PubMed Health⌕ Search

Biomedical subjects

V Jalůvka

Publications and source records attributed to V Jalůvka.

At least 19 recordsLinked to original sources
PubMed1984

[Unusual injuries of the intestinal tract and gynecologic laparotomy].

A case of a 61-year-old patient is reported who underwent laparotomy for presumptive torsion of an ovarian tumor. The acute abdominal symptoms were caused by a fish bone which had perforated the omentum. Bilateral ovarian cystadenofibromas were present, yet torsion had not occurred; they were exstirpated. In addition, a case of a 70-year-old patient is presented who underwent relaparotomy for a cervicosigmoidal fistula. The fistula contained a poultry rib. Complete healing was observed after removal of the bone and suturing of the cervical sigmoidal defects.

Aged↗
PubMed1981

[Genital injuries during the late postmenopause and senium (author's transl)].

Genital injuries of 61 patients who were at least 60 years of age were treated in 17 West Berlin departments of gynaecology from 1970 to 1979. 39 cases were due to coitus. Rape was responsible in 5 cases. Various other causes were recorded in 15 women. The etiology of the laceration remained unknown in 2 cases. Sexual dysfunction due to age-related changes of the female genital tract resulting in injuries represents a specific problem of geriatric gynaecology.

Age Factors↗
PubMed1980

[Cervical pregnancy with twin fetuses (author's transl)].

A case of a histologically confirmed cervical twin gestation in a 37-year old gravida 3, is reported. The pregnancy resulted in rupture of the uterus during the 18th week of gestation. A hysterectomy had to be performed to control the hemorrhage.

Adult↗
PubMed1980

[Vaginal discharge, the only symptom of uteri communicantes (author's transl)].

Described in this paper is a patient, aged 22 years, with uteri communicantes with unilateral atresia of the vagina duplex and ipsilateral renal agenesis. The urogenital abnormality was manifest only at the beginning of cohabitation, when old, infected menstrual blood and vaginal secretion were discharged from the blind-ending vagina through a communication between the two cervical canals into the normally functioning vagina. The patient recovered completely, following unilateral hysterectomy and colpectomy.

Adult↗
PubMed1978

[Importance of gynecological laparoscopy in diseases of the sigmoid in the aging].

During the last six years we have performed laparoscopy in 80 women older than 60 years of age. In 22 of these, the barium enema showed pathological colonic conditions (mostly diverticulosis or diverticulitis). Despite these findings laparoscopy was used as an additional and reliable diagnostic aid to exclude concomitant gynecological diseases. Of these 22 women, 16 had normal internal genital organs so that exploratory laparotomy could be avoided. In view of the high postoperative mortality in this age group this is regarded as a considerable advantage. In three women an additional gynecological disease requiring laparotomy was found. In two cases laparoscopic diagnosis was impossible because of extensive adhesions. In one patient the radiological diagnosis of diverticulitis was revised by laparoscopy which showed carcinoma of the sigmoid.

Adenocarcinoma↗
PubMed1978

[Geriatric gynecology. A contribution to geriatric gynecology with special reference to postoperative mortality].

A contribution to geriatric gynecology with special consideration of postoperative mortality. Almost imperceptibly, essential progress has been made within recent years in the field of surgical geriatric gynecology. The attempt was made, after enumerating the specific problems of geriatric gynecology, to deal systematically with surgical geriatric gynecology. From 1960 to 1969 in West-Berlin, 7151 major operations in 60-year-old women and older were performed in 17 gynecological hospitals. Complete records were available in 6658 cases. Evaluating them, we were able to substantiate effectively the clinical actuality of surgical geriatric gynecology as a component of geriatric gynecology.

Aged↗
PubMed1978

[A subglutaeal abscess as a possible result of pudendal anaesthesia (author's transl)].

Described is the subglutaeal abscess of a 17-year old primigravida that may have been the result of pudendal anaesthesia. This has to be looked upon as an extremely rare and unavoidable complication of obstetric regional anaesthesia. On the basis of known cases of subglutaeal abscess, it cannot be concluded that pudendal anaesthesia should be relinquished.

Abscess↗
PubMed1977

[Major gynecological operations on women of 80 years of age or more (author's transl)].

Because of the greater life expectancy of women, the length of the post-menopausal period has also been constantly increasing. Since there is no generally accepted definition of the late post-menopause and senium in women, we submit a suggestion of how these periods of life may be deliminated. During the years 1960--1969 6662 female patients aged 60 years or more, were operated on in 17 different Westberliner departments of gynecology. Of these 3.9% (i.e. 261 cases) were major gynecological operations on women of 80 years or more: 155 were malignant and 37 benign tumors, 59 were due to displacement of the uterus (11 cases of minor descended uterus and 48 cases of fully prolapsed uterus) and 10 other diseases. The postoperative death rate was 13.4% (36 cases). In spite of such mortality these major operations were generally considered necessary and beneficial in women of this age group. Among other reasons, cancer-screening examinations of old women should be done more regularly than at present because of the multi-morbidity occurring at this age.

Age Factors↗
PubMed1977

[Exploratory laparotomies in geriatric-gynaecological patients (author's transl)].

In 17 gynaecological departments of West-Berlin hospitals, 2940 laparotomies were done between 1960 and 1969 in women of at least 60 years of age, of which 331 (10,9%) were exploratory. Of these the postoperative mortality was 39,2% (130 cases). The fatal cases could be divided into 120 women suffering from inoperable malignant tumors, 7 from sigmoid diverticulitis and 3 from chromical gynaecological inflammatory tumors. The frequency of such critical exploratory laparotomies could be lowered partly by intensifying cancer routine check-up by specialists by more complex diagnostic measures before the operations and by fewer adhesiotomies in cases of chronical inflammatory complaints. Most important, however, seems to be the well indicated application of laparoscopy under conditions that allow consecutive laparotomy if necessary. It is thought that to an experienced surgeon the diagnostic value of laparoscopy is almost equal to that of laparotomy. It therefore can be considered a true alternative.

Age Factors↗
PubMed1977

[Early mortality in geriatric-gynecologic surgery].

The death rate of 6662 major gynaecological operations on women of 60 years or more in 17 West-Berlin Gynaecological Departments (1960--1969) was 7,7% (512 cases). Of these, 89 women (16,8%) died either during operation or within 3 days after the operation. In all cases there was an adequate indications for surgical intervention. With few exceptions the procedures of the operations could not be criticized. Only a very small part of the intra- and postoperative mortality could be attributed to the anesthesia. In some cases medication was insulfficient (e.g. lack of preoperative treatment with digitalis or postoperative replacement with substitutes or blood). This may partly be explained by the fact that during the period under investigation in many cases the anesthesia had to be done by the gynaecologists. Publications on early postoperative mortailty supply better information on the quality of medical care given to the gynaecological patients, than surveys of so called "Anaesthetic dealths".

Age Factors↗
PubMed1976

[Gynecological aspects of retroperitoneal diseases (author's transl)].

Current literature was reviewed for gynecological aspects of retroperitoneal diseases. Taking into account the original histological findings retroperitoneal diseases were divided into the following groups from a gynecological point of view: 1. Malignant and benign primary retroperitoneal tumors 2. retroperitoneal organs 3. malignant and benign tumors of retroperitoneal organs 4. retroperitoneal gynecological structures 5. retroperitoneal metastases 6. other retroperitoneal diseases.

Diagnosis, Differential↗