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Biomedical subjects

S Bertelsen

Publications and source records attributed to S Bertelsen.

At least 37 records · Page 2Linked to original sources
PubMed1984

Reoperation for recurrent bronchogenic carcinoma.

From a total of 869 patients primarily operated on for bronchogenic carcinoma, nine underwent a second operation for recurrence of the tumour. The median interval between the operations was 16 months. In four patients the second operation consisted of resection of ipsilateral residual lung after primary segmental resection or lobectomy. One patient underwent contralateral pneumonectomy after primary segmental resection. In the four remaining cases a contralateral lobectomy or segmental resection was performed after primary lobectomy. Four of the nine patients are still alive but, after a short observation time, only two are tumour-free. On the basis of these findings we cannot recommend reoperation for bronchogenic carcinoma, except in very rare, individually selected cases.

Carcinoma, Bronchogenic↗
PubMed1981

Thoracic injuries.

Establishment of adequate ventilation takes the absolute precedence over all other therapeutic measures. Chest trauma has, therefore, the highest priority in a patient with multiple injuries. Bleeding may also be a decisive component. Emergency treatment aims at reestablishing normal physiological functions. Concurrently, diagnostic measures are taken to assess the underlying pathoanatomical changes. Treatment of chest injuries is a team effort of surgical and anaesthetic staff.

Bronchi↗
PubMed1981

Superior vena caval syndrome in benign mediastinal goitre.

The superior vena caval syndrome is the clinical condition which develops at too high a pressure in the superior vena cava and the afferent veins. Its aetiology has changed in the course of time, but at present 97% of the cases are due to intrathoracic malignancy. An extremely rare aetiological factor is substernal and intrathoracic goitre. In such cases the syndrome is often of fairly acute onset due to haemorrhage in the goitre, and as a rule it is associated with dyspnoea and dysphagia. The treatment is always operative.

Aged↗
PubMed1980

Isolated middle lobe atelectasis: aetiology, pathogenesis, and treatment of the so-called middle lobe syndrome.

Isolated atelectasis of the middle lobe has been known for many years as the "middle lobe syndrome". Several clinical studies have shown that it may bae caused by malignant tumours. A 10-year study of 135 patients with isolated middle lobe atelectasis is presented. Fifty-eight patients (43%) had malignant tumours. Of 38 who had a thoracotomy, lung resection was possible in 25. In 20 patients regional or systemic dissemination of the tumour had been diagnosed before operation. Seventy-seven patients had benign diseases, of which 74 were non-specific infections. Bronchography was performed in 46 of these cases, and all had abnormal findings in the middle lobe, eight revealing definite bronchiectasis. In three cases tuberculosis was found. In 16 cases the benign diagnosis was established at thoracotomy. Only three patients out of 58 with malignant tumours lived more than five years. Atelectasis of the middle lobe is always a sign of potential malignancy especially in patients with a previously normal chest radiograph.

Adolescent↗
PubMed1976

Results of operative treatment of hypopharyngeal diverticulum.

The so-called hypopharyngeal diverticula may be classified, according to their size, localization, and form, into three stages. Small diverticula (first stage) should not be surgically removed, whereas all other diverticula, that is, those causing symptoms, must be surgically removed as soon after diagnosis as possible. Diverticulectomy performed in one stage is the treatment of choice. A series of patients is reviewed. The risk involved in surgery is found to be of minor degree, and the incidence of complications is low. Radiologically demonstrable recurrence may develop in 10% to 12% of all patients while clinical symptoms of recurrence are seen in only about 2%.

Adult↗
PubMed1975

Strangulated diaphragmatic hernia. A clinical study.

Symptoms, signs, and definitions of strangulation and incarceration in diaphragmatic herniation are surveyed, and four patients with strangulated diaphragmatic hernia are reported on. Although the symptoms may be uncharacteristic, the diagnosis is easily made, if kept in mind. X-ray examination of the chest, possibly supplemented by a barium meal, usually indicates the diagnosis. The mortality rate in our series was high, similar to the findings in other series in the literature. Since approximately half of the cases of incarcerated and/or strangulated diaphragmatic hernia are due to overlooked traumatic diaphragmatic rupture, we stress the importance of diagnosing and treating such rupture promptly to reduce the mortality rate. Strangulated diaphragmatic hernia is a clinical entity on the borderline between the fields of thoracic and general surgery. The disorder is often overlooked or improperly treated, possibly because most units have limited experience with this particular phenomenon.

Adult↗
PubMed1975

Tumours of the thymic region. Symptomatology, diagnosis, treatment, and prognosis.

Fifty-three patients operated on between 1952 and 1971 were originally diagnosed as having thymoma. Re-examination of the material shows that only half of these tumours were true thymomas. The rest were classified as malignant lymphomas, primary and secondary carcinomas, and a few haemangiomas. Half of the patients had symptoms at the time of diagnosis. However, in half of the asymptomatic cases the tumours had penetrated the capsule. Decisive in prognosis are the macroscopic findings around the capsule. Of 33 patients with infiltration of the capsule, 30 had died at the time of investigation. Twenty-five patients died within two years of operation, Twenty-five patients had thymomas, of which 14 were well defined. Twelve patients with thymomas suffered from myasthenia gravis. The treatment of choice of thymoma is total excision, if necessary enbloc, and if there is penetration of the capsule, radiotherapy should be given. None of the patients with a well-defined thymoma had died from their tumour while only two patients with infiltrating thymomas are still alive, Of eight patients with Hodgkin's disease located in the thymus, six had penetration of the capsule, and of these only one patient is still alive. Two patients with well-defined tumours are both alive. The treatment of localized Hodgkin's disease is excision and irradiation. The prognosis for patients with other malignant tumours was bad, the mean time of survival being less than six months.

Adolescent↗