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Biomedical subjects

F Samdal

Publications and source records attributed to F Samdal.

45 records · Page 3Linked to original sources

[Spinal anesthesia in young adults].

In a prospective study, 69 young adults, range 19-28 years, were given spinal anesthesia. Three patients developed postspinal puncture headache and three patients experienced transient backache. No other complications were observed. The results indicate that spinal anesthesia may be used even in young adults. This seems to contrast with the practice in most other Norwegian hospitals, where spinal anesthesia is given mainly to patients older than 40 years of age, based on the notion that the frequency of postspinal puncture headache is unproportionally high in younger patients.

Adult↗

[Gynecomastia. Investigation and surgical treatment].

Enlargement of the male breast, gynecomastia, commonly occurs in otherwise healthy men. If the gynecomastia is marked, surgical treatment may be necessary. Underlying disease must be considered. History, physical examination, laboratory tests and in some patients ultrasonography of the testes should be conducted prior to surgery. If the gynecomastia is due mainly due to fat, suction lipectomy alone is sufficient treatment. However, liposuction will not remove breast parenchyma, and some patients also require local excision of the parenchyma. In our experience, suction lipectomy provides a new means of acquiring better contour, with reduced morbidity and complications.

Gynecomastia↗

Fasciotomy for chronic compartment syndrome.

During 1977 and 1978, we operated on 34 patients with chronic anterior tibial compartment syndrome. Surgery consisted of subcutaneous fasciotomy of the anterior crural compartment under local anesthesia. Twenty-three patients were operated on bilaterally. The mean follow-up was 10 years. One patient was lost to follow-up, leaving a total of 56 legs for assessment. The long-term result was excellent in 31 legs, good in 10, fair in 11, and poor in 4. There was one recurrence. This was relieved by refasciotomy.

Anterior Compartment Syndrome↗

Effect of large-volume liposuction on sex hormones and glucose- and lipid metabolism in females.

Nine consecutive patients who underwent syringe-assisted liposuction with a mean aspirate volume of 3633 mL (range: 1800-5500) had their lipids, lipoproteins, and sex hormones measured pre- and postoperatively. Seven of the patients also underwent an oral glucose tolerance test with measurements of insulin and C-peptide. The major finding was a significant increase in HDL cholesterol and apolipoprotein A1, while there was no significant change in sex hormones or glucose levels 9-12 months after the liposuction procedure. The results indicate that large-volume liposuction might decrease the risk of cardiovascular disease in these patients.

Adult↗

Suction-assisted lipectomy does not increase the risk of random flap necrosis in a randomized study in pigs.

Thirty-two dorsally based random flaps were raised in eight Yorkshire pigs (26-31 kg) after infiltration with 200 mL of dilute lidocaine (0.1%) with epinephrine (1:1,000,000) into each flap. Prior to elevation 16 of the flaps were treated with syringe-assisted liposuction, while the remaining flaps served as controls. One week postoperatively the viability of the flaps was assessed with computer-assisted planimetry of the necrotic area and by measurement of capillary blood flow using radioactive microspheres. The mean area of necrosis was nearly identical in the flaps treated with liposuction and in the control flaps, and there was no statistically significant difference in blood flow between the groups. The results show that liposuction performed with the "super-wet" or "tumescent" technique can be done prior to elevation of flaps in pigs without increasing the risk of flap necrosis.

Animals↗