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Biomedical subjects

M Lancet

Publications and source records attributed to M Lancet.

At least 145 records · Page 8Linked to original sources
PubMedDate not supplied

Maternal mortality in an Israeli hospital: a review of 23 years.

In spite of great strides in obstetrics, maternal mortality has been completely eliminated. Possible changes in the causes of mortality are examined for three periods of time (1954-1961, 1962-1971 and 1972-1976). The overall incidence was 3.6/10 000, changing through the three periods from 4.9 to 4.3 and finally to 3.0/10 000. Vascular accidents were the cause of death in almost one third of the cases, emerging as the most important etiologic factor. Older age and higher parity did not seem to influence the incidence of obstetric deaths. Cesarean section was involved in ten of 23 cases in which the death was directly related to the pregnancy and delivery. In six patients there was a rupture of the uterus. The number of preventable deaths has decreased steady, but research into the problem of vascular accidents and dampening of the enthusiasm for cesarean sections may further improve the situation.

Anesthesia, Obstetrical↗
PubMedDate not supplied

Sinusoidal pattern of uterine contractions in abruptio placentae.

Three cases of vaginal bleeding during labor associated with high-frequency uterine contractions (HFUC) in the third trimester of pregnancy are reported. Abruptio placentae was confirmed in all three cases. As HFUC was unrecognized as a sign of abruptio placentae, labor was allowed to continue in the first two cases and fetal demise ensued. The appearance of HFUC with vaginal bleeding in the third trimester of pregnancy should make the obstetrician highly suspicious of abruptio placentae. Labor should be terminated by cesarean section to prevent fetal death in utero.

Abruptio Placentae↗
PubMedDate not supplied

Effectiveness of silicone sheeting in preventing the formation of pelvic adhesions.

The uterine horns of 35 female rabbits were subjected to injury by cautery. Ten days later the adhesions were scored and lysed, and in 30 animals the lesion on one side was covered with a segment of silicone. The contralateral uterine horn served as an internal control. After 5, 10, or 15 days, the silicone was removed (groups A, B, and C, respectively). Five animals (group D) in which no silicone barrier was introduced served as an external control. The rabbits were killed ten days later, and the pelvic adhesions were scored again. A significant reduction in adhesion formation following lysis was found in groups A, B, and C. The largest difference between the treated and the untreated side was obtained in group A. In each of these groups, the mean adhesions score on the treated side was significantly lower following lysis than in group D.

Adnexal Diseases↗
PubMedDate not supplied

Ovarian malignancies in pregnancies complicated by colonic perforation.

Primary or secondary ovarian carcinoma in pregnancy is very rare. The entity is difficult to diagnose and is not infrequently fatal. Two unusual cases of ovarian carcinoma during pregnancy, complicated by perforation of the colon, are described. Treatment depends upon the time of diagnosis, the stage of growth, and possible complications. More attention should be paid to complaints concerning bowel function during pregnancy, and pelvic sonography and bowel studies may enable earlier diagnosis.

Adenocarcinoma↗