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Biomedical subjects

N Helsingen

Publications and source records attributed to N Helsingen.

At least 19 recordsLinked to original sources
PubMed1993

[Inguinal hernia--still a surgical challenge].

Although inguinal hernia surgery remains the commonest form of elective intervention, nonetheless there is no consensus as to which are the most important problems in the field. Several challenges await resolution: priorities, operative techniques and outcome, surgical skill, and rehabilitation.

Absenteeism↗
PubMed1989

[Aneurysm after patch graft aortoplasty in aortic coarctation].

In the period 1973-83, 114 patients with coarctation of the aorta were operated on with patch plasty. Early results were encouraging. Two of these patients had to be reoperated, however, because of aneurysmatic dilatation of the aorta adjacent to the prosthetic patch. In one case acute rupture of the aneurysm occurred eight years after the patch plasty, and surgery was performed under dramatic conditions as a life-saving procedure. In the other patient increasing dilatation of the distal part of the aortic arch was observed at chest X-ray 4-5 years after the operation. DSA revealed a large aneurysm proximal and distal to the site of coarctation, and he was operated with excision of the aneurysm and closure of the aorta with a patch of PTFE. Careful follow-up of patients operated for coarctation of the aorta is important. In addition to clinical investigation, patients with patch plasty must be referred to chest X-ray examination every 2nd to 3rd year for a relatively long time.

Aorta↗
PubMed1985

Endoscopic diathermy incision in the treatment of stoma obstruction after gastroplasty for obesity.

The incidence of stomal obstruction following gastric restrictive procedures varies with the different methods in use. This complication may cause prolonged hospitalization and even reoperation. The objective of this clinical study was to develop a safe and efficient non-operative alternative for treating stomal obstruction. We transferred current techniques and experience from endoscopic papillotomy to the field of bariatric surgery, and during the past four years we have performed fourteen endoscopic diathermy incisions in eleven patients with resistant stoma obstruction after gastroplasty. The results have been good and there have been no complications. Neither has failure to lose weight due to widening of the stoma occurred. Since we took up the procedure, there have been no relaparotomies due to stoma obstruction in our department. In conclusion, endoscopic incision of an obstructed stoma after gastroplasty is an easily-performed and highly effective alternative to other non-operative procedures for the treatment of serious complications in bariatric surgery.

Adult↗