Zentralblatt für Gynäkologie
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154 aspirations of ovary cysts by laparoscopy are reported. 16% of cysts have relapsed after 1 till 7 years. Cytologic investigation and investigation of tissue of cysts are recommended. The advantages of aspiration by laparoscopy over the vaginal blind aspiration are discussed.
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Comparative Study
[Relief of pain in obstetrics using peridural anesthesia].
It is talked about the technical explanation and the theoretical foundations of the obstetrical peridural anesthesiologica. 250 births done under peridural segmental anaesthesie are compared with a control group by means of clinical dates. It was found out that this method doesn't correspond in some details to the classic de-mands of the obstetrical mitigation. Nevertheless it seems to be without any danger and effective under appropriate conditions.
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The authors discuss some controversial aspects of the therapy of chronic hypertension in pregnancy. In cases in whom the blood pressure has been treated before conception the therapy should be continued. But there is no agreement about beginning of the hypotensive therapy during pregnancy. ⋯ As hypotensive agents methyldopa, hydralazine and beta adrenergic substances are recommended, on part of internists also medicaments which are used in nonpregnant patients. In severe chronic hypertension premature induction of labor is necessary. In hypertension III degree and IV degree the pregnancy should be interrupted.
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In the period from 1974 to 1976 3465 deliveries were performed in the "Landesfrauenklinik". During pregnancies there were started 10,7% urological and nephrological complications with the asymptomatic bacteriuria were predominating at a rate of 6,1%. --Considering the high rate of chronic complications in all types of urinary tract infections, long-term dispensary care should be postulated.
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Historical Article
[100th anniversary of the Zentralblatt für Gynäkologie].