Zentralblatt für Gynäkologie

The anamnesis, the preoperative diagnostics, the laparoscopic findings, and the therapeutic management are reported of 303 patients who underwent laparoscopy because of chronic pelvic pain during the years of 1989 and 1993. The most common …

Indications for the 346 hysterectomies performed in the Department of Obstetrics and Gynecology University of Kiel in the years 1991 till 1994 were myomas with pain, hypermenorrhoea, menorrhagia, recurrent bleedings and endometriosis. The a…

Medical therapy of ovarian cysts can be therapeutic and preventive. Follicle- and corpus luteum-cysts as well as endometriomas are suitable for medical treatment. Estrogen/gestagen-combinations. GnRH-analogues (GnRH-agonists, gnRH-antagonis…

Report about 8 patients with endometrial pathology during tamoxifen therapy: 1 endometrial cancer, 1 adenomyosis uteri and 6 endometrial polyps. The knowledge about effects of tamoxifen on endometrium and possibilities of prevention are dis…

A comparative study on thermal, mainly laser and high frequency electrosurgical techniques, was conducted. Indications, handling and morphometric results were correlated. Morphometrical findings suggest that minimal thermal tissue damage is…

In an open, non-randomized prospective phase-III-study the clinical and endocrine efficacy as well as the safety of leuprorelin acetate depot (Enantone-Gyn Monats-Depot) were investigated. The therapeutic results of 198 patients, gathered f…

Endoscopic minimal invasive procedures have opened new horizons for preventive care and treatment in reproductive medicine. They provide best conditions for careful handling of tissues and preservation of organs. After exclusion of function…

27 patients of the department of gynecology and obstetrics of the university of Essen received a six month therapy with the GnRH-analogon triptorelin because of endometriosis diagnosed by laparoscopy. All the patients experienced not only a…

Congenital cervico-vaginal atresia is a rare malformation; the presence of a functioning endometrium combined with this anomaly causes a retrograde menstruation and then a greater likelihood of endometriosis. Up to the present literature re…

In development of endometriosis immunological phenomenons are discussed. In women with endometriosis specific antibodies are demonstrated and it is worth to speculate that there takes place de novo-expression of specific antigens. It is als…

Heavy metals and chloro-organic compounds can influence female fertility at every phase of reproduction. They may induce hormonal disorders, preventing ovulations and pregnancies. They can also result in abortions and fetal malformations. F…

At our hospital a 32 year old patient with a cystic ovarian had been operated. Because sonography was without pathological findings and the patient showed a sterility type, laparoscopy was indicated. Histological findings showed invasive gr…

Macroscopic significant peritoneal endosalpingiosis has been reported in 7 cases including the presented case. The former reported cases were associated with ovarian cysts in four cases of which two were malignant, and two cases were associ…

Pharmacokinetic investigations (c0h, c2h, c6h, c24h, AUC24) were carried out both in the first and last four days of a treatment cycle in patients of different ages, who used oral contraceptives at least for 12 months. 57 women took the pre…

In a 51 year old woman a cystic in the right lower abdomen was diagnosed by ultrasound. The patient underwent laparotomy assuming the tumor to be a right adnexal mass. Intraoperatively, a pathological appendix was found. Histologic evaluati…

Ultrasonographic examination was performed in 120 patients with post-menopausal bleedings before a diagnostic curettage. In comparison with the final histological diagnoses the sonographic diagnoses were found to be correct in 97 patients (…

Fibrocystic disease (F.D.) can be observed in many women between 25 and 50 years. The typical histologic alterations in F.D. are often accompanied by estrogen dominance and relative hyperprolactinemia. For treatment local methods, diet, pro…

Caffeine is mainly metabolized by 3-methyl-cholanthrene-inducible cytochrome P-450, whereas metamizol (Analgin) is probably mainly metabolized by phenobarbital inducible cytochromes P-450. Therefore the elimination of caffeine from serum an…

In 193 patients with fibrocystic breast diseases in 46% basal prolactin levels were elevated and many women had an increased reaction to TRH test with increased TSH and PRL serum levels. The author recommend for treatment progestogens dopam…

In this report two cases of hydronephrosis caused by an isolated ureter endometriosis are shown. The symptoms were few and not typical. The function of one kidney was severely diminished.

In 500 non-selected conservative pelviscopic operations the incidence of the presence of intraabdominal adhesions were compared in patients having had no previous operations, those having had a previous pelviscopy, those having had a previo…

In analyzing 500 consecutive pelviscopies performed at the University Women's Clinic in Kiel in 1988, 310 patients had undergone either diagnostic or operative procedures on the ovary, i.e. pelviscopy in the case of an ovarian tumor. 95.5% …

This article reports on a new application for operating microscopes to reduce risks when performing a vaginal hysterectomy. Magnification helps to perform the following steps: dividing the vesicocervical ligament, mobilizing the rectum, ope…