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Biomedical subjects

J O Strömbeck

Publications and source records attributed to J O Strömbeck.

17 recordsLinked to original sources

Reduction mammaplasty with adrenaline infiltration: effects on perioperative bleeding.

We present a retrospective comparison of two groups of patients who underwent reduction mammaplasty with (n = 200) and without (n = 44) infiltration of a combination of a local anaesthetic and adrenaline. The vasoconstrictive effect of adrenaline reduced the intraoperative bleeding from 0.5 ml to 0.1 ml/g resected tissue. Postoperative bleeding was also reduced. Drains were omitted in 104 of the patients who had received adrenaline. In spite of this, these patients had no increases in the rates of infection, haematoma formation, or need for reoperation compared with the group that had been given drains. The practical implication is that after local infiltration of a vasoconstrictor agent post-operative drains can be omitted, at least in the Strömbeck reduction mammaplasty procedure.

Adult↗

Topical analgesia for the cutting of split-skin grafts: a multicenter comparison of two doses of a lidocaine/prilocaine cream.

The topical analgesic effect of two doses of a local anesthetic cream (EMLA, Astra) in the harvesting of split-skin grafts was compared in a double-blind multicenter trial. A standardized area of 200 cm2 at the donor site of 78 patients was randomly treated with 30 or 60 gm of cream 2 to 5 hours before the operation. There was no difference in pain between the groups (p = 0.53). In each group, 92 percent of the patients rated the pain as either none or slight, and 8 percent rated it as either moderate or severe. In conclusion, with the application times of 2 to 5 hours used in this trial, a dose of 15 gm EMLA cream per 100 cm2 is sufficient to provide analgesia for the cutting of split-skin grafts.

Adolescent↗

Reduction mammoplasty: some observations and reflections.

The ideal procedure for reduction mammoplasty should: (a) create a breast of desired size with an aesthetically pleasing shape; (b) leave small "invisible" scars; (c) preserve the nursing capacity; (d) leave the erotic sensibility intact; and (e) have no postoperative complications. Most of the unfavorable results can be avoided by careful preoperative planning and restrictive patient selection, with special attention being given to very young patients and to those with unrealistic expectations.

Breast↗

[Late results of reduction mammoplasty].

A follow-up made 8--17 years after reduction mammoplasty is presented. The series consists of 146 patients, who answered a questionnaire. The patients view on the result is influenced by the following elements: shape, size, scars and sensibility of the nipple compound. Approx. 80 percent of the patients regarded the result as very good or good.

Breast↗

Percutaneous anaesthesia for dermabrasion.

An epicutaneously applied solution--A 2358, (Ane-Pad)--containing ketocaine has been used to bring about anaesthesia for dermabrasion in 20 cases. The time of application was 60 min and the amount of ketocaine applied varied from 0.8 to 2.5 g. In order to ensure good contact between the compresses containing the anaesthetic solution and uneven or concave skin surfaces, pressure was applied with the aid of foam plastic. Erythema and oedema were noted as unintended effects. They did not present an inconvenience during the operations or postoperatively. The operation proved to be completely painless for 15 of the patients. None of the remaining 5 patients required complementary anaesthesia, but in one case a slight sensation of pain was evident locally and in 4 cases the patients experienced an intense sensation of warmth.

1-Propanol↗