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Shanshan He, Jian Yin, Jingyan Sun, Qingfeng Huang, Jing Liu, Chunyong Han, Zhuming Yin
INTRODUCTION: Breast reconstruction for Chinese patients is vastly different given cultural differences, patient preferences, access to resources, and insurance coverage in China. Given these unique factors, a different approach for optimizing outcomes should be considered. METHODS: Retrospective review of all patients undergoing implant-based breast reconstruction from January 2013 to May 2016 was performed. Esthetic evaluations were made both by the patients and 1 nonoperative surgeon at least 6 months postoperative, and patient satisfaction was assessed using the Breast-Q...
October 15, 2018: Annals of Plastic Surgery
Maher Barsaoui, Hend Riahi, Mouna Chelly Bouaziz, Med Fethi Ladeb
Elastofibromas are rare benign soft tissue tumors that are commonly located at the inferior pole of the scapula, typically in the right side, deep to the serratus anterior muscle. They occur mainly in elderly women and are usually asymptomatic. We  present four cases of elastofibroma dorsi in which the clinical and ultrasound diagnosis was confirmed by CT and magnetic resonance imaging. The location of the lesions (bilateral in two cases) was typical, in the thoraco-scapular region. When the lesion show typical imaging features and produces no symptoms, as is usually the case; further investigations are probably unnecessary...
January 2018: La Tunisie Médicale
Yew L Loo, Sajjad Haider
Background: There have been many reported benefits of the usage of acellular dermal matrices (ADMs) in breast reconstruction. ADM reduces the need for rectus abdominis muscle and serratus anterior coverage by providing an inferolateral coverage of the implant/tissue expander. ADM can provide patients with a 1-staged reconstruction. This study was designed to look at the complication rates of 2 major hospitals in the United Kingdom. Methods: A large, 2-center retrospective cohort review of patients, who underwent implant-based breast reconstruction using Strattice (LifeCell Corp...
August 2018: Plastic and Reconstructive Surgery. Global Open
Paulo de Souza Junior, Lucas Mucci Richter Pereira Dos Santos, Wilson Viotto-Souza, Natan da Cruz de Carvalho, Erick Candiota Souza, Carlos Benhur Kasper, Marcelo Abidu-Figueiredo, André Luiz Quagliatto Santos
The characteristics of the muscles of the thoracic limb were evaluated in 22 specimens of Lycalopex gymnocercus. Descriptive and comparative analyses showed similarity with other canids in terms of topography and tendon insertions. Differences with the domestic dog were observed in the pectoralis profundus, triceps brachii and interflexorii muscles. Intraspecific variations were observed in the rhomboideus capitis, serratus ventralis cervicis, extensor carpi radialis, extensor digiti I and II, lumbricales, flexor digiti I brevis, abductor digiti I brevis, and flexor digiti V muscles...
October 14, 2018: Journal of Anatomy
Tomoyuki Komai, Susumu Ohtsuka, Shuhei Yamaguchi, Kazumitsu Nakaguchi
Six species of caridean shrimps from four families are recorded from Japanese waters for the first time on the basis of material from the Ryukyu Islands and its adjacent waters, collected during research cruises of the T/RV "Toyoshio-maru" of Faculty of Applied Biological Science, Hiroshima University: two species of Crangonidae, Lissosabinea unispinosa Komai, 2006 and Pseudopontophilus serratus Komai, 2004; one species of Oplophoridae, Systellaspis pellucida (Filhol, 1885); one species of Pandalidae, Calipandalus elachys Komai Chan, 2003; and two species of Pasiphaeidae, Pasiphaea debitusae Hayashi, 1999 and P...
August 7, 2018: Zootaxa
Brajesh Kaushal, Sandeep Chauhan, Kulbhushan Saini, Debesh Bhoi, Akshay K Bisoi, Tsering Sangdup, Maroof Ahmad Khan
OBJECTIVE: The aim of this study was to compare the relative efficacy of ultrasound-guided serratus anterior plane block (SAPB), pectoral nerves (Pecs) II block, and intercostal nerve block (ICNB) for the management of post-thoracotomy pain in pediatric cardiac surgery. DESIGN: A prospective, randomized, single-blind, comparative study. SETTING: Single-institution tertiary referral cardiac center. PARTICIPANTS: The study comprised 108 children with congenital heart disease requiring surgery through a thoracotomy...
August 31, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Jacob T Didesch, Peter Tang
Scapular winging is a painful and debilitating condition. The composite scapular motion of rotation, abduction, and tilting is necessary for proper shoulder function. Weakness or loss of scapular mechanics can lead to difficulties with elevation of the arm and lifting objects. The most common causes reported in the literature for scapular winging are dysfunction of the serratus anterior from long thoracic nerve injury causing medial winging or dysfunction of the trapezius from spinal accessory nerve injury causing lateral winging...
October 3, 2018: Journal of Hand Surgery
Shimpei Miyamoto, Masaki Arikawa, Yu Kagaya, Yutaka Fukunaga
BACKGROUND: This study aimed to investigate the versatility of septocutaneous thoracodorsal artery perforator (TDAP-sc) flaps in various areas in the body and the running pattern of septocutaneous perforators. METHODS: This retrospective cohort study included 20 consecutive patients who underwent reconstruction of an oncological defect with a TDAP-sc flap from May 2014 to January 2018. Fifteen flaps were free, and the remaining five were pedicled. Surgical details and postoperative complications were investigated...
September 5, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Poupak Rahimzadeh, Farnad Imani, Seyed Hamid Reza Faiz, Banafsheh Valiyan Boroujeni
Objective: A variety of methods, including neuraxial and regional blocks, have been used to manage post-mastectomy pain. This study evaluates the effect of serratus anterior plane block on acute pain after mastectomy. Methods: A total of 60 patients who were candidates for mastectomy under general anaesthesia were divided in this trial into two groups. After entering the recovery room, the first-experimental-group (SAB) underwent the ultrasound-guided serratus anterior block, but the second-control-group (CTL) received no block intervention...
September 2018: Turkish Journal of Anaesthesiology and Reanimation
Kara M Nyquist, Travis G O'Quinn, Lindsey N Drey, Loni W Lucherk, J C Brooks, Mark F Miller, Jerrad F Legako
The objective of this study was to determine the palatability of various beef cuts from 3 USDA quality grades. Five different beef subprimals from USDA Prime, Choice, and Select (n = 10/quality grade) carcasses were utilized for the study, including: strip loins, inside rounds, bottom rounds, shoulder clods, and chuck rolls. Subprimals were fabricated into 9 retail cuts, which contained the following beef muscles: longissimus lumborum (LL); longissimus thoracis, complexus, and spinalis dorsi (LCS); infraspinatus (IF); serratus ventralis (SV); triceps brachii (TB); teres major (TM); adductor (AD); semimembranosus (SM); and biceps femoris (BF)...
September 29, 2018: Journal of Animal Science
Manjunath Jenne, Manjula Kambham, N V K V Prasad Tollamadugu, Hari Prasad Karanam, Murali Krishna Tirupati, Ravindra Reddy Balam, Syed Shameer, Muralidhar Yagireddy
Nanobiotechnology is one of the emerging fields and its interventions in agriculture is been attracting the scientific community. Herein, the authors first to report on control of groundnut bruchid ( Caryedon serratus O.) using nanoscale zinc oxide (ZnONPs) particles and nanoscale chitosan (CNPs) particles-based Azadirachtin formulations. ZnONPs and CNPs were prepared using sol-gel and ion tropic gelation techniques, respectively. Neem seed kernel extract (NSKE) 5% and Neem oil (3000 and 1000 ppm) were encapsulated using the prepared nanoscale materials and characterised using the techniques such as dynamic light scattering, high-resolution transmission electron microscopy...
October 2018: IET Nanobiotechnology
G Feigl, E Aichner, C Mattersberger, P K Zahn, C Avila Gonzalez, R Litz
BACKGROUND: The posterolateral and medial aspect of the arm is supplied by the axillary (AXN) and intercostobrachial nerves (ICBN), which are not anaesthetised by an axillary brachial plexus block (ABPB). Blockade of the AXN and the ICBN has been reported in the quadrangular space (QS) posteriorly or by serratus plane block, respectively. An anterior ultrasound-guided approach to block the AXN and ICBN would be desirable to complete an ABPB at a single insertion site. METHODS: After a preliminary dissection study in six cadavers, ultrasound-guided AXN and ICBN injection was performed in 46 Thiel embalmed cadavers bilaterally...
October 2018: British Journal of Anaesthesia
Alireza Derakhshani, Amir Letafatkar, Ali Abbasi
OBJECTIVES: Comparison of the effects of six weeks sensorimotor and sensorimotor with passive interventions programs on pain, electromyography (EMG) and kinematics in patients with scapular downward rotation syndrome (SDRS). DESIGN: Randomized Controlled Trial. SETTING: Institutional practice. PARTICIPANTS: 140 active subjects with unilateral SDRS were randomized to three groups. Group one received sensorimotor (n = 46), group two received sensorimotor with passive interventions (n = 48), and group three received active self-exercise as a control group (n = 46)...
September 7, 2018: Physical Therapy in Sport
Andrea Biscarini, Samuele Contemori, Giuditta Grolla
CONTEXT: Previous studies highlighted that exercises executed on unstable surfaces can yield important benefits to the function of the core musculature in rehabilitation and general conditioning settings, and also in athletic training, when properly introduced within a periodized training schedule. No previous study has analyzed core-stability exercises executed in lying, quadruped, plank, and bridge positions on a whole-body wobble board (WWB) specifically designed to accommodate the exerciser's entire body and promote whole-body instability...
September 17, 2018: Journal of Sport Rehabilitation
Jianjiang Fu, Juanjuan Yu, Jie Chen, Huanjun Xu, Yongming Luo, Hong Lu
BACKGROUND: LIM kinase 1 plays an important role in tumor cell invasion and metastasis by regulating architecture of actin cytoskeleton, and inhibiting activity of this kinase may be a promising strategy to prevent cancer cells from distant spread. In our previous studies, we found several extracts from the medical herbs in genus Chloranthus to exhibit anti-metastatic effects. PURPOSE: The aim of this study is to find LIMK1 inhibitors from Chloranthus serratus, a medical herb from genus Chloranthus and to evaluate their effects on cell motility...
October 1, 2018: Phytomedicine: International Journal of Phytotherapy and Phytopharmacology
Kathleen Galloway, Adarsha Gautam, Emily Hogan, Emmy Rice, Chequil Woodard
Objectives: The purpose of this study was to describe a new technique to record long thoracic nerve conduction velocity through the axilla as well as to assist in establishing normative values for latency and amplitude of the long thoracic nerve and to evaluate side to side, gender and BMI differences. Methods: 26 healthy subjects (12 males/14 females) participated in the study with data collected bilaterally resulting in 52 limbs studied. Surface recording was over the serratus anterior muscle with the recording electrode located on the rib closest to a distance within a standardized range of 22-24 cm distal to the acromion...
2018: Clinical Neurophysiology Practice
Natalie A Krane, Scott H Troob, Mark K Wax
We report a case during which a new method of reconstruction for a nasopharyngeal and skull base defect was successfully performed. A 45-year-old female with granulomatosis with polyangiitis presented with computed tomography (CT) findings demonstrative of chronic clival and cervical spine osteomyelitis secondary to nasopharyngeal destruction. The posterior nasopharyngeal defect, evident as a wide area of mucosal erosion exposing the clivus centrally, was successfully reconstructed with an anterior serratus muscle-free tissue transfer via both transcervical and endoscopic transnasal approaches utilizing a laparoscopic fixation device, a previously unreported method for free flap inset, to secure the free flap...
September 3, 2018: Microsurgery
Mir Wais Sekandarzad, Alex Konstantatos, Sarah Donovan
No abstract text is available yet for this article.
July 21, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Andrew J Anderson, Donn Marciniak
No abstract text is available yet for this article.
August 3, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Hesham Elsharkawy, Robert Maniker, Robert Bolash, Prathima Kalasbail, Richard L Drake, Nabil Elkassabany
BACKGROUND AND OBJECTIVES: Fascial plane blocks are rapidly emerging to provide safe, feasible alternatives to epidural analgesia for thoracic and abdominal pain. We define a new option for chest wall and upper abdominal analgesia, termed the rhomboid intercostal and subserratus plane (RISS) block. The RISS tissue plane extends deep to the erector spinae muscle medially and deep to the serratus anterior muscle laterally. We describe a 2-part proof-of-concept study to validate the RISS block, including a cadaveric study to evaluate injectate spread and a retrospective case series to assess dermatomal coverage and analgesic efficacy...
August 30, 2018: Regional Anesthesia and Pain Medicine
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