[Diagnostic image (347). A man with a swelling underneath his tongue]. / Diagnose in beeld (347). Een man met een zwelling onder zijn tong.

A 23-year-old man presented with a painless, growing swelling underneath his tongue due to a ranula, i.e. accumulation of saliva in the drainage canal of the sublingual salivary gland.

[Initial experiences with shorter hospital stays after primary surgery for breast carcinoma]. / Eerste ervaringen met opnameduurverkorting na primaire chirurgie wegens mammacarcinoom.

OBJECTIVE: To describe some personal, medical and financial consequences of moving up the discharge of patients from hospital after an operation because of breast carcinoma. DESIGN: Descriptive. SETTING: Department of Oncological Surgery, Medical Centre, Leiden University, Leiden, the Netherlands. METHOD: Thirty-five patients with breast cancer were operated during the period March to August 1997. Thirteen patients of this group were discharged sooner after operation, with the drain still in situ; the other 22 remained in hospital until after removal of the drain. Medical and financial consequences were investigated. RESULTS: The patient characteristics of the two groups were similar. In the group discharged earlier, the number of postoperative days in hospital on average was 4.5 days smaller. The number of postoperative complications in the two groups were similar; development of seroma after removal of the drain occurred less frequently in the group discharged earlier. The financial savings amounted to an average of Dfl. 2497.-per patient. The patients discharged earlier were very satisfied. CONCLUSION: The orientative study suggests that moving up discharge after a breast cancer operation is a policy that is safe, financially advantageous and satisfactory to the patients.