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Biomedical subjects

A Langebrekke

Publications and source records attributed to A Langebrekke.

11 recordsLinked to original sources
PubMed1992

[Examination and treatment of gynecological bleeding disorders].

The investigation and treatment of gynaecological dysfunctional bleeding has remained largely unchanged since the problem was dealt with in a special issue of the Journal of the Norwegian Medical Association in 1976, in spite of the advent of modalities like endometrial cytology, hysteroscopy and vaginal ultrasonography, as well as knowledge about the relative lack of efficiency of dilatation and curettage in the investigation and treatment of the condition. We describe a modern programme for investigation and treatment of gynaecological dysfunctional bleeding. The programme relies on clinical assessment combined with medical therapy, with optional use of modern investigative modalities when indicated. In a strictly controlled outpatient programme the need for dilatation and curettage can be greatly reduced without jeopardizing the safety of the patient.

Adult↗
PubMed1992

Laparoscopic hysterectomy. Initial experience.

Laparoscopic hysterectomy is now being performed in our department in cases where no malignancy is suspected. This study presents the first 10 cases. Indications for hysterectomy were myomas, meno- and metrorrhagia resistant to medical and hysteroscopic treatment, and patients with pain and suspicion of having adenomyosis. No complications have been encountered during the laparoscopic operations, but one patient had a second laparoscopy on the first postoperative day due to postoperative bleeding. Another patient had a postoperative infection leading to a compression of the ureter. This report demonstrates that laparoscopic hysterectomy is a valuable addition to the new procedures in 'minimal invasive surgery', but only after long and appropriate training.

Adult↗
PubMed1991

[Laparoscopic appendectomy].

Laparoscopic techniques have extended into the operative field of surgery. Appendectomies can be performed laparoscopically. The diagnosis of appendicitis is established and the inflamed organ removed directly. The laparoscopic technique reduces the incidence of unnecessary appendectomies and corresponding morbidity. Compared with conventional appendectomy, laparoscopy leads to less post-operative pain and inability to work. We discuss the first nine patients we treated in this way.

Adult↗
PubMed1991

[Laparoscopic cholecystectomy].

Techniques and instruments have recently been developed to perform laparoscopic cholecystectomy. Compared with conventional cholecystectomy, laparoscopic cholecystectomy results in significantly less post-operative pain and a shorter stay in hospital. We describe the procedure for laparoscopic cholecystectomy, with reference to the first patients treated in this way.

Adult↗
PubMed1991

Treatment of tubal pregnancy by laparoscopic laser surgery.

We present 150 consecutive cases of tubal pregnancy treated by laparoscopic techniques. A three-puncture technique was used. 74 cases were treated conservatively by linear salpingotomy with carbon dioxide laser laparoscopy and 76 cases were treated nonconservatively through the laparoscope by salpingectomy or tubal resection. Contra-indications to laparoscopic surgery were haemodynamically unstable patient and interstitial pregnancy. Seventy-five per cent of all tubal pregnancies were treated by laparoscopy in the period studied. No complications were encountered during the laparoscopic operations. Two patients needed a second laparoscopy, while 2 others underwent a subsequent laparotomy. This study has shown that tubal ectopic pregnancies can in most cases be effectively managed by laparoscopic techniques.

Adolescent↗
PubMed1991

Laparoscopic adnexectomy.

We are now performing laparoscopic adnexectomy in selected cases of benign pathology of the adnexa. This report is presented to show that even fairly large tumors may be removed by this technique. It involves 30 cases of tumors having a diameter more than 4 cm that were operated on over a period of 12 months. Cystectomies and cystotomies were not included in this study. Patients were excluded if there was any suspicion of malignancy. Indications for laparoscopy were functional and organic cysts, tubo-ovarian abscesses, and adnex torsions due to large hydrosalpinx. No complications have been encountered during the laparoscopic operation or during the follow-up period of 6-18 months.

Abscess↗
PubMed1990

[Laparoscopic treatment of ovarian pregnancy].

Primary ovarian gestation is a rare form of ectopic pregnancy. Ovarian pregnancy comprises less than 3% of all ectopics. We describe two cases of ovarian pregnancy treated successfully by vidoelaseroscopy.

Adult↗
PubMed1989

[Laser endoscopy in gynecology].

Today endoscopic laser is applied gastroenterology, urology and otorhinolaryngology, and the technique is being steadily developed. In the gynecological field the most commonly used technique is the CO2-laser, but the ND: YAG-laser is also being applied through the hysteroscope. At our department we have done 16 laparoscopic operations using the CO2 laser. The method is described and discussed.

Adult↗