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Biomedical subjects

T Aberg

Publications and source records attributed to T Aberg.

At least 109 records · Page 6Linked to original sources

Splenectomy--a surgical panorama.

A five-year material of splenectomies (1970-74) is presented. The material was divided according to the indications for splenectomy as follows: radicality (Group I), iatrogenic hemorrhage Group II), traumatic ruptures (Group III), hematological cases (Group IV) and miscellaneous cases (Group V). There was a large increase in the hematological group over the period due to the addition of splenectomy in the staging procedure for Hodgkin's disease. The mortality was highest in group I and lowest in group IV, as also was the incidence of complications. No patient with Hodgkin's disease died of the operation and the staging laparotomy for this disease, which gives valuable information, thus seems sufficiently safe to warrant routine use.

Humans↗

Cleansing of the colon without enemas.

Several methods have been used to cleanse the large bowel prior to roentgen examination and rectoscopy for more than ten years. A method with administration of a salt solution (SALAX) in combination with different oral laxatives (Cascara sagrada, Dantron, Bisacodyl) without cleansing enemas is described. Hospitalized patients should have an individual preparation while ambulatory patients are almost completely cleansed if they carefully follow the given instructions.

Adolescent↗

Perforation of the oesophagus. A comparison between surgical and conservative treatment.

A series of 48 patients with oesophageal perforations was reviewed retrospectively. Eighty-seven per cent of the perforations were iatrogenic. Twenty-four patients were treated conservatively; 3 of this group died. The other 24 patients were treated surgically and 4 of them died. Patients with alarming symptoms and/or a large perforation underwent operative treatment unless there were contra-indications. Retained foreign bodies after perforation, and malignancy in the perforation area, were considered as indications for operation. Conservative treatment was reserved for patients with minor tears combined with a less turbulent course. The interval between perforation and therapy was not of decisive importance for the mortality in our series. The clinical picture, which was dominated by chest pain, gave the earliest indication of perforation, while the responses of the sedimentation rate, temperature and white blood count occurred later and were less reliable diagnostic signs.

Adolescent↗

A relative contra-indication to mediastinoscopy.

In a patient in whom a coarctation of the aorta had been successfully operated on 17 years earlier, a life-threatening haemorrhage from a thin-walled, dilated collateral artery occurred in conjunction with a mediastinoscopy. It is argued that diseases with increased mediastinal collateral vessels (coarctation of the aorta, cyanotic heart disease, severe suppurative lung disease) are relative contraindications to mediastinoscopy, even after a corrective procedure has been carried out.

Adult↗