[Clinical management of premature rupture of fetal membranes].
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Chorioamnionitis↗
Biomedical subjects
T Gyr
Publications and source records attributed to T Gyr.
[Mammography and ultrasound in the diagnosis of clinically occult breast cancer].
105 biopsies of nonpalpable breast lesions were performed because of suspect X-ray findings. 68 lesions were preoperatively marked under X-ray control, 37 under ultrasound control. Histological examination revealed invasive and in situ carcinomas in 8 and 13% of the cases, respectively. The sensitivity of X-ray mammograms was superior to ultrasound, whereas the predictive value of ultrasound in the presence of suspect findings was superior to x-ray examination. However, because of its low sensitivity, sonographic examination cannot be recommended as a screening procedure in the diagnosis of nonpalpable breast lesions.
Biopsy↗
[Lympho-plasmacellular thyroiditis and diabetes mellitus].
In a retrospective study of their autopsy cases the authors investigate the presence of lymphocytic infiltrations in the thyroids of 44 diabetics up to age 55 and compare these thyroids with 72 post-mortem controls. Size and number of the infiltrations were determined by a semiquantitative method on the histological slide. The non-diabetic controls and the non-insulin-dependent diabetics included 5 out of 72 (6.9%) and 3 out of 31 (9.7%) cases respectively with more than 10 infiltrations per 100 mm2 thyroid tissue. The insulin-dependent diabetics, however, showed significantly more, i.e. 5 out of 13 (38.5%) patients with more than 10 infiltrations per 100 mm2 tissue. All were asymptomatic with the exception of one young diabetic with clinical signs of hypothyroidism.
Adult↗
[Postpartum amaurosis in patients with pre-eclampsia].
Cortical blindness without retinal changes is a rare complication in preeclampsia. We report two patients, both of whom developed cortical blindness one and two days post partum. In one of these patients, the blindness occurred following eclamptic seizure. In both patients the total blindness recovered fully after two and three days respectively following treatment for hypertension and cerebral edema. Spasm of small vessels in the occipital cortex is assumed to be the cause of this complication.
Adult↗
[Methods, techniques and assessment criteria in obstetric pelvimetry].
Size and shape of the bony pelvis are important factors determining the progress of labor and delivery. Clinical evaluation of the pelvis and sonographic examination of the fetal size are important tools for the planning of labor and in most cases allow to diagnose cephalopelvic disproportion. Pelvimetry by computed tomography (CT) and by magnetic resonance imaging (MRI) are exact and simple techniques with low or absent ionizing radiation. These new techniques offer distinct advantages over conventional X-ray pelvimetry. However, the value of the measurements of the pelvic dimensions in predicting labor outcome and in the diagnosis of cephalopelvic disproportion remains limited. Only if the pelvimetric data are combined with data on fetal dimensions obtained by ultrasound or by postpartum measurements, the efficacy of the examination in predicting the success of labor and identifying the presence or absence of cephalopelvic disproportion is increased. This combination therefore may confirm the diagnosis of cephalopelvic disproportion after operative delivery, which is important with respect to subsequent deliveries. Furthermore this method could play and important role in selecting patients with term breech presentation for possible vaginal delivery.
Cesarean Section↗
[Laparoscopic cholecystectomy during pregnancy].
BACKGROUND: We evaluated the advantages and risks of laparoscopic cholecystectomy during pregnancy in symptomatic patients. MATERIAL AND METHODS: Three gravid women at an estimated 14 to 26 weeks gestational age underwent laparoscopic cholecystectomy for symptomatic cholelithiasis or biliary pancreatitis. One patient was obese. The operation was successfully completed under tocolytic medication. DISCUSSION: Although rare, gallbladder disease is the second most common abdominal condition during pregnancy requiring operation, being second only to appendicitis. Medical management is the most common approach to treatment, and the surgical intervention is reserved for patients who fail to respond to conservative methods or who have choledocholithiasis, biliary obstruction or pancreatitis. The laparoscopic approach is controversial, and some authors still agree that pregnancy is a contra indication to laparoscopic cholecystectomy. We report our experience with three laparoscopic cholecystectomies performed without complication during pregnancy. On the basis of our experience and a review of the literature, we believe that the laparoscopic cholecystectomy, undertaken preferentially during the second trimester, is a valid alternative to classic management in terms of risks for the foetus and comfort for the mother.
Adolescent↗