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Biomedical subjects

H Schmidt-Matthiesen

Publications and source records attributed to H Schmidt-Matthiesen.

At least 19 recordsLinked to original sources

[Differentiation between a gynecologic and surgical origin in pathological pelvic resistance].

Besides typical gynaecological tumours colorectal neoplasms, Crohn's disease, dystopic kidneys, mesenteric cysts, tumours of the small bowel, perityphlitic abscesses, retroperitoneal sarcomas, lymphomas of the ileocoecal region and, in aged patients, aneurysmatic lesions of the iliac arteries have to be considered as source of the symptoms. The systematic use of various diagnostic procedures is discussed.

Abdomen, Acute↗

[Acute disease of the pelvis: differentiation between gynecologic and surgical cause].

An acute disorder of the lower abdomen requires early clarification, whether or not it is of gynaecological or surgical origin. With non-gynaecological affections, beside diverticulitis, Crohn's disease, perforations, bowel obstructions, yersiniosis, vascular diseases (acute embolism, thrombosis or dissection), urological disorders or hernias, acute appendicitis has firstly to be considered. The systematic use of the different diagnostic instruments is discussed.

Abdomen, Acute↗

[Postoperative ileus].

When the causes and pathophysiology of the various types of ileus are known there are numerous possibilities of preventing them and logical therapeutic approaches, in particular in the case of functional ileus. Careful postoperative monitoring is obligatory! With regard to stimulation of bowel function, the principle of elimination of inhibition of motility by sympathicolysis has a place alongside the well-known nonspecific measures and direct stimulation. If conservative measures fail laparotomy must be repeated as soon as possible to procure relief. In the treatment of ileus associated with peritonitis the numerous new methods of flushing the abdomen, the involvement of anaerobes in some cases, and the possibilities offered by new antibiotics should be kept in mind. The involvement or predominance of mechanical ileus factors in the clinical picture must be recognized early and surgery performed without delay. Early consultation of an abdominal surgeon is recommended.

Female↗