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Biomedical subjects

R M Soderstrom

Publications and source records attributed to R M Soderstrom.

At least 55 records · Page 3Linked to original sources
PubMed1983

Will progesterone save the IUD?

In 1971 we began studying pelvic inflammatory disease (PID) in IUD users by examining fallopian tube specimens obtained after elective female sterilization. We studied four groups: 175 nonhormonal-IUD users, 22 Progestasert users, 1,500 non-IUD users and 100 non-IUD users who had had IUDs in the past. We found histologically detectable salpingitis in 49% of the nonhormonal-IUD users, none of whom had symptoms of PID. Culture of 100 specimens from these nonhormonal-IUD specimens proved to be sterile. Viewing the inflammation as predisposing the tissues to bacterial infection would help explain the higher frequency of PID among IUD users than among nonusers. All the Progestasert users lacked histologically detectable salpingitis; the difference was statistically significant (p < 10(-6). This finding suggests that women using progesterone-releasing IUDs have a lower risk of developing PID than do users of other kinds of IUDs.

Adult↗
PubMed1979

Lumbar epidural block anesthesia for outpatient laparoscopy.

This study confirms that lumbar epidural block is a satisfactory anesthetic technique for outpatient laparoscopic tubal sterilization. Oxygenation during the period of pneumoperitoneum was adequate. The technique resulted in a shortened postanesthesia recovery period and fewer postanesthesia complications. Surgeon, anesthesiologist and patient acceptance was excellent.

Anesthesia, Epidural↗
PubMed1978

Granulomatous hepatitis associated with salicylazosulfapyridine therapy.

Granulomatous hepatitis has been associated with many conditions, including chronic ulcerative colitis and sulfonamide therapy. We report a patient with ulcerative colitis in whom hepatic granulomatosis was associated with salicylazosulfapyridine (Azulfidine). Sulfonamides should be considered a possible cause of hepatotoxicity when used therapeutically in inflammatory bowel disease.

Adult↗
PubMed1978

Erythema nodosum. A review.

Erythema nodosum is not an uncommon dermatologic entity. Sarcoidosis and streptococcal infection have become the two most common causes, while tuberculosis was the predominant etiology prior to the use of isoniazid. Histoplasmosis and coccidioidomycosis are two important geographic considerations. Laboratory tests should include a PPD test, chest x-ray, throat culture for beta-streptococcus, and ASO titer determination as a minimum. Symptomatic treatment remains unsatisfactory in many cases, although recent success has been reported with oral potassium iodide.

Bacterial Infections↗
PubMed1977

The snare method of laparoscopic sterilization: an analysis of 1,000 cases with 4 failures.

The snare method has proven to be an effective method of tubal resection for sterilization. In the most experienced hands, significant complications are indeed rare. However, the failure rate appears to be higher than that of the coagulation-alone method, at least in the postabortal patient. The necessity for pathologic confirmation, a tradition of surgery, is critically questioned. Additional coagulation of the tubal ends after resection is now recommended, especially in the patient seeking abortion as well as sterilization. The authors await the comparative long-term results of bipolar forceps and the newer mechanical methods of laparoscopic tubal sterilization. It is conceivable that the snare and other unipolar electrosurgical instruments designed for female sterilization will become obsolete.

Adolescent↗
PubMed1975

Unusual uses of laparoscopy.

The marked enthusiasum recently seen in gynecologic endoscopy has brought forth numerous anecdotes of ingenuity. Without ingenuity, medicine and surgical skills would advance slowly. This anecdotal report is presented not only as information but as a stimulus to the endoscopist to consider new approaches to today's surgical problems. The laparoscope has been used to: 1. remove ectopic pregnancies, excise paraovarian cysts and retrieve foreign objects from the abdomen. 2. explore the abdomen for suspected trauma, 3. evaluate the abdomen and pleural cavity for metastatic disease, and 4. perform lumbar sympathectomy. These and other unusual uses of the laparoscope are presented for the "spelunkers" of modern-day endoscopy.

Abdominal Injuries↗