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[Experience in peritoneography, for the prevention of the primary complications during intraperitoneal instillation
Abstract:
Prior to intraabdominal radiogold therapy of the ovarian carcinoma, at the gynecologic clinic of the university of Göttingen and at the gynecologic and obstetric center at Giessen a peritoneography is made. If the distribution of the contrast solution is homogeneous within the abdomen, a homogeneous distribution of activity can also be expected after the radiogold instillation. By means of the peritoneography it is possible to see incorrect punctures into the abdominal walls, into the intestine, into the retroperitoneal space, or into peritoneal conglutinations before the radiogold instillation. Peritoneography, therefore, contributes to a reduction of the early complications of the radiogold therapy. The method used in peritoneography at Göttingen and the method of Giessen are described. The first one (Göttingen) is more comfortable for the patient, as it necessitates less changes of position; the other (Giessen) is a little more economical. A suitable cannula for puncture is described.