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

A 12-month study was undertaken in a 9-veterinarian dairy practice to determine patterns of uterine prolapse and factors associated with posttreatment survival. Of 220,000 cows in herds visited by veterinarians from the practice, 200 (0.09%) developed prolapses mostly (155/169 with data) in the first 24 hours after calving. Most cows (130/200) had prolapses during fall and winter months, and assistance was required in 47 of 200 calvings that resulted in prolapses. Treatment of affected cows (n = 196) consisted of cleansing and replacement of the uterus, insertion of perivulvar retention sutures, local and systemic administration of antibiotics, and parenteral administration of dexamethasone and oxytocin. Calcium was administered to cows with milk fever (n = 117) and to multiparous cows without milk fever attended by veterinarian 9 (n = 8). Crude recovery rate after 2 weeks was 72.4%, but recovery was significantly better if the calf was born alive (P = 0.001), the cow was primiparous (P = 0.03), the cow did not have stage-3 milk fever (P = 0.003), or if the cow was attended by veterinarian 9 (P = 0.01). Time to treatment was not significantly associated with recovery, but affected cows were treated mostly (127/156) within 2 hours of occurrence of the prolapse. By multivariable analysis, presence of a liveborn calf, parity, and lack of stage-3 milk fever, but not attending veterinarian, were significant (P less than 0.05) prognostic indicators of 2-week survival.
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PMID:Patterns of uterine prolapse in dairy cows and prognosis after treatment. 224 33

A study in 128 women with variable degrees of prolapse of the internal genitalia has identified significant functional abnormalities of both the genital and pelvic organs. Combined biphasic surgical treatment was performed simultaneously or at an interval of 3-6 months. The operation consisted in fixation of the uterus (its stump or the vaginal dome) using an aponeurotic flap and colpoperineolevatoroplasty. Long-term results were evaluated at 0.5 to 7 years. Complete anatomic and functional rehabilitation was achieved in 95.4% and a significant improvement in 3.8% of the patients.
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PMID:[Current aspects of surgical treatment of prolapse of internal female genital organs]. 226 Jul 54

Retropubic ventral suspension of both the uterine isthmus and the vesical neck is presented as a new operative approach designed to correct uterovaginal prolapse as well as genuine stress urinary incontinence while preserving the uterus. This operation, which has been performed 16 times upon patients whose follow-up study has been five years or longer, is simple, conservative, anatomically sound, effective and safe. It represents a rational alternative in selected patients to the traditional procedure, which calls for vaginal hysterectomy together with an anterior and posterior colporrhaphy.
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PMID:Uterine preservation in the surgical management of genuine stress urinary incontinence associated with uterovaginal prolapse. 264 89

The main steps to be carried out in the operation of vaginal hysterectomy when the uterus is not prolapsed are overall the same as when vaginal hysterectomy is carried out for prolapse: separation of the bladder from the uterus, opening of the Pouch of Douglas, dividing the utero-sacral ligaments, opening the vesico-uterine pouch, dividing the cardinal ligaments, delivering the fundus of the uterus, freeing the uterine cornua and reperitonealisation. All the same, for each step there are numerous different details to be carried out. Careful attention to all these modifications make it easier to remove a non mobile uterus or one that is markedly enlarged. When the definite advantages of this technique, which is unfortunately insufficiently practised in France, are understood it is the operation of choice rather than the abdominal approach whenever a vaginal approach is possible, which it is in the large majority of cases.
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PMID:[Vaginal hysterectomy of the non-prolapsed uterus. Rehabilitating a technic]. 271 24

The case of an uterus--bladder fistula which developed after a Cesarean section and caused repeated spontaneous abortion is presented. With the already existing fistula dry labor was followed by the prolapse of the umbilical cord and finally by spontaneous abortion in the course of 2 successive pregnancies. As surgical solution hysterectomy and closing of the bladder fistula were carried out.
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PMID:[Uterus-bladder fistula causing repeated spontaneous abortion]. 272 41

Complete uterine prolapse was noted shortly after birth in a female infant with a meningomyelocele at the level of the iliac crest with a palpable dimpled defect caudal to the primary lesion. The vagina and uterus were restored to their normal position with a rubber nipple placed into the vagina. The prolapse resolved on the sixth day of life after a repair of the meningomyelocele. Thus, conservative therapy with temporary support provides a satisfactory solution for newborn procidentia.
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PMID:Procidentia in the newborn. 288 41

In an attempt to identify factors associated with stillbirths and those occuring in the 1st week of life, perinatal deaths in infants born in health facilities in Marondera Districts occurred during a 7 months period 1986 were recorded and analyzed. 66 such deaths out of a total of 1900 births, giving a perinatal mortality rate of 35/1000 total births. The largest groups with identifiable cause were intrapartum asphyxia (14 deaths) and severe prematurity (birthweight 1500 gm) (8 deaths). The other associated causes of perinatal deaths were antepartum hemorrhage, code prolapse, toxemia of pregnancy, ruptured uterus, severe congenital abnormalities and intrauterine infections.
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PMID:Perinatal mortality in Marondera district. 324 8

The main steps to be carried out in the operation of vaginal hysterectomy when the uterus is not prolapsed are overall the same as when vaginal hysterectomy is carried out for prolapse: separation of the bladder from the uterus, opening of the Pouch of Douglas, dividing the utero-sacral ligaments, opening the vesico-uterine pouch, dividing the cardinal ligaments, delivering the fundus of the uterus, freeing the uterine cornua and reperitonealisation. All the same, for each step there are numerous different details to be carried out. Careful attention to all these modifications make it easier to remove a non mobile uterus or one that is markedly enlarged. When the definite advantages of this technique, which is unfortunately insufficiently practised in France, are understood it is the operation of choice rather than the abdominal approach whenever a vaginal approach is possible, which it is in the large majority of cases.
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PMID:[Vaginal hysterectomy of the non-prolapsed uterus. Toward rehabilitation]. 344 19

A patient with the Bernard Soulier Syndrome was successfully delivered of twins. The pregnancy was complicated by slight bleeding from the uterus during the first 8 weeks, by cord prolapse necessitating emergency caesarean section, and by moderate post partum haemorrhage. The management of pregnancy in the Bernard Soulier Syndrome is discussed.
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PMID:Twin pregnancy and parturition in a patient with the Bernard Soulier syndrome. 348 80

In an epidemiological health survey, 515 45-year-old women were interviewed about urological problems, particularly incontinence. A pelvic examination was also conducted on 509 of the women. Twenty-two per cent or 114 women stated that they experienced incontinence, which took the form of stress incontinence in 75%, urge incontinence in 11% and a mixture of the two in 14%. Only 14 women, 3% of all the women interviewed, desired medical treatment for incontinence. In the incontinent women, the pelvic examination significantly more often revealed a cystocele, uterine prolapse or impaired function of the levator muscles. No correlation was found between an enlarged uterus and incontinence. In 211 women with one or more of these findings at the gynaecological examination, the frequency of incontinence was 35%; in 298 women with no pathological findings, the frequency was 15%. The frequency of urinary incontinence was not increased in women with higher parity or in postmenopausal women.
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PMID:Urinary incontinence in 45-year-old women. An epidemiological survey. 378 95


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