0000000000014801
AUTHOR
D. Kruczynski
Gyn-o-Per OP-Buch: Gynäkologisch-operativ-Perinatologisches Informations-System: Dokumentation dr operativen Daten im elektronischen OP-Buch
Im Rahmen eines Informations-Systems fur die Gynakologie und Geburtshilfe, welches die Daten einer gynakologisch-geburtshilflichen Abteilung organisieren kann, entstand das OP-Buch. Es ist ein Subsystem eines auf graphisch-visueller Interkommunikation mit dem Anwender basierenden Computer-Systems. Der Aufbau des Systems ist in Form einer visuellen Schnittstelle (Abb. 1) zum Benutzer realisiert, welches das Einarbeiten in das System sehr einfach und ohne Computerkenntnisse erlaubt.
Gasless laparoscopy with conventional surgical instruments
The main advantages of gasless laparoscopy arise from the use of conventional laparotomy instruments (clamps, scissors and needle pushers). The operative time, for example, for hysterectomy procedures decreases to about 60% of the time taken hysterectomy for using conventional gas techniques. During cauterization, smoke escapes immediately through the open trocars and may even be suctioned using a conventional suction tube. As far as the nursing team is concerned, the equipment is familiar as they use the same instruments and the same sutures as in laparotomy. High respiration pressure, caused by the elevated abdominal pressure, as well as hypercapnia, are avoided. Therefore this procedure …
Unruptured tubal pregnancy: local low-dose therapy with methotrexate under transvaginal ultrasonographic guidance.
Thirty patients with unruptured ectopic pregnancy (4-10 weeks' gestation) were treated locally with methotrexate (MTX) under sonographic guidance. The transvaginal puncture was performed under analgesic sedation using an automatic puncturing device. Local MTX therapy was successful in 25 patients (83.3%). Eighteen of these patients had received a single MTX instillation with a total dose of 10 mg, 7 patients had received a second instillation with 10 mg because of plateauing hCG levels after the first instillation. In 5 patients MTX therapy was unsuccessful. Surgical intervention was necessary within 4 h to 15 days after MTX treatment, due to severe tubal bleeding (n = 1) or the development…
Minimal invasive Therapie bei peritonealer Leiomyomatose
Leiomyomatosis peritonealis disseminata (LPD) is a rare benign disease characterised by the presence of multiple intraabdominal nodules, consisting of benign smooth muscle. LPD has only been found in women, predominantly in their late reproductive age. There is a very high association with excess exogenous and endogenous female gonadal steroids, specifically oestrogen and progesterone. Since it is grossly indistinguishable from diffuse carcinomatosis of the peritoneum, several unnecessary radical procedures have resulted. We describe the 44th documented case and the first case of minimal invasive surgery in a 42-year-old women with peritoneal leiomyoma on the right pelvic wall and uterine s…