[Anthropometric study of the physiologic bending of the axial skeleton].
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Biomedical subjects
Publications and source records attributed to M Orescanin.
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A total of 28 patients with extensive intraabdominal bleeding caused by the rupture of the corpus luteum in the period from 1961 to 1970 were analysed. In all of them the ovarian lesion was pathohistologically verified. Most of the patients (15) had never been pregnant. In all the patients the rupture occurred in the second half of the cycle. None of them developed any serious hyin 3 patients. A wrong preoperative diagnosis was established in all the patients Its intensity depended directly on the amount of the blood observed in the abdominal cavity. Still active bleeding was found in 8 patients. In 20 patients surgery was applied within 24 hours, in 5 within 48 hours, and in 3 it was delayed 4 days. Oophorectomy was performed in 10, resection of the ovary in 15, and adnexectomy in 3 patients. A wrong preoperative diagnosis was established in all the patients presented.
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In 378 women coming for examination with the symptoms of a chronic inflammation of the previously randomly treated endocervix, the presence of Chlamydia trachomatis was found in 17.2%, i.e. in every fifth woman with chronic cervicitis. The diagnosis of the cervical inflammation was made according to the criteria of Harrison and co-workers. The patients' age range from 17 to 58 years.
There were 160 coni histologically analysed in which carcinoma in situ (CIS) or carcinoma cum invasione minimali (CIM) were diagnosed. Their most frequent localization was the transitional zone. CIS was spreading in 95.4% of cases to the transitional zone, in 67.4% to the part covered with a cylindrical epithelium, and in 19.8% to the part covered with a squamous epithelium. CIM was found to have affected the transitional zone in 90.5%, the cervical zone covered with a cylindrical epithelium in 78.4% and the zone partly covered with a squamous epithelium in 52.7% of cases. CIS was spread to both cervical labia in 65.1% of cases--to the front labium in 23.3% and the back labium in 11.6% of cases. CIM was found to have affected both labia in 90.5% of cases--the front labium in 6.7% and the back labium in 2.7% of cases. CIS and CIM were formed from three types of cells, i.e. types A, B, and C. Both CIS and CIM formed from type A were located in the zone of the squamous epithelium in the portio, those formed from type C endocervically, and those from type B in--between. There were also carcinomas formed from two or three cell types. In the mixed types of carcinoma, type C cells were never found in the portio, nor type A cells in the endo-cervix.
A patient aged 23, clinically suspected to have an extrauterine pregnancy, underwent puncture of the Douglas' pouch and the blood was obtained. During the operation, about one liter of blood was found in the abdomen and on the edge of the greater omentum a molla cruenta, the size of a small egg. Part of the omentum with the molla cruenta was redissected. Histological analysis verified pregnancy and endometriosis.
The effect of paracervical block anesthesia on the uterine tonus was analysed by the parameter of bleeding. The amount of the blood lost in artificial abortion performed in paracervical anesthesia in 100 women proved to be smaller than in the other 100 women in whom abortion was induced by the use of other analgetic methods.
First experience with the paracervical block as an anesthetic method for the conization and plastic surgery of the cerviä is presented. The analgesic effect was good, except for one patient where general anesthesia was necessary. The authors recommend the multilocular application of the anesthetic, because the parametrial tissue in non-pregnant women has not the same density, hence a different uptake of the local anesthetic.