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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

General anesthetics may have diverse effects on intraocular pressure, possibly leading to serious complications such as vitreous loss and iris prolapse. Clinical and research findings on the effects of depolarizing and nondepolarizing agents are discussed, and methods of avoiding or counteracting adverse reactions are summarized.
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PMID:The effect of general anesthetic agents on intraocular pressure. 33 34

The authors use an autocolpotransplantate in the surgery of the genitale prolapse with urinary stress incontinence (vaginale colpohysterectomy, Manchester-Fothergill-Operation anterior and posterior colporrhaphy). The autocolpotransplantate functions as a subvesical belt which is able to avoid recidivs and also favours the formation of new tissue in the urethro-vesico-vaginale area. The newly formed scarplate is the basis to prevent postoperative vesical continence disorders.
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PMID:[Use of an autocolpotransplant in surgery for genitalia prolapse with urinary incontinence]. 33 25

Different kinds of mucosal prolapse at the rectum are differentiated. True and prolapse with protrusion of considerable portions of the rectum principally occur in later life. For younger patients several rather complicated operative procedures for the elimination of anal prolapse come into consideration, but usually they cannot be reasonably accepted by older patients. For this reason a simple method is recommended which carries little risk and yet promises satisfactory result--such as the insertion of a Thiersch ring. Whereas with this technique, if correctly carried out, improvement of the condition is almost certain to be expected, the longterm result over several years is limited, as a followup examination showed. Insertion of a Thiersch ring can, howeever, be repeated without difficulty. This procedure will retain its indication because of its simplicity.
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PMID:[The operative treatment of prolapse of the rectum (author's transl)]. 34 27

A new method of operation for stiffening the tracheal back wall in cases of prolapse of the pars membranacea is reported; it has been applied with success on 22 cases. The advantages of this technically demanding operation starting from the neck over the method using transthoracic access with insertion of bone chips, fascia graft, or plastic prostheses are discussed.
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PMID:Operative treatment of prolapse of the pars membranacea of the trachea. 34 95

A microsurgical technique for cataract extraction is presented. The operations were performed with a corneal incision and a continuous nylon 10-0 suture. This technique is evaluated by the study of 1289 cases, consecutively operated on. The complication rate was very low. Haemorrhage in the anterior chamber was found in 1%. Delayed reformation of the anterior chamber occurred in only two cases. No cases of iris prolapse occurred. The intraocular pressure was not interferred with by the operation. Wound rupture following removal of the suture three months post-operatively occurred in 1%. The advantages of the corneal incision and continuous nylon suture are discussed (less irritation, good and secure wound closure).
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PMID:Progress in cataract surgery using microsurgical technique. 34 34

The classification of scar injuries of the perineum, peculiarities of their clinical course and characteristics of functional disorders in 12 children are presented in this work. The treatment depended upon the character of pathology. In case of a "scar sail" the plasty with local tissues grafts was performed. The Filatov's graft was used for the plasty of the defect formed after the excision of the scars in an injury to the anus. The Filatov's graft was also used for the plastic reconstruction of the large pudendal lips in girls. In case of the rectum prolapse and extensive perineal scar changes the Filatov's graft and feeding pedicle graft, formed, in the vicinity, were used for the replacement of the large defect. The results of the treatment are described.
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PMID:[Treatment of post-burn perineal deformities in children]. 34 81

An osteoplastic modification of the Caldwell-Luc operation is described. Starting from two small drill holes a quadrangular lid is cut out of the anterior wall of the maxillary sinus using the reciprocating micro-saw after Feldmann. This allows adequate access to the cavity as in the classic procedure. If required the window can be extended in the superior medial angle with rongeurs. After completing the operation within the cavity the osseous lid is reimplanted and fixed with 3 sutures of chromic catgut, which are threaded through small drill holes. By this prodecure prolapse of fat into the sinus is prevented, postoperative closure of the antral nasal window is less likely to occur, the bony structure of the maxilla is restored. Keeping of the reimplant presents no problem. Sequestration or other complications have not been encountered either in suppurative or in polypous sinusitis.
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PMID:[Osteoplastic operation of maxillary sinus (author's transl)]. 34 87

Wound healing in 350 cases of senile cataract extraction done with a corneal incision without a conjunctival flap and closed with 3 deep 6-0 chromic gut sutures is examined. There were no cases of epithelial downgrowth and a low incidence of conjunctival blebs. There was one case of endothalmitis and 4 of iris prolapse. Sutures fell out between the 9th and 16th days and the large knots did not cause excessive irritation while in place. There was an 18% incidence of wound leak manifested by shallow or flat anterior chamber. All of these anterior chambers reformed spontaneously soon after the sutures fell out, indicating the wound leak was probably along the sutures tract. One patient with wound leak developed mild glaucoma postoperatively. Wound healing after cataract surgery is discussed. Epithelial downgrowth and conjunctival blebs are related more to tight silk sutures than absence of conjunctival flap. The early loss of the gut sutures does not decrease wound strength since the sutures have already lost their tensile strength. The epithelium which grows into the cataract wound postoperatively when a flap is not used activates stromal fibrocytes and covers any delayed iris prolapse.
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PMID:Cataract extraction without a conjunctival flap. 35 60

The triad of obesity, hypoventilation and inordinate hypersomnolence characterizes the obesity-hypoventilation syndrome. The reasons for daytime hypoventilation appear related to decreased chemical drives to breathe combined with the added physical impediment of extreme obesity. When the physiology of sleep was investigated in patients with this syndrome, intermittent nocturnal obstructive apneas were documented that produced blood gas abnormalities, arrhythmias and serious elevations of both pulmonary and systemic pressures. The obstructive apneas are due to intermittent loss of muscle tone of the tongue resulting in its prolapse against the posterior pharynx. The special importance of the obesity-hypoventilation syndrome lies in its being an example of a disorder of sleep and breathing that can appear in widely different clinical settings. Therapeutic measures include weight loss, progestational agents or permanent tracheostomy.
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PMID:The obesity-hypoventilation syndrome. 36 40

There is a high incidence of primary colonic intussusceptions in infants and children in Africa. The case histories of 37 patients are reviewed. Of the varieties described, the caecocolic intussusception (16 patients) presents as an intestinal upset, often mild, with symptoms of colic and vomiting. In many of these patients there is known to be an intestinal infestation with Ascaris lumbricoides. This often leads to a delay in establishing the correct diagnosis. Colocolic intussusception (13 patients) gives rise to more acute abdominal symptoms. On clinical assessment, signs of intestinal obstruction are found and there is usually an intra-abdominal mass which can be palpated in the left colon. Further confirmatory evidence of intussusception is the finding of occult blood in stools. There is an unusually high incidence of sigmoid intussusceptions in infants (8 patients). The diagnosis of this form of intussusception is often delayed owing to inadequate clinical assessment of prolapsed bowel at the anal orifice. The length of the prolapsed bowel, the curved nature of the prolapse and the possible demonstration of a sulcus between the prolapsed bowel and the anal canal wall, aid in diagnosis.
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PMID:Colonic intussusceptions in children. 36 78


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