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At least 541 records · Page 30Linked to original sources
PubMed1987

In Re A.C., 16 June 1987.

The plaintiff hospital sought a declaratory order that a cesarean section be performed on a woman expected to die within two days who was in her twenty-sixth week of pregnancy and objected to the operation. On appeal of a decision granting the order, the Court ruled that the privacy rights of the mother against bodily intrusion should be subordinated to the interests of the unborn child and the state and refused to stay the order even though that might mean that the mother's lifespan would be shortened by a few hours.

Americas↗
PubMedDate not supplied

Experience of laparoscopic tubal surgery at the department of obstetrics and gynecology, University of Kiel, from 1999 through 2000.

OBJECTIVE: We analyzed the results of laparoscopic tubal surgery performed at the Department of Obstetrics and Gynaecology, University of Kiel, between 1999 and 2000. A retrospective review of 236 tubal surgical procedures was conducted: (1) patients with ectopic pregnancies, unilateral or bilateral tubal occlusions or alterations and (2) medically indicated sterilizations and salpingectomies. METHODS: Two specialists and 10 gynecologists in residency training performed the following 236 procedures: 64 salpingotomies, 74 salpingectomies, 25 salpingostomies, 8 tubal end-to-end anastomoses, 24 fimbrioplasties, and 41 tubal sterilizations. In June 2001, questionnaires were sent to all 236 patients who underwent laparoscopic tubal surgery to evaluate subsequent pregnancies. From the 195 answers received, 155 patients wished to have children and of these 79 (51%) became pregnant. In 8 tubal reversals, 6 pregnancies occurred, resulting in a 75% success rate. In the group of sterilizations and salpingectomies, no pregnancies occurred. RESULTS: A pregnancy rate of 51% resulted after tubal reconstructive surgery. After tubal sterilization, no pregnancies were observed in the following 3 years. CONCLUSION: Laparoscopic tubal surgery has surpassed laparotomic tubal surgery with comparable success rates. Laparoscopic tubal surgery is also a less traumatic procedure.

Fallopian Tube Diseases↗
PubMed2003

[Is obstetric epidural anaesthesia technically possible after spinal surgery and does it work?].

OBJECTIVE: Previous spine surgery theoretically exposes the obstetric patient to a greater technical difficulty during regional analgesia for labour or during anaesthesia for caesarean delivery. Published experience suggests that epidural puncture is however technically possible in the majority of cases. STUDY DESIGN: Retrospective study. PATIENTS: Analysis of the files of parturients who gave birth in a maternity hospital during a six year period and who had previously undergone spine surgery. METHODS: Technical failures (during puncture), analgesic failures (complete block inefficiency and/or requirement of a general anaesthetic) and complications (important bleeding at the puncture site, dural tap, infection) observed during epidural analgesia/anaesthesia were recorded. RESULTS: Except for two paraplegic parturients who had been operated for dorsocervical traumatic injuries and who were excluded from the analysis, 31 parturients had undergone spine surgery and delivered during the period of analysis. Twenty patients underwent 22 epidural punctures. Technical failure were noted in two cases (9%) and analgesic failure in two other cases (9%). No significant complication was recorded. CONCLUSION: With an overall 18% failure rate, epidural anaesthesia is not contra-indicated in these patients but appears to be less reliable than in patients with normal spine. Psychological and technical preparation to the occurrence of failure is necessary.

Adult↗
PubMed2002

[The gynecology-obstetrics department].

The scientific and clinical activities of the Department of Obstetrics and Gynaecology have involved the three main subdivisions: the gynecological surgery, the obstetrics and fetal medicine, the endocrinology and the reproductive medicine. Minimal invasive surgery including laser assisted laparoscopy or robotic assisted surgery has been particularly developed. Endometriosis, a frequent and sometimes particularly invasive disease, and oncologic surgeries have been developed in collaboration with the digestive surgery department. The department has also contributed to the comprehension and treatment of prenatal pathologies such as premature labor and deliveries or the gestational diabetes. The department has supported the development of techniques to study the fetal well-being in utero: the prenatal echography, the chorionic villous sampling, the amniotic puncture or the cordocentesis for prenatal genetic diagnosis or fetal infectious contaminations, the CMV transmission more specifically. In endocrinology and reproductive medicine, the department has mainly developed the in vitro fertilization techniques. The prolonged embryo culture, the study of preimplantation embryo metabolism, the preimplantation genetic diagnosis and the cryopreservation of ovarian fragments to preserve fertility in women undergoing oncologic treatments represent the more recent developed topics. Finally, the security of viral transmission in assisted procreation and the treatment of these patients with chronic viral diseases (Hepatitis C or HIV) are another domain with important scientific activity.

Belgium↗
PubMed1978

Workload in rural practice: implications for education and health service structure.

In view of the reported maldistribution of medical manpower in Queensland, this study was undertaken to establish the effects of such a maldistribution on the workload and range of work performed by rural practioners. Rural practitioners were found to have a higher patient contact rate per week, and to perform more surgery and obstetrics than do their city counterparts.

Australia↗
PubMed1990

[Neonatal surgery: experience of a neonatal obstetrical and surgical unit].

A prospective and retrospective study of the consequences of neonatal surgery started recently in a neonatal intensive care unit. After a prenatal diagnosis of a surgical malformation has been established, the importance of a meeting with parents, neonatologists and surgeons is stressed. The relationships between the family and the neonatal team were good, although sometimes the surgeons seemed to be "forgotten". The infant's pain was usually prevented. Infants were actively managed before surgery and after surgery their rhythms were better respected.

Female↗
PubMed2005

Dr Alfred Velpeau (1795-1867) of Tours: the umbilical cord and birth asphyxia.

The son of a village farrier near Tours, Velpeau rose from humble beginnings to become by dint of intelligence, hard work, and determination the leading surgeon of his day in Paris. As professor of clinical surgery in the university he was an admired and respected teacher. His writings covered most aspects of medicine, surgery, and obstetrics.

Asphyxia Neonatorum↗
PubMed1988

Ectopic pregnancy: a case-control study of aetiological risk factors.

Aetiological risk factors for ectopic pregnancies were evaluated in a prospective study of 86 consecutive patients with ectopic pregnancy and two age- and parity-matched control groups of women in normal early pregnancy; those with planned pregnancy (65 pairs) and those having legal abortion (51 pairs). Compared with women with planned pregnancy, the patients with ectopic pregnancy more often had an IUD in situ, they had less frequently used hormonal contraception, and they had more legal abortions, curettages, previous ectopic pregnancies, gynaecological operations and salpingo-oophoritis. Compared with women having legal abortion, the patients with ectopic pregnancy had favoured IUD-usage, or they had been without any contraception, and they had an increased frequency of previous ectopic pregnancies. The frequency of fertility problems was also increased in patients with ectopic pregnancy. Our results show that gynaecological pelvic operations, endometrial curettage and evacuation, gynaecological infections, and usage of IUD are important risk factors for ectopic pregnancy, and that infertility seems to be a sign of this risk. In addition, the clinical characteristics of the patients with ectopic pregnancy were similar to those of the patients having legal abortion.

Abortion, Spontaneous↗
PubMed1983

Sterilization at the time of cesarean section: tubal ligation or hysterectomy?

The operative, postoperative and subsequent course of 86 patients who underwent cesarean hysterectomy (C.H.) during the years 1970-1979 are compared to an equal number of cesarean sections with tubal ligation (C.S.L.). Both groups are similar regarding age, gravidity, parity, number of living children and indications for abdominal delivery. Operative and postpartum complications of both groups were all minor, although significantly (p less than 0.05) more frequent in the C.S.L. group. More patients of the C.H. group required blood transfusions than the C.S.L. group (p less than 0.01). The mean period of hospitalization was similar in both groups. Two pregnancies occurred after tubal sterilization, a failure rate of 1:43. During the follow-up period, 49 surgical gynecological procedures were performed in the C.S.L. group compared to 1 in the C.H. group. Ten patients of the C.S.L. group subsequently underwent abdominal hysterectomy. Hysterectomy is the procedure of choice for permanent sterilization and prevention of many subsequent gynecological problems. Consideration must be given to coexisting gynecological conditions while considering sterilization at elective C.S. and C.H. should be offered to those patients.

Adult↗
PubMed1980

A retrospective survey of female sterilisation for the years 1968 to 1973. Analysis of morbidity and post-sterilisation complications for 5 years.

Between 1968 and 1973, 2122 women were sterilised, 52.2% were by laparotomy, 46.3% by laparoscopy. Sterilisation was performed after abortion in 38.5%, after delivery in 22.5%, and as an interval procedure in 38.5% of cases. Laparoscopy had a lower incidence of side effects than laparotomy, and sterilisation as an interval procedure was safer than after delivery or abortion. A five-year follow-up of patients revealed a low incidence of late side effects; only 34 patients required hysterectomy and in 18 this was not due to the sterilisation. Failure of sterilisation (0.5%) was evenly distributed between the various methods; operative trauma was low 0.6% for laparoscopy and 0.2% for laparotomy. There were 4 maternal deaths, only 2 were related to the procedure.

Adult↗