[The focus on the patient].
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Biomedical subjects
Publications and source records attributed to J Ebbehøj.
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Cotton is easily ignited in atmospheric air. Aramid (Nomex) is only ignited if the oxygen concentration is 30% and the ignition temperature is 800 degrees C. Thirty one steelmill employees used one hundred and twenty suits of working clothes made of cotton, cotton/polyamide, cotton/polyester or Aramid (Nomex) in a four month period. 17% were more comfortable when using cotton/polyester. No differences were found between cotton and Aramid. Cotton should not be used as textile for working clothes in environments with risks of ignition.
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Congenital penile angulation without epispadias and hypospadias (Krummerik) is more frequent than previously believed, and the prevalence seems to be higher than 0.4/1000. The malformation, which may threaten the sex life of young patients, can be corrected by a simple out-patient operation.
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A corrective operation for penile curvature using plication of the tunica albuginea on the opposite side of the angulation is described. The operation is fast, easy to perform, and complications are rare.
Burn scar contracture on the dorsal aspect of fingers or toes often leads to retraction of the protecting nailfold, which may be extremely annoying to the patient. A surgical procedure for relocation of the nailfold is presented.
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The operation for phimosis aims at achieving normal preputial retractability and the prepuce need not be removed. A method is described in which multiple Y-V-plasties relieve the phimosis without resecting any preputial tissue.
Case histories of two patients admitted to the Burns Unit in 1976 and 1982, with very extensive and very deep burns, are described. The philosophy behind the usual treatment plan of the Unit and the unorthodox ideas that had to be devised in order to treat the 2 patients are described.
A multiple Y to V plasty is easier to perform than a multiple Z-plasty, it permits further elongation and does not tend to provoke flap necrosis.
A total of 20 patients with Peyronie's disease, including 15 with erectile failure and 5 with normal potency, underwent evaluation with dynamic xenon washout and infusion cavernosography. Abnormal drainage from the cavernous body was found in 13 of the 15 patients with erectile failure and in none of the 5 potent patients (p less than 0.01), indicating that this condition seems to be the underlying pathological mechanism leading to erectile impotence in patients with Peyronie's disease.
Of 18 patients treated for priapism by glando-cavernous anastomosis, 11 obtained complete relief. Follow-up examination of the 18 patients has shown normal erectile function in 11 cases. It would appear that the chance of preserving sexual function is greater the better the immediate result of the operation obtained and the earlier the patients are treated.
Four men were referred for incomplete erection of the penis. All had abnormal venous outflow from the cavernous bodies: 1 iatrogenic fistula from the cavernous body to the glans, 1 congenital fistula from the cavernous body to the glans, 1 with several congenital large veins connecting the interior of the cavernous body to the outer veins, and 1 who suddenly lost the ability for erection was found to have a venous leak through scar tissue in the tunica albuginea. They were all operated on and the visible leaks closed. Three of them were functionally greatly improved.