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Biomedical subjects

H Kleppe

Publications and source records attributed to H Kleppe.

7 recordsLinked to original sources
PubMed1996

Percutaneous lumbar discectomy. Technique and clinical result.

Lumbar disc herniation was treated by percutaneous discectomy using a new instrument for automatic aspiration and cutting of disc material. The inclusion criteria were limited to patients with pure disc herniation without stenosis or any other additional factors. Only contained hernias with a maximum size of 50% of the thecal sac were included. Three procedures out of 45 were technical failures. At 1-year follow-up 69% of the patients were satisfied. No complications were seen. The result was not influenced by the amount of disc material removed, age, duration of symptoms or the size of the disc hernia. Reduced size of disc hernia was found in 13 out of 14 satisfied patients followed by CT. All unsatisfied were conventionally operated on. The percutaneous treated patients had 1 day of hospitalisation and on average 11 weeks of sick-leave compared to an average of 6 days and 16 weeks following conventional discectomy.

Adult↗
PubMed1980

Methylprednisolone in the treatment of lung contusion following blunt chest trauma.

The effects of large doses of methylprednisolone (MP) (30 mg per kg. b.w.) in patients with lung contusion following blunt chest trauma were studied in 10 patients selected at random and compared with 10 chest trauma patients receiving no steroids, but otherwise treated in the same way. All patients survived. Serious post-traumatic complications were reduced in the steroid group. All patients were followed with haemodynamic and metabolic observations for 6 weeks using Swan-Ganz flow directed thermodilution catheters. The most pronounced effect of MP was a significant reduction of pulmonary vascular resistance which may prevent right heart failure. The study demonstrates that MP should be given in sufficient doses in patients with respiratory insufficiency following blunt chest trauma.

Adult↗
PubMedDate not supplied

The knee--elbow position in lumbar disc surgery: a review of complications.

Follow-up studies were carried out in 1962, 1977, and 1981 on 35% or 943 or our 2690 patients operated upon from 1950 through 1981 for lumbar disc herniation. Seven hundred and twenty-four were done with and 1848 without spinal fusion. There were 11.2% operative, 8.3% postoperative and 18.9% late complications. Sepsis occurred in 2 patients (0.2%). Thrombosis decreased from 10% in the 1950s to 4% in the 1960s and to zero in the late 1970s. Reoperations were performed in 10.8% of the fused and in 23.6% of the nonfused patients. There were no serious vascular injuries and no postoperative deaths. Serious complications from lumbar disc surgery with the patient in the knee--elbow position occur rarely and ought to be avoided. Posterior spinal fusion seems to give better protection against recurrence of pain than simple removal of the herniated disc material.

Female↗