| 1. |
- Ahlström, Håkan, et al.
(författare)
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Inoperable biliary obstruction treated with percutaneously placed endoprosthesis
- 1986
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Ingår i: Acta chirurgica Scandinavica. - 0001-5482. ; 152, s. 301-303
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Tidskriftsartikel (refereegranskat)abstract
- Biliary obstruction was treated with endoprosthetic drainage in 30 patients with pancreatic, 10 with gallbladder and 27 with biliary duct cancer, and 13 of the patients received more than one endoprosthesis. The median survival time in the respective cancer groups was 12, 10 and 9 weeks, including 6, 3 and 4 weeks spent in the patients' own homes. The patients with multiple endoprostheses had 24 weeks median survival with 22 weeks at home. Another patient, with a medically treated malignant endocrine tumour of the pancreas, lived for more than 3 years after biliary tract stenting. Complications associated with insertion of endoprosthesis were few, and clinical cholangitis occurred in seven cases. For individual patients it is difficult to predict the benefit of endoprosthetic drainage, but the procedure seems questionable if the predrainage bilirubin level is very high.
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| 2. |
- Arnbjornsson, E., et al.
(författare)
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Effect of loperamide on faecal control after rectoplasty for high imperforate anus
- 1986
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Ingår i: Acta Chirurgica Scandinavica. - 0001-5482. ; 152:3, s. 215-216
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Tidskriftsartikel (refereegranskat)abstract
- The effect of loperamide on faecal control after Stephens rectoplasty for high imperforate anus was studied in eight patients more than 8 years after surgery. Clinical assessment and anorectal manometry were performed before and after administration of loperamide for 6 to 8 weeks. Decreased faecal soiling was noted in seven of the eight cases. Obstipation forced two patients to stop the medication. The improved faecal control was verified by an increase in sequeeze pressure at anorectal manometry in four patients. When incontinence persists after Stephens rectoplasty, loperamide can improve the faecal control in some cases.
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| 3. |
- Arnbjornsson, E., et al.
(författare)
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Testicular torsion in children - Bilateral or unilateral operation
- 1985
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Ingår i: Acta Chirurgica Scandinavica. - 0001-5482. ; 151:5, s. 425-427
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Tidskriftsartikel (refereegranskat)abstract
- Between 1969 and 1984 65 children were operated on for testicular torsion. A follow-up study of 63 patients who underwent surgery for unilateral testicular torsion with fixation only on the affected side showed that no torsion occurred on the opposite nonfixated side and there was no retorsion during an observation period of an average of more than seven years. From our calculated risk for contralateral testicular torsion we suggest that bilateral fixation is not necessary in children who present with a unilateral testicular torsion.
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| 4. |
- Arnbjornsson, E., et al.
(författare)
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The value of physiotherapy for faecal continence after correction of high anal atresia. A clinical and electromyographic study
- 1988
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Ingår i: Acta Chirurgica Scandinavica. - 0001-5482. ; 154:7-8, s. 467-470
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Tidskriftsartikel (refereegranskat)abstract
- A follow-up study of 12 patients who had undergone Stephens rectoplasty for high imperforate anus is presented. Clinical assessment and anal electromyography were performed more than 7 years after surgery, both before and after a year's physiotherapeutic training of the perianal musculature. Electromyography showed correlation between faecal continence and tonus of the anal sphincter, the anocutaneous reflex and maximal voluntary activity in the perianal muscles. After the physiotherapeutic training there was significant improvement of faecal continence. This effect was electromyographically corroborated. The results confirmed clinical observations that postoperative physiotherapy and training of the voluntary muscles in the perianal region is of value for the achievement of faecal continence.
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| 5. |
- Bergqvist, D, et al.
(författare)
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Trends in civilian vascular trauma during 30 years. A Swedish perspective
- 1987
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Ingår i: Acta Chirurgica Scandinavica. - 0001-5482. ; 153:7-8, s. 417-422
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Tidskriftsartikel (refereegranskat)abstract
- Vascular injuries operated on during a 30-year period (1955-1984) were analyzed. There has been significant increase of such injuries, particularly the iatrogenic types. The total incidence per 100,000 population and year rose from 11.0 to 26.6. Various angiographic and catheterization techniques were responsible for the iatrogenic increase. The noniatrogenic vascular injuries not infrequently were part of multiple trauma, with fractures and a variety of penetrating wounds. Numerous operative techniques were used, increasingly with reconstructive surgery. The mortality rate did not change in the study period, but the rate of amputations and of various long-term sequelae diminished.
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| 6. |
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| 7. |
- Friman, Styrbjörn, 1948, et al.
(författare)
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Intussusception at four separate locations in the small intestine. Case report.
- 1988
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Ingår i: Acta chirurgica Scandinavica. - 0001-5482. ; 154:7-8, s. 485-6
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Tidskriftsartikel (refereegranskat)abstract
- A case of intussusception at four different locations in the small intestine is reported. Operative reduction of the interponates were performed with an uneventful postoperative course. The treatment of intussusception in adults is discussed and the literature is reviewed.
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| 8. |
- Ljungqvist, Olle, 1954-, et al.
(författare)
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The effect of hyperosmolar infusions on survival after hemorrhage
- 1989
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Ingår i: Acta Chirurgica Scandinavica. - : Almqvist & Wiksells. - 0001-5482. ; 155:9, s. 433-438
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Tidskriftsartikel (refereegranskat)abstract
- Hyperglycemia has previously been reported beneficial for survival after hemorrhage. In the present investigation, rats depleted of liver glycogen after 24 h food deprivation were infused either A: isotonic NaCl (300 mosm/kg H2O), B: glucose (1,800 mosm/kg), C: Xylose (2,000 mosm/kg) or D: NaCl (1,800 mosm/kg), during 60 min hemorrhage, and observed for recovery or death for seven days. During hemorrhage, all animals given hyperosmolar infusions had higher serum osmolality and greater plasma refill compared to group A. Increments in serum osmolality correlated inversely to hematocrit developments, p less than 0.05. Only 2/18 animals given isotonic NaCl survived, while survival in the other groups were 14/18 (glucose infused), 20/22 (xylose infused) and 20/20 (hypertonic NaCl). Best survival was noted in the groups with the highest final osmolality, and largest reduction in hematocrits; groups C and D, while significantly more animals given glucose died compared to group D. It is concluded that induction of hyperosmolality during the early phase of hemorrhage is associated with increased survival in hemorrhage, irrespective of hyperosmolar agent infused. The benefits of hyperglycemic hyperosmolality is primarily related to the osmolar properties of this solute, and not the immediate need for glucose as substrate.
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| 9. |
- Mätzsch, Thomas, et al.
(författare)
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Influence of standard heparin or low molecular weight heparin on healing of abdominal wounds and colonic anastomoses in rats
- 1987
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Ingår i: Acta Chirurgica Scandinavica. - 0001-5482. ; 153:10, s. 593-598
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Tidskriftsartikel (refereegranskat)abstract
- The influence of standard heparin or low molecular weight (LMW) heparin on healing of abdominal wounds and colonic anastomoses was studied in rats. Subcutaneous injection of 1 XaI U/g b.w. of standard or LMW-heparin or 0.5 ml physiologic saline was given 12 hours preoperatively and daily for 3 or 7 days postoperatively. Breaking strength of the abdominal wound and the anastomosis was measured, as were haemoglobin and albumin in serum. Hydroxyproline as a measure of collagen and tissue dry weight was determined in standardized segments of colonic wall adjacent to the anastomosis. Except for significant increase in breaking strength of the anastomosis after 7-day injection of LMW heparin, no differences in the parameters of wound healing were found after 3 or 7 days. In rats receiving standard heparin there was increased bleeding tendency (reduced haemoglobin) compared with the LMW-heparin group and the controls. The administered heparin thus did not negatively influence healing, and standard and LMW-heparin did not differ in this respect.
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| 10. |
- Rasmussen, I, 1952-, et al.
(författare)
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Acute solitary diverticulitis of the caecum. Case report.
- 1988
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Ingår i: Acta chirurgica Scandinavica. - 0001-5482. ; 154:5-6, s. 399-401
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Tidskriftsartikel (refereegranskat)abstract
- In two cases of suspected appendicitis, laparotomy revealed an inflammatory mass medially in the caecum. Colonic resection was performed in both cases and the final diagnosis was solitary caecal diverticulitis. When inflammation of a caecal diverticulum is recognized at laparotomy, simple diverticulectomy is the procedure of choice, but colonic resection is recommended if malignancy cannot be excluded or inflammatory changes are severe.
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| 11. |
- Rasmussen, Ib, et al.
(författare)
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Jejunoileal bypass for morbid obesity. Report of a series with long-term results.
- 1989
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Ingår i: Acta chirurgica Scandinavica. - 0001-5482. ; 155:8, s. 401-7
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Tidskriftsartikel (refereegranskat)abstract
- Of 72 patients who underwent jejunoileal bypass because of morbid obesity, 69 could be evaluated with special reference to long-term (median 11 years) results. One of the other three had fatal anastomotic leakage, one underwent resection and reversal of shunt because of postoperative gangrene in the bypassed segment, and one died of sepsis and liver failure following cholecystectomy 6 months after bypass. The median body mass index (kg/m2) fell from 45.4 preoperatively to 33.2 after 16 years. Shunt-related complications in early and late follow-up were diarrhoea (n = 15), anal/perianal disorders (15), arthralgia (15), urinary calculi (16), cholelithiasis (5), severe flatulence (7), liver cirrhosis (5), intestinal tuberculosis (1), ileitis (1), severe electrolyte disturbance (4), hypomagnesaemia (22), hypokalaemia (8), and deficiency of vitamin B12 (24), iron (24) and folate (17). Although jejunal bypass effectively reduces weight, the patients are at continuous risk of many complications. However, the improvement in quality of life should not be underestimated.
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| 12. |
- Rådberg, Göran, 1945, et al.
(författare)
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Relationship between gallbladder histopathology and ability to concentrate biliary lipids and bilirubin. A study on gallstone patients with functioning gallbladder.
- 1988
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Ingår i: Acta chirurgica Scandinavica. - 0001-5482. ; 154:10, s. 581-4
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Tidskriftsartikel (refereegranskat)abstract
- Biliary lipids and bilirubin were measured in hepatic and gallbladder bile obtained at routine cholecystectomy in 35 gallstone patients. The gallbladders had opacified at cholecystography and the cystic ducts were patent at operation. The histologic changes in the gallbladder wall were evaluated by an independent pathologist. Increasing abnormality of the gallbladder wall was shown to be associated with reduced gallbladder contents/hepatic bile ratio of biliary lipids and of bilirubin. The concentrating function of the human gallbladder thus appears to be impaired in proportion to the severity of histologic lesions in its wall. Taken together with earlier findings in vitro, this relationship suggests impaired absorption of electrolytes and water by the gallbladder mucosa, or diffusion of biliary constituents from the lumen of the inflamed gallbladder.
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| 13. |
- Skau, Tommy, et al.
(författare)
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Spontaneous peritonitis and rheumatoid arthritis : a case report
- 1986
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Ingår i: Acta Chirurgica Scandinavica. - 0001-5482. ; 152:Apr., s. 317-318
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Tidskriftsartikel (refereegranskat)abstract
- An unusual case in which an adult patient with rheumatoid arthritis developed a fulminant spontaneous gram-positive bacterial peritonitis and underwent emergency laparotomy for this condition is presented. Spontaneous peritonitis in adult patients was previously seen only in patients with liver disease, nephrotic syndrome or systemic lupus erythematosus
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| 14. |
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| 15. |
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