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PubMed1991

[Techniques: advantages, complications, contraindications].

The present development of laparoscopic surgery is due to its multiple advantages. In many gynaecological operations the laparoscopic route can be used, sparing the patients all the disadvantages of laparotomy. Yet, this method requires well-trained operators and anaesthetists. Complications are seldom encountered, but those that have been recorded belong to diagnostic laparoscopy; some of them are severe and may even be lethal. The complications of laparoscopic surgery will be better determined when the full experience of several surgical teams is published. The best way to prevent complications is to respect the classical contra-indications of laparoscopy, to which must be added those of laparoscopic surgery, i.e. long operative procedure, sometimes delicate dissection, nature of the lesion treated.

Contraindications↗
PubMedDate not supplied

[Indications and contraindications for normal labor in patients who previously underwent cesarean section].

In line with previously published data from all over the world, the Authors are in favour of vaginal delivery as a valid and safe alternative in women who have had a previous cesarian section, provided they are selected following appropriate screening protocol, as described in this paper. A retrospective study was performed to analyse data over a 10-year period in the Department of Ostetrics and Gynecology of the University of Aquila: of 1253 selected patients, 674 (54%) had a normal vaginal delivery, whereas 577 (46%) had a repeat cesarian section following the onset of fetal distress; no case of uterine scar rupture was recorded.

Cesarean Section↗
PubMed1991

[Edentulous mandible. Contraindications for placement of dental implants].

Between 1987 and 1990, 30 patients with edentulous mandibles have been treated by implantological means. 11 of these patients suffered also from one or more associated disease. The surgical procedure has been carried out without any complication occurrence. One of these patients presented an early osteolysis located in the implant bearing area. From a total number of 42 patients, 12 have been excluded from the implant treatment; 6 of them on psychiatric ground. In conclusion, the absolute and temporary contra-indications are distinguished.

Aged↗
PubMed1991

Selective contraindications based on multivariate analysis for operative cholangiography in biliary lithiasis.

This study was done to select patients with a low risk of common bile duct (CBD) stones in whom operative cholangiography could be avoided. Operative cholangiography was performed upon 511 patients. Two different groups of patients were identified--patients with CBD stones visualized by CBD exploration (n = 90) and patients with no CBD stones at the time of operative cholangiography (n = 421). Multivariate analysis (stepwise logistic regression) showed that five variables were correlated with the presence of CBD stones--size of CBD equal to or greater than 12 millimeters, gallstones equal to or less than 10 millimeters, advanced age, chronic or acute cholecystitis and past history of biliary colic. Using a scoring system, a group of patients with a low risk (less than 2 percent) of CBD stones could be easily determined. In this group of patients, operative cholangiography may be avoided.

Adult↗
PubMed1990

Medical indications and contraindications for eye donation.

Potentially useful and valuable donor-eye tissue is lost because physicians decide erroneously that certain deceased people are not suitable donors. The Indiana Lions Eye Bank Inc. needs and will receive with gratitude any and all donated eyes. Donated ocular tissue can be used for research or teaching, if not for actual transplantation. All deceased people should be regarded as suitable eye donors, except when the cause of death or other factors might pose risks for enucleators themselves.

Contraindications↗
PubMedDate not supplied

[Indications and contraindications of the administration of antibiotics in oral and maxillofacial surgery].

It's well known that antibiotics are among the most widely used drugs in medicine. The administration of antibiotics in oral surgery offers a great deal, as far as the prevention of post-operative complications as well as the cure of infections diseases are concerned. Antibiotics, as all other drugs, in cases of improper use can cause harmful effects on the body. Antibiotics are used irrationally in dentistry and even more so in oral surgery for the cure of diseases which are not indicative or for the prevention of probable. As a result, there has been an increase in the frequency of their toxic side-effects plus the prevalence of resistant microorganisms. This paper describes the indications and side-effects of antibiotics in oral and maxillofacial surgery.

Anti-Bacterial Agents↗
PubMedDate not supplied

[Anatomo-clinical studies on contraindications of biological treatment of the dental pulp in some chronic general diseases].

Anatomoclinical studies have been carried out on tissue samples obtained from patients with various chronic general diseases including cardiovascular diseases, diabetes, kidney diseases, liver diseases, acute and chronic leukemias, that had developed before the time when biologic therapy of the dental pulp had been recommended. In the presence of lesions of various severities of the dental pulp direct application of various biological techniques may trigger violent reactions, just as if the biological substances would represent deleterious factors. Vascular changes, followed by reactional responses in various stages of trophic changes, or dysplasia in the dental pulp, as demonstrated by microscopical studies show a certain degree of deterioration of the dental pulp which are counterindicative for biological therapy. When degenerative lesions of the pulpal connective structures, and vascular-nervous complex have occurred, or when leukemic invading processes have been identified biological therapy is completely counterindicated.

Cardiovascular Diseases↗