PubMed Health⌕ Search

Biomedical subjects

J M Giffei

Publications and source records attributed to J M Giffei.

5 recordsLinked to original sources
PubMed1988

[Use of a stapling device in abdominal cesarean section].

This is a report on the use of a stapling device for caesarean sections. The device can be inserted right and left after a very small median uterotomy. It cuts the uterine wall and at the same time places clips on the edges of the wound. The clips are made of a hydrolysable material that can be absorbed in the tissue and can also be used for surgical stitching. Haemostasis is definitely assured. No adverse reactions or disadvantages for the patients have been noticed to date.

Cesarean Section↗
PubMed1981

[External version of the foetus from breech presentation in patients in condition following abdominal caesarean section (author's transl)].

Since 1974 we have performed more than 500 external versions of the fetus from breech to vertex presentation under tocolysis near to term. Among these were 20 patients who had previously had a caesarean section; in 15 cases the version was successful and in 5 cases unsuccessful. There were only 4 cases of short-lasting bradycardia or slight longer-lasting tachycardia in the cardiotocograms. Twice complications occurred (once vaginal bleeding and once umbilical cord presentation) which did not lead to serious consequences. After successful versions made on 15 patients, 10 patients could be delivered vaginally and 5 were delivered by caesarean section. Based on our first results we are of the opinion that a previous caesarean section is not an absolute contraindication for performing an external version.

Anesthesia, Inhalation↗
PubMed1981

[External version of fetus from breech to vertex presentation near term under tocolysis (author's transl)].

Between 10th May 1974 and 31st June 1980, 12960 births were registered at the Maternity Hospital, Neukölln; in 508 patients 536 (3,9%) external versions of the fetus from breech to vertex presentation near term were performed under tocolysis; of these 53% were successful. The incidence of births with breech presentation and/or transverse presentation could be reduced from 5.4% to 3.7% after the introduction of external version. Whilst the localization of the placenta did not influence the success to a great extent, the number of successful versions increased with advancing parity. No fetal death was caused by the version in 508 patients (536 attempted versions). In 11 attempted versions complications occurred in the form of early partial separation of the placenta and/or umbilical cord presentation. Experience and a more circumspect approach led to a definite decrease in the number of complications. As a result of our findings - and bearing in mind the contraindications and observance of safety measures - the external version can be recommended as a simple method of reducing the risk to infant and mother in the treatment of breech presentations.

Breech Presentation↗
PubMed1978

First experience with continuous pH measurements on fetus during delivery.

First experience with continuous pH measurement is reported. It was possible to apply well calibrated electrodes to the fetal scalp in 22 cases. Of these 22 cases eight must be regarded as failures because of unstable values. Of the remaining 14 measurements, seven were of good (or acceptable) quality and seven of poor quality. The size of the electrodes and the excessive depth of penetration are probable reasons for these failures. An important condition for obtaining reliable pH values is a perpendicular position of the electrode in the fetal scalp. An indicator for correct position of the electrode appears to be the irregularity in the recording of the pH curve. Experience so far indicates that the pH electrode in its present form is not suitable for routine use.

Electrodes↗