Biomedical subjects

P G Stumpf

Publications and source records attributed to P G Stumpf.

22 records · Page 2Linked to original sources

PubMed1980

Abdominal hysterectomy for abortion-sterilization. A report of 500 consecutive cases.

This report is a retrospective study of 500 consecutive abdominal hysterectomies performed on the Therapeutic Abortion Service at the Los Angeles County-University of Southern California Medical Center from 1968 to 1974. The cases have been examined as to the patient's profile of age, religion, ethnic group, marital status, gravidity, parity, and abortion history; the coexisting medical problems; the types of associated surgeries performed; complications and morbidity, including blood loss, febrile episodes, and length of hospitalization. This patient population was predominantly 26 to 35 years of age, Catholic, Spanish-surname, married, and in their third to eighth pregnancy. Over 30% of our patients had some relatively severe medical or social problem contributing to their selection of this procedure. In over 80% of patients, hysterectomy was the only surgical procedure performed. Average blood loss was less than 400 cc, and 6.8% of patients had transfusion. In about 32% of patients a significant febrile episode was recorded. The average postoperative stay in hospital was about 5 days. No death was encountered. In view of these findings and the apparent benefits of a combined procedure, it is suggested that this surgical approach is a safe and effective method of simultaneous termination of unwanted pregnancy and childbearing capacity in selected cases in which hysterectomy would be medically indicated.

Abortion, Therapeutic↗

PubMed1980

Febrile morbidity following hysterosalpingography: identification of risk factors and recommendations for prophylaxis.

Although previous large series have reported that from 0.3% to 1.3% of patients undergoing hysterosalpingography (HSG) develop infectious morbidity, our impression was that the incidence was higher among our patients. Therefore the records of 448 consecutive healthy women who underwent HSG were examined. Within 24 hours after the HSG, 14 of these 448 patients (3.1%) developed fever and pelvic peritonitis requiring hospitalization and treatment with parenteral antibiotics, a significantly greater frequency than reported elsewhere (P less than 0.01). Traditional laboratory tests failed to predict patients at risk, and prophylactic antibiotics effective against aerobic organisms could not protect against this complication. However, it was possible to design a scoring system based on specific findings in the history and previous physical examinations that was capable of identifying patients who would subsequently become infected. The clinical sensitivity of this scoring technique is 57%, clinical specificity 99%, and test efficiency 97%. It is suggested that in view of the major risk of post-HSG infection in certain identifiable women and because of the impact of this complication on their future fertility, hysterosalpingography should not be performed in those patients determined to be at high risk. In women at lowest risk, the procedure is safe. Finally, in patients assigned an intermediate risk-score, the risk-benefit ratio must be carefully weighed and discussed with the patient, and prophylactic antibiotics with anaerobic coverage should be considered.

Adolescent↗

PubMed1980

Increasing occurrence of condylomata acuminata in premenarchal children.

The incidence of condylamata acuminata in adults is reported to be increasing. The presence of this lesion in young children, previously a rare occurrence, is also being seen more frequently. A review of the English-language literature revealed only 19 cases reported since 1940. This report adds 3 new cases to that number, all young premenarchal girls. Since the etiology of this disease is the infectious transmission of a viral agent, it is reasonable to suppose that more children are being exposed to the disease by infected adult family members. Clinicians should be aware of this possibility when treating adults with condylomata acuminata,and when examining children referred to them because of perineal lesions.

California↗

PubMed1977

Unilateral twin interstitial ectopic pregnancy. Report of a case.

An unusual case of twin unilateral interstitial pregnancy is described. On admission the patient was thought to have an intrauterine pregnancy of 14 weeks' gestation. Because of an irregularity in the right cornual region of the uterus, a culdocentesis was performed which returned unclotted blood. Because of this finding the patient underwent laparoscopy which revealed an unruptured right cornual pregnancy. An early diagnosis before rupture allowed for conservative surgical management and uterine conservation.

Female↗