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Biomedical subjects

E Hochuli

Publications and source records attributed to E Hochuli.

At least 55 records · Page 3Linked to original sources
PubMed1984

[Cerclage and tocolysis in twin pregnancies].

From 1977 to 1981, 29 twin pregnancies were managed by cerclage and tocolysis and this group was compared to 28 twin pregnancies without cerclage. The average birth weight in both groups did not differ significantly. In the group with cerclage 91% of the infants had a birth weight of 2000 or over 2000 gm and none was born prior to 34 weeks gestation. In the group without cerclage, five infants were born prior to 34 weeks gestation and only 76% had a birth weight of 2000 gm or higher. The perinatal mortality in the group with cerclage was zero percent; in the group without cerclage, one died at 31 weeks gestation. The avoidance of deliveries of very small and immature infants inascribed to the influence of cerclage and tocolysis. In the group with cerclage there was a higher incidence of small gestational age infants and a higher incidence of rupture of the membranes and operative deliveries. These were due to a random increase of malpositions. Our results are limited by the fact that the cerclage was done in all cases prior to 27 weeks gestation whereas the group without cerclage did not have the diagnosis of twin pregnancies established prior to 27 weeks gestation in 75% of the cases.

Birth Weight↗
PubMed1983

[Stress incontinence: a critical evaluation of diagnosis and treatment].

The diagnosis and treatment of urinary incontinence remain controversial. For the diagnosis different methods are used which yield divergent results. Only correlation of different methods and results give a satisfactory diagnosis. Stress incontinence needs individualized operations. Several operative methods are available. Unstable bladders need to be recognized prior to operation and treated conservatively. Many times a combined operative and conservative management is necessary.

Female↗
PubMed1981

[Breech presentation (author's transl)].

The perinatal mortality and morbidity of 303 breech deliveries was investigated. In 80 newborn the acidosis (pH less than 7.20) was due to positional variations such as footling, knee and mixed breech presentations in vaginal deliveries. Our results are incorporated in a new concept of triage which permits continuing vaginal breech deliveries as a calculable risk.

Acidosis↗
PubMed1981

[Results of the operative treatment of severe second degree stress incontinence in 425 cases (author's transl)].

The results of the operative treatment of 425 women with severe stress incontinence grade II and grade III according to Ingelman-Sundberg are reported. The following types of operation were used: diaphragmaplasty (DP), urethrovesicosuspension Marshall-Marchetti-Krauz (MK), lyoduraslings (LDS), and puborectalisplasty of Franz-Ingelman-Sundberg (PRP). The choice of the operative method and the evaluation of the results of the operation were done by history, clinical examination and radiological examination. The urodynamic investigation with a microtransducer which we used since 1977 prior and after each operation for stress incontinence does have little influence on the choice of the operation. The value of urodynamic studies on a quantitative evaluation of the type of operation is at present doubtful. Our definitive evaluation of the result of the operation was done not earlier than one year following the operation in a prospective stress incontinence clinic. Because of our individual treatment plan from the onset by different methods 89% of the 425 patients were cured or markedly improved.

Adult↗
PubMed1980

[Attempt at cost and benefit analysis in the perinatal range (author's transl)].

Our cost and benefit analysis shows that "intensive obstetrics medicine" is obviously profitable from the material point of view and when using restrictive methods of estimation. The drop in perinatal mortality as well as in morbidity and the resulting gain in terms of national economy, however, cannot be considered from the viewpoint of efficiency of intensive obstetrics alone, this being merely one factor among many others. "Cost-Benefit" analyses are complex. Cost is not always clearly defined and cannot always be clearly balanced. Benefit, partly as the result of parameters which are difficult to assess, remains largely speculative.

Acidosis↗
PubMed1979

[Surgical treatment of tubal sterility macrosurgery versus microsurgery? (author's transl)].

Results of surgical treatment of tubal sterility obtained via "microsurgery" are compared with those of "microscopic microsurgery", as far as it is possible at this stage. Preliminary resumé: Microscopic technique obviously produces better results in reanastomoses after sterilisation, whereas in the case of salpingostomies the results are similar to those obtained via "macroscopic microsurgery".

Fallopian Tube Diseases↗
PubMed1978

[The diagnosis of urinary incontinence in gynaecology. Indications for urodynamic diagnosis and description of urodynamic diagnostic apparatus (author's transl)].

Our experience with comparative measurements using various methods of diagnosis of urinary incontinence resulted in the development of a urodynamic measurement station within the department. This station is equiped for urethrocystotonometry with microtransducers for urethrocystograms and for lateral urethrocystograms. The technological details of the apparatus are described. The greatest diagnostic value give measurements in the standing patient. The methods of measurement, the interpretation of the results and the pre-operative records of urethral pressure profiles are described. The urethrocystotonometry is especially valuable for functional diagnosis. For the morphologic evaluation and especially in view of the choice of the operative procedure a modified method of the lateral urethrocystogram is used.

Female↗