An extraperitoneal ischiorectogluteal lipoma treated by liposuction. Case report.
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Biomedical subjects
Publications and source records attributed to F Samdal.
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Since 1964 silicone breast prostheses have been implanted in 5 million women for breast reconstruction after cancer operations, to correct congenital deformities and for cosmetic reasons. There is no evidence in the literature of a correlation between silicone implants and breast cancer. Some authors claim that silicone implants reduce the reliability of mammography. Autoimmune diseases in patients with silicone mammary implants are reported in less than 40 cases. Most of these are localized or systemic scleroderma. An association with silicone implants has been suggested, but this suggestion has not been confirmed by scientific data.
A retrospective study was made of 87 patients operated on between 1984 and 1990 for asymmetrical breasts. Thirty-two patients had 36 implants (13 also had breast reduction or mastopexy of the contralateral breast). Capsular contraction, Baker grade II-IV, was found in a third of the implants. The remaining 54 patients underwent reduction mammaplasty or mastopexy alone. 90% of the patients were satisfied with the result. There was no significant difference in the overall satisfaction between the patients who did or did not have implants. We nevertheless think that mammary implants should be avoided whenever possible in the correction of breast asymmetry. Even though there is no difference in patients' satisfaction, it is our experience that those with implants have more frequent follow-up consultations and are subject to more postoperative procedures than those corrected without implants.
Between March and November 1990 a prospective study of the effect of an infiltration of diluted adrenaline on bleeding during and after reduction mammaplasty was carried out in 12 consecutive patients. There was a significant reduction in blood loss to less than 50% of that from the non-infiltrated breasts. There was no signs of increased postoperative bleeding or reduced flap viability as a result of infiltration of adrenaline.
Pads of fat ranging from 670-1758 mg in weight were taken from the right groins of 20 rats and implanted subcutaneously over their right pectoral muscles. One week previously the recipient site on the thorax had been abraded with a needle in 10 of the rats. After three months the transplanted fat was taken out, weighed, and examined histologically by light microscopy. Regional tissue blood flow in the transplanted fat and in the fat from the left groin was measured by the microsphere technique. The amount of surviving fat and blood flow in the fat transplanted to an abraded recipient site was significantly higher than in the control group after three months. We conclude that preoperative needle abrasion of the recipient site may increase the chance of revascularisation and survival of the transplanted fat in rats.
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This article presents a study of the use of tobacco and alcohol among young servicemen in Northern Norway during the last nine months of their military service. The study shows a clear tendency towards increased smoking, while alcohol consumption is less frequent than during the period before entering military service.
We report on two patients with severe urgency and pollakisuria where further investigations revealed cystitis cystica (glandularis). Conservative treatment and TUR of the lesions had no effect on the symptoms. After treatment with Neodymium-YAG laser, however, both have been asymptomatic for more than 18 months and urethrocystoscopic examination demonstrated normalization of the bladder mucosa.
Since January 1989, we have carried out a prospective study about whether patients prefer orchidectomy or medical castration with luteinising hormone releasing hormone analogues for the treatment of prostatic cancer. When the preliminary results were presented, 40 Norwegian urologists were asked which treatment they would prefer if they had advanced cancer of the prostatic gland. Most patients and urologists (65-70%) favoured medical castration.
A patient with benign symmetrical lipomatosis of the neck (Madelung's disease) was successfully treated with liposuction rather than classic surgical lipectomy. To our knowledge this is only the second such patient treated in this way.
A case is reported in which a fat deposit in a patient who had had a continent urostomy fashioned by Kock's technique, caused skin problems and made catheterisation Kock's technique, caused skin problems and made catheterisation difficult. The condition was successfully treated with liposuction around the stoma.
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Since its introduction in 1975 liposuction has become an increasingly popular technique and, in the United States today, is the most commonly performed procedure in cosmetic surgery. However, this technique is also useful in the treatment of a number of other conditions such as gynecomastia and lipomas/lipomatosis, and as an adjuvant procedure to surgical procedures such as reduction mammoplasty, abdominoplasty, and defattening of flaps. The article describes the technique and its indications and possible complications.
In spite of technical advances in diagnostic radiology the recognition of a perinephric abscess is still a challenge to even the most experienced urologist. Untreated perinephric abscesses result in considerable mortality. We present ten years experience from 17 patients. All underwent open drainage procedures. In our case this still seems to be the treatment of choice for the majority of these patients. Percutaneous drainage is an alternative to surgery, and is particularly suitable for the high risk patient.
Urinary diversion via a continent ileal reservoir ad modum Kock was performed in eight patients. There was no operative mortality. Early complications necessitated reoperation in three patients, two patients were reoperated due to leakage from the uretero-enteric anastomosis and one patient because of postoperative acute acalculous cholecystitis. Late complications were seen in two patients who were reoperated because of stenosis in the uretero-enteric anastomosis. All patients had excellent functional results with continence without reflux to the upper urinary tract.
Laser treatment associated with transurethral resection of the prostate is a new and promising treatment of the stages T0 diffuse, T1 and T2 prostatic cancer. Our standardized treatment procedure gives few complications. So far we have not recorded any local recurrence in the 26 patients we have treated and followed up from 6 to 42 months.
Twenty-seven patients underwent syringe-assisted liposuction of the neck, the amount of fat removed ranging from 20-110 ml. There were no complications except slight skin laxity (n = 1) and transient hypoaesthesia (n = 10). No patient required a second procedure, and all were satisfied with the results. Syringe-assisted microlipoextraction of cervical fat is a simple, safe, and rewarding procedure that has obvious advantages over open procedures or machine-assisted liposuction with large cannulas.