In a prospective study, 88 women bathed in a warm tub bath for 1/2-2 hours during first stage labor after a strictly normal pregnancy, ending with spontaneous onset of labor at term. A control group consisted of 72 women fulfilling the same criteria of normality during pregnancy and labor, but who did not want to take a warm tub bath during labor. Apart from the bath, the two groups followed the usual obstetric procedures of the Department. The cervical dilatation in the "bath group" was 2 1/2 cm/h compared with 1 1/4 cm/h in the "control group". Mean pain score in the bath group was higher at the start of the study, before the bath, and they experienced a pain relief during bath which was not observed in the control group. This difference may be due to bias. The use of morfica and the need for stimulation of labor contractions were both twice as high in the control group, but this difference was not significant. No differences were observed with regard to operative delivery, vaginal or perineal laceration or in bleeding during labor or postpartum. The total duration of labor was the same in the two groups and no differences in neonatal condition were observed. The bacterial contamination of the bath water was insignificant and there were no significant febrile episodes post partum.
Sixty-one patients with simple TGA operated on below 2 years of age using atrial inversion techniques were reported. The results of 27 Senning versus 34 Mustard procedures were compared. Postoperative observation time averaged 32 months after the Mustard operation and 12 months after the Senning operation. Early mortality rate was 3% (one patient) in the Mustard group and 7.4% (two patients) after the Senning operation. Sinus rhythm persisted in 20 out of 27 Senning patients and in 30 out of 34 Mustard patients. No baffle obstruction has been registered. Operation results and patient follow-up so far do not favor one technique. The Senning operation rarely requires patch material. Therefore, growth of the atria may be less disturbed.
Behandlungsstrategien und Ergebnisse bei injektionsassoziierten inguinalen perivaskulären Abszessen bei intravenös Drogenabhängigen Insbesondere in städtischen Ballungsgebieten werden Krankenhäuser und behandelnde Ärzte mit Komplikationen des intravenösen Drogenmissbrauchs konfrontiert. Dazu gehören injektionsassoziierte vaskuläre Komplikationen, welche aufgrund ihrer häufig fulminanten Verläufe von übergeordneter Bedeutung sind. Ein einheitlich anerkanntes Therapieregime zur Behandlung vaskulärer Komplikationen existiert nicht. In diesem Beitrag soll anhand von 37 Fällen evaluiert werden, welches chirurgische Vorgehen bei injektionsassoziierten inguinalen perivaskulären Abszessen am aussichtsreichsten ist. Hintergrund Laut dem "World Drug Report" der Vereinten Nationen haben im Jahr 2017 271 Mio. Menschen Drogen konsumiert. Insgesamt stellt dies im Vergleich zu 2009 einen Anstieg von 5,5 % dar. Die am meisten konsumierte Droge ist Cannabis. Zusätzlich gewinnen harte Drogen wie Kokain und Heroin und der damit verbundene intravenöse Drogenmissbrauch zunehmend an Bedeutung [1]. Studientyp: Retrospektive Auswertung aller am Universitätsklinikum Augsburg zwischen dem 01.01.2004 und dem 01.05.2019 behandelten intravenös Drogenabhängigen mit einem inguinalen Abszess.
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