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At least 1,243 records · Page 69Linked to original sources
PubMed1990

Child sexual abuse sequelae and body-image surgery.

Child sexual abuse is common and damages the body image. Child sexual abuse survivors may request body-image surgery. Seven patients are described in whom child sexual abuse sequelae complicated body-image surgery. Two patients viewed their surgeons as similar to sexual abusers. Yet two patients were clearly, and two possibly, helped by the surgery. Surgeons can detect and manage such patients by (1) having a child sexual abuse therapist on hand for consultation, (2) adding "abuse" to the medical history form, (3) recommending to known or suspected child sexual abuse patients preoperative therapy or a self-help book, (4) obtaining specific permission for any body contact, (5) stating belief in abuse, if revealed, (6) explaining the surgery in unusual detail, (7) recognizing the high-risk child sexual abuse groups, and, (8) declining to operate on the angry child sexual abuse patient.

Adolescent↗
PubMed1990

Neurological sequelae after cryoanalgesia for thoracotomy pain relief.

Twenty-two patients treated with cryoanalgesia of the intercostal nerves in connection with thoracic surgery were re-examined with special attention to possible late neurological sequelae. Half of the patients had some degree of hypoaesthesia in the scar or the adjacent skin segment, but apart from one patient (a known morphine addict) none of the patients had any neurological complaints.

Female↗
PubMed1990

[Millard's flap for sequelae of high anorectal malformations. Apropos of 6 cases].

Mucosal prolapse is a frequent sequela after surgical treatment of the high type of anorectal malformation whatever was the technic used for the pull-through operation. The authors report six cases treated with the spiral flap described by Millard. The initial procedures had been a Romualdi-Rehbein pull through in three cases with secondary revision of anoplasty and a Stephan's operation in the three other cases. Before Millard's plasty, all the patients were continent and two of them had an associated stricture. The anatomical result was good in all the cases with reconstruction of a cutaneous anal funnel and no stricture. Improvement of continence was noted in two cases, uncertain in two. Incontinence remained unchanged in two other cases. The advantages of the Millard's plasty are analysed. The prevention of mucosal prolapse is possible in the initial pull through operation using the same plasty or whatever plasty which provides a cutaneous anal canal.

Anal Canal↗
PubMed1990

Cognitive and behavioral sequelae of mild head injury in children.

Data from a longitudinal study of 13,000 British children were used to assess the sequelae of mild head injury 1 to 5 years after injury. One hundred fourteen children with parental reports of mild head injury treated with ambulatory care or admission to hospital for one night were compared with 601 children with limb fractures, 605 with lacerations, 136 with burns, and 1726 children without injury. Scores at age 10 were adjusted for intelligence, aggressive and hyperactive behavior at age 5, sex, socioeconomic status, and six other social factors. Children with head injuries were statistically indistinguishable from uninjured children on all outcomes except teacher's report of hyperactivity. After control of hyperactivity at age 5 and the social and personal factors, the head-injured children's mean hyperactivity score was four tenths of a standard deviation above that of the uninjured children. Children with lacerations and burns scored as badly or worse on measures of intelligence, mathematics, reading, and aggression as the children with head injuries. The small magnitude of the hyperactivity association coupled with the overall negative results suggests that mild head injury in school-aged children does not have an adverse effect on global measures of cognition, achievement, and behavior 1 to 5 years after injury.

Achievement↗
PubMedDate not supplied

[Intracranial hemorrhages in the full-term newborn infant. Psychomotor development and neurologic sequelae].

Recently increased utilization of high definition T. C. scan and U. S. has led, in recent years, to diagnose and to localize the intracranial haemorrhage of the term newborns. It has been possible to study the outlook of this disease. The neuro-psychological development of the children, affected by intracranial haemorrhage at the birth, is more impaired when the haemorrhage is intraparenchimal: intracerebellar or intracerebral. Our cases show that a haemorrhage causes only discord on the neuro-psycholological development. When, on the other hand, haemorrhage is associated with anoxicbrain damage, especially bilateral, take place major sequelae.

Brain Ischemia↗
PubMedDate not supplied

[Sequelae of injuries of thoracic vertebrae with spinal cord trauma in persons under the influence of alcohol].

An analysis of 416 patients treated at the Department of Rehabilitation for the trauma to thoracic spine is presented. Analysed group included 178 patients who underwent trauma being drunk. Sequelae of the trauma, the results of neurological and functional treatment were compared in two groups of patients: admitted to the hospital under the influence of alcohol and sober. An analysis of the data indicates lower degree of the trauma to the spinal cord and markedly better neurological and functional results of therapy in patients being sober during the accident. Mortality rate is also lower in this group comparing to this in the group of patients being drunk during the accident. Statistical analysis of these date suggests high degree of the probability of interdependence of therapeutical results and sobriety of the victims.

Accidents↗
PubMed1989

[Incidence of various types of viral hepatitis and its sequelae throughout the world].

In the years 1980-1987 the incidence of virus hepatitis in the countries of the European Region of the WHO ranged widely, from a fraction of unity to several hundreds per 100 thousand of the population. In the countries, where a high incidence had been noted previously, a fall of this incidence was observed in recent years. Virus hepatitis A is a problem particularly in the developing countries and in closed population groups in the developed countries Virus hepatitis B is endemic in most regions of the world, and its prevalence is greatest in certain countries of Asia and Africa. The incidence is also fairly high in the countries of East and South Europe. The health importance of hepatitis B is considerable, especially in view of its sequelae. This problem could be dealt with by introduction of vaccinations, as yet in the high risk groups. Delta virus infection related to HBV occurs in all continents. In Europe its incidence is highest in the Mediterranean countries, Romania and the USSR. Virus hepatitis type non-A non-B transmitted parenterally predominates in developed countries, in patients receiving transfusions of blood and its preparations, after dialyses, and in recipients of organ transplants. Virus hepatitis non-A non-B transmitted with food is occurring in great epidemics or in foci in Asia, Africa and North America. Its characteristic feature is frequent occurrence in adults and high mortality in pregnant women.

Global Health↗
PubMedDate not supplied

Partial hypotrophy of the posterior and lateral columns of the spinal cord, representing a sequela of schistosomiasis mansoni: report of an autopsied case and a review of the literature.

An autopsied case of schistosomiasis mansoni of the spinal cord is reported. The patient had been healthy until about five years before, when he presented with paraparesis, loss of sensibility from the pelvic girdle down and fecal and urinary incontinence which persisted until death. At autopsy there was old necrosis of most of the gray matter in the middle thoracic segment of the spinal cord and severe hypotrophy of the posterior columns in the lumbar spinal cord, of the posterior and anterior spinocerebellar tracts, and of the lateral corticospinal tract, unilaterally, in the entire thoracolumbar spinal cord from the middle thoracic segment on. In correspondence with these lesions, over one hundred Schistosoma mansoni ova were found. No parasitism by S. mansoni in the brain and in the abdominal and thoracic viscera was found. This case is compared to others in the literature and a schistosomal etiology for spinal lesions is proposed. These lesions could represent a sequela of the prolonged destructive action of the granulomatous inflammatory process. The topography of the lesions, the relationship of schistosomiasis of the spinal cord to other anatomo-clinical forms of the disease, and how the spinal cord is reached by S. mansoni are commented upon.

Adult↗
PubMedDate not supplied

Late sequelae following laparoscopic female sterilization.

A retrospective study regarding long-term sequelae among 818 randomly selected patients undergoing elective laparoscopic tubal sterilization is presented. These procedures were carried out at the Women's Medical Pavilion in Dobbs Ferry, NY, a free-standing surgical unit, between January 1, 1980 and June 30, 1985. A questionnaire was sent to each patient's last known address and, at the same time, attempts were made to contact them by telephone; 623 patients were reached and assessed as to satisfaction with tubal ligation, any ensuing menstrual changes requiring a D&C, and/or psychological problems. Also determined was the number of patients in the series who failed to continue routine gynecological care. It was found that the incidence of dissatisfaction with the operation was 2.9%, of undesired menstrual changes, 4.8%, and of psychiatric morbidity, 8.2%. These results were also correlated with the data of our medical records. In our series, 16.9% of the women failed to continue routine gynecological care. The necessity of thorough counseling by strict guidelines and the need for follow-up are discussed.

Adult↗
PubMed1989

[Reparation of sequelae of penile-scrotal and perineal gangrene. Apropos of 4 cases].

The authors report different techniques for surgical reconstruction of the sequelae of penile, scrotal and perineal gangrene. The repair of skin defects and the reconstruction of the scrotum requested several interventions. Where the scrotal skin loss was limited to a 1/2 of scrotum, the testis could be covered by mobilising the surrounding rim. When the disease was confined to the penis or inguinal region, skin cover has been provided by free grafts. More elaborate techniques of skin cover were necessary when the disease was extended to the whole scrotum: a fasciocutaneous flap from the thigh was used for reconstruction of the scrotum. The scrotal myocutaneous flap was used to cover skin and anterior urethral loss of tissue.

Adult↗
PubMed1989

Sequelae of trauma to the primary dentition.

A total of 69 traumatized maxillary primary incisors were followed to determine the sequelae of trauma. At initial presentation, discoloration was the most common presenting sign of trauma (30.4%), followed by crown fractures (21.8%) and displacement of the teeth (15.9%). The affected teeth were treated by routine clinical procedures. In the 11 teeth showing crown fractures, over 90% were normal at the first follow-up visit with a mean of approximately 27 weeks, but 2 more became necrotic at later recall periods. In contrast, displacement injuries were associated with greater incidence of pulpal necrosis with nearly half of the affected teeth showing periapical radiolucencies after a mean follow-up period of 44 weeks. Similarly, nearly half of the teeth affected by discoloration showed radiographic evidence of pulpal pathology after a mean recall period of 44 weeks. This study shows that a high proportion of traumatized primary incisor teeth eventually become necrotic and the need for continual supervision of all injured primary teeth is stressed.

Dental Pulp Necrosis↗
PubMed1989

Neurologic sequelae of minor electric burns.

Although neurologic pathology is a well-documented sequela of major electric burns, there are few reports of complications arising from less extensive electrically induced trauma. Two cases of patients with significant disease subsequent to minor electric burns are presented. In one patient with a 2% superficial partial-thickness burn of the right forearm, nerve conduction studies, electromyography, and somatosensory evoked potential studies were consistent with right median mononeuropathy at the wrist and a distal slowing of the right ulnar nerve. The second patient presented with persistent numbness, hyperpathia, and burning in his left hand after an electric shock in a telephone booth. He had a creatine phosphokinase of 2000m mu/mL but no surface burn. A left stellate ganglion block provided complete resolution of his symptoms and established a diagnosis of minor reflex sympathetic dystrophy.

Adult↗
PubMed1989

Esophageal obstruction as a sequela to ruptured esophagus in a goat.

Granulation tissue as a sequela to ruptured esophagus was diagnosed as the cause of esophageal obstruction and regurgitation in a 3.5-year-old Toggenburg buck. Thoracic radiography was useful in localization of the problem. The condition was successfully treated by removal of the granulation tissue through left-sided thoracotomy.

Animals↗
PubMedDate not supplied

[Cranioencephalic traumatism. Audiovestibular sequelae].

A group of 80 patients with blunt head injury were examined. Long-term clinical neurologic and otologic sequelae of traumatic head injury are well recognized. The authors studied the vestibular disorders using ENG, EEG and high resolution CT.

Adolescent↗
PubMed1989

[Extracorporeal lithotripsy in sequelae of neurologic lesions].

We report on the results of shock wave extracorporeal lithotripsy in a series of 13 patients with urinary lithiasis and neurologic disease (5 tetraplegics, 6 paraplegics and 2 hemiplegics). Anesthesia, positioning and complementary endourologic procedures in a group of patients in whom many factors contribute to lithogenesis are discussed. Sixteen renal units were treated with good stone fragmentation in all cases. Seventy-five percent of the patients remained stone-free three months later. Complications were few (15%) and minor (mainly post-operative fever) and the hospital stay was short (average 5 days). We advocate this technique as the treatment of choice of urolithiasis in patients with neurologic sequelae because of its safety, relative noninvasiveness and good results, especially in calculi smaller than 2 cm.

Adolescent↗
PubMedDate not supplied

[Sequelae to fractures of the zygomatic complex. 2].

A descriptive, longitudinal, prospective and synthetic study was carried out in a five-year period (1981-1985), during which surgical treatment was provided for 520 patients with a zygomatic fracture diagnosis in the Maxillofacial Surgery services of the Saturnino Lora Surgical and Clinical Hospital in Santiago de Cuba. It was shown that sequelae occurred in 9.42% of the patients with this affection, that the aesthetic, ofthalmological, and neurological complications were the most frequent, and that the reconstructive procedure with autogenous materials was the most universal and effective for their treatment. In this connection, conclusions were drawn.

Bone Transplantation↗
PubMed1989

Mycotic omasitis and rumenitis as sequelae to sepsis in dairy cattle: six cases (1979-1986).

Medical records of 6 cows with mycotic rumenitis or omasitis, but no history of grain engorgement, were reviewed. A diagnosis was made at necropsy in all cows, although the condition was suspected before euthanasia in 3 cows. Common clinical findings included inappetence, rumen stasis, fluid rumen contents, and scant, pasty, or loose feces. Postmortem findings included severe ulcerative rumenitis or omasitis, with thrombosis of blood vessels in the submucosa, and branching, septate fungal hyphae abundant in inflamed tissues. In these cows, mycotic omasitis and rumenitis were thought to be sequelae of sepsis, with reflux of abomasal fluid into the forestomach and broad spectrum antimicrobial therapy as possible predisposing factors for mycotic infections.

Animals↗
PubMed1989

Pain on injection and venous sequelae following two formulations of etomidate.

In forty patients (aged 21-76 years) scheduled for elective surgery, anaesthesia was induced with either etomidate in propylene glycol (n = 20) or etomidate in ethanol (n = 20) injected via a 23-G needle over 30 s. The overall incidence of pain on injection was 60%. No statistically significant difference was found between the two groups. The incidence of venous sequelae was 5%, in both groups.

Adult↗