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Jennifer A Bossio, Manya Singh, Caroline F Pukall
INTRODUCTION: The current study aims to validate a new imaging tool to assess men's sexual psychophysiological responding: laser Doppler imaging (LDI), which directly measures subcutaneous genital blood flow. In this study, we concurrently assessed genital sexual arousal in a sample of men using the LDI and the current gold standard of male sexual psychophysiology, the penile strain gauge (PSG). AIM: To (i) assess the validity of the LDI as a measure of male sexual arousal, (ii) evaluate the relationship between the LDI and PSG, and (iii) compare sexual concordance produced by the LDI and PSG...
November 2018: Journal of Sexual Medicine
Spyridon Skoufias, Mikaël Sturny, Rodrigo Fraga-Silva, Theodore G Papaioannou, Nikolaos Stergiopoulos, Ioannis Adamakis, Constantinos A Constantinides
INTRODUCTION: Many studies have shown that electrostimulation of the cavernosal nerve can induce and maintain penile erection. Based on these discoveries, neurostimulation to activate the erectile response has been considered a potential solution to treat erectile dysfunction (ED). However, despite recognized potential, this technology has not been further developed. The barrier is the complex anatomy of the human cavernous nerve, which challenges the intraoperative identification of the cavernosal nerves for electrode placement...
November 2018: Journal of Sexual Medicine
Youngmin Kim, Dohern Kym, Yong Suk Cho, Jaechul Yoon, Haejun Yim, Jun Hur, Wook Chun
OBJECTIVE: Full-thickness hand burn surgery requires meticulous efforts to restore function, and aesthetics is paramount. The purpose of this study was to evaluate the efficacy of fibrin sealant as a topical hemostatic agent and for graft fixation during skin grafting of hand burns. METHODS: This prospective cohort study enrolled 40 patients with hand burns from January 2013 to December 2016. They were all treated with excision and split-thickness skin graft and divided into the fibrin sealant with tourniquet group (20 patients) and epinephrine tumescence group (20 patients)...
October 26, 2018: Advances in Skin & Wound Care
Gabriel A Mecott, Iram Z Gonzalez, Roberto Montes de Oca, Rodolfo Garza-Morales, Ivan Gonzalez-Cantu, Yanko Castro-Govea, Odilia Saucedo-Cárdenas, Mauricio M García-Pérez
BACKGROUND: The effect of decantation time on viability and apoptosis in adipocytes has not been described. The objective of the study was to describe viability and apoptosis in adipocytes up to 2 h after harvesting. METHODS: Twenty patients who underwent esthetic liposuction from the abdomen were included. The lipoaspirate was obtained from the infra-umbilical area with the tumescent technique. Liposuction was performed with a 60-ml syringe and a 3-ml cannula...
October 25, 2018: Aesthetic Plastic Surgery
Bruno Luís De Castro Araujo, Luiz Claudio Santos Thuler, Andreia Cristina De Melo
No abstract text is available yet for this article.
October 23, 2018: European Journal of Dermatology: EJD
Uwe Wollina, André Koch, Birgit Heinig
Methemoglobinemia is characterized by an increased level of methemoglobin (MetHb) in the peripheral blood. MetHb levels increase after tumescent anesthesia and need to be monitored. If a patient becomes symptomatic and/or the MetHb levels increase >10%, intravenous injection of an antidote is recommended. Toluidine blue is twice as effective as methylene blue in this respect.A 27-year-old woman with advanced lipedema underwent her third liposuction under tumescent anesthesia. After surgery, her MetHb levels increased and needed injection of toluidine blue...
October 22, 2018: Wiener Medizinische Wochenschrift
Jongseo Kim
Background: The minimally invasive delivery of soft-tissue calcium hydroxyapatite fillers can ameliorate the appearance of forehead depressions and wrinkles. Forehead augmentations using fillers lead to fewer adverse events and to a faster recovery time than those using surgical procedures. However, many physicians avoid using them due to the risk of pain, intravascular injections, and embolisms that can cause skin necrosis and blindness. Strategy to address these issues includes pain reduction through tumescent solution before filler injection considering the vascular pathway...
September 2018: Plastic and Reconstructive Surgery. Global Open
Alberto Goldman, Uwe Wollina
BACKGROUND: Dermal fillers are widely used for facial and body contouring. Polymethylmethacrylate (PMMA) is a permanent biphasic filler for soft tissue augmentation. In case of unwanted side effects, drug therapy and surgical excision have been commonly used with mixed results. AIM: We report on a series of patients with adverse events to PMMA and an innovative minor invasive procedure to reduce disfigurement by nodules and lumps. METHODS: We employed a subdermal, intralesional 1,064 nm neodymium-doped yttrium aluminium garnet (Nd: YAG) laser in combination with suction using a blunt liposuction cannula of 2...
September 25, 2018: Open Access Macedonian Journal of Medical Sciences
John A Harlock, Fadi Elias, Mohammad Qadura, Luc Dubois
OBJECTIVE: The objective of this study was to compare the nontumescent-based endovenous therapies with the standard tumescent-based endovenous therapies in regard to clinical effectiveness and procedural outcomes in patients with saphenofemoral incompetence and varicose veins. METHODS: The following databases were searched for studies that were randomized or quasi-randomized trials comparing nontumescent-based endovenous procedures with those requiring tumescence: Cochrane Central Register of Controlled Trials (1950-January 2017), MEDLINE (1946-January 2017), and Embase (1950-January 2017)...
November 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Lei Gao, Anthony I Cognato
A new species of bark beetle, Acanthotomicus suncei Cognato, that kills sweetgum (Liquidambar spp.) is described. The new species is distinguished from the other Acanthotomicus species by the placement of elytral declivital spines on interstriae 2, 4, 6, 8 and the connection of spines 1 and 2 by a tumescence. Notes on the bark beetle's potential damage to sweetgum are given.
September 6, 2018: Zootaxa
Gang Wang, Wei-Gang Cao, Tian-Lan Zhao
Tumescent anesthesia makes it feasible to perform liposuction in an office setting. There are often patients who desire extensive liposuction on approximately 30% of total body surface area, which means the potential of fluid overload. In this study, the charts of 83 patients undergoing extensive liposuction were retrospectively reviewed. The intra-operative fluid ratio was 1.66 for the extensive liposuction. There were no episodes of pulmonary edema, congestive heart failure exacerbation, or other major complications...
October 2018: Medicine (Baltimore)
Li-Hua Luo, Zhu Chen, Li-Nan Hu, Cong Ma, En-Hua Xiao
PURPOSE: To investigate the effect of cold and room temperature tumescence anesthesia solution (TAS) on the treatment of lower limb varicose veins via endovenous laser ablation. DESIGN: On the basis of the TAS temperature, patients were divided into two groups: group A (n = 26) received room temperature (24°C) TAS, and group B (n = 25) received cold (4°C) TAS. METHODS: A numerical rating scale was used to evaluate pain. Perioperative and intraoperative nursing care and clinical observations were performed following a generalized standard...
October 8, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Ji Won Choi, Duk Kyung Kim, Choon Kyu Cho, Soo Jung Park, Yong Hun Son
Background: To identify trends in injuries and substandard care associated with anesthesia, we analyzed the Korean Society of Anesthesiologists database, which includes anesthesia-related case files from July 2009 to June 2018. Methods: Case characteristics, injuries, and outcomes were compared between the first part (July 2009-June 2014, n = 105) and the second part (July 2014-June 2018, n = 92) of the analyzed time period. Results: Overall, 132 cases resulted in death...
October 10, 2018: Korean Journal of Anesthesiology
Robert S Anderson
The new genus Purealus Anderson (type species, Purealusbeckelorum gen n. et sp. n. , type locality: McKenzie Lake, Gaines County, Texas) is described to accommodate a new species of cleonine weevil from western Texas and eastern New Mexico. Habitus images and images of taxonomically significant structures are presented. Purealus appears to be unique within Cleonini in the distinctly tumescent and asperate base of elytral interval 3, and widely separated procoxae, two characters apparently not shared with any other world Cleonini...
2018: ZooKeys
Harrina E Rahardjo, Stefan Ückert, Andreas Bannowsky, Dimitrios Tsikas, Armin J Becker, Markus A Kuczyk
Studies on erectile dysfunction (ED) have revealed a relationship between smooth muscle atrophy and the accumulation of collagen in the corpus cavernosum (CC). Transforming growth factor ß1 (TGF ß1) is a cytokine which has been proposed to be involved in the fibrotic process in the CC. We aimed to evaluate the course of TGF ß1 in the systemic and cavernous blood of 17 healthy males through different phases of the sexual arousal response (exemplified by the penile conditions flaccidity, tumescence, rigidity and detumescence)...
September 24, 2018: Andrologia
Isaac K Nyamekye
Background Thermal ablation, usually performed with tumescent local anaesthesia (TLA), is the preferred method for varicose veins treatment. Tumescent local anaesthesia is always cited; however, little detail of the procedure is presented in publications. This retrospective audit of clinical tumescent local anaesthesia practice aims to provide detailed information on an important aspect of endovenous practice. Methods Patients who underwent three types of endothermal treatment (Venefit, Radiofrequency Induce Thermal Therapy and Endovenous Laser Ablation) to a single saphenous trunk using tumescent local anaesthesia were assessed...
September 18, 2018: Phlebology
Recep Anlatıcı, Gökhan Özerdem, Sarp Demiralay, Ömer Refik Özerdem
INTRODUCTION: Combined and/or multistage operations often are needed in postbariatric surgery. AIM: With this retrospective study of a series of 55 cases, we aim to determine the effectiveness and safety of one-stage combined postbariatric surgery. MATERIALS AND METHODS: A total of 248 postbariatric procedures were performed in one session (except one-staged gynecomastia case) in 55 patients. The procedures included face and neck lifting, upper and lower trunk lifting, gluteal fat injection, mammoplasty, gynecomastia correction, abdominoplasty, and thigh and arm lifting...
September 17, 2018: Aesthetic Plastic Surgery
Elisabeth Russe, Hassan Kholosy, Laurenz Weitgasser, Michael Brandstetter, Heike Traintinger, Jennifer Neureiter, Gottfried Wechselberger, Thomas Schoeller
BACKGROUND: The transverse myocutaneous gracilis (TMG) flap is a viable option for the reconstruction of small- to moderate-sized breasts. The purpose of this series was to examine the outcomes of fat grafting to breast and donor site secondary to breast reconstruction with a TMG flap. METHODS: A cohort study was conducted to identify all patients who underwent autologous fat grafting after breast reconstruction with a TMG flap at two institutions between January 2009 and October 2013...
November 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Xue-Sheng Wang, Li-Qiang Guo, Zhi-Ying Xiao, Yong Guan, Jian-Ye Zhang, Ming Li, Zhen Ma, Zhi-He Xu, Guo-Mei Ye, Ming-Zhen Yuan
The aim of our study was to investigate the role of platelet parameters including mean platelet volume (MPV) and platelet count (PC) in the pathogenesis of penile arteriogenic erectile dysfunction (ED) and to evaluate the association between the platelet parameters and arteriogenic ED. There were 244 patients with ED (based on the International Index of Erectile Function [IIEF]-5 ≤21) and 60 healthy controls (IIEF-5 >21) enrolled. All participants were asked to undergo a laboratory examination, and penile vascular function was evaluated using penile color Doppler ultrasonography (pDUS)...
September 7, 2018: Asian Journal of Andrology
Zi-Bin Lin, Jun-Hong Deng, Liang-Liang Huang, Hua Shi, Jian-Ming Liu, Bin Ou-Yang, Jing-Xuan Xie
Objective: To study the clinical application value of the penile erectile strength measurement (PESM) band in the differentiation of psychogenic from organic erectile dysfunction (ED). METHODS: Eighty ED patients unable to achieve or maintain adequate penile erection to complete sexual intercourse were included in the experimental group and another 40 healthy subjects with normal erectile function enrolled as controls. The ED cases were classified into mild, moderate and severe ED according to the IIEF-5 scores and divided into psychogenic and organic ED based on the results of the nocturnal penile tumescence (NPT) test...
June 2018: Zhonghua Nan Ke Xue, National Journal of Andrology
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