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Biomedical subjects

M S Baggish

Publications and source records attributed to M S Baggish.

At least 73 records · Page 4Linked to original sources
PubMed1980

High-power--density carbon dioxide laser therapy for early cervical neoplasia.

A total of 115 women with various grades of CIN were treated with high-power--density, continuous time mode CO2 laser beams. During the 2-year follow-up period, residual tumor was noted in 4.34% of the treated cases. Detailed observations of the rapid healing of tissues after laser exposure were carried out in 50 women who were colposcoped every other day for 4 weeks. The CO2 laser is an acceptable instrument for use in treating early gynecologic malignancy, with its principal advantage being the precision with which it destroys tissue.

Adolescent↗
PubMed1980

Carbon dioxide laser treatment for condylomata acuminata venereal infections.

Condylomata acuminata virus accounts for a significant number of venereal infections in the western world and constitutes a major public health problem. Unfortunately, conventional therapeutic measures have given inconsistent and largely unsuccessful results for the elimination of genital warts. A 3.5-year experience with 110 women using the carbon dioxide (CO2) laser for evaporation of viral warts is presented. Six patients (5.5%) developed recurrent lesions and were retreated. Several patients were staged for 2 or 3 treatments because of extensive condylomata; this occurred especially during pregnancy and other altered states of immunity. The principal advantages of CO2 laser therapy are precision, which results in sparing of normal tissue; probable elimination of the infective agent; and rapid healing without scar formation. Sixty-three patients had atypical cytology associated with condylomata acuminata; this finding suggests an association with lower genital tract neoplasia.

Adolescent↗
PubMed1979

Complications of laparoscopic sterilization. Comparison of 2 methods.

A retrospective study of 5346 cases of laparoscopic sterilization with special reference to early and late complications was undertaken. In the 6-year period from 1972 to 1978, 846 patients were sterilized by the elasticized silicone-ring technique and 4500 patients were sterilized by the electrocautery method. The electrocautery method was complicated by electrical burns in 13 cases (0.29%); 3 of these patients required bowel resections. Mechanical complications occurred in 1.6% of the Silastic-ring cases, but none of the patients required additional surgery. The Silastic-ring patients had greater postoperative abdominal pain than the electrocautery patients, but it usually abated within 48 hours. There were 15 cases of postoperative pelvic infection in the electrocautery group, and none in the Silastic-ring group. Bleeding from the mesosalpinx occurred in both groups and occurred more often with coincident suction D&C. Technical failure to perform the sterilization procedure was principally related to previous abdominal surgery. A substantial number of patients complained of menstrual irregularity and/or dysmenorrhea following these sterilization procedures. The majority of women reported unchanged or improved sexual relations. Improvement in sexual relations was reported by significantly more patients in the Silastic-ring group than in the electrocautery group.

Burns, Electric↗
PubMed1979

Contact hysteroscopy: a new technique to explore the uterine cavity.

Contact hysteroscopy is a new endoscopic technique that allows direct examination of the uterine cavity. The procedure is performed using ambient room light, which is collected by a special light trap incorporated into the body of the instrument. The mechanism for gathering and transmitting light eliminates the need for any electric connections whatsoever. The optical design enables the examiner to see the endocervix and endometrium even in the presence of bleeding. Neither gas nor liquid media are required for observations since the uterine cavity is not distended. An initial appraisal of 80 women with the contact hysteroscope proved successful from the standpoint of technical simplicity, diagnostic accuracy, and absence of complications.

Endometrium↗
PubMed1978

Acute inversion of the uterus.

Acute inversion of the uterus is a rare emergency that occurs during the third stage of labor. Three cases of this complication are reported. General anesthesia, fundal pressure on a soft uterus, fundal implantation of the placenta, and adherent placenta were identified as the possible causes. Prompt recognition and replacement are essential in the management to preempt morbidities and mortality. The prevention, etiology, and management of this serious complication are discussed.

Adolescent↗
PubMed1976

Laparoscopic sterilization with an elasticated silicone ring.

A method of laparoscopic sterilization using an elasticated silicone ring is described. It was used in 155 patients over a period of 13 months by 12 gynaecologists. There were 12 complications specifically related to the method and only one of them required laparotomy. One tubal patency was discovered, but no pregnancy occurred in a total follow-up period of 81-25 years. Many patients had pain in the first 24 hours after operation but only 3 per cent had pain after three months.

Adult↗
PubMed1976

The effect of unselected intrapartum fetal monitoring.

Experiences with unselected intrapartum fetal monitoring in the 3-year period from 1972-1974 are compared with those of the 3 preceding years before monitoring was instituted. The effect of monitoring all laboring patients is correlated with a significant decrease in the perinatal mortality and a significant increase in the cesarean section rate. There were 16 intrapartum deaths during the period before monitors were used compared to only 1 intrapartum death in the period when monitors were used. The advantages and disadvantages of unselected electronic monitoring are discussed. The importance of education of medical and paramedical personnel necessary for intense intrapartum care is emphasized.

Apgar Score↗
PubMed1975

Abdominal wound disruption.

Abdominal wound disruption occurred in 6 cases in a series of 2500 consecutive abdominal laparotomies. A prospective study of 900 laparotomies utilizing polyglycolic acid suture material and the Smead-Jones closure technic was carried out over a period of 1 year with a reduction in the incidence of wound disruption from 0.4 to 0.1%. Etiologic factors placing patients in a high-risk category for disruption are identified, and specific prophylactic measures are discussed. Prevention of catastrophic disruption is advocated because of its high mortality rate, averaging 20%.

Adult↗