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O Modalsli

Publications and source records attributed to O Modalsli.

5 recordsLinked to original sources
PubMed1993

[Splenic neoplasms].

Carcinomas of the spleen are rare, whether primary or secondary. Two patients are described, one with a primary angiosarcoma. In this patient the first symptom was abdominal pain, caused by spontaneous rupture of the spleen. The other case was a woman with carcinoma of the breast which metastasized to the spleen. Both underwent splenectomy and adjuvant oncological treatment. Angiosarcomas constitute less than 1% of all sarcomas. Only about 60 cases of angiosarcomas in the spleen have been reported in the world literature. Spontaneous rupture of the spleen occurred in 30% of these cases. The prognosis for both untreated and treated splenic angiosarcomas is poor. Virtually all malignant tumours have been shown to metastasize to the spleen, most frequently from primary tumours localised to the breast, lung or ovary. Neoplasm should be considered for patients with splenomegaly having no apparent cause.

Adult↗
PubMed1992

[Necrosis of the small intestine. A diagnostic and therapeutic challenge].

The paper describes three patients with small intestinal necrosis from different causes: One patient had diabetes, and severe ketoacidosis, which may cause microthrombosis in small intestinal vessels. This patient died in septic shock during laparotomy, removing the necrotic gut. The second patient was laparotomized because of free air in the abdomen originating from a clostridial intestinal infection. The third patient caught a salmonella infection during a holiday in the Canaries, thereafter peritonitis due to small intestinal necrosis. These three patients illustrate principal aspects of the surgical management of patients with intestinal necrosis. Firstly, necrotic intestinal segments must be removed as soon as possible. Delay represents a threat to the patient's life in all situations when intestinal segments are devascularized. Secondly, relaparotomy may be mandatory in clostridial intra-abdominal infections. We report these patients to illustrate that well known surgical principles may be life-saving if effectuated without delay. This applies also in the case of patients with uncommon diseases and complications.

Aged↗
PubMed1989

[Significance of the operative technic in surgical treatment of primary inguinal hernia. A prospective study of recurrence frequency when 2 different methods were used].

204 male patients aged 16 years and older who had been operated for acquired inguinal hernia at Sarpsborg Sykehus during the period 1975-81 were reexamined by means of a personal follow-up examination. Before the operation the patients were randomized into two different groups. One group was operated using Bassini's technique and the other using Hindmarsh's technique. This prospective clinical study revealed far fewer recurrences after the Hindmarsh operation. The recurrence rate of all inguinal herniae treated by the Hindmarsh operation was 7.4%, as against 18.7% in cases treated by the Bassini operation. Our study shows that the operative procedure chosen for treatment of acquired inguinal hernia is a variable affecting the rate of recurrence.

Adult↗
PubMed1983

Gastric banding, a surgical method of treating morbid obesity: preliminary report.

Gross overweight in 15 patients was treated by a new method called gastric banding. The operative procedure is described. The technique is simpler than other procedures such as gastric bypass and gastroplasty. Gastric banding involves no opening of the gastrointestinal tract, which helps to minimize operative risk and complication rate. Operation resulted in an average weight loss of 36.5 kg (29.5 per cent) over six months, and is considered highly effective. Each patient was submitted, postoperatively, to a thorough check-up which included clinical examination, X-ray, gastroscopy and an extensive battery of laboratory tests. The fact that the artificial stoma and the gastric mucosa of upper and lower compartments can be inspected on gastroscopy is an added advantage. The series seems to indicate that gastric banding is a promising surgical method of treating extreme overweight.

Adult↗