Biomedical subjects

K Börchers

Publications and source records attributed to K Börchers.

3 recordsLinked to original sources

PubMed2000

[Patient-oriented anesthesia] .

Goals of this study were to quantify patients' preferences for anaesthesia care and to identify what they know about various tasks of an anaesthetist. On the day before surgery, 122 patients scheduled for elective procedures were interviewed using a structured questionnaire. A reliable pain relieve and unawareness as well as stable vital functions have priority in patients' preferences. Patients are also concerned with good postoperative pain relieve and the avoidance of nausea and vomiting. Not important are short preoperative soberness, rapid awakening and initial wide awakeness. Not informed about typical tasks of an anaesthetist are 28-51% of the patients. In order to obtain maximum patient satisfaction, a thorough education plus further continuous training are the essential items for a patient orientated health care management in anaesthesia, along with good medical and technical equipment. The wide spectrum of tasks of an anaesthetist must be better represented in order to strengthen the position of anaesthesia in the competition for rare resources. A postoperative visit, which is judged of 77% of the patients as important, offers a beginning.

Adult↗

PubMed1990

The effect of laparoscopic treatment of polycystic ovarian disease by CO2-laser or Nd:YAG laser.

The feasibility and efficacy of laparoscopic CO2 laser and Nd:YAG non-contact laser application for the treatment of polycystic ovarian disease (PCOD) were evaluated in 30 patients (19 patients treated with the CO2 laser, and 11 with the Nd:YAG laser). The criteria for inclusion of PCOD in our study were: amenorrhea or oligomenorrhea with chronic anovulation, failure to ovulate in response to clomide or human menopausal gonadotropin, elevated serum levels of luteinizing hormone (LH) or an elevated LH/follicle-stimulating hormone ratio, exaggerated LH response to gonadotrophin-releasing hormone (GnRH), elevated serum androgen levels, and ultrasonographic features of polycystic ovaries. Eight pregnancies after CO2 laser and three after Nd:YAG laser were achieved. Decline of serum androgen concentrations was noted in both groups, but was significantly higher in the Nd:YAG laser group (from 3.4 +/- 0.4 ng/ml to 2.2 +/- 0.2 ng/ml). Nine patients checked before and after laser treatment showed a decrease in the characteristically exaggerated pituitary response to exogenous GnRH injection. There were no consistent findings of the pattern in LH pulsatility studied in 5 patients after Nd:YAG laser treatment. Ovarian status was investigated in 11 patients by second-look laparoscopy or cesarian section. There were absolutely no adhesions after Nd:YAG laser coagulation. Filmy adhesions were seen in 3 patients in the CO2 laser group.

Amenorrhea↗

PubMed1990

[Pelviscopic use of the CO2 laser in the treatment of polycystic ovary syndrome].

Nineteen infertile women with the typical clinical and endocrinological features of polycystic ovarian disease underwent laparoscopic CO2-Laser vaporization of the ovaries. Before laser treatment, six patients were amenorrhoeic, oligomenorrhea and monophasic temperature charts were observed in the remaining group. All were non-responsive to clomiphene citrate treatment. By contrast 80% of the postoperative cycles showed a bisphasic temperature pattern and high progesterone levels indicative of ovulation. Eight pregnancies were achieved in 7 patients. Measurement of basal hormone levels before and after the operation revealed a decline of androgens (androstendione: präop.: 2.77 +/- 1.0 ng/ml, postop.: 2.16 +/- 0.68 ng/ml, p less than 0.05).

Androstenedione↗