarean section].

The method of measuring the true conjugata with DeLee's Internal Pelviometer at caesarean section was evaluated. In 58 women the true conjugata were blindly measured three times by the surgeon and also, in fifty cases, three times by the assistant. Only a slight intraobserver difference was found: median range was 0.42 cm. There was no significant interobserver variation. We conclude that DeLee's Internal Pelviometer can be used to measure the true conjugata at caesarean section, but the use of pelviometry in modern obstetrics is questioned.

Cesarean Section↗
PubMed1992

[New therapeutic methods in tubal pregnancy].

A world-wide increase in the incidence of extrauterine pregnancy has increased interest in new forms of treatment of this condition. In Denmark, the number of cases of diagnosed tubal pregnancies has doubled from 1980 til 1989. Experience with the spontaneous course of tubal pregnancies is reviewed. In addition, various forms of laparoscopic treatment and systemic and local treatment with methotrexate are described. In Denmark, local treatment with prostaglandin has been employed with good effect. Whether conservative surgical treatment or treatment with methotrexate or prostaglandin are to be employed depends upon the patience of the treating physician as regards control examinations with ultrasonic scanning and measurement of serum human chorion gonadotropin. Repeated tubal pregnancy in the salpinx involved, persisting trophoblastic tissue after treatment and long periods of observation are unintentional side effects of treatment. After conservative treatment of tubal pregnancy, it is important that the patient is given meticulous information.

Female↗
PubMed1992

[Uterine rupture in Denmark during the period 1980-1987].

A retrospective review was undertaken of 128 consecutive cases of rupture of the uterus during the eight-year period from 1 Jan 1980-31 Dec 1987. It was found that rupture of the uterus occurs most commonly after previous Cesarean section but that it may occur after other types of operation on the uterus. Rupture of the uterus does not occur in primiparae unless special conditions are present. Potent stimulation appears to involve a slightly increased risk for rupture of the uterus. A great proportion of the ruptured uteri occurred in women who had previously been submitted to Cesarean section on account of breech presentation as primiparae. In subsequent pregnancies, this resulted in three dead infants and four children with severe brain damage.

Adult↗
PubMed1992

Hormonal and menstrual changes after laparoscopic sterilization by Falope-rings or Filshie-clips.

OBJECTIVE: To evaluate the influence of laparoscopic sterilization by Falope-rings (Cabot Medical Corp., Langhorne, PA) or Filshie-clips (Femcare, Nottingham, United Kingdom) on menstrual pattern and ovulatory function. DESIGN: A prospective, nonrandomized study of women sterilized by Falope-rings (n = 6) or Filshie-clips (n = 5). Menstrual charts were kept. Serum follicle-stimulating hormone (FSH), estradiol (E2) and progesterone (P) were measured by means of radioimmunoassay in one cycle before and 3, 6, and 12 months after the sterilization. Blood samples were drawn on day -6, -2, 0, +6, +10 of the menstrual cycle, ovulation corresponding to day 0. The women sterilized by Filshie-clips had abdominal ultrasonography of the ovaries measuring the leading follicle on day -6, -2, 0, +6 of the menstrual cycle. PATIENTS: Twelve women, 25 to 38 years old, with regular menstrual cycles and no use of oral contraceptives or intrauterine contraceptive device at least 6 months before sterilization. One woman was excluded. RESULTS: After the sterilization, all women reported unchanged menstrual pattern. The follicular rise in E2 unchanged, and FSH levels fell accordingly. Progesterone levels were ovulatory, but the midluteal P peak 3 months poststerilization was significantly decreased. Serial abdominal ultrasonography in women sterilized by Filshie-clips confirmed ovulation in all cycles except in one woman, who had an unruptured follicle in one cycle before and in the sixth cycle after sterilization. CONCLUSION: Laparoscopic sterilization by Falope-rings or Filshie-clips does not seem to interfere with menstrual pattern or ovulatory function.

Adult↗
PubMed1991

[Laparoscopic sterilization of women under local anesthesia].

Ten women were sterilized via a laparoscope under local anaesthesia (paracervical blockade and periumbilical infiltration anaesthesia). Sterilization was carried out with simultaneous video monitoring. One patient, in whom termination of pregnancy was performed simultaneously at the end of the first trimester, experienced discomfort. The remaining nine sterilized women were extremely satisfied with the procedure. Laparoscopic sterilization of women in local anaesthesia is a rapid, safe and pleasant procedure for the patients.

Abortion, Induced↗
PubMed1991

[Ultrasonically guided transvaginal drainage of genital abscesses].

Abscesses in the true pelvis were previously treated by hysterectomy and bilateral salpingoophorectomy, colpotomy, transabdominal drainage and by antibiotics. In the present material, 16 abscesses in the true pelvis were treated with either establishing of transvaginal drainage or transvaginal puncture with a cannula, both methods ultrasonically guided with a vaginal transducer. Treatment proved effective in 93% of the cases and patients were only hospitalized for an average of 6.7 days after drainage.

Abscess↗
PubMed1991

[The national patient register--a research tool?].

In connection with an analysis of rupture of the uterus in Denmark during the period 1980-1987, the authors found that 956 patients were registered as having rupture of the uterus in the Danish national patient register. Review of the individual cases revealed that the correct number was only 129, i.e. that only 14.1% were correctly registered. The authors consider it unsatisfactory that such an extensive register of this type cannot be employed without controlling the records of each individual patient.

Denmark↗
PubMed1990

Hysterectomy subsequent to laparoscopic sterilization.

The incidence of hysterectomy for bleeding disorders among sterilized women was compared with the incidence of hysterectomy for bleeding disorders among the female population of the same age in Denmark. The relative risk of undergoing hysterectomy subsequent to tubal sterilization was increased compared to the control group. However, there are several other plausible explanations for this apparently increased risk.

Adult↗
PubMed1989

[Myomectomy as treatment of infertility in women with uterine fibromyoma].

During a period of ten years, 33 women were submitted to myomectomy with infertility as the only indication for operation. On an average, infertility had been present for five years. Primary infertility was found in 2/3 of the women. At operation, solitary fibromata were encountered in half of the women. After a period of observation of 5 1/2 years, a total of 15 pregnancies had occurred in nine of the women. These resulted in 13 normal deliveries at term, one spontaneous abortion and termination of pregnancy in one patient. The frequency of pregnancy was thus 27.2%. However, four women avoided pregnancy after operation, so the corrected frequency of pregnancy becomes 31%. No significant differences were observed between the group of women who became pregnant and the group who remained infertile when the following factors were taken into consideration: age, primary or secondary infertility, size of the uterus, opening into the uterine horn or cavity during operation or the situation of the fibromata.

Adult↗
PubMed1989

[Prevalence of positive gonococcal and chlamydial findings in women applying for termination of pregnancy. A screening evaluation].

All 335 pregnant women referred for termination of pregnancy in the first trimester were examined preoperatively for infection with Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) and were questioned about symptoms of gynaecological infection. Only 0.6% had positive cultures for gonorrhoeae while CT infection was demonstrated in 7.8%. Half of the women with infection had one of the following symptoms: discharge, pain or dysuria. These same symptoms were, however, also found in half of the women without infection. All gynaecological special departments in Denmark and a few of the surgical departments which carry out termination of pregnancy replied to a questionnaire about routine examinations for NG and CT in cases of termination of pregnancy. Only 29.2% of the departments made routine preoperative examinations for CT, NG or both. It is concluded that there are no indications for routine examination for gonococcal infection whereas screening for CT infection appears to be indicated.

Abortion Applicants↗
PubMed1989

[Extrauterine pregnancy after sterilization via a laparoscope].

Information was collected from the Danish National Patient Register and the Danish Board of Health about the frequency of rupture of extrauterine pregnancies among a normal population and among women who had previously been sterilized via a laparoscope. Significantly fewer extrauterine pregnancies were observed among the group of women who had undergone sterilization. Ruptured tubal pregnancies were significantly more frequent among women who had previously been sterilized as compared with the remainder of the fertile female population. It is therefore important that women who have previously undergone laparoscopic sterilization should contact their general practitioner if the slightest suspicion of pregnancy arises.

Female↗