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Biomedical subjects

S Lindenberg

Publications and source records attributed to S Lindenberg.

77 records · Page 5Linked to original sources
PubMed1981

Wound sepsis after elective cholecystectomy. Restriction of prophylactic antibiotics to risk groups.

This prospective study of elective cholecystectomy investigated the frequency and type of bacteria in gallbladder bile at operation, the factors predicting the presence of bacteria in bile, and the relationship between bacteria in bile and subsequent wound sepsis. In 148 consecutive cases 23% of bile cultures were positive. The overall wound infection rate was 15%, but 91% of all wound infections occurred in patients with positive bile cultures. Eighty-five per cent of all positive bile cultures and 86% of all wound infections occurred in 37% of the patients, characterized by age over 60 years and/or a history of previous attacks of acute cholecystitis. We suggest that in elective cholecystectomy prophylactic antibiotics should be restricted to this group of patients to limit the use of antibiotics.

Age Factors↗
PubMed1978

Assessment of wound contamination by wound irrigation. Experimental investigations on quantitative recovery of anaerobic and aerobic bacteria.

The quantitative recovery of E. coli, S. faecalis and B. fragilis from operative abdominal wounds was investigated in pigs in an experimental model suitable for statistical calculations. Wounds were contaminated in groups of ten with different numbers of either a single bacterial species or a mixture of two species. The wound was irrigated with saline 20 minutes after contamination. Significant differences in recovery were found between the bacterial species investigated. Expressed as percentage of the number of bacteria used for contamination, the recovery for a given species was rather low, but it was constant and independent of the degree of contamination. The investigation did not suggest any principle difference in the recovery of anaerobic and aerobic bacteria. The clinical applicability of the method is not yet clarified.

Animals↗
PubMedDate not supplied

Is the corpus luteum normal after ovulation induction?

Repeated ultrasound examinations and blood samplings for determination of estradiol (E), progesterone (P), and luteinizing hormone (LH) were carried out in 15 normal and 11 clomiphene citrate (CC)/human menopausal gonadotropin (hMG) stimulated cycles. Human chorionic gonadotropin (hCG) was administered in the stimulated cycles on the day of the expected LH-peak as determined in each woman's normal cycle. Ovulation and normalcy of the luteal phase were confirmed by the hormonal values. Ultrasound examinations showed development of a single follicle in the normal group and development of 4.1 follicles on average, of 15 mm or more in diameter in the stimulated group (total of 45 follicles). Midluteal phase images at the site of the former follicle showed echogenic structures of echo-free structures with scattered echoes in 25 cases in the stimulated group and in 11 cases in the normal group. There was no sign of the former follicle in 1 and 3 cases, respectively, in the two groups. A significantly higher number of "persistent follicles" was seen in the stimulated group: 42% vs. 7%. It is discussed whether a compromised corpus luteum function occurs after stimulation despite a normal luteal phase.

Clomiphene↗
PubMedDate not supplied

Significance of the ultrasonic morphology of preovulatory ovarian follicles prior to in vitro fertilization.

Forty-eight oocytes were collected from 47 follicles in 36 cycles from 24 patients with tubal infertility by ultrasonically guided percutaneous puncture under local anesthesia. The ultrasonic represented morphology of the aspirated follicles was compared to the presence of an egg-cumulus-mass in the follicular aspirate and the result of oocyte fertilization. There was a higher frequency of a cumulus-mass in the aspirate from follicles containing echoes (90 per cent) compared to ultrasonically empty follicles (37 per cent). Thirty-four oocytes were fertilized corresponding to a fertilization rate of 71 per cent. The mean diameter of follicles in the fertilized group was bigger (20.9 mm) than the mean diameter of follicles in the non-fertilized group (18.5 mm). The fertilization rate was higher in oocytes collected from follicles with internal echoes (87 per cent) compared to echo-free follicles (50 per cent). It seems that the ultrasonic demonstration of a fine cloud projecting into the follicle or a clouding of the cavity increases the possibility of collecting an oocyte suitable for in vitro fertilization.

Embryo Transfer↗