Biomedical subjects
F Jerve
Publications and source records attributed to F Jerve.
Severe infection following pudendal anesthesia.
A case of severe infection following pudendal anesthesia is presented. The probable spread of the infection to the subgluteal space and the complications are discussed. Musculoskeletal symptoms arising in the hip area and the pelvis during the early postpartum period pose a challenging diagnostic problem. When these symptoms are accompanied by fever and pain, the possibility of a severe infection with possible abscess in the subgluteal or retropsoas space must be considered. The treatment consists of prompt surgical drainage and appropriate antibiotics.
Rupture of the uterus following treatment with 16-16-dimethyl E 2 prostaglandin vagitories.
Rupture of the uterine body was found after induction of therapeutic abortion with vaginal suppositories containing 16, 16-dimethyl prostaglandin E 2 in a 20-year-old primigravida. A short discussion is given on the cervical complications that can occur after prostaglandin induction of abortion, stating that rupture of the uterine body also can be seen. So far, no prostaglandin compound seems to avoid such complications.
[Induction of abortion with prostaglandins].
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Therapeutic abortion in late first trimester. Prostaglandin pretreatment compared with primary surgery.
One hundred randomly selected nulliparous women, 10-11 weeks pregnant, were submitted to either primary surgery (50 cases) or pretreatment overnight with vaginal suppositories of 15(S)15 methyl prostaglandin F2 alpha methyl ester (50 cases) followed by vacuum aspiration. No peroperative complications were recorded in either of the two groups. Thirtyfive of the 50 pretreated women aborted during the pretreatment period and a variable cervical dilatation was observed in the remaining 15 women of this group. The incidence of early postoperative pelvic infection tended to be less in the pretreated group as compared with the other group.
Therapeutic abortion. The 1975 report from Ullevål Hospital.
The results from a prospective study of 1228 therapeutic abortions (the 1975 material) are reported. First trimester pregnancies (1028 cases) were terminated by suction and curettage and second trimester pregnancies by prostaglandins (200 cases). The overall follow-up (4-6 weeks after termination) was 94.3%. The incidence of perforation was 0.5% of the surgical terminations, none of which, however, resulted in any other complications. The mean incidence of re-admission was 3.9%, the main causes being retained products or pelvic infection. The mean incidence of pelvic infection (salpingitis/parametritis) was 1.6%. The highest incidence of pelvic infection was found in early pregnancies (less than 8 weeks) or nulliparous women (2.7%) and the lowest (1.5%) in the induction group.
Contraceptive practice before and after termination of pregnancy.
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15(S)15-methyl prostaglandin F2alpha for termination of very early human pregnancy. A comparative study of a single intramuscular injection and vaginal suppositories.
The results of a comparative study of the efficacy and acceptability of 15(S)15-methyl prostaglandin F2alpha (15-Me-PGF2alpha) administered as a single i.m. injection or vaginal suppositories (15-Me-PGF2alpha methyl ester) every 3rd hr for termination of very early human pregnancy is reported. The amenorrhoic period varied from 37 to 60 days. Group I (30 cases) received 0.6 mg as a single i.m. injection without any pretreatment. Retrospectively 24 of the 30 women were in fact pregnant and 22 of them aborted. Group II received suppositories (1.0 or 1.5 mg per suppository). In this group all women were pregnant and they all aborted. Symptoms such as pain, bleeding, vomiting and diarrhea started in general earlier in the i.m. group and they were more marked. In the present series the efficacy and acceptability were highest for the vaginal route of administration.
Tubal sterilization. With special reference to electrocoagulation through the laparoscope.
In the past 5 years 1 168 tubal sterilizations have been performed. One thousand and twelve of these were performed by dividing the tube by diathermy through the laparoscope. Since the first cases, and with increasing experience, complications have been infrequent, at the most a slight bleeding from the mesosalpinx. So far we have had ten failures, probably due to lack of experience. In every failure it was found at re-examination that the tube had not been divided-at least at one side. The method is quick and simple. The patient suffers little inconvenience, has a very small scar and is in hospital only a short time. It has been used in post-partum cases, but is not suitable for patients who have had several abdominal operations.
[Curative effect of conization operations. 2].
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A study of thyroid hormones in women suffering from vomiting in pregnancy.
Twelve pregnant women hospitalized because of hyperemesis are examined on their thyroid hormone values. Pathological values of Thyroxin T4 are found in seven patients (58%). The values of Free T4 are elevated in only three patients and all the values of Tyroxin T3 are found to be within the normal range. It is concluded that the pathological values of T4 and Free T4 do not represent thyroid disease, and the mechanism of hyperemesis gravidarum is still obscure.
Hysterosalpingography: value in estimating tubal function, and risk of infectious complications.
A prospective study of 80 patients referred for hysterosalpingography (HSG). In 74 patients HSG was performed as part of an infertility investigation. Samples taken from the cervix were cultured for N. gonorrhoeae, Chl. trachomatis and M. hominis. Serum specimens were examined for antibodies against Chl. trachomatis and M. hominis. Two of our patients (2,5%) developed clinical signs of pelvic inflammatory disease following the procedure. Both had negative cultures for pathogenic microbes. The value of pre-HSG microbial culturing seemed negligible. Most patients had antibodies against Chl. trachomatis and M. hominis. Occlusion in one or both tubes was seen in 22 patients while possible pelvic adhesions were found in 15. It is concluded that HSG seems to have a relatively high risk of infectious complications, and we propose to do laparoscopy with chromopertubation as the primary step for evaluation of tubal function in infertile women.
Corpus luteum function assessed by serial serum progesterone measurements after laparoscopic endotherm sterilization.
Estimation of serum progesterone as an indication of luteal insufficiency after endotherm sterilization operation in 14 patients is reported. There is a tendency to shortening of the length of the menstrual cycle. This could either be due to a luteal insufficiency or possibly to a shortening of the follicular phase, or both.