Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

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

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

A study of 2147 induced abortions was undertaken to determine the frequency of complications and to determine the effect of an abortion on a subsequent pregnancy. 9.4% of the patients were 17 years of age or younger, 36.5% were single, 25.1% were nulliparae. The overall complication rate was 5.28%. The most frequent complications were inflammations, e.g., adnexitis, endometritis, parametritis: 1.58%. There was a .79% incidence of cervical injuries, 76.4% of which were among primigravidae. 151 of the patients became pregnant during the 2 years following the abortion; 87 carried the pregnancy to term. The incidence of spontaneous abortion among these patients was 25.3%, of cervical insufficiency 20.7% and of premature birth 13.8%. Only 35.6% of the pregnancies proceeded without complication. Perinatal mortality was 3.1%. Steps must be taken to prevent the use of induced abortion as a contraceptive measure, especially among young primigravidae.
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PMID:[Abortion complications and their effect on subsequent pregnancies]. 71 93

139 cases of tubal pregnancy were analyzed from different points of view over a 10-year period. The ratio of tubal abortion to tubal rupture, both as a result of tubal pregnancy, was determined in this sample at 1:1. Between abortion and rupture a clear difference in time lapse was found from the last regular menstruation to the culmination of the specific symptom. The average age of the patients studied was 28 years. 40% were nulliparae, 10% had been operated on for a previous extrauterine pregnancy. From the histories of these patients it was revealed that 14% had previously had adnexitis, although genital tuberculosis is considered to play a subordinate role. 4 cases in which an IUD was present were observed. In 45 cases, the tubal pregnancy was accompanied by appendicitis, although in no cases was the right tube found to be obstructed.
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PMID:[Tubal pregnancy]. 94 57

Clinical symptoms of the disease are: sterility, relapsing, adnexitis, chronic peritonitis or perimetritis, primary or secundary lack of menstruation, even spontaneous abortion with fever and tubal pregnancy. Any kind of physicotherapy causing hyperaemia or congestion, surgery or sexual hormontherapy may enhance local exacerbation even spread of the disease. Congestion may further enhance the growth of bacteria by supplying more oxygen, and the sex hormones are incorporated by them. These circumstances influence the pathogenesis in a particular manner. The iatrogen provocation can prevented by profilactic antituberculous care. Lack of the mentioned prevention results to local progression, exsudat, fistulas, severe adhaesions, which cannot be solved by surgery. The iatrogen damages can only be prevented if gynecologists and phthysiologists cooperate.
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PMID:[Iatrogenic provocation in female genital tuberculosis free of symptoms]. 96 Nov 99

All the women who underwent a mini-abortion in 1989 at the 2nd clinic of obstetrics and gynecology of Prague were followed-up in order to ascertain the relationship of complications after a mini-abortion to parity; the amount of time that elapsed before the manifestation of difficulty; the clinical symptoms of readmission after abortion; the week of gestation when ultrasound was performed for the diagnosis of the causes of difficulty; and the role of treatment. 1769 mini-abortions were carried out in 1989. 90 (5.08%) women were hospitalized for complications. The youngest patient was 16 years old, the oldest 42 years old. 6.66% of the affected women were under 18 years old, 10% were in the 18-20 age group, 20% were under 25 years old, and 12.22% were under 30 years old. 24.44% were 35 years old, and 17.77% were over 35 years of age. 25 (25.55%) women were primigravida, and 68.88% were multiparous with at least 1 birth. 5.55% of women had an abortion or mini-abortion in their anamnesis. The complication in 10 clinic readmission cases occurred 2 days after induced abortion in 11.11%, 4 days later in 38.88%, 6 days later in 22.22%, 8 days later in 10%, and 10 days later in 3.33%. 18.14% of women were hospitalized longer than 10 days. The most frequent cause of admitting patients was suspicion of inflammation in 50%, residue in 22.22% and endometritis in 13.5%. 7.77% of the women were admitted for bleeding, 5.55% for endometritis and adnexitis, and 1.11% for parametritis and adnexitis. Ultrasound investigation was performed for every women admitted for complications. In 58.9% there were no findings, the fetal remains had been eliminated from the uterine cavity. The association of morbidity with the length of pregnancy was demonstrated by the fact that in 6.66% the abortion was performed in the 5th week of gestation, in 23.33% in the 6th week, in 47.77% in the 7th week, and in 22.22% in the 8th week. 73 patients (81%) were treated with antibiotics. Only in 19% was the treatment limited to uterotonic hormones.
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PMID:[Morbidity after induced abortions in 1989]. 162 33

Pelvic examinations in 1,906 women at the Gynaecological Room, Out-Patient Department, Siriraj Hospital, in June 1990 were studied. The range of ages was between 14 and 85 years, the mean age being 34.5 +/- 11.5 years. Almost three-quarters (74.7%) of the cases had undergone Pap smear examinations; of these, 36.5 per cent followed up on the results and 6.7 per cent were sent the results by postcard as requested by the patients. The percentage of the clinical diagnoses in women who underwent pelvic and Pap smear examinations (Pap smear data are within the parentheses) were: 36.6 (29.0) no abnormal findings, 14.9 (10.5) vulvovaginitis and leukorrhea, 10.1 (9.7) cervicitis and cervical erosion, 5.6 (1.9) bleeding per os, 3.4 (0.3) abortion, and 3.3 (1.3) adnexitis. The mean age of the women with various diseases were: 27 years in cases of abortion; 30-34 years in women with inflammation of the vulva, vagina, cervix and adnexa, including bleeding per os; 41-45 years in women with cervical polyps, suspected carcinoma, precancer and carcinoma of the cervix, combined with myoma uteri; 48 years in women with relaxation of the genital organ. Every woman who underwent pelvic examination should have a Pap smear and VCE technique performed for the early detection of cervical carcinoma. Health care workers should also ensure that every patient follows up on the results.
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PMID:Pap smear examinations of women at the out-patient department of Siriraj Hospital. 226 51

The results of combined treatment of 83 women (17-43 years old) with septic complications following abortion in a nonhospital setting are reviewed. The group included 9 primigravida and 74 secundigravida. Almost all women had a history of extragenital diseases and 52 had a history of genital tract inflammations. Pregnancy was terminated in the first trimester in 56 and in second trimester in 27. Septic complications (endometritis and adnexitis) developed on day 2-20 after abortion. Of 83 patients, 10 (12%) died in spite of prolonged and unsuccessful treatment. 22 women with diffuse peritonitis and peritoneal abscess underwent surgery (extirpation of the uterus and tubes in 17, supravaginal amputation of the uterus in 1, and opening of the abscess in 4) and 51 underwent curettage of the uterine cavity. Postoperative treatment included antibiotics, administration of plasma substitutes, heparin, correction of electrolyte imbalance, administration of immunostimulants, and transfusion of the autologous blood irradiated with ultraviolet rays. Antibiotic therapy usually consisted of at least 2 drugs in maximum doses (1 antibiotic was given iv). The most frequent combination was penicillin (6-8 g/day) together with aminoglycosides or cephalosporins. Antibiotics were given for 7-10 days. Indications for extirpation of the uterus and tubes included anaerobic septic process in the uterus, dissemination of the infection outside the uterus, renal-hepatic failure, perforation or necrosis of the uterine wall. Instead of peritoneal dialysis, the patients received irrigation of the peritoneal cavity with a mixture of kanamycin, furagin and novocain. All 72 patients survived surgery or curettage and were cured.
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PMID:[Current treatment of postabortion sepsis]. 294 71

The frequency of short and long term complications of artificial pregnancy termination were studied to identify a group of high risk patients in relation to the development of postabortion complications. The goal was to determine the optimum time for conducting rehabilitative measures. Group 1 was composed of 250 women whose pregnancy was terminated by curettage (n=100), prostaglandins (n=100), and vacuum aspiration (n=50). Reproductive function was assessed in this group for 12 months after artificial abortion (1, 3, 6, 12 cycles). Group 2 consisted of 400 women: pregnancy was terminated instrumentally in 250 of the women, and it was done by prostaglandins in 150 women. The assessment of reproductive function was conducted 5 years after artificial abortion. Gynecological diseases were observed in 16 patients of group 1 (6.4%): in 12 of 100 women with instrumental abortion (12%), in 2 of 100 women with prostaglandin-induced abortion (2%), and in 2 of 50 women with vacuum aspiration (4%). In most of the women complications were expressed in the form of uterine subinvolution (2.4%), metroendometriosis, salpingoophoritis (2.4%), and in the form of metrorrhagia (1.6%). Followup of group 1 revealed no regularity in the time of development of the disorders since their rate of appearance was equal 1, 3, 6, and 12 months after abortion. The 1st menstrual cycle after both surgical and prostaglandin abortion was biphasic in 88% (220 of the 250 women). Yet, an insufficient luteal phase in the 1st menstrual cycle developed in 20% of women with surgical abortion and in only 10% of the subgroup with prostaglandin-induced abortion. The 2nd menstrual cycle was characterized by the recovery of hormonal parameters and tests of functional diagnosis. Examination of the 2nd group revealed reproductive dysfunction in 131 of the 400 women studied (32.7%). The primary complaint was infertility. 3 groups of disorders were identified: hypothalamopituitary dysfunction expressed in anovulation (33 women); hypothalamopituitary dysfunction manifested by insufficient luteal phase (80 women); and adnexitis (18 women). The rate of postabortion complications in the long term increased by more than 3-fold. Postabortion complications were more frequent in women with a late menarche and with a history of genital inflammation. Investigation of the menstrual pattern in women suffering from secondary infertility after artificial abortion showed that 36.6% of the patients preserved the regular menstrual pattern, yet an insufficient luteal phase revealed by functional tests led to infertility. Impairment of the ovulatory process was the leading symptom in the women with secondary infertility. Ovarian dysfunction was expressed as an insufficient luteal phase 2.4 times more often than anovulation.
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PMID:Short and long-term results of pregnancy termination by different methods. 358 57

In a prospective study on 104 patients, who were admitted because of a suspected ectopic pregnancy (EU), Serum-lactate dehydrogenase (LDH) was evaluated. Referred to the final diagnose patients were divided in four groups: ectopic pregnancy (Group A), abortion (B), intrauterine pregnancy (C) and metrorrhagia or adnexitis (D). LDH values in groups B, C and D were within normal range, values in group A were significantly higher (p less than 0.001). Particularly the comparison "chronic EU" to incomplete abortion showed impressive results: LDH (U/l; mean +/- SD) 300.2 +/- 97.0:133.8 +/- 45.2 (p less than 0.001), Serum LDH seems to be a simple, rapid and reasonable non invasive parameter in pathologic early pregnancy classification.
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PMID:[Tubal pregnancy: lactate dehydrogenase as a differential diagnostic parameter]. 359 Oct 69


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