Biomedical subjects
Publications and source records attributed to F U Jensen.
During the period 1983-1988, 54 patients had gastric banding performed for the treatment of severe obesity. The follow-up time was a median of 60 months, over which time ten patients had the band removed. An enquiry showed that only 17 of 39 were satisfied with the result. Due to the late complications, unstable weight loss and many daily inconveniences associated with this operational procedure, it is concluded that it can no longer be recommended.
Surgical practice in the treatment of peptic ulceration in Denmark is illustrated by means of a questionnaire. The percentage of replies was 96. The investigation reveals that the predominant method of elective surgery for duodenal ulceration is still proximal gastric vagotomy rather than vagotomy+antrectomy. In elective surgery for prepyloric ulcer, vagotomy+antrectomy is employed most frequently and for elective operation for gastric ulcer partial gastric resection. In operative interventions for complications of ulceration such as haemorrhage and perforation, the operative strategy appears to be determined by the difficult current possibilities for training in ulcer surgery to a not inconsiderable extent, rather than to be based on a rational scientific basis as the definitive intervention here is replaced to a great extent by minor interventions such as simple undersewing of a bleeding gastric ulcer followed by H2-blocker treatment and simple closure of a perforated duodenal ulcer.
Two cases of abdominal stab wounds with omental protrusion treated conservatively are presented. Omental protrusion in a patient without signs of shock or peritoneal irritation is not an absolute indication for explorative laparotomy.
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A follow-up study of 178 adult patients with primary inguinal hernia repair revealed significantly fewer recurrences after the McVay operation for a pure direct hernia than for a pure indirect hernia. The recurrence rate for pure indirect hernias was 19.3 +/- 4.3 per cent after ten years and 20.7 +/- 4.6 per cent after 15 years. The mean observation time was 11 years, 98 patients. The recurrence rate for pure direct hernias was 4.1 +/- 2.8 per cent after ten years and 7.5 +/- 4.5 per cent after 15 years. The mean observation time was 13 years, 52 patients. Twenty-eight patients treated for a pure indirect hernia with a simple abdominal ring repair had no recurrences after a mean observation time of ten years. We suggest that the reason for the higher recurrence rate among patients treated with a McVay repair for an indirect inguinal hernia might be due to the interference with the healthy posterior wall of the inguinal canal, since 50 per cent of the recurrences in this group were direct. It is stressed that abdominal ring repair should be the treatment of choice for indirect hernias.