[Intra-abdominal hemorrhage in splenic injuries]. / Intraabdominalno krvarenje kod povreda slezine.

The authors present a series of 36 patients operated on for severe intraabdominal bleeding due to spleen trauma. Patients were treated from 02. December 1987 till 30. June 1988 in Emergency Center-Surgical Clinic-University Clinical Center Belgrade (Institute of digestive pathology). The standard operative procedure has been removal because splenic salvage is unreasonable if there is ungoing bleeding and multiple associated injuries. Splenectomy was performed in 32 (88 percent). Overall mortality rate was 9%. Authors want to stress out the role of team in successful treatment of polytraumatized patients.

Child abuse in the 24 hours after psychotherapy sessions.

Six cases in which, unknown to the therapist, psychotherapy apparently initiated or exacerbated child abuse are reviewed. Once the connection between therapy and child abuse was recognized and pointed out to the patients, further therapy led to a significant clinical improvement. The necessity for additional support, such as is offered by Prevention, is emphasized.