Search PubMed⌕ Search

Biomedical subjects

G S Berger

Publications and source records attributed to G S Berger.

At least 19 recordsLinked to original sources

Successful pregnancy in a 42-year-old woman with imminent ovarian failure following ovulation induction with ethinyl estradiol without gonadotropins and in vitro fertilization.

PURPOSE: To describe the methodology used to induce ovulation in a 41-year-old woman with imminent ovarian failure and tubal factor so that in vitro fertilization-embryo transfer (IVF-ET) could be performed. METHODS: Ethinyl estradiol was used to suppress elevated serum follicle stimulating hormone (FSH) levels, thus theoretically allowing restoration of down-regulated FSH receptors and response to endogenous gonadotropins. RESULTS: One oocyte was retrieved and fertilized and one embryo was transferred. The patient conceived and is presently in her last trimester. CONCLUSION: Successful pregnancy following IVF-ET is possible in women with imminent ovarian failure - even in women older than age 40.

Adult↗

Outpatient pelvic laparotomy.

A population of generally healthy women underwent a variety of reproductive operations by pelvic laparotomy at an ambulatory surgical center. The techniques and safety of this approach are described. Of the 373 women, one experienced a major complication (ureteral injury), which was treated in the surgicenter. The patient recovered in the hospital, with no late adverse outcome. Two other women were hospitalized for intravenous fluid therapy because of persistent nausea and vomiting. No patients required blood transfusion or reoperation. Four women had minor complications that were treated outside the hospital. The rate of hospitalization was 0.8%; of major complications, 0.3%; of minor complications, 1.6%; and of total complications, 1.9%. In this population, 98% of the patients had no complication, and 99% did not need hospital care. Thus, outpatient pelvic laparotomy was found to be safe and cost effective.

Adult↗

Surface changes in intrauterine contraceptive devices after variable use.

Four used intrauterine contraceptive devices and two new control devices were studied by scanning electron microscopy. All intrauterine contraceptive devices were found to have surface deposits that differed not only from site to site on a given device but between devices. A finding of this study not previously described in the literature was the observation of a euhedral crystal rosette of an apatite mineral group [Ca5(PO4)3(F,Cl,OH)] on the Lippes Loop that had been in situ for 15 years.

Female↗

The Fitz-Hugh-Curtis syndrome revisited. Changing perspectives after half a century.

The Fitz-Hugh-Curtis syndrome is an extrapelvic manifestation of pelvic inflammatory disease. Classically it consists of adhesions between the liver capsule and the diaphragm or the anterior peritoneal surface. Two recent changes have been made in the assessment of this syndrome. One, the syndrome was originally thought to be caused solely by Neisseria gonorrhoeae. Recent studies using tissue cultures and serum antibody titers have documented a major etiologic role for Chlamydia trachomatis as well. Two, the condition has recently been reported to exist in men, whereas previously it was believed to be limited to sexually active women in their reproductive years.

Abdominal Muscles↗

Clinical experience with the prevention of Rh-isoimmunization: a historical comparative analysis.

Clinical experience with prevention of Rh-immunization is reviewed. The pathogenesis of hemolytic disease and the chemistry of prophylaxis is explained. The factors which effect antigenic expression are delineated. The clinical indications for prevention of AMIS are reviewed. International data pertaining to Rhesonativ are presented from postpartum trials and antepartum trials. A protocol for antepartum administration of anti-Rh immunoglobulin is given.

Epitopes↗

Other milestones.

Explore the source record for details and available documents.

Abortion, Septic↗