Complications of Hair Transplant Procedures—Causes and Management

AbstractHair transplant surgery per se has low risk, is relatively safe, and has minimum incidence of complications. However, it is a well-accepted fact that no medical science procedure exists without any potential risk of complications. The complication may be a single complaint in the form of pain, itching, dissatisfaction related to the procedure's outcome, or surgical complication in the form of infection, wound dehiscence or skin necrosis. Inadequate counselling increases unsatisfaction. Improper examination increases the complications, and incomplete medical history and history of allergy increases the risk during surgery.The author collected data of his 2896 patients, operated over a period of 10 years, and recorded the complains and complications. The most common complications were sterile folliculitis, noted in 203 patients, vasovagal shock in seven patients of, hypertensive crisis in one patient, hiccups in six patients, facial edema after hair transplant in 18 patients, graft dislodgement in 8 patients, infection in two diabetic patients, minor necrotic patches in recipient area in three patients, keloid development in one patient, numbness in 18 cases, and hypersensitivity in recipient and/or donor area. Donor area effluvium was seen in one case and three patients showed recipient area effluvium. Twenty-six patients were not happy with the results, and five cases showed partial loss of implanted hair. The overall significant life-threatening or major complications were zero, but the total minor complications' percentage was 0.10%.The key to minimize complaints and complications are detailed counselling, taking careful medical history and history of allergy, and proper examination of patients.

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Early and complete vitrectomy versus tap and inject in acute post cataract surgery endophthalmitis presenting with hand motion vision; a quasi-experimental study

BMC Ophthalmology ◽

10.1186/s12886-022-02247-8 ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Seyed Ali Tabatabaei ◽

Soran Aminzade ◽

Aliasghar Ahmadraji ◽

Mohammad Soleimani ◽

Bahram Bohrani Sefidan ◽

...

Keyword(s):

Diabetes Mellitus ◽

Cataract Surgery ◽

Medical History ◽

Demographic Data ◽

Diabetic Patients ◽

Past Medical History ◽

Motion Vision ◽

Initial Management ◽

Significant Difference ◽

History Of

Abstract Background Based on endophthalmitis vitrectomy study, intravitreal injection of antibiotics is preferred for initial management of cases of acute post cataract surgery endophthalmitis (APCE) with presenting vision of hand motions (HM). This study aimed to compare outcomes of early and complete vitrectomy (VIT) and vitreous tap and antibiotic injection (T&I) in cases of APCE presented with vision of HM. Methods In this prospective study, cases of APCE with vision of HM between 2018 and 2020 were enrolled. According to the time of presentation, the patients were arranged into two groups (VIT vs. T&I). Demographic data, elapsed time to developing endophthalmitis, past medical history, microbiology results, complications, and final visual acuity were recorded and analyzed. Results Seventy-six eyes of 76 patients were enrolled. Fifty-three eyes underwent T&I and twenty-three were arranged into the VIT group. Past medical history of 34.2% of patients was significant for diabetes mellitus. There was a statistically significant lower logMAR in VIT group compared to T&I group (diff = 0.14, 95% CI: 0.04 to 0.24, P-value = 0.007). The comparison of the diabetic and non-diabetic patients in both groups showed that the visual outcome was better in non-diabetic cases compared to the diabetic subjects. There was no statistically significant difference between the diabetic and non-diabetic groups regarding the superiority of procedure. Conclusion Based on our results, we could recommend that it’s maybe better to do early and complete vitrectomy as the initial management of APCE with the vision of HM. Past medical history of diabetes mellitus is not a determining factor for choosing initial management between vitrectomy and antibiotic injection.

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Patients as Art

10.1093/med/9780190858216.001.0001 ◽

2018 ◽

Author(s):

Philip A. Mackowiak

Keyword(s):

Clinical Research ◽

History Of Medicine ◽

Medical History ◽

Patient Experience ◽

Medical Science ◽

Life And Death ◽

Works Of Art ◽

History Of ◽

Medical Historian ◽

Over Time

Patients as Art: Forty Thousand Years of Medical History in Drawings, Paintings, and Sculpture traces the history of medicine through works of art stretching from the Paleolithic period to the present. Long before humans could write, before they had a medical science or possibly even a religion, they had art. Where works of art have involved patients, they have provided insight beyond aspects of sickness and health and life and death that can never be explained by science alone—humanistic aspects of the patient experience that can’t be measured or weighed or dissected. The works analyzed in this book, each of which features one or more patients, were chosen for their esthetic appeal and for the skill with which they depict important developments in medicine over time. Together they offer a compelling perspective on the history of medicine that reflects the outward expressions of artists’ innermost feelings and personal prejudices. In analyzing these works, medical historian Dr. Philip Mackowiak brings the perspective of an internist with over four decades of experience caring for patients, teaching doctors-in-training, and conducting clinical research.

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Prevalence and Risk Factors of Diabetes Mellitus in β-thalassemia Major Patients in the North of Iran: Mazandaran β-thalassemia Registry - 2017 to 2019

Tabari Biomedical Student Research Journal ◽

10.18502/tbsrj.v3i1.6171 ◽

2021 ◽

Author(s):

Parham Mortazavi ◽

Mahdie Darvish-Khezri ◽

Amirhossein Hessami ◽

Mahdi Abounoori ◽

Ali Kheirandish ◽

...

Keyword(s):

Diabetes Mellitus ◽

Medical Science ◽

Clinical Information ◽

Thalassemia Major ◽

Diabetic Group ◽

Disease Spread ◽

Beta Thalassemia ◽

Diabetic Patients ◽

The North ◽

History Of

Introduction: Thalassemia is a hereditary hemolytic disease spread throughout India, Arabian Peninsula, Iran, Turkey, and Southeast Asia. Diabetes mellitus (DM) is a common complication of patients with β-thalassemia major (β-TM) due to iron sediment in the pancreas. The purpose of this study was to survey the prevalence of DM in patients with β-TM. Material and Methods: Demographic, clinical information, and some biological tests in conjunction with the proportion of T2DM were retrieved from the Mazandaran Thalassemia Registry (MTR) affiliated to the Mazandaran University of Medical Science. The data belong to December 2017 until December 2019. Results: The results are as follows: Use of iron chelators like deferiprone should be with caution and with respect to the patients' metabolic state to avoid complications like diabetes. 2024 ꞵ-TM patients have registered in MTR (Mazandaran Thalassemia Registration). Data were completed for 597 cases including 72 patients (12.1%) diabetic and 525 patients (87.9%) non-diabetic. Beta-thalassemia patients with DM were significantly older than non-diabetic patients. Also, the percentage of ꞵ -TM cases dependent on red cell transfusion and patients with a history of spleen surgery in the diabetic group was significantly higher than in the non-diabetic group. Also, (42.7%) of diabetic patients (34 patients) were treated with insulin.Conclusion: We concluded that the history of splenectomy and the number of blood transfusions was higher in the diabetic group and associated with it. Future therapeutic approaches need to focus on reducing splenectomy and a high number of blood injections to avoid diabetes, and its complications in TM patients need to be investigated in future researches.

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DIABETIC PATIENTS;

The Professional Medical Journal ◽

10.29309/tpmj/2014.21.05.2550 ◽

2018 ◽

Vol 21 (05) ◽

pp. 998-1004

Author(s):

Rizwana Kitchlew ◽

Syed Abdullah Mazhar ◽

Ilyas Baig Mirza ◽

Ahmed Raza Jaffri

Keyword(s):

Social Class ◽

Medical History ◽

Blood Sugar ◽

Diabetic Patients ◽

Random Blood Sugar ◽

History Record ◽

History Of ◽

Lower Social Class ◽

Sugar Levels

Objective: To study the clinical profile of diabetic patients on haemodialysiswith a view to identify common clinical features and the trend of compliance with treatment andfollow up. Place and Duration of study: Haemodialysis unit Fatima Memorial Hospital, Lahore,from January to August 2011. Method: Data collected from all patients above 14 years of agethrough medical history, record, examination and fundoscopy. Results: Out of total 76 patientson haemodialysis 50(65.7%) had DM and of these 42(84%) also had hypertension. Amongdiabetics 28 (56%) were male & 22 (44%) female. Mean age was 56.68 ± 9.09. Among these15(30%) were illiterate and 27 (54%) belonged to lower social class. Ever smokers were 18(36%).Mean duration of diabetes since diagnosis was 10.9 ± 5.99. Mean duration of hypertension8.28 ± 8.07, Duration of onset of dialysis 6 months to 8 years with mean 2.16±1.47. Retinopathywas found in 29(58%), 18(36%) had diabetic &11(22%) had hypertensive changes. Both fastingand random blood sugar levels were monitored by 28 (56%). None had regular follow up withHbA1c levels or urine for protienuria prior to onset of haemodialysis. Compliance with dietaryadvice & treatment claimed by 24(48%) and 36(72%) respectively. History of intake of Hakeemand homeopathic medications was found in 16(32%) and 10(20%) respectively. Conclusions:65.7% of ESRD were diabetics. Majority were in 6th decade of life. Retinopathy was present in58%. Low trend was observed towards compliance with treatment &follow up.

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A Medical History of Persia and the Eastern Caliphate

10.1017/cbo9780511710766 ◽

2009 ◽

Cited By ~ 11

Author(s):

Cyril Elgood

Keyword(s):

Medical History ◽

History Of

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How Valid are Patient Reports of Family History of Illness?

Methods of Information in Medicine ◽

10.1055/s-0038-1635275 ◽

1980 ◽

Vol 19 (03) ◽

pp. 162-164 ◽

Cited By ~ 1

Author(s):

Rachel Harris ◽

W. Margaret ◽

Kathleen Hunter

Keyword(s):

Family History ◽

Medical History ◽

Cancer Patients ◽

Cause Of Death ◽

Death Certificate ◽

Recall Rate ◽

Patient Reports ◽

Small Subgroup ◽

History Of ◽

Medical Histories

The recall rate of patients’ family medical histories was studied in 200 cancer and non-cancer patients. Data on age and cause of death for parents and grandparents were collected. Although most patients knew the age and cause of death of parents, less than half knew for grandparents. Cancer patients had significantly greater recall for maternally related relatives. A subsample of patients’ family medical histories was compared to death certificate data. Patients’ reports were found to be highly inaccurate. Since only a small subgroup could provide medical history data for grandparents, the generaliz-ability for history of family illness is questioned.

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The Role of HbA1c on Mortality in Patients with Medical History of Ischemic Stroke and Paroxysmal Atrial Fibrillation

Diabetes ◽

10.2337/db18-2406-pub ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 2406-PUB

Author(s):

KONSTANTINA KANELLOPOULOU ◽

IOANNIS L. MATSOUKIS ◽

ASIMINA GANOTOPOULOU ◽

THEODORA ATHANASOPOULOU ◽

CHRYSOULA TRIANTAFILLOPOULOU ◽

...

Keyword(s):

Atrial Fibrillation ◽

Ischemic Stroke ◽

Medical History ◽

Paroxysmal Atrial Fibrillation ◽

History Of

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The use of a Domain Ontology for the Management of Essential Hypertension (Preprint)

10.2196/preprints.25427 ◽

2020 ◽

Author(s):

Emma Chavez ◽

Vanessa Perez ◽

Angélica Urrutia

Keyword(s):

Decision Making ◽

Essential Hypertension ◽

Medical History ◽

Medical Records ◽

Medical Training ◽

Relevant Information ◽

Domain Ontology ◽

Free Text ◽

Snomed Ct ◽

History Of

BACKGROUND : Currently, hypertension is one of the diseases with greater risk of mortality in the world. Particularly in Chile, 90% of the population with this disease has idiopathic or essential hypertension. Essential hypertension is characterized by high blood pressure rates and it´s cause is unknown, which means that every patient might requires a different treatment, depending on their history and symptoms. Different data, such as history, symptoms, exams, etc., are generated for each patient suffering from the disease. This data is presented in the patient’s medical record, in no order, making it difficult to search for relevant information. Therefore, there is a need for a common, unified vocabulary of the terms that adequately represent the diseased, making searching within the domain more effective. OBJECTIVE The objective of this study is to develop a domain ontology for essential hypertension , therefore arranging the more significant data within the domain as tool for medical training or to support physicians’ decision making will be provided. METHODS The terms used for the ontology were extracted from the medical history of de-identified medical records, of patients with essential hypertension. The Snomed-CT’ collection of medical terms, and clinical guidelines to control the disease were also used. Methontology was used for the design, classes definition and their hierarchy, as well as relationships between concepts and instances. Three criteria were used to validate the ontology, which also helped to measure its quality. Tests were run with a dataset to verify that the tool was created according to the requirements. RESULTS An ontology of 310 instances classified into 37 classes was developed. From these, 4 super classes and 30 relationships were obtained. In the dataset tests, 100% correct and coherent answers were obtained for quality tests (3). CONCLUSIONS The development of this ontology provides a tool for physicians, specialists, and students, among others, that can be incorporated into clinical systems to support decision making regarding essential hypertension. Nevertheless, more instances should be incorporated into the ontology by carrying out further searched in the medical history or free text sections of the medical records of patients with this disease.

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