Biomedical subjects
Publications and source records attributed to U Genzel.
A very rare complication after cesarean section is reported. A spontaneous perforation of the small intestine caused an acute abdomen. Ileus, peritonitis and septic shock are the most important signs of this life threatening complication. In this matter a very good cooperation between the different disciplines is of importance. An early relaparotomy is essential in the management.
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Reported in this paper is a rare urogenital malformation in a patient, 17 years of age. Extensive presurgical diagnosis of cele and cysts formation in the minor pelvis, with the right parts of vagina and ureter of a doubled urine-excreting system being involved, was confirmed by surgical therapy in two sessions. This hydronephrotic ureter, with its normal ostium located in the urinary bladder, was found to communicate with the right cervix of a double-bicorn uterus. Excess pressure in the cavities caused fluid to empty splashingly from the right vagina into the left which was in normal condition. The effects of such combination of malformations on individual life are discussed.
Lymphographic findings obtained from 304 patients were compared with results obtained from histological testing of extirpated lymph nodes, with the view to making an assessment of accuracy of presurgical lymphography. Agreement was recordable in 82.3 per cent of all cases, while 3.3 per cent of the findings were falsely negative and 4.9 per cent falsely positive. The relevance of preoperative lymphography to diagnosis and planning of therapy for various gynaecological carcinomas is discussed.
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Application of uninvolved propanidid-infusion anaesthesia to a rabbit in advanced pregnancy is reported in this paper. Uteroplacental circulation was found to be but slightly affected. The condition of the foetuses, consequently, may be considered sufficiently safe for intra-uterine experiments.
Treatment was given for 34 757 childbirths and 5,317 abortions at the Gynaecological Hospital of Medizinische Akademie Erfurt, GDR, between 1967 and 1977. Disorders of coagulation were recorded from 0.207 per cent of all cases. These had been caused by premature placental detachment, amnion infection, dead foetus syndrome, amniotic fluid embolism, septic abortion, and missed abortion. Incidence, mortality, and therapeutic policies are discussed.
The effects of subacute intra-uterine hypoxia on the haemostatic system of 205 foetuses from 49 pregnant rabbits were studied by a standardised experimental arrangement, with particular reference being made to intravascular precipitation of fibrin. The asphyxial shock thus induced was accompanied by almost all the rabbit foetuses by disseminated intravascular coagulation by which the central organs were more strongly affected, as compared to peripheral organs also restricted by the shock. The pathophysiological processes which were found to take place in the lungs and placentas of the experimental animals proved different from those in man, which was attributable to species-related differences.
Reference is made to aspects of differential diagnosis in the context of three space-demanding intracranial processes in puerperae. Puerperal psychosis with no organic cause had been the primary appraisal due to the absence or only discrete appearance of neurological symptoms and the superficial, apparent presence of psychopathological phenomena. --Comprehensive neurological testing is required, if cerebroorganic disorders are to be ruled out safely. Neuroradiological methods, such as cerebroscintigraphy and cerebral angiography, may be necessary. Close interdisciplinary cooperation will be essential to effective diagnosis with minimum stress on mother and child.
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