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Biomedical subjects

B Alstad

Publications and source records attributed to B Alstad.

3 recordsLinked to original sources

[Anal plug in fecal incontinence].

There is evidence that a considerable number of the adult population, most of them women (30-72 years), are suffering from faecal incontinence. Treatment is either conservative sphincter reconstruction or stoma when no other treatment is successful. As an alternative to stoma, the Conveen anal plug was tested in seven women not suitable for surgery. Three patients had substantially improved social life. One of these patients used the plug daily, the other two at specific occasions. The main advantages were that they did not have to use a pad and they were not bothered by inconvenient smell and sound. Four patients did not tolerate the plug because of urge to defecate and general inconvenience having the plug in the anal canal. The study confirms that the incontinence anal plug is a useful alternative to stoma in selected cases.

Adult↗

[Laparoscopic sigmoidectomy].

The laparoscopic approach has emerged as an alternative to trephine stoma construction. In the present series, eight patients underwent laparoscopic faecal diversion. We performed two endsigmoidostomies and six sigmoid loop ostomies. Indications for diversion included inoperable obstructing pelvic carcinoma in three patients, perianal fistulas in another three--and faecal incontinence in one patient. A temporary loop-sigmoidostomy was performed in one patient after anal sphincteroplasty. Three or four ports were used. After mobilisation, the sigmoid colon was pulled through the abdominal wall. When an end-sigmoidostomy was performed the bowel was transected intra-abdominally. There were no operative complications and all stomas functioned early and well. Laparoscopic sigmoidostomy is safe and allows intra-abdominal exploration and mobilisation of the colon without the inconvenience of a mid-line surgical wound.

Adult↗

A battery-alarm system for phrenic nerve stimulators.

A simple alarm circuitry for unilateral diaphragm pacer transmitters has been constructed. The system, which is attached to the 9 V battery powered transmitter, will trigger an alarm sound when the battery voltage decreases to 8 V. The system may diminish or abolish the need for special supervision of patients with phrenic nerve stimulators.

Electric Stimulation↗