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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Archives of gynecology and obstetrics 237 (1985), S. 11-17 
    ISSN: 1432-0711
    Keywords: Dyspareunia ; Hysterectomy ; Subtraction technic ; Uterine prolapse, surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Three abdominal procedures were combined to suspend the prolapsed vagina in patients with (1) post-hysterectomy vault prolapse and a narrow vagina and (2) uterine prolapse with pelvic diseases (such as fibroids) necessitating laparotomy. We used (1) Moschcowitz's method (obliteration of the cul-de-sac by purse-string sutures) (2) Burch's method (fixation of the anterior vaginal wall to Cooper's ligament) and (3) Williams and Richardson's method (suspension of the vaginal stump using fascial strips from the external oblique aponeurosis. The postoperative outcome of 8 operations was judged by a scoring system and by X-ray colpography with superimposition of films obtained at rest and during straining (subtraction technic). The scoring system indicated that the anterior vaginal wall and the vaginal vault were well supported by this combination procedures. However, the prolapse of the lower posterior vaginal wall needed an additional vaginal repair. The X-ray colpogram showed that the axis of the repaired vagina was slightly more vertical than normal. But displacement of the vagina on straining was within the normal range. Neither dyspareunia nor stress urinary incontinence were seen as complications of our procedures.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2307
    Keywords: Human epidermal growth factor ; Immunohistochemistry ; Salivary gland tumours
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Immunohistochemical identification of human epidermal growth factor (hEGF) was carried out in a total of 152 cases of salivary gland tumours, consisting 107 pleomorphic adenomas and their variants, 13 adenolymphomas and 32 adenoid cystic carcinomas. A high percentage of pleomorphic adenomas revealed markedly positive hEGF staining of the luminal surface cells of tubuloductal structures and of modified or neoplastic myoepithelial cells. Clear cells of the tumour showed various reactivities from very slight to strong. Eosinophilic epithelial cells of adenolymphoma gave a positive reaction for hEGF in all the cases, whereas most adenoid cystic adenoma lacked hEGF staining; however some cases showed positive staining of the tumour cells. The immunohistochemical detection of hEGF in most salivary gland tumours suggests this factor to be a possible new marker of salivary glands tumours, and to have a biological role in tumour proliferation.
    Type of Medium: Electronic Resource
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