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[Histologic and light-microscopic cytomorphometric studies of the tissue reparative processes in complete wound dehiscence after obstetrico-gynecologic surgery].

The authors carried out comparative histological and light microscopic cytomorphometric studies on tissue material, obtained during fixation of secondary sutures on complete wound dehiscences after obstetric and gynecological operations, prepared for therapy only by helium-neon laser irradiation. Densities of the power of helium-neon laser irradiation 90,70 an and 50 mW/cm2 were investigated at exposition time of the field of 1.5 min. The number of irradiations was 7-9 (after applied density of the power of 90, and 70 mW/cm2) and 9-12 (after irradiation with densities of the power of 50 mW/cm2). Histological and light microscopic cytomorphometric studies showed that the applied density of the power of laser irradiation of 90 mW/cm2 stimulated most actively the processes of tissue repair in complicated operative wounds. A considerable slowing of the processes of tissue repair was established after irradiation with densities of the power of 50 mW/cm2.

Combined Modality Therapy↗

[The effect of cefmenoxime in protection against postoperative infection in common gynecological surgery].

Cefmenoxime (CMX) was administered to protect against postoperative infections in 52 cases of cesarean section and 50 cases of total abdominal hysterectomy. These two represent common operations in the gynecological field. Group I was given the agent at a total dose of 14 g (postoperatively 4, 4, 2, 2 and 2 g), group II at a total dose of 10 g (postoperatively 2, 2, 2, 2 and 2 g) and group III at a total dose of 10 g (2 g during operation and postoperatively 2, 2, 2 and 2 g). 1. When comparing the fever index between the groups, group III showed the lowest level regardless of the type of operation. 2. When comparing clinical test values between the groups, low values of white blood cell count (P less than 0.05, P less than 0.01) and erythrocyte sedimentation rate (P less than 0.05) were observed in group III with cesarean section, and significant decreases in white blood cell count (P less than 0.05) and CRP (P less than 0.01, P less than 0.001) were observed in group III with total abdominal hysterectomy. The above results indicate that the administration of CMX during operation was the most effective method of administration for protection against postoperative infections in terms of changes in fever index and clinical test values.

Adult↗

[Urinary tract infection after gynecologic surgery (author's transl)].

In a prospective research study, 119 (female) patients were examined with regards to the occurence of bacteriuria six days after abdominal or vaginal operations of benignous gynecologic disease. Prior to operation, in 7% of the patients a urinary tract infection was already present. Subsequent to operation, 36% got an urinary tract infection within the first six days. From the correlation between urinary tract infection and age of patient, type and uration of operation, a probability catalogue for post-operative urinary tract infections is deducted. The high infection rates, especially in patients beyond 55 years of age, speak in favour of a chemoprophylaxis, especially for such patients.

Adult↗