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Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The safety and efficacy of the repeated transcervical instillation of quinacrine hydrochloride in a suspension of 5 ml of 2% Xylocaine was evaluated in 200 patients. All instillation procedures were performed during the proliferative phase of the menstrual cycle: the second instillation was made in the first menstrual cycle following the initial instillation and the third and last instillation at 6 months after the first. None of the patients used any adjunctive contraceptives. Follow-up visits were scheduled at 6-month intervals after the last instillation. The potentially serious complications following the instillation were four cases of cortical exitation, and one case of acute adnexitis. The second instillation was not performed for 16.0% and the third instillation was not performed for 16.7% of the patients, for medical and/or personal reasons. Fifty-one pregnancies were reported, 41 (80.4%) before completion of the three instillations. The results of this study show that the instillation schedule used is unsatisfactory for widespread use. Additional studies are currently being conducted to evaluate the use of an adjunctive contraceptive up to the time of the third instillation in order to reduce the high pregnancy rate.
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PMID:The clinical efficacy of the repeated transcervical instillation of quinacrine for female sterilization. 2 Mar 47

Between 1974-1975, 21 approved sterilizations were performed by means of laparoscopic electrocoagulation of the ovarian tubes. It is recommended for being time minimizing, its 2-day hospitalization, the fact that it allows one to return to work quickly, and its high reliability. The uterine tubes are always coagulated at 2 points without cross sectioning. The process lasts 15-20 seconds and utilizes 40-50 watts of current. No failure was encountered in these 21 cases. 1 case of bilateral adnexitis occurred 10 days after the operation. Contraindications to this type of operation are the same as with normal gynecological laparoscopy.
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PMID:[A contribution to electrocoagulative sterilization of ovarian tubes by laparoscopy (author's transl)]. 13 83

In many cases gonorrhea is overlooked and not treated due to an unusual course of the disease. The longer this infection exists the greater is the danger of dissemination of the gonococci. Gonorrhea, if not diagnosed, may cause a series of local and general clinical manifestations, such as: the dermatitis-arthritis syndrome whose pathogenesis is not yet completely clarified: the Fitz-Hugh-Curtis syndrome which is often seen in females with chronic gonococcal adnexitis;gonococcal pharyngitis which nowadays occurs more often due to less conventional sexual practices of contemporary society; gonococcal conjunctivitis which represents the best known extragenital gonococcosis. This paper deals with the clinical manifestations and their treatment.
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PMID:[Extragenital gonococcal infections. A review]. 14 48

In cases of acute adnexitis laparoscopy is an excellent diagnostic method. By this way we found in 182 patients with clinical symptoms only 50,5% acute inflammatory diseases of adnexa. On the other hand there was a normal genital status in 18,1%, acute appendicitis in 9,9%, ectopic pregnancy in 7,7% etc. Clinical examinations and second-look-laparoscopy 6--8 weeks after ending the treatment cases of salpingitis alone showed the best results. Patients with more extensive inflammatory reactions had more adhesions too. An early diagnosis and treatment under hospital conditions is recommended. We have good experiences with immediately operation in cases of suppurative inflammation of the adnexa, which are only diagnosticate by laparoscopy.
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PMID:[Diagnosis and therapy of acute adnexitis using laparoscopy]. 15 52

A study of 1084 women who underwent laparoscopic sterilization by electrocoagulation is presented. 65% were interval sterilizations, 35% were performed after an induced abortion. Bleeding was the most frequent intraoperative complication (11.4%) and was significantly more frequent among patients whose Fallopian tubes were divided after electrocoagulation. In 10 cases, a laparotomy had to be performed; in 9 of these cases intraoperative complications, mainly intraperitoneal growths, made the laparotomy necessary. Although 9.7% of the patients had previously undergone laparotomy and 8.6% had had adnexitis, intraperitoneal growths resulting from these factors prevented laparoscopic sterilization in only 1 patient in each case. Pregnancy occurred in 9 of the patients (.83%) an average of 25.1 months after the operation. In 3 of these cases an ectopic pregnancy was observed. In 3 cases, method failure was responsible for the pregnancy, in 2 cases an operative error. The frequency of intraoperative bleeding was not significantly higher for women who had previously had adnexitis, undergone laparotomy, or who underwent post-abortion sterilization.
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PMID:[Laparoscopic sterilization with electrocautery: complications and reliability (author's transl)]. 15 65

The article presents a review of the evolution of indications for laparosocpy during the years 1973-1977. Laparoscopy is always indicated in case of chronic pelvic pains, ovarian malignant tumors, tubal infertility, adnexitis or ectopic pregnancy. In such cases the accurate inspection of the pelvic cavity can allow precise diagnosis and therapy. Laparoscopy can also be repeated to control the effectiveness of therapy, especially in the surveillance of ovarian cancers. On the other hand, laparoscopy should not be systematically performed in cases of isolated pelvic pains, in case of ovarian cyst or fibroma, or in case of amenorrhea, where clinical examinations and biological explorations are sufficient to determine diagnosis and therapy. Laparoscopy should be used only when there are contraindications among biological findings, or in cases of therapeutic failures.
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PMID:[The evolution of the indications for laparoscopy between 1973 and 1977. 1,758 cases (author's transl)]. 16 66

Based on many years' experience with trichomonas vaginalis the author comes to the conclusion that trichomonads are much more common than expected. Therefore the possibility of trichomoniasis shoudl be taken into account not only when discharge is found in females or persistent urethritis in males, but also in other affections. Remote reactions may occur in either sex, e.g. prostatis or adnexitis. Sterility is sometimes due to trichomonas vaginalis. Apart from classical pictures in either sex arthritis and erythema nodosum may develop. The unstained preparation is usually sufficient for demonstrating the organism. The clinical diagnosis in males and females is discussed. The new single dose therapy with tinidazole is of special interest for three reasons: low minimum trichomonacidal concentrations, 72-hour-action, high active excretion in the urine. No effect on the blood picture was observed. It appears that tinidazole (Simplotan) has a secondary effect on the pathological mixed flora. Candida, too, is often eliminated, but in some cases nystatin therapy is still necessary. The relations to diabetes mellitus, antibiotics, pregnancy and hormonal contraception are discussed.
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PMID:[Trichomoniasis. Physiopathology and therapy]. 30 Jul 4

A clinical trial on efficacy and tolerance of Cefazedone, a new semisynthetic Cephalosporine-derivate, was carried out in a gynaecological clinic on 75 patients. In 38 of these cases, besides the gynaecological affection, urinary tract infections were determined microbiologically (E. coli, P. mirabilis, klebsiella or enterococci). Inflammation of the lower abdominal area was established in the remaining 37 patients (adnexitis, pelvic peritonitis, endometritis, salpingitis). The average duration of treatment was 10 to 11 days. Cefazedone was injected intravenously twice a day, the daily dose was 2 to 4 g. The clinical assessment of the treatment was very good in 28 cases, good in 43 cases, moderate in 3 patients and poor in 1 case. All initially identified pathogens were eliminated after treatment. A slight transitory diarrhea was observed in 5 cases. There were no further side-effects. The values of gamma-GT, serum-creatinin, hemoglobin and erythrozytes were controlled before and after medication and showed no detremental effect of the drug. The local tolerance of Cefazedone was good in more than 90% of the cases treated.
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PMID:[Cefazedone in infectious diseases in gynecology. Clinical tests on efficacy and tolerance]. 37 73

Chlamydiae belonging to Subgroup A occur in both the normal male urethra and in patients with urethro-adnexitis, which means that Chlamydiae must be attributed with a significant pathogenetic role in certain cases of abacterial urethroadnexitis. Susceptibility to erythromycin therapy confirms this.
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PMID:[The role of chlamydiae in male urethro-adnexitis (author's transl)]. 43 98

Prostaglandin F2 alpha was used to induce abortion in 287 primigravidae, aged 13-44 (average age 17.5), who were 6-12 weeks pregnant. A solution of 5 mg prostaglandin to 20 ml isotonic salt solution was instilled extraamnially in 3 ml dosages at 1 hour intervals. If more than 8 instillations were required, the dosage was increased to 4-6 ml. In 61.3% of the patients, incomplete abortion was observed. In 30.3%, an additional minor Hegar dilatation was necessary. In 6.3%, complete Hegar dilatation was easily performed. The failure rate was 2.1%. There were 3 cases of endometritis, 9 of salpingitis, and 11 of adnexitis. The average postoperative hospitalization period was 6.7 days.
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PMID:[Early inflammatory complications in induction of abortion by means of intrauterine extra-amnial administration of prostaglandin F 2 alpha in primigravidae]. 55 77


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