[Dura-sling operations and results obtained from surgical treatment of urine incontinence of women (author's transl)]. / Duraschlingenoperationen und deren Ergebnisse bei der operativen Harninkontinenzbehandlung der Frau.

Reported in this paper is the authors' experience from 81 dura-sling operations in which human dura had been used. The procedures for dura collection and preservation are described in some detail. Treatment was rendered to 61 patients with primary incontinence and 20 patients with recurrent incontinence. The recurrence rate was 6.2 per cent, between one and five years from surgery.--Cases of severe stress incontinence were treated by dura-sling operation, preceded by careful presurgical diagnosis on the basis of both urethrocystotonometry and lateral urethrocystography. The method was found to be adequate.

[Use of the bicoagulation technic in irreversible contraception]. / Die Anwendung der Bikoagulationstechnik bei der irreversiblen Kontrazeption.

PIP: An apparatus is described for the performance of bipolar electrocoagulation of the Fallopian tubes to effect sterilization. A model with two tongs was chosen over a model with 4 tongs. Coagulation is achieved in about 30 seconds; resistance increases in the tissue to a maximum after about 10 seconds. After the water is evaporated from the tissue and coagulation is complete, the resistance drops again. No carbonization of the tissue has been observed while using this method.^ieng

[The value of irreversible contraception]. / Zum Stellenwert der irreversiblen Kontrazeption.

8 years after sterilization was in force in GDR it is stated, that this way of female healthy protection was different performed in the varions countries of GDR. The portion of the country Rostock amount to 56,6%. --85,3% of the women were elder than 30 years. 60% of the applicants have had legal abortions. 66,8% of the propositions were based by medical indication. --The rate of complications and failures amount to 0,3%. --By reason of the results it is recommended to regard the sterilization as the adequate method of contraception, if reproduction is finished.

PIP: 404 Women underwent sterilization operations in a clinic in Rostock from 1969-1976. 32% of the 400 women undergoing such operations in the clinic bet een 1973 and 1979 had sociomedical indications for sterilization, i.e. they were multiparous and could not tolerate reversible contraceptive methods. 16% of the women suffered from vascular disorders. 66 of the sterilizations were performed with the Pomeroy method, 329 by laparoscopy with monopolar high-frequency electrocoagulation of the Fallopian tubes, and 9 with a bipolar electrocoagulation technique. 1 post-operative complication (.29%) was reported after an operation with the monopolar technique. Long-term complications were also studied in 67.4% of those sterilized. Incidence of irregularities in the menstrual cycle decreased from 33.3% to 18.7% after the operation; the incidence of menstrual and cohabitation problems remained the same. Subjective factors, e.g. libido, relationship to partner, remained unchanged for the majority of those surveyed. More than 90% of those surveyed viewed the operation positively. 3 intrauterine pregnancies occurred in women who underwent laparoscopy, one of which occurred after recanalization, and one in a patient whose one Fallopian tube was forgotten during surgery. Laparoscopic sterilization should not be treated as a subspecialty. The bipolar coagulation technique is preferred, as it reduces the possibility of post-operative complications. Long-range complications can be avoided by choosing only those suited for the operation and giving them thorough information on all aspects of the operation.

[Results following ovarian cyst puncture using laparoscopy]. / Ergebnisse nach Ovarialzystenpunktion unter laparoskopischer Sicht.

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.

[The use of laparoscopy in the diagnosis of ectopic pregnancy and its clinical aspects]. / Zur Diagnostik und Klinik der ektopischen Gravidität beim Einsatz der Laparoskopie.

11,8% (354 patients) of 3000 laparoscopies were performed because of suspected ectopic pregnancy (E.P.). In 23,4% of the diagnostic laparoscopy the diagnosis was confirmed. The rate of E.P. without bleeding was 11,8%. Laparoscopy is considered to be the method of choice to diagnose as well as to exclude E.P.

[Complications in gynecologic laparoscopy]. / Komplikationen bei der gynäkologischen Laparoskopie.

During the past nine years 2700 laparoscopies with 0,4% complications were performed. By reason of the increasing interest for laparoscopy it is refered to cause and avoidance of those complications. Exact technique, an optimum of equipment of apparatus and increasing experience are very important for the laparoscopic examination with the lowest risk.

[Acute and chronic appendicitis; gynaecologic laparoscopy (author's transl)]. / Die akute und chronische Appendizitis im Rahmen der gynäkologischen Laporoskopie.

The authors performed 2000 laparoscopies in females with chronic and acute pelvic pain. In 399 cases an appendectomy had been done before. Among 478 patients with acute pelvic pain an acute appendicitis was found in 26 women by laparoscopy.

[Histological diagnosis in aspiration curettage]. / Zur histologischen Diagnostik bei der Aspirationskürettage

The techniques and diagnostic accuracies for histologic sampling of endometrial tissue after suction curettage performed on 161 patients are discussed. In 90% no tissue was retrieved by sharp curettage after suction curettage. Tissues with higher consistence like polyps were obtained only for 50%. However, it will be expected, that Crumbling tissues of cancer will be obtained.

[Chronic lower abdominal complaints in the woman - a postlaparoscopic analysis]. / Chronische Unterbauchbeschwerden der Frau - eine postlaparoskopische Analyse

2000 laparoscopies were performed between 1968 and 1975. 253 from 493 patients with unexplained pelvic pain were followed up a half till 5 years after laparoscopy concerning the pains. The discrepancy of clinical diagnosis and laparoscopie statement is compared and discussed. The most clinical diagnosis were: chronic pelvic pain (149 cases) and unexplained pelvic pain (32 cases). Postlaparoscopic findings were: inconspicuous statements (27,3%), pelvic adhesions (27,3%), chronic disease of the fallopian tubes (21,1%), chronic appendix diseases (10,3%), ovary cysts (9,8%), endometriosis (4,3%).52,9% of the patients were cured by specific treatment a half till 5 years after laparoscopy. The laparoscopy is considered to be a diagnostic and therapeutic acurate method. 14,2% of the patients with little or inconspicuous statements were cured after instruction. The laparoscopy may be the base for acurate diagnostic and team-work of several branches of knowledge.

[Results of surgical treatment of descensus and urinary incontinence by means of selective abdomino-vaginal technic]. / Ergebnisse nach operativer Deszensus- und Harninkontinenzbehandlung bei selektiver abdomino-vaginaler Technik

On 155 patients with vaginal descensus and urinary stress incontinence an vaginal-anterior and posterior colporrhaphy (Kelly)- or abdomino-vaginal operation--vaginal hysterectomie combined with colporrhaphy (Kelly) and Marshall-Marchetti-Krantz-had been performed regarding the lateral Cystorethrogram. The combined operation increased from 12,9% to 55,9%. The results with 13,9% recurrent stress incontinence are encouraging considering the results of severe vaginal operation with 20,4% recurrent stress incontinence. A good plastic result was obtained in 96,2% of the patients.