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

Within a 2-year period, 2 cases of extremely rare occurence of simultaneous intra- and extrauterine pregnancy were observed in a Frankfurt-Oder clinic. In the 1st case the 33-year-old patient had had an IUD for 3 years. In the 2nd case the 40-year-old patient had suffered adnexitis after interuptio. Variations in egg-transport speed, stopping of the egg at a tubal obstacle, or digression of the egg are mentioned as possible causes for double pregnancy. Swelling of the tubal pregnancy due to nidation of the 1st intrauterine egg is also suggested. Incidence of tubal pregnancies is higher with IUDs or after adnexitis or adnex operations. Diagnosis in such cases is extremely difficult, and there is always a danger that the 2nd pregnancy may be overlooked because extrauterine pregnancy symptoms are so acute. If the uterus is abnormally enlarged or breakthrough bleeding does not occur after adnexectomy or removal of the corpus luteum graviditatis, or if there are positive pregnancy tests after Postoperative Day 14, intrauterine pregnancy should be suspected. If interupptio of intrauterine pregnancy has been performed, extrauterine pregnancy may be suspected if an adnex tumor is discovered, bleeding remains slight, or the immunological pregnancy test remains positive after 14 postpartum days. Thus it is recommended that preabortion examinations include tests for adnex tumors; thorough examinations may be carried out with anesthesia. Dismissal examinations should also be meticulously performed, and there should be careful ambulatory follow-up supervision of the patient.
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PMID:[2 cases of simultaneous intra- and extrauterine pregnancy]. 84 1

A study is presented of 500 outpatient abortions performed with paracervical anesthesia before the 12th week of pregnancy. After tests and consultation, 20 mg diazepam was given im 1 hour before the operation. A paracervical blockade was established with 5 ml Carbocainnoradrenalin 1% applied to each of the 4 quadrants. After 10 minutes the cervical canal was dilated a.m. Hegar to 1 number larger than the aspiration curette to be used. The uteral cavity was evacuated by aspiration, at 500 mm Hg vaccuum followed by a stump curette. Patients were given 1 ml Methergin iv during the evacuation, observed for up to 2 hours afterwards, and then sent home. Frequency of perforations with this procedure was .4%, reevacuation 2.0%, adnexitis 1.6%, pyrexia 1.8%, and vasovagal reaction .4%. There was no significant increase in hemoglobin level in patients. 82% of the patients found the method acceptable. The low rate of complications make the method very suitable for outpatient abortions.
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PMID:[Outpatient legal abortion. 500 operations with paracervical anesthesia]. 125 5

The study included 170 women subjected to menstrual regulation. The double-valve band syringe was used in 96 and the electric pump (the vacuum source usually used at the Department) in 74 cases. Nearly all the procedures were performed under general anesthesia, using 8 mm, 10 mm or 12 mm plastic rigid cannulae. Three abortions with the hand syringe also required dilatation and curettage, and all three women suffered blood loss exceeding 100 ml. There was one cervical laceration surgically repaired and a case of adnexitis reported among the hand syringe group. Immediate complications occurred in 7.3% of the cases using the hand syringe and in 4.1% of using the electric pump. The mean procedural time was 4.2 minutes and 4.0 minutes, respectively, with the hand syringe and the electric pump. Only three women reported complications or complaints at the follow-up visit, all of them from the electric pump group.
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PMID:[Abortion at 10 to 12 weeks using a plastic syringe or electric aspirator]. 664 10

Total postoperative complications after induced abortion in the German Democratic Republic is 9.7%. This increases to 20% in women over 35 years old with a uterine myoma and concurrent pregnancy. Necrotic degeneration of a myoma following induced abortion is rare in the literature. A 43 year old patient presented for therapeutic abortion at 3 months pregnancy. A uterine myoma of the posterior wall was found at preoperative evaluation. Vaginal suction evacuation was performed under anesthesia. After subsiding of symptoms further gynecological palpation showed a fist-size, painful, retroflexed uterus with painful adnexa and Douglas' pouch. Antibiotics were used to treat the adnexitis. Diminishing of symptoms did not result in decrease of uterine size and laparotomy was done for suspected degenerative softening of the myoma. Partially necrotized uterine myoma, solidly encased in the Douglas' pouch, was found and radical hysterectomy was performed. Except for a successfully treated urinary infection the postoperative course was smooth and patient was discharged on day 17. Histology findings were nonmalignant, fibrosed intramural leiomyoma of the uterus. Degenerative changes of uterine myomas are most likely caused by nutritional deficiency of the myoma. Space restriction following therapeutic abortion, risk of possible tissue trauma, thrombus formation and bacterial infection can all induce the necrotic process. Necrosis of uterine myomas should be considered as a possible complication in a typical postoperative course of therapeutic abortion.
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PMID:[Necrotic uterine myomatosis--a rare complication following vaginal termination of pregnancy by suction (author's transl)]. 726 82

214 patients, of average age 32 and of median parity 4.5, were sterilized by tubal ligation using a modified Madlener method. The surgical procedures were greatly helped by the use of a new piece of equipment invented by the author, a culdoscope of special design, allowing a larger view of the operative field. Peridural anesthesia was employed in 88.8% of cases; general anesthesia in 3.2% of cases, and only for patients with psychological problems. The procedure lasted an average of 17 minutes; there were a few cases of immediate bleeding or pain, but no serious complications. Long-term side effects had usually to do with changes in libido. There were no pregnancies. 81.7% of patients were followed up to 3 months after sterilization; 95% of them were very satisfied with the procedure, and most declared to have chosen culdoscopy over other sterilization methods for esthetical reasons. The only contraindication to tubal ligation performed in this manner would be pelvic infection complicated by adnexitis.
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PMID:[Tubal ligation by culdoscopy in a simplified surgical procedure: study and follow-up of 214 cases]. 1226 62