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At least 163 records · Page 9Linked to original sources
PubMed2003

[Pelviperitonitis and intestinal occlusion: two unusual cold-knife conisation complications].

Complications associated with cold-knife conization are mainly hemorrhage, genital and urinary infections. We presented two cases of accidental posterior colpotomy with Douglas pouch wound initially unnoticed at the time of the cold-knife conization, and secondary complicated by a pelviperitonitis for the first case and by an incarceration of the bowel loop in the vaginal wound for the second case.

Adult↗
PubMed1975

Early complications of sterilization in women not recently pregnant.

This study was conducted to evaluate the complications occurring during operation and from the time of operation until the follow-up vist at one to eight weeks after operation, for patients sterilized by culdoscopy, colpotomy, laparoscopy, or laparotomy. Surgeons were unable to perform the elected procedure in less than 1 per cent of the patients, independent of the method of approach. With endoscopic techniques, the most common operative difficulty was in obtaining an adequate view of the tubes. Excessive blood loss appeared more frequent with both vaginal techniques. Postoperatively, pelvic infections were more frequent with both the vaginal techniques, while incisional complications were more frequent with both the abdominal techniques. Operative and hospitalization times were significantly shorter, and the proportion of women resuming normal activities within four weeks of sterilization was higher with the endoscopic methods. Laparoscopy appeared to be the preferable procedure. While technical difficulties, operative complications, surgical and hospitalization times, and the time until the patient resumed normal work activities were similar with laparoscopy and culdoscopy; infection of the pelvis was more frequent after culdoscopy.

Adult↗
PubMed1992

Clinical analysis of surgical treatment for tuboovarian abscess.

The role of copious irrigation and drainage in the treatment of tuboovarian abscess (TOA) is crucial, especially for the patients who want to remain fertile. Some have used vaginal drainage via posterior colpotomy for patients with TOA, whereas others preferred irrigation using large-bore drains. In this study, we reported 31 cases of TOA. We found that for women who want to conceive again the best method of treatment is conservative surgery plus low pressure sump tube drainage.

Abscess↗
PubMed1992

Percutaneous catheter drainage of tubo-ovarian abscesses.

We present the successful treatment of tubo-ovarian abscesses in three young patients by continuous percutaneous drainage, inserted under the guidance of real-time ultrasonography using only local anesthesia. Each patient had been diagnosed laparoscopically as suffering from acute pelvic inflammatory disease, but had formed abscesses despite extensive broad-spectrum antibiotic therapy. One case involved a complication of the ovum pick-up procedure; the woman had tubo-ovarian abscesses with infected hematomas. Because the abscesses were localized anteriorly in the lower abdomen and did not reach the pouch of Douglas, they could not be drained through a posterior colpotomy. Ultrasound guidance allowed us to drain all the areas of the multioculated abscesses. We suggest that percutaneous abscess drainage be the initial treatment of choice for tubo-ovarian abscesses before laparotomy is considered.

Abscess↗
PubMed1979

[The intra-operative proof of occlusion of the tubes in tubal sterilizations (author's transl)].

In tubal sterilization operations with a plastic clip failures with subsequent pregnancies become only known by misplacement of the clips. Failures are more frequent when the clips are placed through a posterior colpotomy. In 163 laparoscopic tubal sterilization with the Tuplar-clip during the last 2 1/2 years no subsequent pregnancy was observed. The carbon-dioxide pertubation or the chromo-pertubation after occlusion of the tubes with a clip permits an immediate intra-operative proof of secure bilateral tubal occlusion. A pregnancy due to faulty placement of the clip is then no longer possible. Other advantages of this method of tubal sterilization are mentioned.

Female↗
PubMed2006

[Results of conservative surgery of uterine fibroids--5 years of follow-up].

OBJECTIVE: To evaluate the outcome of the myomectomy. DESIGN: Prospective study. SETTING: Gynecology-Obstetrics Ward, Regional Hospital Pardubice. METHODS: The group consists of 147 patients with uterine fibroid (or fibroids) in which was performed myomectomy from September 1997 till December 2001. Myomectomy was performed by hysteroscopy, laparoscopy, laparotomy or by posterior colpotomy. The mean age was 40.1 years. We evaluated short term (during the first year) and long term (after 5 years) outcomes including the pregnancy outcome. SHORT TERM OUTCOMES: During the 1st year 135 (91.84%) patients were without complications and satisfied with their status after the procedure. LONG TERM OUTCOMES: After 5 years 121 (82.31%) patients were without problems or reoperation. From the group of the women with the desire of the pregnancy the pregnancy rate was 71.05%. Deliveries of the viabile foetus were 77.78%. 38.10% delivieries were performed by Caesarian Section. CONCLUSION: At present it is often necessary to treat uterine fibroids without hysterectomy. We have several surgical approaches including the minimally invasive techniques that may be succesfull and the results may be satisfactory for most of the patients.

Adult↗
PubMed1991

[Ultrasonically guided transvaginal drainage of genital abscesses].

Abscesses in the true pelvis were previously treated by hysterectomy and bilateral salpingoophorectomy, colpotomy, transabdominal drainage and by antibiotics. In the present material, 16 abscesses in the true pelvis were treated with either establishing of transvaginal drainage or transvaginal puncture with a cannula, both methods ultrasonically guided with a vaginal transducer. Treatment proved effective in 93% of the cases and patients were only hospitalized for an average of 6.7 days after drainage.

Abscess↗
PubMed1990

[Reoperation in colorectal surgery].

Because of unsatisfactory results of surgical therapy in rectal carcinoma the authors have re-evaluated their attitudes and elaborated resection methods of the rectum with retaining the system of sphincters trough atypical approaches: abdominotransvaginal in female and anterior abdominoperineal in male patients. They have also worked out the methods of coloanal anastomosis with passing through by trans-sphincter approach from posterior colpotomy or transperineally. These new access ways have been used in reconstructive operations after rectal resections performed previously according to Hartmann with terminal sigmoideostomy. Physiological passage through the rectum was restored till 3 weeks. 55 patients underwent the reoperation, 47 of them with excellent and good results (i.e. 85.5%) and the patients have returned to the normal social and working process.

Colorectal Neoplasms↗
PubMedDate not supplied

Removal of completely perforating IUDs by explorative laparotomy.

Nine patients with completely perforating intrauterine contraceptive devices are presented. In all cases, the device was removed by explorative laparotomy. In eight out of the nine women, the device was found to be embedded in the omentum or vesical peritoneal plica. The advantages of explorative laparotomy over laparoscopy or colpotomy are emphasized.

Adult↗
PubMed1988

[Spinal fixation of the vagina in the treatment of prolapse after hysterectomy].

An elegant and only weakly traumatic solution to the often difficult problem of treatment of prolapse after total hysterectomy is by spinal fixation of vagina: anchoring of base of vagina to sacroiliac small ligament approached through "natural pathways" by means of median colpotomy and section of "pillar of rectum". The technic is described and results published in the literature reviewed.

Female↗
PubMed1986

[Acute pelveoperitonitis with an IUD in place].

Pelvic inflammatory diseases observed within 5 years in the department of obstetrics and gynaecology of the University of Szeged and caused by intrauterine conception have been studied retrospectively. The cases were 78 times mild and 53 times severe. Mostly the symptoms could be observed following long-time use. Treatment was a combination of chloramphenicol and gentamycine with addition of metronidazole. If there was no remission colpotomy and drainage were performed. If this manoever was not successfull laparotomy (salpingoophorectomy, hysterectomy) was necessary. Intraperitoneal lavage with antibiotics was done by means of a drain. The authors are of the opinion, that insertion of IUD is allowed only in cases of negative gynaecological findings. Continuous supervision is compulsory. In cases of minimal complaints removal of IUD has to be considered.

Adult↗
PubMed1986

Surgical settings and incisions for the management of ectopic pregnancies.

Ectopic pregnancies do not have to be managed through a laparotomy incision in a hospital. Alternative settings and surgical incisions are available. Most patients can be managed in either free-standing or hospital outpatient facilities using either a minilaparotomy, laparoscopic or possibly a colpotomy incision. Conservative surgical management, which is so important in women desiring future children, can also be done through a minilaparotomy or laparoscopic incision in an outpatient setting.

Female↗
PubMed1980

[Recovery of human oocytes (author's transl)].

Oocyte recovery was attempted on 62 women, with laparoscopy being applied to 46 and surgical treatment to 16. The attempts were successful in 56 per cent of them, with 61 oocytes being recovered. Twenty per cent of these were pre-ovulatory, 52 per cent non-ovulatory, and 28 per cent degenerated. The amount of oocytes recovered by laparoscopy was 25 per cent below that obtained from surgery. Possible variants of oocyte recovery are discussed. --Follicular puncture can be undertaken in concomitance with gynaecological operations, by the vaginal or abdominal routes. Less difficulty is implied in puncturing the extirpated ovary. Uterus or tube washing and ovarian extirpation are other possible approaches. Ovarian implantation and perfusion may be considered theoretical approaches to oocyte recovery. Laparoscopy or colpotomy are believed to be, possibly, the most promising approaches to oocyte transplantation, which may become relevant in the long run.

Adult↗
PubMed1983

Clinical outcome following vaginal drainage of pelvic abscess.

Fifty-nine women treated by colpotomy drainage for pelvic abscess over a 20-year period (January 1961 to July 1981) were studied. Mean age was 27.3 years (+/- 9.5 SD). Mean parity was 2.0 (+/- 2.3 SD). The abscess was secondary to pelvic inflammatory disease in 37 cases, abortion in four, cesarean section in six, other surgery in two, intrauterine device in four, appendicitis in four, and followed term vaginal delivery in two. The mean stay in the hospital was 14.4 (+/- 10.7) days. There were two deaths, both related to septic abortion with diffuse peritonitis. Further surgery during the same admission was performed in 13 instances (seven hysterectomies); additional surgery at a later admission was carried out in 11 patients (10 hysterectomies). Fourteen of these procedures were emergencies. Two patients were readmitted with pelvic inflammatory disease. Five of 40 potentially fertile patients (12.5%) had successful pregnancies at a later date.

Abscess↗
PubMed1982

Ovarian disorders: clinical and morphological observations in 30 mares.

A five year prospective study of equine ovarian problems requiring surgical correction was undertaken at the Ontario Veterinary College. Thirty mares were studied, of which 14 had granulosa cell tumors, six were with anovulatory persistent follicular "structures", five had ovarian hemotoma, two presented ovarian hypoplasia and one each of ovarian dysgerminoma, teratoma and abscessation. The clinical signs manifested by the affected animals were varied. The affected ovaries were removed via flank or midline laparotomy or through colpotomy. Their morphology was studied and representative portions of affected ovaries submitted for laboratory diagnosis. Postsurgical recovery and resumption of reproductive activity were satisfactory.

Animals↗
PubMedDate not supplied

[Complications in sterilized women in Ljubljana].

From October 1977 to April 1980, 51 women were sterilized. Transabdominal access was most frequent, while the sterilization itself was mostly performed according to the Madlener method. Postoperative complications occurred in 3 women. In all of them the sterilization was performed by colpotomy posterior according to the Madlener method. In two women it was combined with additional gynaecological intervention. This confirms the already known fact that there are much more complications if sterilization is performed transvaginal by or combined with other operative interventions. After the performed sterilization the majority of women did not notice any changes in their menstrual cycles or in their general state of health. It is also positive that more than a half of women were more satisfied with their sexual life after than before sterilization.

Female↗
PubMed1993

[Laparoscopic myomectomy. 102 cases].

Myomectomy was performed by laparoscopy in 102 patients, according to a precise technique using the monopolar hook for the uterine incision and intraperitoneal sutures. Myomes were mostly removed through the suprapubic puncture site after fragmentation or by colpotomy. A laparotomy during the laparoscopic procedures was necessary in 2 cases. No complications were observed. A second-look laparoscopy or a cesarean section was performed in 24 cases. Post-operative adhesions were noted in 3 cases. In our experience, operative laparoscopy has several advantages over laparotomy and the risks of complications is low in selected cases.

Adult↗
PubMed1993

[Clinical and microbiological study of acute pelvic inflammatory disease].

Upper genital tract infection was investigated in 46 women admitted to hospital with clinic diagnosis of acute pelvic inflammatory disease (PID) and 62 control women accepted to hospital for laparoscopy Fallopian tubes sterilization. Diagnosis was ratified by laparoscopy in mild and moderate salpingitis; culdocentesis and ultrasonography were performed in severe salpingitis and endometrial sample was made in endometritis. Microbiological specimens were taken from the cervix and abdomen. Antecedents and complete clinical studies were obtained. Patients were treated with antibiotic association sodic G penicillin, chloramphenicol and gentamicin. Risk factors to development PID were: single female (p < 0.05), multiple sexual partner (p < 0.01), previous PID (p < 0.05), infertility (p < 0.05), mean year of IUD use in severe salpingitis (p = 0.05) and mean years of age from women with sexually transmitted bacterias (STB) vs endogenous bacterias (EB) (p < 0.05). In the control group no abdomen bacterias were isolated. In patients with PID, C. trachomatis was detected by serology in 28.3%. N. gonorrhoeae was isolated from the cervix in 23.9% and from the abdomen 17.4%. Besides it was isolated from the abdomen: M. hominis 17.3% and E. coli 15.2%. STB were isolated in 54.3% and EB in 47.8% of the patients. Bacterial association was present on the 37%. Cervix isolation of G. vaginalis and Mycoplasma were not correlated with development of PID. Cervix microbiological samples were useful to know abdomen microbic etiology. They coincide with those in the 90.9%. EB were more frequently isolated from severe salpingitis (p = 0.05) and STB from mild and moderate salpingitis (p = 0.05). Antibiotic association cured all the mild and moderate salpingitis with independence of bacterial etiology. Failure occurred in 2 diffuse peritonitis and 13/14 tubo-ovarian abscesses. Surgery used in severe salpingitis and diffuse peritonitis, principally consisted in anexectomy, peritoneal toilet and drainages. No hysterectomies were performed. Colpotomy drainage was used as a laparotomy complement or as unique drainage. Severe complications of surgery occurred in 10.5%. Failure in antibiotic treatment, surgery and complications were present with preference in PID with EB. After PID 26.5% of women had both Fallopian tubes damaged; in 39.7% tube damage was not evaluated and in 34.2% one tube rested in health. Damage did not depend of bacterial etiology. Conclusion on the necessity of adequate prevention of this disease and it should need education related to the roll of STB and standards about the IUD use.

Abdomen↗