Biomedical subjects

W C Keettel

Publications and source records attributed to W C Keettel.

At least 19 recordsLinked to original sources

PubMed1982

Maternal mortality in a major referral hospital, 1926 to 1980.

This review describes the changes in the causes of maternal deaths in a major referral hospital over a span of 55 years. There has been a significant decline in direct maternal deaths from infection, hemorrhage, and toxemia. Continued vigilance is needed since 58% of direct obstetric deaths in our hospital during the last 30 years were considered to have been preventable. Heart disease and nonobstetric infection as indirect causes of maternal deaths have decreased also. Greater effort is necessary to identify those patients with conditions that predispose to indirect deaths and to provide appropriate contraception, sterilization, early pregnancy termination, or optimal multidisciplinary care in a referral hospital.

Adolescent↗

PubMed1981

Factors influencing lesbian gynecologic care: a preliminary study.

One hundred seventeen homosexual women were surveyed to determine their health care utilization patterns, their gynecologic and obstetric problems, and their attitudes toward physicians. It was found that these women actively utilized the health care system, although many chose less traditional sources. The gamut of both obstetric and gynecologic problems were seen, but venereal disease and cervical dysplasia were uncommon. No medical problems specific to homosexual women were identified. Many of these lesbians expressed concern about the effect on their health care of physicians' negative attitude toward homosexuals.

Adult↗

PubMed1979

Opinions of Iowa physicians on obstetrical/neonatal care.

Explore the source record for details and available documents.

Female↗

PubMed1978

Surgical management of urethrovaginal and vesicovaginal fistulas.

This report reviews a 50 year period during which 157 vesico- and 24 urethrovaginal fistulas were managed. Although the etiologic factors have changed, there has not been a dramatic decrease in the incidence of this complication. In the last 17 years we have noted an increased number of both types of fistula, primarily related to the increased frequency of gynecologic operative procedures. Only 11 (6%) of the fistulas reported in this series resulted from surgical procedures performed in our department. In this series 96% were repaired vaginally but the abdominal approach was used for certain complicated fistulas. Our initial cure rate was 89% and the final success rate in 157 vesicovaginal fistulas was 94.3%. The urethrovaginal fistulas represent a special problem because of the location, scarring, and lack of sufficient fascia for a second-layer closure. In such instances we have successfully used the bulbocavernous fat pad. The success rate for 24 patients with this type of fistula was 87.5%.

Female↗

PubMed1977

The missed menstrual period.

The most likely cause of a missed menstrual period in a woman of childbearing age is pregnancy, stress, or the effects of the pill. If fear of pregnancy is the basis of the problem, simply reassuring the patient that menstrual extraction is available may bring spontaneous resolution.

Abortion, Induced↗

PubMed1975

Treatment of urinary incontinence in women using an intravaginal tarsette.

A new mushroom-shaped vaginal incontinence device called a tarsette is described. The device provides broad surface compression on the anterior vaginal wall with direct compression on the urethra. The manner in which it is made and inserted is discussed along with our initial experience with 15 patients.

Adult↗

PubMed1975

Radioisotopes in treatment of stage Ia ovarian cancer.

The role of radioisotopes in the treatment of ovarian carcinoma is discussed. The University of Iowa experience with prophylactic treatment of stage Ia ovarian cancer with radiogold is presented. Cumulative survival in 56 patients with epithelial cancers was 94.3%. In a prospective study, we compare the use of radiogold and total abdominal irradiation in the treatment of stage Ia ovarian carcinoma.

Adolescent↗

PubMed1974