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Kjeld Leisgård Rasmussen

Publications and source records attributed to Kjeld Leisgård Rasmussen.

14 recordsLinked to original sources
PubMed2006

[Vaginal vault fluid collection after hysterectomy. Frequency and clinical significance].

INTRODUCTION: Our aim was to investigate the prevalence of sonographically detectable vault fluid collection after hysterectomy and its relation to post-operative morbidity. MATERIALS AND METHODS: We studied a group of 103 women below 60 years of age who had undergone abdominal or vaginal hysterectomy for benign causes apart from uterovaginal prolapse. A transvaginal ultrasound examination was carried out 24 to 72 hours after surgery. A telephone follow-up and a record review were done six to eight weeks later to determine the morbidity rate. RESULTS: Of the 103 women scanned, 39 (38%) had sonographically detected vaginal vault fluid collection. A haemoglobin concentration drop was observed in a significant number of patients (33% vs. 13%) who had fluid collection in the immediate post-operative period. At follow-up, a significant increase in the complaints of post-operative pain (15% vs. 42%) and re-presentation (32% vs. 55%) was seen in the fluid collection group. The increased risk of re-presentation was not accompanied by an increased risk of needing additional treatment. CONCLUSION: Sonographic detection of vaginal vault fluid collection is common after hysterectomy, but such a finding rarely indicates additional treatment. Vaginal ultrasound examination should not be performed routinely after hysterectomy.

Adult↗
PubMed2006

[Ultrasonically verified vesicouterine fistula].

We report a case of a vesicouterine fistula occurring after a Caesarean section. There was a noticeable delay in recognizing the fistula, which was, however, clearly visible on a vaginal ultrasound scanning. When urinary incontinence is developed after gynaecologic or obstetric surgery, a fistula must be suspected.

Cesarean Section↗
PubMed2003

The short-term prevalence of de novo urinary symptoms after different modes of hysterectomy.

The aim of this study was to determine the short-term prevalence of de novo urinary symptoms after hysterectomy indicated by meno/metrorrhagia or dysmenorrhea/dyspareunia. The study group consisted of 451 women who had had a hysterectomy for reasons of meno/metrorrhagia or dysmenorrhea/dyspareunia. Fifty-three (12%) had a supracervical, 151 (33%) a total abdominal and 247 (55%) a vaginal hysterectomy. As a non-gynecologic background population we enrolled 110 women who had had their gallbladder removed laparoscopically. All women received a postal questionnaire 9-45 months after their operation. Specific questions were asked about their voiding habits, comprising significant stress incontinence, bothersome stress incontinence, significant urge incontinence, bothersome urge incontinence, pollakisuria, nocturia, use of pads, and the feeling of having a hygiene problem. To evaluate de novo symptoms or de novo cure, the women assessed the symptoms before as well as after the operation. Results showed that abdominal hysterectomy lasted longer, had heavier blood loss and required longer hospitalization than did vaginal or supracervical hysterectomy. Women scheduled for a supracervical hysterectomy had preoperatively more significant and bothersome urge incontinence, and postoperatively more significant urge, urgency, and feeling of having a hygienic problem than did women having a vaginal hysterectomy, a total abdominal hysterectomy or a laparoscopic cholecystectomy. When assessing de novo symptoms, supracervical hysterectomy was associated with more urgency and the feeling of having a hygienic problem. Some women experienced de novo cure, but these were almost exclusively in the study group and rarely in the control group. It was concluded that supracervical hysterectomy is related to more urinary symptoms than vaginal or total abdominal hysterectomy. De novo symptoms as well as de novo cure are common, which is why urinary symptoms after hysterectomy must be evaluated over time.

Adult↗
PubMed2003

[Recurrent Paget's disease of the vulva in a skin graft].

Paget's disease of the vulva is rare, but has a high rate of recurrence, even in skin grafts as our case shows. The histogenesis of such a recurrence has not yet been satisfactorily elucidated. We therefore recommend careful and long-term follow-up.

Aged↗
PubMed2003

[Retained fetal bones in uterus].

We report a case of menorrhagia caused by retained fetal bones after a missed abortion in the second trimester. By hysteroscopy several bone fragments were removed. The patient got pregnant two months later.

Abortion, Incomplete↗
PubMed2002

[Long-memory of labor pain].

BACKGROUND: The aim of the study was to investigate the stability of labour pain recall 14-21 months after delivery, and to relate it to events during labour. MATERIAL AND METHODS: One hundred and fifteen primipara completed a visual analogue scale (VAS) on the second day after delivery, and a similar VAS 14-21 months later. Women who were delivered before completing 37 gestational weeks, had a multiple pregnancy, needed epidural analgesia, or whose infant was transferred to the neonatal care unit were excluded. Data were analysed by three different methods to minimise bias. By method 1, the proportion of VAS 2 > VAS 1 was calculated. By method 2, the accuracy of recall was defined from the equation -1 < or = VAS 2--VAS 1 < or = 1. By method 3, the VAS used was regarded as an unlimited scale, but with all observations shortened to the interval, 0 to 10 cm. Pain scores were related to obstetrical data: instrument delivery, fetal weight, duration of second stage of labour, use of pethidine and use of pudendal analgesia. RESULTS: Thirteen of 20 women (65%) who had received pethidine during labour reported a higher VAS 2 than VAS 1, compared to 27 of 95 (28%) women who had not received pethidine (p = 0.003). According to method 2, 35% of the pethidine-treated women overestimated labour pain on recall, compared to 13% in the non-pethidine-treated group (p < 0.05). According to method 3, women who were not treated with pethidine showed a decrease of 0.81 cm on the recalled VAS, compared to an increase of 1.13 cm in the pethidine-treated group (p < 0.01). None of the other investigated events during labour were related to pain recall. DISCUSSION: In general, labour pain recall fades over time or tends to be stable, but to a significantly higher number of women receiving pethidine, pain seems to intensify on recall. If further investigations show that this is an effect of pethidine itself, opioids should be used with caution during labour.

Analgesia, Obstetrical↗
PubMed2002

Premenopausal metrorrhagia as a symptom of sarcoidosis.

Sarcoidosis rarely affects the female genitalia. We report a 36-year-old woman who had a hysterectomy for metrorrhagia. Histologic examination showed sarcoid granulomas in the endometrium and myometrium. Subsequent examinations revealed pulmonary sarcoidosis as well.

Adult↗
PubMed2002

[Knowledge of contraception and sexual matters over the last 14 years. An investigation among 9th grade pupils in the municipality of Viborg].

INTRODUCTION: The aim of the investigation was to illustrate changes in the knowledge of ninth grade pupils about sexual matters over the last fourteen years. MATERIAL AND METHODS: Ninth grade pupils in schools in the municipality of Viborg answered a questionnaire about these subjects. Identical questionnaires were given to the same age group in 1986 and 1993. RESULTS: The pupils had less knowledge of contraception than earlier. The other questions about sexuality were answered as well as or better than previously. In 1986 and 1993, boys had less knowledge than girls, but this difference was now equalised. We found no connection between knowledge and age at first coitus or sexual habits, and no connection between knowledge and the sources from which the pupils gained their information. School was, as earlier, the most important source of information, but friends came a close second. Books, mother, and doctor or health visitor were often mentioned as important sources of sexual knowledge. As earlier, the pupils were not satisfied with the sex education and as earlier, they wanted more lessons and external teachers. DISCUSSION: A good knowledge of sexual matters does not mean better sexual habits. School is the most important source of knowledge and is even more important, because the young also educate friends, who are another main source of information. According to the pupils, sex education should be improved.

Adolescent↗
PubMed2002

[Sexual activity and contraception habits among adolescents over the last 14 years. An investigation among 9th grade pupils in the municipality of Viborg].

INTRODUCTION: The purpose of the investigation was to illustrate changes in sexual activity, the use of contraceptive methods, and age at the first coitus during the last fourteen years. MATERIAL AND METHODS: Twenty-one ninth grade classes in schools in the municipality of Viborg were asked to complete a questionnaire. Altogether 372 questionnaires were distributed and 344 pupils (92%) were entered in the investigation. Neither the teachers nor the pupils knew anything about the investigation before distribution. Identical questionnaires had been completed by the same age group in 1986 and 1993, which enabled us to compare the results and point out differences. RESULTS: We found no changes in age at the first coitus. One third of the pupils had had their first intercourse, 15% before the age of 15. Previously girls were sexually more active than boys, this difference was now equalised. Most (53%) of the experienced pupils had not had coitus in the preceding four weeks, but, compared with 1986, more of the pupils had been sexually active within the preceding week. As found in 1993, the use of condoms had increased, which was still unchanged. There was a continuing decline in the use of the pill at the first intercourse. However, the pupils changed the condoms for the pills as they became more experienced. Ten per cent of the pupils still did not use any contraception at the first intercourse. Occasional use of contraception was more common. In 1986, 75% used contraception at every intercourse, that proportion had fallen to 51% in the year 2000. DISCUSSION: Age at the first intercourse remained unchanged over the 14 years examined, and the change in contraceptional habits seen in 1993 had persisted, except that the proportion using contraception at every intercourse had decreased. The explanation for not using contraception was generally that the intercourse was unplanned. The girls were at a greater risk of unwanted pregnancies and sexually transmitted diseases, as they, more often than the boys, used unsafe methods of contraception.

Adolescent↗