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Results for “DOUGLAS' POUCH”

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At least 577 records · Page 32Linked to original sources

PubMed2001

[Laparoscopic sacral colpopexy: an attractive approach for prolapse repair].

OBJECTIVE: Evaluate laparoscopic sacral colpopexy. MATERIAL AND METHODS: 76 patients operated by laparoscopy between 1993 and 1999. The mean age of the patients was 59 years. 35 patients suffered from stress incontinence. A history of abdominal surgery was never a contraindication to laparoscopy. Hysterectomy was not systematically performed and the type of correction of urinary incontinence varied between suburethral sling, Burch procedure and TVT. The operating time ranged from 100 to 345 minutes with a mean of 199 minutes. Patients were discharged from hospital between the 2nd and the 10th postoperative day (mean: 4.9 days). Nine out of 10 patients operated (89.40%) were discharged before the 6th postoperative day. The results were satisfactory with correction of prolapse in 74 patients (96%). Only one intraoperative complication occurred in our series: a minimal injury of the colon complicated dissection of the posterior floor during resection of the pouch of Douglas. This wound was sutured during the same operating time. One conversion was required following sudden onset of oxygen desaturation during carbon monoxide insufflation. Laparoscopic prolapse surgery is used increasingly frequently and this study confirms that laparoscopic sacral colpopexy is effective, reliable and reproducible.

Adult↗

PubMed2002

Recurrent pelvic hydatid cyst obstructing labor, with a concomitant hepatic primary. A case report.

BACKGROUND: Hydatid disease in pregnancy is a rare condition, with an incidence of 1/20,000 pregnancies. Although the female reproductive system is a rare site for hydatid disease, various obstetric and gynecologic presentations have been reported. CASE: A 31-year-old multipara was evaluated due to obstructed labor. Sonographic evaluation revealed an 18-cm hepatic and 15-cm pelvic hydatid cyst at 38 weeks of gestation. A healthy, 3,200-g infant was delivered by cesarean section. The cyst, originating in the right ovary and occupying the pouch of Douglas, was removed surgically. The hepatic cyst was decompressed via the percutaneous approach. The follow-up was uneventful. CONCLUSION: Hydatid disease should be considered in the differential diagnosis of adnexal masses in pregnancy. The percutaneous technique is a promising treatment option for hepatic cysts. Not only the diagnosis but also the treatment of hydatid disease is facilitated with currently available magnetic resonance imaging, computed tomography and ultrasonography.

Adult↗

PubMed2001

A study of bacterial pathogens in acute pelvic inflammatory disease.

The study was carried out on two groups--the study group consisting of 50 women with acute pelvic inflammatory disease and the control group consisting of 20 women admitted for tubal ligation. Pouch of Douglas aspirates were collected under all aseptic precautions with 18 gauge medicut needle. The samples were transferred to thioglycollate broth. A direct Gram staining was done followed by plating on media for aerobic and anaerobic incubation. All cultures were sterile in the control group. There were both monomicrobial (56.7%) and polymicrobial (43.2%) isolates in the study group. The predominant aerobic isolates were coagulase negative Staphylococci, E. coli and Staphylococcus aureus. Amongst anaerobic isolates gram negative bacilli were the most common at 46.6% followed by gram positive cocci at 40%.

Adolescent↗

PubMedDate not supplied

[Culdoscopic sterilization].

Culdoscopic sterilization deserves to have a high place in the methods chosen for surgical sterilization. It has to be carried out in the operating theatre. Asepsis is essential. The process is simple and quick and is carried out under analgesia (Meperidine and Chlorpromazine) and a local anaesthetic. The patient is placed in the knee-chest position. A special speculum is inserted. Both fimbriae are removed after they have been brought down into the vagina from the Pouch of Douglas using Gutierrez-Najar's special forceps. On the average the operation takes about a quarter of an hour. The patient may go home with her husband six hours later. The convalescence is usually completely uncomplicated without any after-effects.

Adult↗

PubMed1976

[The problems of prophylactic chemotherapy, the second-look operation and the maintenance of the remission in the treatment of ovarian cancer (author's transl)].

The results of the treatment of 1022 ovarian cancers were reviewed and the problems of prophylactic chemotherapy, a second look operation and the maintenance of the remission were studied. In ovarian cancers of stage 1 and stage 2, a post-operative prophylactic chemotherapy is useful only in cases with tumor cells in the secretions of the pouch of Douglas or in the ascites and in cases where a sensitivity to the chemotherapy can be assumed. In about 50% of primarily inoperable stage 3 ovarian cancers, the random treatment with cyclophosphamide (Endoxan) results in a clinical remission. A significant five year cure rate can only be obtained if the uterus and the adnexa are removed. Radical operation during the remission appears to be very important for survival of the patient. For the maintenance of the remission continuous chemotherapy for at least 2 years following treatment by operation and radiotherapy is necessary.

Castration↗

PubMed2002

Sacrocolpopexy--a report on 262 consecutive operations.

OBJECTIVES: This report analyses the outcome and complications of 262 consecutive sacrocolpopexy procedures for the repair of vaginal vault prolapse and enterocele. METHODS: From March 1994 to February 2001, 262 patients underwent surgical repair using a standardised retroperitoneal technique. Initially dura mater strips were used and from the 19th patient onwards, Gore-tex soft tissue patch was used to suspend the vaginal apex to the anterior sacral ligament. Halban-type occluding sutures were placed in the pouch of Douglas. All patients were followed up and the minimum duration of follow-up was 16 months. RESULTS: Vaginal vault prolapse was successfully managed in 259 of 262 patients giving a success rate of 98.8%. In addition, 4 patients had a repeat enterocele that required surgical repair. The overall surgical complication rate was low. Erosion of the patch through the vaginal vault occurred in 10 patients, necessitating removal of the patch. Prolapse did not recur in any of these patients. CONCLUSION: Abdominal sacrocolpopexy is a very successful and safe surgical management of vaginal vault prolapse.

Adult↗

PubMed2002

[Abdomino-pelvic actinomycosis: a case report].

The actinomycosis is a chronic suppurative granulomatosis disease. It is owed to a bacillus gram positive; actinomycès israelli. The cervical and thoracic localizations are most frequent. The digestive localization represents 20% of cases. It interest very rarely the pelvis and the genital tracts. We bring back the observation of a patient old of 30 years admitted for mass abdominal. To the exam, the patient had a sensibility of the left hypochondriac area and we found a mass of 6 cm of diameter. To the rectal touch, we found a mass in the bag of Douglas. The echography and the computed tomography revealed a collection under the spleen and a pelvic collection. A rectotomy is performed. The bacteriological study isolates actinomycès israelli. The collection under the spleen is drained under radiological control. Actinomycès israelli is also recovered in the pus brought back by the puncture. The patient is treated by Penicillin. The patient had a favourable evolution. No etiology is found at this patient. For this observation, the collection was accessible to a drainage permitting the diagnosis and the treatment of the actinomycosis while avoiding a mutilated surgery.

Actinomyces↗

PubMed1952