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Biomedical subjects

K M Jochumsen

Publications and source records attributed to K M Jochumsen.

3 recordsLinked to original sources

[Thymectomy in myasthenia gravis].

Thymectomy is in most cases the treatment of choice in myasthenia gravis (MG). In order to evaluate the Danish results, we investigated the outcome and patient satisfaction following thymectomy in Odense University Hospital from 1980 to 1994. Thirty-three patients were operated. Five (16%) were completely without symptoms or medication and 14 (44%) received less medication and had fewer symptoms than preoperatively. Sex, age, degree of illness, duration of symptoms, histology of the thymus and surgical approach had no significant (p > 0.05) influence on the result. Four patients died 2-29 months after surgery, three because of aggravation of MG and one of causes unrelated to the operation. Of the 29 patients still alive none had serious complications, 11 had minor complications and 23 were satisfied with the operation. Thymectomy is recommended for patients with symptomatic MG, but the effect of surgery should be evaluated in a prospective clinically controlled study.

Adult↗

[Postoperative urinary retention requiring surgery].

Surgical procedures are often followed by postoperative urinary retention (PU). Sometimes PU is persistent, and prostate surgery, which might otherwise not have been required, is needed shortly after another operation. To find the frequency of this problem, we have retrospectively studied all cases of prostate surgery over a period of two years. Two hundred and fifty-eight operations were performed. Twenty were due to persistent PU after miscellaneous operations, mainly herniotomies and total hip arthroplasties. For men above 70 years old, the frequency of secondary prostate surgery was respectively 4% and 11% after these two operations. Eighty-five percent of the patients had symptoms of prostatism prior to the first operation. It is concluded that elderly men should be asked about voiding disorders before planned surgery, and these should be treated first.

Aged↗