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Biomedical subjects

K Solheim

Publications and source records attributed to K Solheim.

348 records · Page 20Linked to original sources
PubMedDate not supplied

Sibling visitation: effects on newborn infection rates.

This study compared signs and symptoms of infection in term infants who had direct contact with their siblings with infants who had contact only with an adult visitor as part of a postpartum hospital visitation program (N = 150). Following sibling visitation, mothers assessed their infants for signs and symptoms of infection using a questionnaire designed for this study. No increase in signs and symptoms of infection associated with direct sibling visitation in this setting was identified.

Cross Infection↗
PubMedDate not supplied

Computed tomography and scintigraphy in the diagnosis of splenic injury.

In a prospective study of 48 patients suspected to have splenic injury, the diagnostic value of computed tomography (CT) and scintigraphy was investigated. Both methods showed high sensitivity, demonstrating 27 of 28 ruptures. The specificity was 100% for CT and 80% for scintigraphy, since the latter method gave four false-positive diagnoses with regard to rupture and bleeding. Scintigraphy, however, has advantages over CT in children and noncooperative adults and is highly suitable in local trauma to the left lower thorax. CT is preferable in cases with possible trauma to multiple organs, such as commonly occurs in traffic accidents, and also provides a rough estimate of the extent of bleeding.

Adolescent↗
PubMedDate not supplied

Bile duct injury in laparoscopic cholecystectomy.

Bile duct injuries in laparoscopic cholecystectomy are briefly reviewed. The Norwegian National Cholecystectomy Registry was started on April 1, 1993, to collect data from most Norwegian surgical departments. in the period April 1, 1993-May 31, 1995, common bile duct (CBD) injuries necessitating treatment were reported in 0.61% of 2,612 laparoscopic cholecystectomies and in 0.74% of 674 open cholecystectomies. Early diagnosis is mandatory and the treatment is then simple. Delayed diagnosis is dangerous and the treatment may then be difficult. This field seems to show a difference between publications and the real world.

Adult↗
PubMedDate not supplied

Bile leak after cholecystectomy significance and treatment: results from the National Norwegian Cholecystectomy Registry.

From April 1993 to July 1995, altogether 3860 procedures were enrolled in the Norwegian National Cholecystectomy Registry (NNCR), 777 (20.2%) being open operations. 3083 (79.8%) were initiated laparoscopically, 313 (10.2%) of these converted to open technique. Mortality within 30 days after open cholecystectomy was 1.9%, after a converted procedure 1.0% and 0.14% after laparoscopic cholecystectomy (p<0.01). According to the intention to treat principle, converted procedures should be included in the laparoscopic group. This gives seven deaths after 3083 procedures, i.e. 0.23%. Postoperative death still occurs approximately 10 times more frequently after open cholecystectomy (p<0.01). However, this is partly due to selection of high risk cases to open technique. Postoperative bile leak was observed in 25 patients (0.9%) in the laparoscopic, 13 (4.2%) in the converted and 19 (2.4%) in the open group. Bile leak contributed significantly to serious complications. 37 major problems were observed in 25 of the patients (44%). Five patients died (8.8%). Among the 57 bile leak patients, common bile duct (CBD) injury was found in 13 (22.8%). Additional 19 CBD injuries occurred, presenting with other symptoms such as icterus, or being recognised during the first operation. The frequency of CBD injury in the laparoscopic group was 14 (0.5%), in the converted group 12 (3.8%) and in the open group 6 (0.8%). None of the patients with CBD injury underwent intraoperative cholangiography. The present results firstly show that open cholecystectomy cannot be considered a safe procedure for high risk patients, secondly, that postoperative bile leak contributes significantly to postoperative mortality and hence is a serious condition generating from CBD injury in about 1/5 of all cases.

Adult↗