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3054 records – page 1 of 306.

A 1-year follow up of psychological wellbeing after subtotal and total hysterectomy--a randomised study.

https://arctichealth.org/en/permalink/ahliterature98373
Source
BJOG. 2010 Mar;117(4):479-87
Publication Type
Article
Date
Mar-2010
Author
Persson, P
Brynhildsen, J
Kjølhede, P
Author Affiliation
Department of Obstetrics and Gynaecology, University Hospital, Uppsala, Sweden. par.persson@akademiska.se
Source
BJOG. 2010 Mar;117(4):479-87
Date
Mar-2010
Language
English
Publication Type
Article
Keywords
Adult
Anxiety Disorders - etiology
Depressive Disorder - etiology
Female
Follow-Up Studies
Health status
Humans
Hysterectomy - adverse effects - methods - psychology
Mental health
Middle Aged
Patient satisfaction
Postoperative Complications - psychology
Prospective Studies
Psychometrics
Quality of Life
Abstract
OBJECTIVE: To compare subtotal abdominal hysterectomy (SH) and total abdominal hysterectomy (TH) regarding influence on postoperative psychological wellbeing and surgical outcome measurements. DESIGN: A prospective, open, randomised multicentre trial. SETTING: Seven hospitals and one private clinic in the south-east of Sweden. POPULATION: Two-hundred women scheduled for abdominal hysterectomy for benign conditions were enrolled in the study; 179 women completed the study (94 SH and 85 TH). METHODS: Four different psychometric tests were used to measure general wellbeing, depression and anxiety preoperatively, and at 6 and 12 months postoperatively. Statistical analysis of variance and covariance were used. MAIN OUTCOME MEASURES: Effects of operating method on psychological wellbeing postoperatively. Analysis of demographic, clinical and surgical data, including peri- and postoperative complications and complaints at follow up. RESULTS: No significant differences were observed between the two groups in any of the psychometric tests. Both surgical methods were associated with a significantly higher degree of psychological wellbeing at 6 and 12 months postoperatively, compared with preoperatively. No significant differences were found in the clinical measures including complications. A substantial number of women experienced persistent cyclic vaginal bleedings after SH. Neither minor or major postoperative complications, nor serum concentration of sex hormones, were associated with general psychological wellbeing 12 months after the operation. CONCLUSIONS: General psychological wellbeing is equally improved after both SH and TH within 12 months of the operation, and does not seem to be associated with the occurrence of peroperative complications or serum concentration of sex hormones.
PubMed ID
20074265 View in PubMed
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3M diffractive multifocal intraocular lens: eight year follow-up.

https://arctichealth.org/en/permalink/ahliterature50890
Source
J Cataract Refract Surg. 2000 Mar;26(3):402-7
Publication Type
Article
Date
Mar-2000
Author
J E Slagsvold
Author Affiliation
Eye Department, ASA, Arendal, Norway.
Source
J Cataract Refract Surg. 2000 Mar;26(3):402-7
Date
Mar-2000
Language
English
Publication Type
Article
Keywords
Aged
Aphakia, Postcataract - surgery
Capsulorhexis
Comparative Study
Follow-Up Studies
Humans
Lens Implantation, Intraocular
Lenses, Intraocular
Phacoemulsification
Polymethyl Methacrylate
Postoperative Complications
Prosthesis Design
Refraction, Ocular
Reoperation
Retrospective Studies
Treatment Outcome
Visual acuity
Abstract
PURPOSE: To study the long-term results of implantation of the 3M diffractive multifocal intraocular lens (IOL). SETTING: Eye Department, ASA, Arendal, Norway. METHODS: The study comprised 97 eyes in 72 patients. Follow-up was 8 years. Distance and near visual acuities, refractive results, contrast sensitivity, IOL centration, and neodymium:YAG (Nd:YAG) capsulotomies to treat posterior capsule opacification were evaluated. RESULTS: All patients without ocular pathology achieved a best corrected visual acuity (BCVA) of 0.5 or better (i.e., 98.7% had a BCVA of 1.0 or better). Without correction, 73.8% of eyes had a Jaeger acuity of J3 or better and with distance correction, 92.1%. Emmetropia or within +/-0.25 diopter (D) of it was achieved in 58.8% of eyes. An astigmatic shift of 0.827 D cylinder correction was induced. This shift was mainly against the rule (0.717 D). Contrast sensitivity was reduced with spatial frequencies of 6 to 18 cycles per degree. No need for spectacles was reported by 54.2% of patients and by 68.0% of those with bilateral implantation. For near tasks, 63.9% of patients never used spectacles. The IOLs were well centered or minimally decentered in 99.0% of eyes. Posterior capsule opacification was treated by Nd:YAG laser capsulotomy in 55.7% of eyes, with a mean time between surgery and treatment of 34.0 months +/- 23.2 (SD). CONCLUSION: This long-term study proved the 3M diffractive IOL to be safe and effective despite some reduction in contrast sensitivity at higher spatial frequencies. More than half the patients never wore spectacles; 2 of 3 patients with IOLs in both eyes never wore spectacles. Proper patient selection is crucial.
PubMed ID
10713237 View in PubMed
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3 Tesla MRI-detected brain lesions after pulmonary vein isolation for atrial fibrillation: results of the MACPAF study.

https://arctichealth.org/en/permalink/ahliterature121377
Source
J Cardiovasc Electrophysiol. 2013 Jan;24(1):14-21
Publication Type
Article
Date
Jan-2013
Author
Karl Georg Haeusler
Lydia Koch
Juliane Herm
Ute A Kopp
Peter U Heuschmann
Matthias Endres
Heinz-Peter Schultheiss
Alexander Schirdewan
Jochen B Fiebach
Author Affiliation
Department of Neurology, Charité-Universitätsmedizin Berlin, Germany. georg.haeusler@charite.de
Source
J Cardiovasc Electrophysiol. 2013 Jan;24(1):14-21
Date
Jan-2013
Language
English
Publication Type
Article
Keywords
Aged
Atrial Fibrillation - pathology - surgery
Brain Ischemia - etiology - pathology
Catheter Ablation - adverse effects
Cognition Disorders - diagnosis - etiology
Female
Heart Conduction System - surgery
Humans
Magnetic Resonance Imaging
Male
Postoperative Complications - etiology - pathology
Pulmonary Veins - pathology - surgery
Treatment Outcome
Abstract
Left atrial catheter ablation (LACA) is an established therapeutic approach to abolish symptomatic atrial fibrillation (AF).
Based on the prospective MACPAF study (clinicaltrials.gov NCT01061931) we report the rate of ischemic brain lesions postablation and their impact on cognitive function.
Patients with symptomatic paroxysmal AF were randomized to LACA using the Arctic Front® or the HD Mesh Ablator® catheter. All patients underwent brain MRI at 3 Tesla, neurological, and neuropsychological examinations within 48 hours prior and after the ablation procedure.
There was no clinically evident stroke in 37 patients (mean age 62.4 ± 8.4 years; 41% female; median CHADS2 score 1 [IQR 0-2]) after LACA but high-resolution diffusion-weighted imaging (DWI) detected new ischemic lesions in 15 (41%) patients after LACA. Four (27%) of the HD Mesh Ablator® patients and 11 (50%) of the Arctic Front® patients suffered a silent ischemic lesion (P = 0.19). In these 15 patients, there was a nonsignificant trend toward lower cardiac ejection fraction (P = 0.07) and AF episodes during LACA (P = 0.09), while activated clotting time levels, number of energy applications, periprocedural electrocardioversion or CHADS(2) score had no impact. Lesion volumes varied from 5 to 150 mm(3) and 1 to 5 lesions were detected per patient. However, acute brain lesions had no effect on cognitive performance immediately after LACA. Of the DWI lesions postablation 82% were not detectable on FLAIR images 6-9 months postablation.
According to 3 Tesla high-resolution DWI, ischemic brain lesions after LACA were common but not associated with impaired cognitive function after the ablation procedure.
Notes
Comment In: J Cardiovasc Electrophysiol. 2013 Jan;24(1):22-323130591
PubMed ID
22913568 View in PubMed
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[3-year experiences with surgical treatment of epilepsy at the Hvidovre hospital].

https://arctichealth.org/en/permalink/ahliterature225409
Source
Ugeskr Laeger. 1991 Nov 4;153(45):3144-8
Publication Type
Article
Date
Nov-4-1991
Author
B. Rogvi-Hansen
J. Alving
A R Andersen
M. Dam
L. Friberg
A. Fuglsang-Frederiksen
L. Gram
M G Herning
H. Høgenhaven
K. Højgaard
Author Affiliation
Neuromedicinsk afdeling, Hvidovre Hospital, København.
Source
Ugeskr Laeger. 1991 Nov 4;153(45):3144-8
Date
Nov-4-1991
Language
Danish
Publication Type
Article
Keywords
Adult
Brain - surgery
Denmark
Epilepsy - surgery
Female
Follow-Up Studies
Humans
Methods
Middle Aged
Postoperative Complications - etiology
Retrospective Studies
Abstract
The results of a retrospective survey of 48 patients submitted to neurosurgery for medically intractable epilepsy are presented. Twenty-eight patients were treated with selective amygdalohippocampectomy, one with temporal lobe resection, 12 with anterior callosotomy and seven with a total callosotomy. Of the amygdalohippocampectomized patients and the one with temporal lobe resection (n = 29), 52% were seizure free, 17% experienced rare seizures, 7% had a worthwhile improvement while 24% observed no worthwhile improvement (follow-up time 6 to 36 months). Of the callosotomized patients, 11% were free from generalized seizures, 69% had a significant seizure reduction and 18% experienced no worthwhile improvement. The observed neurological complications were: one patient had hemianopia, one had superior quadrant anopia, four developed unilateral anosmia and one complete anosmia. The callosotomized patients, with two exceptions, were all mentally and physically handicapped. In the callosotomy group, two patients died, one from a intracerebral hematoma three months after the operation and another patient seven months postoperatively from unknown causes.
PubMed ID
1957360 View in PubMed
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[5 years of ulcer surgery in a provincial hospital].

https://arctichealth.org/en/permalink/ahliterature249664
Source
Ugeskr Laeger. 1977 Aug 29;139(35):2060-2
Publication Type
Article
Date
Aug-29-1977

[10 years of translabyrinthine surgery for acoustic neuroma in Denmark]

https://arctichealth.org/en/permalink/ahliterature26058
Source
Ugeskr Laeger. 1987 Oct 19;149(43):2901-5
Publication Type
Article
Date
Oct-19-1987

[10-year survival after lung resection for lung cancer]

https://arctichealth.org/en/permalink/ahliterature23455
Source
Ugeskr Laeger. 1994 Dec 5;156(49):7357-60
Publication Type
Article
Date
Dec-5-1994
Author
M. Krasnik
K. Høier-Madsen
J. Sparup
Author Affiliation
Thoraxkirurgisk afdeling R, Amtssygehuset i Gentofte.
Source
Ugeskr Laeger. 1994 Dec 5;156(49):7357-60
Date
Dec-5-1994
Language
Danish
Publication Type
Article
Keywords
Adenocarcinoma - mortality - surgery
Adult
Aged
Carcinoma, Bronchogenic - mortality - surgery
Carcinoma, Squamous Cell - mortality - surgery
Denmark - epidemiology
English Abstract
Female
Humans
Lung Neoplasms - mortality - pathology - surgery
Male
Middle Aged
Pneumonectomy
Postoperative Complications - mortality
Prognosis
Prospective Studies
Survival Rate
Abstract
The purpose of the study was to investigate the prognosis for patients treated for lung cancer by operative resection in the Copenhagen area. Ninety-four consecutively operated patients were followed prospectively for ten years. Seventy-one percent of the patients had been operated radically. The five- and ten-year survival for this group was respectively 46 and 27%. All non-radically operated patients were dead after four years. The postoperative mortality and long-term survival correspond to international results. Type of cancer and mode of operation did not affect survival in the radically operated patients.
PubMed ID
7801397 View in PubMed
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[20 years' experience with kidney transplantation in Stockholm].

https://arctichealth.org/en/permalink/ahliterature235401
Source
Z Urol Nephrol. 1987 Apr;80(4):197-201
Publication Type
Article
Date
Apr-1987
Author
C G Groth
L. Ost
Source
Z Urol Nephrol. 1987 Apr;80(4):197-201
Date
Apr-1987
Language
German
Publication Type
Article
Keywords
Cyclosporins - therapeutic use
Forecasting
Graft Rejection - drug effects
Humans
Kidney Failure, Chronic - surgery
Kidney Transplantation
Postoperative Complications - surgery
Reoperation
Sweden
Abstract
Renal transplantations have now been carried out at our hospital for just over 20 years. The results have gradually improved and are now very satisfactory. There are many explanations for this development, but the improvement in immunosuppression has probably been the most crucial development. Renal transplantation is cheaper and it provides greater wellbeing for the patient than does chronic dialysis treatment. The indications have been widened and the number of patients waiting for a new kidney is increasing. An improved retrieval of cadaveric kidneys will be necessary for the required expansion of kidney transplantation programmes.
PubMed ID
3307211 View in PubMed
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30-day mortality after coronary artery bypass grafting and valve surgery has greatly improved over the last decade, but the 1-year mortality remains constant.

https://arctichealth.org/en/permalink/ahliterature269410
Source
Ann Card Anaesth. 2015 Apr-Jun;18(2):138-42
Publication Type
Article
Author
Laura Sommer Hansen
Vibeke Elisabeth Hjortdal
Jan Jesper Andreasen
Poul Erik Mortensen
Carl-Johan Jakobsen
Source
Ann Card Anaesth. 2015 Apr-Jun;18(2):138-42
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Analysis of Variance
Cohort Studies
Coronary Artery Bypass - mortality
Denmark - epidemiology
Female
Heart Valves - surgery
Humans
Kaplan-Meier Estimate
Male
Postoperative Complications - mortality
Risk assessment
Risk factors
Sex Factors
Abstract
European system for cardiac operative risk evaluation (EuroSCORE) is a valuable tool in control of the quality of cardiac surgery. However, the validity of the risk score for the individual patient may be questioned. The present study was carried out to investigate whether the continued fall in short-term mortality reflects an actual improvement in late mortality, and subsequently, to investigate EuroSCORE as predictor of 1-year mortality.
A population-based cohort study of 25,602 patients from a 12-year period from three public university hospitals undergoing coronary artery bypass grafting (CABG) or valve surgery. Analysis was carried out based on EuroSCORE, age and co-morbidity factors (residual EuroSCORE).
During the period the average age increased from 65.1 ± 10.0 years to 68.9 ± 10.7 years (P
Notes
Comment In: Ann Card Anaesth. 2015 Apr-Jun;18(2):143-425849680
PubMed ID
25849679 View in PubMed
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A 30-year survey of pulmonary embolism verified at autopsy: an analysis of 1274 surgical patients.

https://arctichealth.org/en/permalink/ahliterature239210
Source
Br J Surg. 1985 Feb;72(2):105-8
Publication Type
Article
Date
Feb-1985
Author
D. Bergqvist
B. Lindblad
Source
Br J Surg. 1985 Feb;72(2):105-8
Date
Feb-1985
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Autopsy
Humans
Length of Stay
Middle Aged
Postoperative Complications - epidemiology
Postoperative Period
Pulmonary Embolism - epidemiology - mortality
Retrospective Studies
Surgical Procedures, Operative
Sweden
Abstract
A retrospective study was undertaken of all surgical patients in Malmö, Sweden, during the period 1951-1980, in whom pulmonary emboli were found at autopsy. The autopsy rate was high throughout the period, ranging from 73 to 100 per cent. Of 5477 patients who died during the period, 1274 had pulmonary emboli (23.6 per cent), 349 of which were considered fatal, 353 contributory to death and 572 incidental. Fifty-one per cent of the patients were not operated upon. The number of contributory and incidental emboli increased over the period, to some extent probably reflecting greater thoroughness in postmortems. The frequency of fatal pulmonary emboli decreased in the last 5 year period. Pulmonary embolism was more rare in patients under 50 years of age. The proportion of females increased. In 24 cases major embolism emanated from thrombi around central venous catheters. This retrospective analysis of a large number of patients shows that pulmonary embolism continues to be a major cause of death in surgical patients, and in Malmö as common a cause of death in operated as in nonoperated patients.
PubMed ID
3971113 View in PubMed
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3054 records – page 1 of 306.