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Biomedical subjects

B Rudelstorfer

Publications and source records attributed to B Rudelstorfer.

13 recordsLinked to original sources
PubMed1997

[Wound closure of the fallopian tube with fibrin glue: endoscopic organ preserving therapy of extrauterine pregnancy].

OBJECTIVE: In a follow-up study, women with ectopic pregnancies were treated laparoscopically by closing the salpingostomy wound with a fibrin sealant. Their postoperative pregnancy rates and operative results were compared with those of established techniques. METHOD: Ectopic pregnancies were removed by salpingostomy, and the wound was sealed by dripping a fibrin glue onto the (approximated) wound edges. RESULTS: Following salpingostomy and consecutive sealing of the wound, 59 women still wanted to have a baby. Pregnancies occurred in 92%. Intrauterine pregnancies were found in 61%, the relapse rate on the operated side was 15%. After the operation, 5 patients had a second ectopic pregnancy before or after a normal one. In case of the presence of only one or both operated tubes, the intrauterine pregnancy rate was 77% and the relapse rate 11%. All pregnancies were obtained without any medical help, and 41 women (69%) had a healthy baby. CONCLUSION: The simple fibrin sealing technique yielded results comparable to those of the techniques established so far.

Adult↗
PubMed1995

Pelviscopic organ-preserving treatment of ectopic pregnancy using fibrin sealant.

Pelviscopic surgery with organ preservation and approximation of wound edges has become increasingly accepted as operative therapy of tubal pregnancy. We developed a new, simple method using fibrin sealant that can be learned by surgeons in training, and can be performed easily when specialists are not available. One hundred fourteen of 135 pelviscopic interventions for tubal pregnancy were performed in this manner in a primary medical care hospital. The mean operating time was 49 minutes (range 35-70 min) and the mean length of hospitalization 3 days (range 2-7 days). Complications, time to return to work, and pregnancy and recurrence rates compare with values reported in other studies. Therefore, this method can be recommended as an alternative to other techniques.

Adhesives↗
PubMed1977

[The influence of socio-economic factors on the results of a prematury-Dysmaturity prevention programme (author's transl)].

All high-risk gravidae with regard to prematurity and dysmaturity (PDP programme) were collected over a time-limited period. More than two thirds (n = 72) of these women were submitted to intensive care (PDP group); one third (n = 33) (control group) refused intensive care. Furthermore, socio-economic factors were taken into consideration in this study and appropriate classification into 4 groups was undertaken. Gravidae of a higher social class were more often willing to undergo intensive care than gravidae of a lower class. In the PDP group 75% of the gravidae were delivered after the end of the 36th gestational week and 51% of the gravidae in the control group. A similar relationship was found in regard to the birth weight of the newborn infants: in the PDP group 74.4% of the babies weighed over 2500 g at birth in contrast to the respective figure of 42.9% in the control group. However, this socio-economic study shows that the results of intensive care are much more successful in women from a lower social stata than in women from a higher social class.

Adrenergic beta-Agonists↗
PubMed1977

[Intraoperative sphincterotonometrie during plastic repair of the urogenital diaphragm (author's transl)].

The method of using sphincterotonometry during the operation, which is described in this paper, adds further importance to this means of examination besides the pre-operative classifying of urinary incontinence and the postoperative control of the surgical success. By drawing up a urethral profile and by performing simultaneous impact palpation the functional effect of the operation can be checked during the same, so that a possibly necessary correction can follow at once.--Up-til now this test has been carried out during 16 operations on urinary incontinence (diaphragma plastic by Kelly with at least one years of postoperative control).--According to our hitherto existing examinations a positive closing pressure of more than 10 mmHg is necessary for achieving a functionally satisfying operation result.

Adult↗
PubMed1976

[Asteroid plastic surgery as optimum management of complete and partial vaginal occlusion (author's transl)].

Opinions differ about the type of surgical procedure to be applied in cases of complete or partial vaginal occlusion. The large percentage of postoperative vaginal stenoses and functional disorders necessitated a search for a new technique. The mucous membrane of the introitus vaginae is incised in the shape of a lying cross and the four flaps thus made are detached. Then an exactly lateral incision is made on each side of the crossing point described above resulting in a broad access to the vagina. Once the opening is wide enough, a second group of triangular flaps is formed vertically to this horizontal incision; the dimensions of the triangular flaps in the inner and outer group must be identical. Then the outer four flaps are turned inward and the four inner flaps are turned outward and interlinked so that a zig-zag line is formed which encircles the vagina in the area of the former stenosis. Thus far this surgical technique has been applied five times and yielded satisfactory results in every instance.

Adolescent↗
PubMed1976

Electro-acupuncture's influence on the closure mechanism of the female urethra in incontinence.

The influence of electro-acupuncture on the sphincter of the female urethra was checked on 20 patients with stress incontinence without gross anatomic variation. This was determined by means of simultaneous cysto-urethromethrometry. After 30 minutes of electric stimulation through acupuncture needles which were placed into the skin of the lower legs and lower abdomen, a significant increase in the so-called "closing pressure" was found. Seventeen patients even showed positive pressure. In a control group of another 20 patients who, however, did not undergo acupuncture, there were only two cases of slight increase in closing pressure. In addition, a second control group of 20 patients was given a placebo suppository in order to eliminate any psychic factor as far as possible. Significant change of the closing pressure could not be found in any of these cases. Even though the actual working mechanism of electro-acupuncture is not understood, these experiments seem to confirm the assumption of electro-acupuncture's positive influence on the closing mechanism of the female urethra.

Acupuncture Therapy↗
PubMed1976

[First experience and results with the PDP-program of Saling (author's transl)].

According to Saling's Prematurity-Dysmaturity-Prevention Program (PDP-Program) all high-risk pregnancies in a time limited period were collected (n = 105). From these a group of 72 gravidae (PDP-group) were controlled by an intensive care-staff, a group of 33 gravidae (controll group) refused an intensive care. The initial situation of both groups was very similar. In the PDP-group 3 quarters of the gravidae delivered after the 36th week of gestation, in the control group the half of gravidae. In the PDP-group 1 quarter of the newborn infants had a birth-weight of less than 2 500 g, in the control group the half. The condition of the newborn infants were similar.

Adult↗
PubMed1976

[The success prognosis of plastic diaphragma operation on women with stress incontinence (author's transl)A1].

The paper refers to 126 patients on whom a plastic diaphragma operation was performed at the 1st Department of Obstet. and Gynec. of the University of Vienna. Based on the results one year after the operation, the success chances are shown and set into relation to several preexistent factors, such as severity of the incontinence, weight, parity, age and conduct of life. An increasing of the two first mentioned factors led to a significant deterioration of results. The influence of an incontinence remains incontested, yet a higher parity does not lead to significantly poorer operation results. As to the factor "age", there were no significant differences in our material. Conduct of life and additional stress in women employed in an occupation are being discussed. Furthermore it was possible to confirm the postoperative space of time needed until restoration of an undisturbed bladder function as a relatively reliable prognostic hint to the expected success of the operation. For this confirmation an objective examination method (sphincterotonometry) was used.

Adult↗
PubMed1975

[The influence of electric acupuncture on the closing mechanism of the female urethra in cases of stressincontinence (author's transl)].

The influence of electric acupuncture on the sphincter of the femal urethra was checked on 15 patients with stressincontinence without gross anatomic variation recognized by means of simultaneous cystourethrometry. After 30 minutes of electric stimulation through acupuncture-needles, which were placed into the skin of the lower legs and lower abdomen, a significant increase of the so-called "closing pressure" was to be found. 11 patients even showed a positive pressure. In a control collective of 15 other patients, who however did not undergo acupuncture there was only one case of slight increase of closing pressure. In addition 15 patients were given a placebo suppository, in order to eliminate as far as possible any psychical factor. In none of these cases a significant change of the closing pressure could be found. Even though the actual working manner of electric acupuncture is not understood, these experiments seem to confirm the assumption of the electric acupuncture as having a positive influence on the closing mechanism of the femal urethra.

Abdomen↗
PubMed1975

[Consequences of a delayed start of therapy in primary irradiated gynecologic malignomas on five-year healing and mortality. A clinical epidemiological study].

The cases of 627 women with gynaecological malignomas, who were primarily irradiated in 1967 to 1969, were interpreted, questioning the temporary difference between clinical and histological diagnosis and beginning of treatment with regard to five-years' healing-results and mortality. The study has demonstrated, that - a delay of only four weeks considered - the part of living patients waas 11,28% of the total number of living patients, the part of dead patients however was 21,62% of the total number of dead patients. We emphasize therefore the urgency of an immediate beginning of therapy following a reliable diagnosis.

Aged↗