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Biomedical subjects

E Majewski

Publications and source records attributed to E Majewski.

12 recordsLinked to original sources
PubMed1999

[Eventration as a complication in general and vascular surgery].

Eventration is a serious complication in the abdominal surgery. Despite the surgical suture technique improvement the frequency of this complication is still increasing. In the paper the cases of the patients operated for the diseases requiring laparotomy from November 1991 to December 1997 were retrospectively analysed. There were 4030 laparotomies done because of vascular or other surgical diseases. In 23 cases eventrations were postoperatively observed (0.57%). Mean age was 58.7 years. 11 patients were qualified for the emergency surgery (6 patients with acute abdominal diseases and 5 with vascular diseases). 12 patients were operated electively (6 patients--general surgery, 5--vascular reasons). Among 23 patients with eventrations--16 patients were qualified for the relaparotomy with abdominal cavity suture. In 7 cases because of bad general condition of the patient only the skin suture above the eventration in the intensive care station was performed and abdomen was wrapped with the bandage. There were 8 deaths: 2 patients (8.7%) after skin suture and 6 patients (26.1%) after reoperation. Respiratory or respiratory and circulatory insufficiency was observed in 13 patients (56.5%). In 60.8% of cases (14 patients) wound infection was recognized and in 3 cases sepsis occurred in the postoperative period. The disease that was the reason for the surgery did not play a significant part in the eventration occurrence frequency. The condition of the patient before the surgery was the most important prognostic factor of the eventration. In patients with bad condition it is more convenient to perform the suture of the skin above the abdominal viscera first and later the reoperation.

Adult↗
PubMed1997

[Second look in abdominal surgery].

The paper presents authors experience and indications for an elective relaparotomy performed as the second-look laparotomy after primary operation. 12 patients with vascular or surgical diseases were operated on for: abdominal neoplastic tumors (2 patients), elective abdominal aneurysm (2 patients), ruptured abdominal aneurysm (2), abdominal aneurysm ruptured into the inferior caval vein (1), ruptured aneurysm of the iliac artery (1), abdominal aortic coarctation with visceral arteries abnormality (1), thrombosis of the superior mesenteric artery (1) and peritonitis because of intestinal ischaemia and necrosis (2 patients). In all cases an elective relaparotomy was done on the 1st or 2nd postoperative day. 5 patients died, in 4 cases complications found during second look relaparotomy required surgical treatment (2 of this patients died, two other were successfully treated). The authors discuss indications and advantages of elective second-look laparotomy in abdominal surgery according to the anticipated risk factors and patients condition.

Abdomen↗
PubMed1996

Ectrodactyly and absence (hypoplasia) of the tibia: are there dominant and recessive types?

We present a kindred of brother, sister, and cousin with ectrodactyly and hypoplasia of the tibia. The parents of the cousin are consanguineous; the parents of the sibs originate from the same small Algerian village. We also report on a boy with tibial defect and split hands and feet with consanguineous parents. These observations are further hints for an autosomal recessive type of ectrodactyly with aplasia (hypoplasia) of the tibia, as was favoured by some authors. However, review of the present and reported cases does not demonstrate any clinical differences between the seemingly recessive and the dominant types. Statistical analysis of 17 families with affected sibs and normal parents showed a 1:3.1 ratio of affected:unaffected by the proband method. Despite consanguinity among nine sets of parents, this ratio, and approximately 30 additionally reported families generally are in favour of autosomal dominance with reduced penetrance.

Algeria↗
PubMed1996

Jeune syndrome with tongue lobulation and preaxial polydactyly, and Jeune syndrome with situs inversus and asplenia: compound heterozygosity Jeune-Mohr and Jeune-Ivemark?

We report on a male infant with internal hydrocephalus, absence of corpus callosum, papillomas and lobulation of the tongue, notches of the alveolar ridges, short ribs, dysplastic pelvis, hypospadias, short limbs with bowed long tubular bones and postaxial polydactyly of hands, and preaxial polydactyly in one foot. Radiologically this case shares manifestations with Jeune syndrome; the tongue lobulation and the preaxial polydactyly are similar to findings in Mohr syndrome, or short-rib polydactyly syndrome (SRPS), type Majewski. In addition, a female newborn presented with manifestations of Jeune and Ivemark syndromes. One explanation for this overlap may be compound heterozygosity for these syndromes.

Abnormalities, Multiple↗