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https://www.readbyqxmd.com/read/29679171/pedicled-gastric-seromuscular-patch-for-one-stage-closure-of-a-bronchopleural-fistula-a-case-report
#1
Jun Suzuki, Hiroyuki Oizumi, Hirohisa Kato, Akira Hamada, Hikaru Watarai, Kenta Nakahashi, Takayuki Sasage, Mitsuaki Sadahiro
BACKGROUND: One-stage closure and fenestration are the available surgical options for bronchopleural fistula (BPF). One-stage closure may be applicable in cases with favorable infection control. Closing the bronchopleural stump is difficult due to thick adhesion caused by inflammation and a high risk of pulmonary artery injury. We report the successful closure of a BPF using a gastric seromuscular patch with an omental pedicle flap. CASE PRESENTATION: A 73-year-old man underwent right lower lobectomy with ND2a-2 lymph node dissection for lung adenocarcinoma...
April 20, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29666911/dual-coverage-of-the-inferior-pole-with-conjoined-fascial-flap-and-acellular-dermal-matrix-for-immediate-one-stage-breast-reconstruction-with-a-prosthetic-implant
#2
Seo H Lee, Yong S Chun, Heung K Park, Yang W Kim, Young W Cheon
BACKGROUND: Elevation of a conjoined fascial flap composed of the pectoralis major, serratus anterior, and external oblique fascia is a type of surgical technique using autologous tissue to cover the lower pole after immediate one-stage direct-to-implant (DTI) breast reconstruction. However, volumetric breast implants hinder use of this technique alone. For better structural stability and more aesthetically favorable breast contour in large breasts, we have devised a technique involving dual coverage of the lower pole by a conjoined fascial flap and acellular dermal matrix (ADM)...
April 17, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29664831/design-of-mini-latissimus-dorsi-flap-based-on-thoracodorsal-vascular-patterns
#3
Ehab Mostafa Elzawawy, Melad Naim Kelada, Ahmed Farouk Al Karmouty
INTRODUCTION: Latissimus dorsi (LD) flap has been used for reconstructive purposes in oncoplastic breast surgery. Using large part of the muscle as a flap leads to a residual functional loss. Muscle sparing and mini LD flaps can be used with no functional sequelae. However, the design of such flap presents a challenge. METHODS: Twenty cadavers were dissected on both sides to identify the different vascular patterns of the thoracodorsal (TD) pedicle. The vessels were counted, and the following measurements were taken: diameter, length, distance from inferior angel of scapula, and vertebral level...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29643580/effect-of-various-wheelchair-handle-grip-directions-on-muscle-activities-of-upper-body-of-assistant-during-movement-on-ascending-and-descending-ramps
#4
Sang-Yeol Lee, Su-Kyoung Lee, Su-Hong Ahn
[Purpose] This study aims to determine the effects of various wheelchair handle grip directions on the muscle activities of the upper body of an assistant during movement on ascending and descending ramps. [Subjects and Methods] The study subjects were 17 young and healthy participants whose mean age, height, and weight was 23.0 ± 2.7 years, 175.5 ± 4.7 cm, and 70.0 ± 14.2 kg, respectively; all subjects voluntarily consented to participate. Three grip directions were tested: general grip, medial grip, and neutral grip...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29643282/safety-and-efficacy-of-subcutaneous-cardioverter-defibrillator-in-patients-at-high-risk-of-sudden-cardiac-death-primary-japanese-experience
#5
Shingo Sasaki, Hirofumi Tomita, Takuo Tsurugi, Yuji Ishida, Yoshihiro Shoji, Kimitaka Nishizaki, Takahiko Kinjo, Tomohide Endo, Fumie Nishizaki, Kenji Hanada, Kenichi Sasaki, Daisuke Horiuchi, Masaomi Kimura, Takumi Higuma, Hideharu Okamatsu, Yasuaki Tanaka, Junjiroh Koyama, Ken Okumura
BACKGROUND: The entirely subcutaneous implantable cardioverter defibrillator (S-ICD) was introduced as a new alternative to conventional transvenous ICD (TV-ICD) in Japan in February 2016, but its safety and efficacy are unclear.Methods and Results:A total of 60 patients (48 men, median age, 60 years; IQR, 44-67 years; primary prevention, n=24) underwent S-ICD implantation between February 2016 and August 2017. The device pocket was formed in the intermuscular space between the serratus anterior muscle and the latissimus dorsi muscle, and the parasternal S-ICD lead was placed according to pre-implant screening...
April 11, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/29629202/enhanced-recovery-pathways-in-thoracic-surgery-from-italian-vats-group-perioperative-analgesia-protocols
#6
REVIEW
Federico Piccioni, Matteo Segat, Stefano Falini, Marzia Umari, Olga Putina, Lucio Cavaliere, Riccardo Ragazzi, Domenico Massullo, Marco Taurchini, Carlo Del Naja, Andrea Droghetti
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that allows a faster recovery after thoracic surgery. Although enhanced recovery after surgery (ERAS) principles seem reasonably applicable to thoracic surgery, there is little literature on the application of such a strategy in this context. In regard to pain management, ERAS pathways promote the adoption of a multimodal strategy, tailored to the patients. This approach is based on combining systemic and loco-regional analgesia to favour opioid-sparing strategies...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29629201/anesthesia-and-fast-track-in-video-assisted-thoracic-surgery-vats-from-evidence-to-practice
#7
REVIEW
Marzia Umari, Stefano Falini, Matteo Segat, Michele Zuliani, Marco Crisman, Lucia Comuzzi, Francesco Pagos, Stefano Lovadina, Umberto Lucangelo
In thoracic surgery, the introduction of video-assisted thoracoscopic techniques has allowed the development of fast-track protocols, with shorter hospital lengths of stay and improved outcomes. The perioperative management needs to be optimized accordingly, with the goal of reducing postoperative complications and speeding recovery times. Premedication performed in the operative room should be wisely administered because often linked to late discharge from the post-anesthesia care unit (PACU). Inhalatory anesthesia, when possible, should be preferred based on protective effects on postoperative lung inflammation...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29623751/scapular-muscle-activity-during-static-yoga-postures
#8
Jaclyn N Chopp-Hurley, Courtney Prophet, Brynn Thistle, Jessica Pollice, Monica R Maly
Study Design Controlled laboratory study; cross-sectional. Background Despite the growing popularity of yoga, little is known about the muscle activity of the scapular stabilizers during isometric yoga postures and their potential utility in shoulder rehabilitation. Objectives To examine scapular stabilizer muscle activation during various yoga postures. Methods Twenty women with yoga experience and no shoulder pain or injury participated. Electromyography was used to record upper, middle and lower trapezius as well as serratus ante-rior muscle activity during 15 yoga postures...
April 6, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29620665/thera-band-application-changes-muscle-activity-and-kyphosis-and-scapular-winging-during-knee-push-up-plus-in-subjects-with-scapular-winging-the-cross-sectional-study
#9
A-Reum Shin, Ji-Hyun Lee, Da-Eun Kim, Heon-Seock Cynn
Scapular winging (SW) is defined as increased prominence of the whole medial border of the scapula. Many researchers recently recommended knee push-up plus (KPP) for enhancing serratus anterior (SA) activation. However, during push-up plus, thoracic kyphosis (TK) may usually occur as a compensatory movement. Thus, the purpose of this study was to investigate the effect of Thera-Band application during KPP on rectus abdominis (RA) activity, TK angle (TKA), SA activity, and amount of SW in subjects with SW.Fifteen subjects performed KPP with Thera-Band applied to different posterior body parts (no Thera-Band, in the occiput, and in the thoracic region)...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29570722/thoracic-dysfunction-in-whiplash-associated-disorders-a-systematic-review
#10
Nicola R Heneghan, Richard Smith, Isaak Tyros, Deborah Falla, Alison Rushton
BACKGROUND: Research investigating Whiplash Associated Disorder (WAD) has largely focused on the cervical spine yet symptoms can be widespread. Thoracic spine pain prevalence is reported ~66%; perhaps unsurprising given the forceful stretch/eccentric loading of posterior structures of the spine, and the thoracic spine's contribution to neck mobility/function. Approximately 50% WAD patients develop chronic pain and disability resulting in high levels of societal and healthcare costs. It is time to look beyond the cervical spine to fully understand anatomical dysfunction in WAD and provide new directions for clinical practice and research...
2018: PloS One
https://www.readbyqxmd.com/read/29569944/shoulder-taping-and-neuromuscular-control
#11
Suzanne J Snodgrass, Scott F Farrell, Henry Tsao, Peter G Osmotherly, Darren A Rivett, Lucy S Chipchase, Siobhan M Schabrun
CONTEXT:   Scapular taping can offer clinical benefit to some patients with shoulder pain; however, the underlying mechanisms are unclear. Understanding these mechanisms may guide the development of treatment strategies for managing neuromusculoskeletal shoulder conditions. OBJECTIVE:   To examine the mechanisms underpinning the benefits of scapular taping. DESIGN:   Descriptive laboratory study. SETTING:   University laboratory...
March 23, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29524909/shoulder-range-of-motion-and-strength-in-young-competitive-tennis-players-with-and-without-history-of-shoulder-problems
#12
Benoît Gillet, Mickaël Begon, Marine Diger, Christian Berger-Vachon, Isabelle Rogowski
OBJECTIVE: To assess the effect of a history of shoulder problems on the shoulder flexibility and strength in young competitive tennis players. DESIGN: Cross-sectional study. PARTICIPANTS: Ninety-one competitive and asymptomatic tennis players aged between 8 and 15 years old were divided into two groups according to the presence or absence of a history of shoulder problems. OUTCOME MEASURES: Glenohumeral joint ranges of motion and the strength of eight shoulder muscles were bilaterally assessed...
February 2, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29504150/reconstruction-of-diabetic-lower-leg-and-foot-soft-tissue-defects-using-thoracodorsal-artery-perforator-chimeric-flaps
#13
Il Hoon Sung, Dong Woo Jang, Se Wan Kim, Youn Hwan Kim, Sang Wha Kim
BACKGROUND: Reconstruction of complicated diabetic lower leg and foot defects involving multiple tissue components remains a challenge. The purpose of this report is to introduce thoracodorsal artery perforator (TDAP) chimeric flaps for reconstructing diabetic lower leg and foot soft tissue defects. PATIENTS AND METHODS: Between April 2010 and August 2016, 17 patients with multiple diabetic lower leg and foot defects underwent reconstruction with TDAP chimeric flaps...
March 5, 2018: Microsurgery
https://www.readbyqxmd.com/read/29504033/complication-analysis-of-complete-versus-partial-coverage-of-tissue-expanders-using-serratus-anterior-musculofascial-flaps-in-immediate-breast-reconstruction
#14
Kazuyuki Kubo, Hiroyuki Takei, Atsumori Hamahata, Hiroshi Matsumoto, Hiroyuki Sakurai
PURPOSE: To prevent tissue expander (TE) exposure following mastectomy flap necrosis in immediate breast reconstruction, the TE is usually covered completely or partially with a musculofascial (MF) flap. This study compares the complications of the two coverage methods. METHODS: We reviewed, retrospectively, 106 cases of immediate TE-based breast reconstruction. The patients were divided into two groups according to whether complete or partial TE coverage was done...
March 5, 2018: Surgery Today
https://www.readbyqxmd.com/read/29501915/analysis-of-the-kinetic-chain-in-asymptomatic-individuals-with-and-without-scapular-dyskinesis
#15
Elisa Doria Pires, Paula Rezende Camargo
BACKGROUND: This study measured strength of the trunk and hip, and compared Y Balance Test and Upper Quarter Y Balance Test in individuals without and with scapular dyskinesis. Strength and endurance of the scapulothoracic muscles were also assessed. METHODS: Forty-four individuals without shoulder pain were divided in 2 groups: without scapular dyskinesis (age 26.00, SD 4.10 years) and scapular dyskinesis (age 23.68, SD 4.20 years). Scapular dyskinesis was assessed by clinical observation of the scapular motion during arm elevation, and was classified as present or absent...
February 27, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29493802/ultrasound-guided-serratus-anterior-plane-block-combined-with-the-two-incision-technique-for-subcutaneous-icd-implantation
#16
Andrea Droghetti, Erika Basso Ricci, Paolo Scimia, Fabiola Harizai, Massimiliano Marini
BACKGROUND: The standard technique for implanting a subcutaneous defibrillator (S-ICD) requires three incisions and the pocket of the device is created in the subcutaneous tissue of the left lateral thoracic wall. However, a two-incision technique may be adopted, in which the cranial parasternal region is avoided and the device is positioned more deeply, completely under the latissimus dorsi muscle. This can also be combined with Ultrasound-Guided Serratus Anterior Plane Block (US-SAPB) for intraoperative anesthesia and perioperative analgesia...
March 1, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29487784/pectoralis-major-muscle-transfer-with-the-sternal-head-and-hamstring-autograft-for-scapular-winging
#17
Antonio Cusano, Nicholas Pagani, Xinning Li
Medial scapular winging is often due to dysfunction of the serratus anterior muscle as a result of injury to the long thoracic nerve. Impairment of the serratus anterior muscle may cause uncoordinated scapulohumeral rhythm during shoulder elevation and subsequent subscapular or shoulder pain, subacromial impingement, and glenohumeral joint instability. Although long thoracic nerve injury typically resolves in 12 to 18 months after a physical therapy regimen, surgical intervention is indicated in patients who fail conservative management...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29483470/-empyema-successfully-treated-by-plombage-with-abdominal-rectus-muscle-and-omental-flap-after-open-window-thoracostomy-report-of-a-case
#18
Hiroiku Hara, Yusuke Date
The partient was 76-year-old male. He had acute empyema due to lung abscess and open-window thoracotomy was performed to control infection. 3 years and 9 months later, the bronchial fistula was closed with abdominal rectus muscle and greater omentum. These are very useful when other muscles such as latissimus dorsi muscle, serratus anterior muscle and pectoralis major muscle are not available.
February 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/29478944/scapular-kinematic-and-shoulder-muscle-activity-alterations-after-serratus-anterior-muscle-fatigue
#19
Jun Umehara, Ken Kusano, Masatoshi Nakamura, Katsuyuki Morishita, Satoru Nishishita, Hiroki Tanaka, Itsuroh Shimizu, Noriaki Ichihashi
BACKGROUND: Although the serratus anterior muscle has an important role in scapular movement, no study to date has investigated the effect of serratus anterior fatigue on scapular kinematics and shoulder muscle activity. The purpose of this study was to clarify the effect of serratus anterior fatigue on scapular movement and shoulder muscle activity. METHODS: The study participants were 16 healthy men. Electrical muscle stimulation was used to fatigue the serratus anterior muscle...
February 23, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29468258/intermuscular-implantation-technique-for-subcutaneous-cardioverter-defibrillators
#20
K P Letsas, S Xydonas, N Karamichalakis, M Efremidis, D Manolatos, G Bazoukis, D Asvestas, K Vlachos, S Georgopoulos, A Saplaouras, J Winter, A Sideris
BACKGROUND: The conventional technique for subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation has been associated with pocket complications. The aim of this study was to evaluate the efficacy and safety of an alternative intermuscular technique for S‑ICD implantation. METHODS: S-ICDs were implanted in ten consecutive patients (ten males, mean age: 46.8 ± 14.7 years). The pocket for the pulse generator was made above the serratus anterior muscular fascia and beneath the latissimus dorsi muscle by detaching the fibrous tissue between the muscles...
February 21, 2018: Herz
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