Search PubMed⌕ Search

Biomedical subjects

H G Mayer

Publications and source records attributed to H G Mayer.

At least 19 recordsLinked to original sources
PubMed1989

[Prevention of postoperative complications following vaginal hysterectomy].

In a prospective study on infectious morbidity after vaginal hysterectomy we examined the clinical symptoms of an infection and partly also the microbial conditions of the vaginal wound. With a group of 49 patients without antibiotic prophylaxis we tried to find out if the type of vaginal occlusion might have any influence on the microbial situation and the healing process. The results of this first group were compared to those of a second group consisting of 31 patients, who had received antibiotic prophylaxis before the operation with a cephalosporin. Though it was not possible to make any microbial analyses in the second group, the clinical evaluation showed distinctly that antibiotic prophylaxis is an important contribution to the prevention of infections after vaginal hysterectomy. The careful consideration of septic-surgical precautions, however, and this was proved by the first part of the study, contributes as well to the prevention of infections.

Bacteria↗
PubMed1988

[Primary diagnosis in acute adnexitis].

Though acute salpingitis is the most frequent gynecological illness of a young woman, it occurs nevertheless less frequently than it is diagnosed. The reason for this is to be found above all in the fact, that the criteria of the findings are judged too superficially. If simple anamnestic, clinical or biochemical parameters such as the characteristics and duration of the pain, the findings of gynecological examination, BSR and considerations about differential diagnosis were rated more precisely, considerably fewer cases would have to be assigned to laparoscopy and the elucidation of the indistinct abdominal pains could be started more efficiently.

Adult↗
PubMed1988

[Assessment by sonography and palpation of the cervical closure system].

Sonography or palpation alone are inadequate procedures in evaluating cervical function. Only by combining both methods cervical incompetence can be detected at an early stage, adequate therapy instituted and unnecessary cerclage operations prevented. The value of sonography lies in the possibility of studying the functional changes of the cervix in premature labour.

Cervix Uteri↗
PubMed1987

[Postmenopausal bleeding: a neglected problem?].

Postmenopausal bleeding (PMB) is a symptom not to be underestimated. In 13% of our series of 300 cases the bleeding was caused by neoplastic disease of the genital tract. Bleeding in the postmenopause should be evaluated by invasive diagnostic measures; endometrial and/or cervical biopsies and exploration of the uterine cavity by polyp forceps. The screening methods for endometrial cancer are not as effective as those for cervical cancer.

Biopsy↗
PubMed1987

[Rare complications of endometriosis--2 case reports].

An endometrial lesion of the terminal ileum led to a mechanic ileus following vaginal hysterectomy in the first case. In the second case endometrioid carcinoma developed in an endometriotic lesion of the cul-de-sac 6 years after hysterectomy and bilateral salpingo-oophorectomy; during this period the patient had taken conjugated estrogens continuously.

Adenocarcinoma↗
PubMed1986

[Significance of surgical technics in the prevention of infectious complications following cesarean section].

Serious infectious complications after caesarean sections may be avoided by a meticulous operative technique. The closure of the uterotomy with resorbable sutures placed at a distance of 15 to 20 mm to approximate the wound edges without tension creates an effective barrier of viable myometrium which prevents the progression of intracavitary inflammation. A prophylactic intra- or perioperative regimen seems to be of minor importance.

Bacteriuria↗
PubMed1976

[Psychological aspects of hysterectomy (author's transl)].

The effects of hysterectomy on social and psychological behavioural changes were evaluated in 88 patients who were examined psychologically and somatically preoperatively and for a period of 5 to 6 months postoperatively. All patients were aware of the surgical consequences and were investigated in regard to social history and by means of psychological tests (HAWIE, MMPI, Rorschach). The personality profiles of these patients fell within the normal range, although showing a tendency towards psychosomatic alteration, which, however, decreased significantly after the operation. Hysterectomy does not appear to produce any clear-cut changes in the attitude toward sexuality according to the findings of this study. Neither the age at which sexual maturity was reached, nor the intelligence level, number of children, age nor social class appeared to show any significant influence on the capacity to achieve orgasm or the frequency of intercourse. Only three patients showed transient postoperative depression, although this is frequently described in the literature; its aetiology is discussed. The therapeutic approach, especially in the field of surgical gynaecology, must encompass every aspect of medicine and appropriate explanations of the surgical consequences should be given to the patients to prevent postoperative psychological complications.

Adult↗
PubMed1975

[Urographic and cineradiographic follow-up studies in ureteral stenoses following radical pelvic operations (author's transl)].

The results of 19 urographic follow-up studies 6-15 months following vaginal or abdominal radical pelvic operation are reported. Compared to the first follow-up studies 1-7 weeks after the operation which always showed stenosis of the pelvic ureters with various degrees of urinary retention about one half of the cases showed improvement of the stenoses and normalization of the ureteral function later on even when marked urinary retention was found earlier on. Seven cases showed marked improvement. In these seven cases the dynamics of the ureteral function was studied by cineradiography. The results of this investigation are discussed. A deterioration of the urinary retention was observed in only 2 cases. An adverse effect of preoperative or post-operative radiotherapy on the prognosis of ureteral stenosis was not observed.

Cineradiography↗
PubMed1975

[Early abdominal second interventions following gynecologic surgery].

Relaparotomies in the early postoperative period had to be performed after abdominal gynaecologic procedures in 1,180/00 after vaginal operations in 0,180/00 and after caesarean sections in 3,910/00 of all cases. The indications for the reoperation were: intestinal obstruction (6), hemorrhage (4), paralytic ileus (3), defect of the uterine wall after caesarean section (1) and after enucleation of a fibroid (1), acute appendicitis (1) and peritoneal shock (1). After the 2nd operation 2 patients died; 1 relaparotomy could have been avoided if a septic thrombosis of the right ovarian vein would not have been mistaken for an acute appendicitis.

Endometritis↗
PubMed1975

[Treatment of perforation of the large intestine due to illegal abortion].

Because of perforation of the uterus, lesion of the recto-sigmoid and diffuse peritonitis after illegal abortion, hysterectomy and bilateral salpingo-oophorectomy was performed; the colonic defect was not closed primarily but walled off from the peritoneal cavity; a transverse colostomy was done for fecal deviation and the true pelvis drained vaginally. After the defect had healed smoothly the colostomy was closed.

Abortion, Illegal↗