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At least 703 records · Page 39Linked to original sources
PubMed1984

Ultrasonographic interpretation of physiological changes in the female pelvis.

Ultrasonographic assessment of the pelvis of women of child bearing age requires an appreciation of the physiologic changes that occur during the menstrual cycle. A prospective study on 15 women was done between July and December 1981. Pre-ovulatory (late proliferative phase), post-ovulatory (early secretory phase), and premenstrual (late secretory phase) scans were performed during each menstrual cycle. Basal body temperatures were used to determine the time of ovulation. The appearance of the ovaries, uterus, and pouch of Douglas was documented. The purpose of this study was to assess if the developmental stage of a follicle can be determined by observing the presence or absence of ovarian cysts and noting their change with time, to determine if free fluid is an indicator of follicle rupture, and to assess changes in the endometrium. We concluded that one or more small or large ovarian cysts on a single scan is an unreliable predictor of the stage of follicular development; that serial scanning is the preferred method for following physiologic follicular change; that free fluid is associated with ovulation and is commonly seen on post-ovulatory scans; and that while a thick and echogenic endometrium is normal in the premenstrual phase, in most people a more subtle progressive thickening and increased reflectivity is observed.

Endometrium↗
PubMed1982

[Low colorectal anastomosis with V-shaped colorectoplasty].

A new technique of V-shaped colorectoplasty avoiding the problems and dangers of low subperitoneal colorectal anastomossis is described. THe technique results in a low and wide anastomosis at a distance from the sacrum. It has been used in 51 patients, with one death from fistual. The functional results were very satisfactory. No stenosis was observed, even in cases with perianastomotic sepsis.

Adult↗
PubMedDate not supplied

A new surgical procedure for treatment of complete rectal prolapse: preliminary report.

A new technique is reported for treatment of massive rectal prolapse, combining: mobilization of the rectum, colorectal fixation to the promontory and sacrum, "hammock-like" peritoneal autosuspension and obliteration of Douglas's pouch. The technique was successfully performed in six cases, with a follow-up ranging from one to six years; anal continence was satisfactory in four and fair in two.

Aged↗
PubMed1978

[The problem of enterocele (author's transl)].

During the past nine years 70 enteroceles were observed. There were 27 primary and 43 secondary enteroceles. Etiologic factors were multiparity, advanced age, general lack of elasticity, obestiy, constipation and increased intra-abdominal pressure. The pathogenesis of primary enteroceles was usually to do a genital prolapse, tissue atrophy, a distended pouch of Douglas due to a tumour. The pathogenesis of secondary enterocele following previous uterine surgery was that at times the pre-existent enterocele had not been observed and the space between the uterosacral ligament and the rectum not been closed, or the patients had vaginal hysterectomies and anterior and posterior colporrhaphies, or the patients had previous uterine suspensions or abdominal hysterectomies. The interval between uterine surgery and enterocele was a mean 1.5 years for vaginal hysterectomies and a mean 15 years for the other operations. Different operative procedures for enterocele are discussed. In 90% of the cases the enteroceles were repaired vaginally by the method of Shaw O'Sullivan.

Abdomen↗
PubMed1978

[Descending salpingitis following ruptured appendicitis (author's transl)].

The retrospective study of ovarian abscesses alerted us to the possibility of a descending salpingitis. The salpingitis arises from the pelvic periteneum following perforation of abscesses. Usually the fimbriated end remains open despite the inflammation. The pelvic peritonitis starts with ovarian abscesses, periappendiceal abscesses or complications of inflammatory intestinal diseases.

Abscess↗
PubMed1981

Culdocentesis.

Culdocentesis is a procedure to obtain free fluid from the cul de sac of women. Physicians who provide comprehensive or gynecologic care to women should be capable of this procedure. The main indications are suspected ectopic pregnancy and suspected acute salpingitis or pelvic inflammatory disease. Although the procedure is not difficult or dangerous, many fine points of technique improve the outcome. Results are usually clear-cut and provide immediate and critical information for the management of the patient.

Ascitic Fluid↗
PubMed1981

[Semeiologic study of 50 ultrasonographied ectopic pregnancies (author's transl)].

Echographic changes in ectopic pregnancy can affect uterus, annexes and cul-de-sac of Douglas. They are inconstant and quite variable according to the anatomic stage. Echographic aspects of 50 proved ectopic pregnancies and their frequency are reported. The echographic signs are then evaluated according to their viability and possible errors (differential diagnosis).

Diagnosis, Differential↗
PubMed1981

[Behavior of an intra-uterine device in the abdomen of animals (author's transl)].

The authors have carried out an experimental study on the reaction of an animal's organism to the presence of an open copper intra-uterine device when placed in the abdomen. The study was carried out on two groups each of 10 rabbits and two bitches. The intra-uterine device was placed in the pouch of Douglas by laparotomy, directly in one group and after contamination with genital secretions in the other. The state of the animals was checked six weeks after the initial laparotomy. Trauma caused by the operation was minimal because there were no adhesions found on the parietal peritoneum. On the other hand in experimental conditions that are very similar to those found when an intra-uterine device goes through the uterus in a human subject and involves contamination with genital secretions, in 50 per cent of cases the intra-uterine device migrated within the abdominal cavity. It was picked up by the omentum and this underwent such a strong fibrous reaction that it brought about multiple intestinal adhesions. Though the authors admit that experimental results in animals cannot be extrapolated to women, they believe that these results should be taken into consideration and that it would be imprudent to leave an intra-uterine device in the abdomen in a woman when there is proof that it has migrated, because there would then be a major risk of intestinal obstruction due to an adhesion that as formed a band.

Animals↗
PubMed1980

Pulsion enterocele: review of functional anatomy of the pelvic floor.

Pulsion enterocele has a well-deserved reputation as a difficult surgical problem; the multiplicity of suggested solutions attests to this. Until the functional anatomy of the pelvic floor is better understood, particularly the specific anatomic defects involved, planning of a rational surgical attack will remain elusive. Both the pelvic cellular tissues and the levator ani complex are involved in the genesis of the condition, and both require correction during any surgical procedure. The supporting effect of the levator complex and the positioning effect of the cellular tissues must be restored.

Adnexa Uteri↗
PubMed1980

Pulsion enterocele: long-term results of an abdominoperineal technique.

Surgical correction of large pulsion enterocele is a contentious subject and until a technique is founded upon proper anatomic facts, the arguments will continue. Pulsion enterocele follows changes in the pelvic cellular tissues and levator ani complex; both defects must be corrected. Synchronous abdominoperineal repair attends to both defects with accuracy, and in a healthy woman who wishes to regain normal vaginal function, it should be the procedure of choice. During the past 11 years, 66 patients, many of whom had been unsuccessfully treated by other techniques, have been managed with this procedure. Accurate follow-up has been possible in 60 patients, and of these women, 56 have been cured.

Adnexa Uteri↗
PubMed1980

[Autotransplantation of spleen tissue after traumatic spleen rupture (traumatic splenosis). A report of 4 cases].

Report on 4 cases of traumatic splenosis (autotransplantation of splenic tissues) which were diagnosed 1 to 15 years after traumatic spleen rupture in childhood or adolescence. In 3 of the 4 cases traumatic splenosis was detected casually, the other case was misinterpreted during laparoscopy as endometriosis. Histologically the autotransplants reveal functional red and white splenic pulp. This may be significant for hematologic diseases. Although clinical signs are often lacking or noncharacteristic, knowledge of traumatic splenosis is important for surgeons, internists (laparoscopy!), gynecologists, and pathologists, because splenic autotransplantants are often misinterpreted as accessory spleens, hemangiomas, endometriosis or peritoneal metastases of melanoma.

Abdominal Neoplasms↗