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https://www.readbyqxmd.com/read/29995233/sub-muscular-breast-augmentation-using-tumescent-local-anesthesia
#1
Alberto Bolletta, Luca Andrea Dessy, Luca Fiorot, Alessio Tronci, Antonio Rusciani, Pedro Ciudad, Emilio Trignano
BACKGROUND: Tumescent local anesthesia (TLA) consists of infiltration of saline solution with lidocaine and epinephrine into the tissues to obtain regional anesthesia and vasoconstriction. The use of TLA in augmentation mammoplasty has been described for sub-glandular positioning. We describe a modified TLA technique for primary sub-muscular breast augmentation reporting our experience during the past 7 years. METHODS: From 2010 to 2017, 300 patients underwent bilateral primary sub-muscular breast augmentation under TLA and conscious sedation...
July 11, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29956468/lipoedema-is-not-lymphoedema-a-review-of-current-literature
#2
Eran Shavit, Uwe Wollina, Afsaneh Alavi
Lipoedema is a rare painful disorder of the adipose tissue. It essentially affects females and is often misdiagnosed as lymphoedema or obesity. It is globally misdiagnosed or underdiagnosed, and the literature is lacking appropriate guidance to assist clinicians towards this diagnosis. However, the need to recognise this disorder as a unique entity has important implications to establish proper treatment and, therefore, its tremendous effect on patients. Early diagnosis and treatment can turn these patients' lives upside down...
June 29, 2018: International Wound Journal
https://www.readbyqxmd.com/read/29931270/gluteal-augmentation-with-fat-retrospective-safety-study-and-literature-review
#3
Amin Kalaaji, Stine Dreyer, Line Vadseth, Ivana Maric, Vanja Jönsson, Trond H Haukebøe
Background: Use of gluteal augmentation with fat increased by 3267% from 2002 to 2015, and the rate of death is highest compared with other aesthetic procedures: 1 in 3448 patients dies, compared with 1 in 55,000. Objectives: To retrospectively investigate patients who underwent this procedure at Oslo Plastic Surgery Clinic, to review international data determine factors causing mortality, and to provide guidelines for safety. Methods: Patient data were searched for reason for the procedure, assessment of patients, techniques performed, and safety measures used...
June 20, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29928084/autologous-emulsified-fat-injection-for-rejuvenation-of-scars-a-prospective-observational-study
#4
Lekshmi S Bhooshan, M Geetha Devi, R Aniraj, P Binod, M Lekshmi
Background: The skin rejuvenation potential of the autologous emulsified nanofat was studied by Tonnard et al . in 2013. This property is due to the viable adipose-derived stem cells present in the nanofat; although, there are no viable adipocytes. The aim of this study was to determine the aesthetic outcome of autologous emulsified nanofat injection in scars using a standardised and validated Patient Observer Scar Assessment Scale (POSAS) and photographs. Materials and Methods: A total of 34 patients with scars of varied aetiologies were included in the study as per inclusion criteria...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29909577/population-pharmacokinetic-model-for-tumescent-lidocaine-in-women-undergoing-breast-cancer-surgery
#5
Camille Riff, Aurélie Bourgoin, Amelie Marsot, Laurent Allanioux, Marc Leone, Olivier Blin, Romain Guilhaumou
PURPOSE: Tumescent lidocaine anesthesia (TLA) is an opportunity to perform mastectomy for breast cancer without general anesthesia in elderly women. Few reports are available on the pharmacokinetics of lidocaine in a context of TLA during a unilateral mastectomy. The aim of this study was to describe lidocaine pharmacokinetics in elderly women undergoing breast cancer surgery after TLA and to explore the risk of the toxicity of this technique. METHODS: A prospective study was conducted to examine the pharmacokinetics of lidocaine in women undergoing TLA...
June 16, 2018: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29893364/audiovisual-sexual-stimulation-and-rigiscan-test-for-the-diagnosis-of-erectile-dysfunction
#6
Tao Wang, Li Zhuan, Zhuo Liu, Ming-Chao Li, Jun Yang, Shao-Gang Wang, Ji-Hong Liu, Qing Ling, Wei-Min Yang, Zhang-Qun Ye
Background: Currently available evaluation criteria for penile tumescence and rigidity have been fraught with controversy. In this study, we sought to establish normative Chinese evaluation criteria for penile tumescence and rigidity by utilizing audiovisual sexual stimulation and RigiScan™ test (AVSS-Rigiscan test) with the administration of phosphodiesterase-5 inhibitor. Methods: A total of 1169 patients (aged 18-67 years) complained of erectile dysfunction (ED) underwent AVSS-RigiScan test with the administration of phosphodiesterase-5 inhibitor...
June 20, 2018: Chinese Medical Journal
https://www.readbyqxmd.com/read/29886206/short-term-efficacy-of-inguinal-reoperation-for-recurrent-saphenofemoral-incompetence-using-the-stump-suture-technique
#7
Stefania Aglaia Gerontopoulou, Wilhelm Kath, Knuth Rass
OBJECTIVES: Neovascularization from the saphenofemoral junction (SFJ) is regarded to be an important cause of clinical recurrence. The ideal treatment of SFJ recurrence is still matter of debate. Barrier strategies have been implemented to improve surgical outcome by reducing neovascularization. This study analyses the value of inguinal reoperation for recurrent SFJ incompetence using a combined approach of stump suture technique, removal of neovasculates, cauterization of free endothelium and additional tumescent local anesthesia...
June 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29781087/is-%C3%AE-endorphin-significant-in-the-control-of-the-male-sexual-response
#8
Stefan Ückert, Armin J Becker, Andreas Bannowsky, Christian G Stief, Markus A Kuczyk
It has been assumed that β-endorphin, belonging to the family of opiodergic neuropeptides, might facilitate the inhibition of the male sexual response; however, its role in the control of the penile erectile tissue remains to be elucidated. This study aimed to evaluate in healthy men the course of β-endorphin in the systemic and cavernous blood through different stages of sexual arousal. Thirty-four (34) men were exposed to erotic stimuli to induce penile tumescence and rigidity. Blood was aspirated from the corpus cavernosum and a cubital vein during the penile conditions flaccidity, tumescence, rigidity and detumescence...
May 20, 2018: Andrologia
https://www.readbyqxmd.com/read/29740301/impaired-prefrontal-amygdala-pathway-self-reported-emotion-and-erection-in-psychogenic-erectile-dysfunction-patients-with-normal-nocturnal-erection
#9
Jianhuai Chen, Yun Chen, Qingqiang Gao, Guotao Chen, Yutian Dai, Zhijian Yao, Qing Lu
Background: Neuroimaging studies have demonstrated that the prefrontal cortex and amygdala play an important role in sexual arousal (SA). However, little is known about the interactions between the prefrontal and cortex amygdala, which mediate the cognitive regulation of emotion and SA. Objective: We seek to determine whether nocturnal erection of psychogenic erectile dysfunction (pED) patients are normal and whether there are changes of topological organization in the prefrontal-amygdala pathway of brain network in pED...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29726662/-value-of-the-serum-free-testosterone-level-in-detecting-erectile-dysfunction
#10
Zi-Bin Lin, Jun-Hong Deng, Liang-Liang Huang, Hua Shi, Jian-Ming Liu, Bin Ou-Yang, Jing-Xuan Xie
Objective: To investigate the values of serum calculated free testosterone (cFT), testosterone secretion index (TSI), and free testosterone index (FTI) in the diagnosis of ED with androgen deficiency by observing their changes in the patient. METHODS: We conducted this study among 185 men complaining of ED and 35 20-40 years old healthy males presenting at the clinic for premarital medical checkup. We asked them about their medical history, to fill in the International Index of Erectile Function (IIEF-5) Questionnaire, and to complete the nocturnal penile tumescence (NPT) test...
September 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29722944/-effects-of-different-medications-with-tadalafil-on-erectile-dysfunction-in-males-with-primary-sexual-failure
#11
Wen-Ji Li, Ming-Xi Xu, Jian-Hua Guo, Zhi-Kang Cai, Yue-Qing Jiang, Zhong Wang
Objective: To evaluate the effects of three different medications with tadalafil on erectile dysfunction (ED) in young men with primary sexual failure. METHODS: This study included 76 male ED patients aged 21-35 years who had primary sexual failure but normal nocturnal penile tumescence and rigidity and failed to respond to psychotherapy. We randomly assigned them to receive oral tadalafil once daily, on demand, or once-daily + on-demand. After 2-3 months of treatment, we evaluated the effects based on the scores of the patients in the five domains of the International Index of Erectile Function (IIEF-5)...
June 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29707914/analysis-of-the-changes-in-scalp-hair-angles-in-vivo-and-in-vitro-comparison-before-and-after-tumescence
#12
Muhammad Ahmad, Mohammad Humayun Mohmand
OBJECTIVES: To estimate the hair shaft exit angles and also to check the effect of tumescence on the hair angles. MATERIALS AND METHODS: Ten patients undergoing first session of strip hair restoration were included. The strip was marked at the level of external occipital protuberance and superior nuchal line. Three hairs were marked, one near upper end, one near lower end, and one in the middle. About 10 mL of 0.5% xylocaine with adrenaline was used with the needle in the subdermal level...
April 30, 2018: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/29701136/the-hippocratic-method-of-surgical-cauterization-for-the-tumescence-spleen-in-the-rare-spetses-syndrome
#13
Gregory Tsoucalas, Konstantinos Markatos, Marianna Karamanou
Spleen in antiquity was considered by the Hippocratic medicine as a viscerous organ of spongy character, which could clear human body of the black bile. According to the Hippocratic doctrine of the 4 humors, black bile could cause a series of diseases. Both the anatomical position and shape of the spleen were also recognized. In the case of a splenic hardening, with simultaneous augmentation of its dimensions and dermal ulceration and/or splenic abscess, some interventions were proposed. Thus, herbal medicine, phlebotomy, and minimal surgery with local cauterization were applied for treatment, to confront a disease that was considered serious but not fatal...
April 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29688205/-saint-petersburg-venous-forum-christmas-meetings-10th-anniversary
#14
E V Shaĭdakov, O Ia Porembskaia, D A Rosukhovskiĭ
The article is a review of the reports delivered at the annual Saint Petersburg Venous Forum 'Christmas Meetings'. In 2017 it was held for the 10th time. Widely covered at the Forum were problems concerning non-tumescent methods of treatment of varicose veins, methods of diagnosis and treatment of deep-vein diseases, problems of pathogenesis of post-thrombotic disease, terminology in problems of phlebology.
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29671380/removal-of-benign-superficial-masses-using-the-trivex-system-preliminary-clinical-results
#15
Sheng-Jun Duan, Run-Zhu Jiang, Ying-Xin Zhang, Hua-Shui Liu, Nai-Shun Zhang, Shi-Ye Zhang
BACKGROUND AND OBJECTIVE: Transilluminated powered phlebectomy using the TriVex system is a new procedure for minimally invasive varicose vein surgery. We used the TriVex system for the removal of benign superficial subcutaneous soft tissue masses, and we also achieved satisfactory clinical effects. The objective of this study was to explore the feasibility, benefits, and technique-related complications of using the TriVex system for the removal of benign superficial masses as a novel and minimally invasive surgical technique...
June 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29644283/plating-of-an-isolated-fracture-of-shaft-of-ulna-under-local-anaesthesia-and-periosteal-nerve-block
#16
Amir Adham Ahmad, Mohammad Arshad Ikram
Isolated fractures of shaft of ulna are common. Plate fixation with anatomic reduction is thought to produce the best functional results in closed or open fractures. Surgery can be done under general and various types of regional anaesthesia. We report a case of fracture shaft of ulna treated by plating under a combination of WALANT (wide awake, local anaesthesia, no tourniquet) using tumescent anaesthesia and periosteal nerve block as a day care procedure.
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29620000/lymph-node-dissection-for-melanoma-using-tumescence-local-anaesthesia-an-observational-study
#17
Lukas Kofler, Helmut Breuninger, Hans-Martin Häfner, Katrin Schweinzer, Saskia M Schnabl, Thomas K Eigentler, Ulrike Leiter
The possibility that tumescence local anaesthesia (TLA) may lead to dissemination of tumour cells in lymph nodes is presently unclear. To evaluate whether infiltration by TLA influences metastatic spread and survival probability, compared to general anaesthesia (GA), based on lymph node dissection in melanoma patients. In total, 281 patients (GA: 162; TLA: 119) with cutaneous melanoma and clinically or histologically-confirmed metastases in regional lymph nodes were included. All patients underwent complete lymph node dissection...
April 1, 2018: European Journal of Dermatology: EJD
https://www.readbyqxmd.com/read/29619345/effectiveness-and-complications-of-improved-liposuction-curettage-through-mini-incisions-for-the-treatment-of-axillary-osmidrosis
#18
Hu Yang, Gang Xu, Chun-Lan Huang, Ying Xia, Xiao-Wei Wang, Qiang Chen, Shou-Jie Wang, Li-Yun Zhang, Wei-Qiang Tan
Background: Liposuction-curettage (LC) is a popular and effective surgical method for the treatment of axillary bromhidrosis (AB). However, residual malodour and skin necrosis often appear after this type of surgery. We investigated the efficacy and complications of 4 methods of LC. Methods: A total of 280 patients with AB comprised the study cohort, of which 228 were followed up. We carried out 4 methods of modified tumescent LC through mini-incisions and provided a questionnaire for evaluation of surgical outcome...
November 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29573901/corrigendum-to-catheter-foam-sclerotherapy-of-the-great-saphenous-vein-with-perisaphenous-tumescence-infiltration-and-saphenous-irrigation-eur-j-vasc-endovasc-surg-2017-629-635
#19
Attilio Cavezzi, Giovanni Mosti, Fausto Campana, Lorenzo Tessari, Luca Bastiani, Simone U Urso
No abstract text is available yet for this article.
May 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29531202/breast-cancer-with-dermatomyositis-as-initial-presentation
#20
H Y Khoo, W J Tan, Y T Cheong
Patients with breast cancer normally present with breast lump or abnormal mammogram. Dermatomyositis is rarely the first presentation. We present a case of a 63-year-old woman who had generalised dermatitis, progressive fatigue and muscle weakness. She was first diagnosed as dermatomyositis and subsequently breast cancer. Her rash and muscle weakness progressed drastically over a month. Tumescent mastectomy and axillary surgery was performed, which led to gradual regression of her dermatomyositis over six months...
February 2018: Medical Journal of Malaysia
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