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https://www.readbyqxmd.com/read/30552758/alternative-design-for-anterolateral-thigh-multi-paddled-flaps-the-3-5-system
#1
Chengliang Deng, Shusen Chang, Zairong Wei, Wenhu Jin, Hai Li, Kaiyu Nie, Xiujun Tang, Dali Wang
BACKGROUND The design and harvest of the anterolateral thigh (ALT) multi-paddled flap is a critical step in reconstructive surgeries. However, limited perforator distribution patterns of traditional design methods have gradually emerged in clinical practice. The aim of this study was to investigate the effect of a new technique (the 3-5 system) on ALT multi-paddled flap design. MATERIAL AND METHODS A total of 151 ALT flaps were harvested from 149 patients over a 26-month period. Among them, 100 ALT flaps were examined preoperatively using a handheld Doppler device to localize vascular perforators...
December 15, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/30548127/laparoscopic-artificial-urinary-sphincter-implantation-in-women-with-stress-urinary-incontinence-update-on-13-years-experience-in-a-single-center
#2
Damiano Bracchitta, Pedro Costa, Johann Ménard, Pierre-Emannuel Bryckaert, Éric Mandron
INTRODUCTION: Stress urinary incontinence (SUI) mainly affects women as a result of pregnancies with laborious delivery, obesity, and pelvic floor dysfunctions. The first therapeutic approach includes life-style interventions, pelvic floor muscle or bladder training. The second-line treatment usually is surgical. In cases of recurrent SUI after first surgical treatment or when clear intrinsic sphincter insufficiency (ISD) is present, an implantation of an artificial urinary sphincter (AUS) is recommended...
December 11, 2018: BJU International
https://www.readbyqxmd.com/read/30544337/dynamic-decompression-of-the-lateral-femoral-cutaneous-nerve-to-treat-meralgia-paresthetica-technique-and-results
#3
(no author information available yet)
OBJECTIVEThe results of lateral femoral cutaneous nerve (LFCN) decompression to treat idiopathic meralgia paresthetica (iMP) vary widely. Techniques to decompress the LFCN differ, which may affect outcome, but in MP it is unknown to what extent. The authors present a new technique using dynamic decompression and discuss the outcomes.METHODSA retrospective cohort study was performed in a consecutive series of 19 cases. The goal of decompression was pain relief and recovery of sensation. The plane ventral to the LFCN was decompressed by cutting the fascia lata and the inferior aspect of the inguinal ligament...
December 1, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/30543496/release-of-fascial-compartment-boundaries-reduces-muscle-force-output
#4
Roy J Ruttiman, David A Sleboda, Thomas J Roberts
Most limb muscles operate within a compartment defined by fascial layers that enclose a muscle or groups of muscles within a defined space. These compartments are important clinically, because fluid accumulation can cause ischemia and tissue necrosis if untreated. Little is known, however, about how fascial enclosures influence healthy muscle function. One previous study showed that removing a fascial covering reduced the force output of a muscle under maximal stimulation. We hypothesized that such reduction in force output was due to a change in the muscle length following fasciotomy, and that a reduced force output could be explained by the length-tension relationship of muscle...
December 13, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/30535546/a-proposal-for-a-new-classification-of-pes-anserinus-morphology
#5
Łukasz Olewnik, Bartosz Gonera, Michał Podgórski, Michał Polguj, Hubert Jezierski, Mirosław Topol
PURPOSE: The pes anserinus (PA) is characterized by high morphological diversity. As the semitendinosus and gracilis muscle tendons are routinely harvested for the reconstruction of other tendons, especially the anterior cruciate ligament (ACL), it is of clinical importance. The presence of accessory bands within PA tendons can handicap the harvesting process. Therefore, the purpose of the study was to suggest a new morphological classification of the PA morphology. METHODS: Classical anatomical dissection was performed on 102 lower limbs (56 right, 46 left) fixed in 10% formalin solution...
December 10, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/30511517/-key-anatomies-of-delancey-s-three-levels-of-vaginal-support-theory-an-observation-in-laparoscopic-surgery
#6
Xiaofeng Zhao, Gongli Chen, Ling Lei, Xiaomei Wu, Shikai Liu, Juntao Wang, Bin Hu, Weiguo Lyu
OBJECTIVE: To observe and verify the key anatomies of DeLancey's three levels of vaginal support theory through laparoscopic surgery by space dissection technique. METHODS: The features and stress performance of related anatomies were observed and analyzed in laparoscopic type C hysterectomy and pelvic lymphadenectomy for cervical cancer by natural space exposures. RESULTS: The main ligament-like structure at level Ⅰ was the uterosacral ligament, which acted as the main apical fixation in the sacral direction, while the cardinal ligament was mainly composed of vascular system, lymph-vessels and loose connective tissue around them, lacking the tough connective tissue structures, which was connected to the internal iliac vascular system...
February 25, 2018: Zhejiang da Xue Xue Bao. Yi Xue Ban, Journal of Zhejiang University. Medical Sciences
https://www.readbyqxmd.com/read/30507559/does-kinesiotaping-increase-the-efficacy-of-lidocaine-injection-in-myofascial-pain-syndrome-treatment-a-randomized-controlled-study
#7
Emre Ata, Murat Kösem, Emre Adiguzel
BACKGROUND: Myofascial pain syndrome is a common form of musculoskeletal disorder that originates from a painful site in a muscle or related fascia. There are various non-invasive and invasive treatment methods. OBJECTIVE: To investigate the efficacy of myofascial trigger point kinesiotaping with that of local anesthetic injection alone on the degree of pain and quality of life in myofascial pain syndrome. METHODS: Seventy-six patients with myofascial pain syndrome were randomly assigned to three study groups...
November 23, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/30503726/the-role-of-physical-therapy-in-sexual-health-in-men-and-women-evaluation-and-treatment
#8
REVIEW
Amy Stein, Sara K Sauder, Jessica Reale
INTRODUCTION: Many conditions of pelvic and sexual dysfunction can be addressed successfully through pelvic floor physical therapy (PFPT) through various manual therapy techniques, neuromuscular reeducation, and behavioral modifications. The field of pelvic rehabilitation, including sexual health, continues to advance to modify these techniques according to a biopsychosocial model. AIM: To provide an update on peer-reviewed literature on the role of PFPT in the evaluation and treatment of pelvic and sexual dysfunctions in men and women owing to the overactive and the underactive pelvic floor...
November 28, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30488447/multiple-idiopathic-fibrotic-myopathies-including-the-tensor-facia-lata-muscle-in-a-cat
#9
D C Miraldo, M Solano, S Kalff
To describe the clinical features and treatment of a cat that was initially presented with fibrotic myopathy affecting the left tensor fascia lata. Approximately 5 months later, the cat was presented again with multiple idiopathic fibrotic myopathies, affecting the ipsilateral rectus femoris and the contralateral semitendinosus muscles. These were each separate lesions and occurred without known history of trauma. Surgical resection of the fibrotic portion of the affected muscles resulted in immediate, but not long-term, resolution of clinical signs...
November 28, 2018: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/30486856/understanding-the-role-of-mesenchymal-stem-cells-in-urinary-bladder-regeneration-a-preclinical-study-on-a-porcine-model
#10
Marta Pokrywczynska, Arkadiusz Jundzill, Marta Rasmus, Jan Adamowicz, Daria Balcerczyk, Monika Buhl, Karolina Warda, Lukasz Buchholz, Maciej Gagat, Dariusz Grzanka, Tomasz Drewa
BACKGROUND: The tissue engineering of urinary bladder advances rapidly reflecting clinical need for a new kind of therapeutic solution for patients requiring urinary bladder replacement. Majority of the bladder augmentation studies have been performed in small rodent or rabbit models. Insufficient number of studies examining regenerative capacity of tissue-engineered graft in urinary bladder augmentation in a large animal model does not allow for successful translation of this technology to the clinical setting...
November 28, 2018: Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/30461618/cerebrospinal-fluid-rhinorrhea-in-a-bilateral-frontal-decompressive-craniectomy-patient-caused-by-strenuous-activity-a-case-report
#11
Guangming Wang, Lichao Sun, Wenchen Li, Jinlu Yu
RATIONALE: Iatrogenic cerebrospinal fluid (CSF) rhinorrhea in a bilateral frontal decompressive craniectomy patient triggered by strenuous sport is rare. To the best of our knowledge, no similar case has yet been reported. PATIENT CONCERNS: Herein, we report a case of CSF rhinorrhea in a 37-year-old man. He had previously suffered a traumatic brain injury in a traffic accident, and a subsequent bilateral frontal decompressive craniectomy operation was performed...
November 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30449229/breast-metastasis-two-years-after-pelvic-surgery-and-adjuvant-chemotherapy-for-serous-ovarian-cancer
#12
Luigi Della Corte, Pierluigi Giampaolino, Annamaria Fabozzi, Miriam Cieri, Brunella Zizolfi, Ilaria Morra, Giuseppe Bifulco
Ovarian cancer is considered the leading cause of death among gynecologic neoplasias. Breast metastases from primary ovarian cancer have been reported in only 0.03-0.6% of all breast cancers. A 38-year-old female, multipara, affected by advanced ovarian cancer and undergone a total abdominal hysterectomy with bilateral salpingo-oophorectomy, omentectomy, and pelvic peritonectomy two years earlier, was discovered to have a breast metastasis. She underwent a quadrantectomy (QSI) with an open biopsy of nodularity attached to the pectoral muscle fascia: on definitive histological characterization the breast lesions showed a high-grade invasive carcinoma, with papillary serum differentiation, and the immunohistochemistry study of breast lesion showed positivity for cytokeratin 7 and an extensive positivity for Wilm's tumor (WT)-1 and paired box 8 (PAX8)...
November 19, 2018: Gynecological Endocrinology
https://www.readbyqxmd.com/read/30447133/slick-stretchy-fascia-underlies-the-sliding-tongue-of-rorquals
#13
Alexander J Werth, Margo A Lillie, Marina A Piscitelli, A Wayne Vogl, Robert E Shadwick
The tongue of rorqual (balaenopterid) whales slides far down the throat into the expanded oral pouch as an enormous mouthful of water is engulfed during gulp feeding. As the tongue and adjacent oral floor expands and slides caudoventrally, it glides along a more superficial (outer) layer of ventral body wall musculature, just deep to the accordion-like ventral throat pleats. We hypothesize that this sliding movement of adjacent musculature is facilitated by a slick, stretchy layer of loose areolar connective tissue that binds the muscle fibers and reduces friction: fascia...
November 17, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/30430532/primitive-necrotizing-fasciitis-of-the-thoracic-wall-fatal-complication-of-diabetic-patient
#14
Layla Belliraj, Rabiou Sani, Ibrahim Issoufou, Marouane Lakranbi, Yassine Ouadnouni, Mohamed Smahi
INTRODUCTION: necrotizing fasciitis of the chest wall is a rare condition in subcutaneous tissues and deep fascia. Primary thoracic involvement is exceptional and is a diagnostic and therapeutic emergency. AIM: To report our experience in the management of this rare pathology of which clinical picture is unknown by most practitioners. METHODS: This is a retrospective study carried out over a period of 07 years, compiling 07 cases of primitive necrotizing fasciitis of the thoracic wall at the department of thoracic surgery at the CHU Hassan II in Fez...
August 2018: La Tunisie Médicale
https://www.readbyqxmd.com/read/30408760/a-biomechanical-breast-model-evaluated-with-respect-to-mri-data-collected-in-three-different-positions
#15
Anna Mîra, Ann-Katherine Carton, Serge Muller, Yohan Payan
BACKGROUND: Mammography is a specific type of breast imaging that uses low-dose X-rays to detect cancer in early stage. During the exam, the women breast is compressed between two plates in order to even out the breast thickness and to spread out the soft tissues. This technique improves exam quality but can be uncomfortable for the patient. The perceived discomfort can be assessed by the means of a breast biomechanical model. Alternative breast compression techniques may be computationally investigated trough finite elements simulations...
October 17, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/30402795/microscopic-approach-for-repairing-nasal-septal-perforations-using-bilateral-advancement-flaps
#16
José Miguel Villacampa Aubá, Alvaro Sánchez Barrueco, Gonzalo Díaz Tapia, Jessica Mireya Santillán Coello, Diego Armando Escobar Montatixe, Fernando González Galán, Ignacio Mahillo Fernández, Rocío González Márquez, Carlos Cenjor Español
BACKGROUND: Septal perforations consist in an anatomic defect of the mucosal, cartilaginous and/or bone tissues of the nasal septum. A huge variety of approaches and techniques for nasal perforation repair have been reported. METHODOLOGY/PRINCIPAL: Between January 2008 and January 2017, 38 patients were treated for nasal septal perforation in Department of Otorhinolaryngology Head and Neck Surgery, Fundación Jiménez Díaz University Hospital, Madrid, Spain. A novel approach is presented based on microscope...
November 7, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/30383992/soft-tissue-infections-in-diabetic-patients
#17
Petronel Mustăţea, Cătălin Bugă, Horia Doran, Octavian Mihalache, Florin Teodor Bobîrcă, Dragoş Eugen Georgescu, Alexandra Agache, Cristina Jauca, Andra Bîrligea, Ovidiu Chiriac, Vlad Marin, Traian Pătraşcu
Background: the patient with diabetes has an increased susceptibility to infections, with negative evolutionary potential leading to increased morbidity and mortality compared to the general population. The cause is the alteration of immune defense mechanisms, the hyperglycemic environment leading to alteration of neutrophil function, suppression of the antioxidant system and humoral activity, systemic micro and macroangiopathy, neuropathy, depression of antibacterial activity of the genitourinary and digestive tract...
2018: Chirurgia
https://www.readbyqxmd.com/read/30383689/shear-wave-elastography-assessment-of-gluteal-muscle-contracture-three-case-reports
#18
Ruiqian Guo, Xi Xiang, Li Qiu
RATIONALE: Gluteal muscle contracture (GMC) is a clinical syndrome characterized by limited hip joint function due to fibrosis and contracture of the gluteal muscle and fascia fiber. Imaging examination is significant for its diagnosis and guidance of surgical treatment. PATIENT CONCERNS: This report presents 3 cases of GMC with bilateral involvement and summarizes the literature on the imaging findings of this disease. The clinical symptoms and presentations of the 3 cases well-matched the clinical diagnosis of GMC...
November 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30382571/a-gantzer-muscle-arising-from-the-brachialis-and-flexor-digitorum-superficialis-embryological-considerations-and-implications-for-median-nerve-entrapment
#19
Matthew J Zdilla, Paula Pacurari, Tyler J Celuck, Reed C Andrews, H Wayne Lambert
Gantzer muscles are variant muscles in the anterior forearm inserting into the flexor pollicis longus or, less often, the flexor digitorum profundus. The presence of Gantzer muscles can cause a compressive neuropathy affecting the anterior interosseous nerve (Kiloh-Nevin syndrome). These muscles must also be considered when anterior forearm fasciotomies are performed for the management of acute compartment syndrome. In this case report, a novel Gantzer muscle originated from the flexor digitorum superficialis as well as the investing fascia of the brachialis muscle; the latter site is a novel proximal attachment not previously reported...
October 31, 2018: Anatomical Science International
https://www.readbyqxmd.com/read/30371852/from-muscle-to-food-oxidative-challenges-and-developmental-anomalies-in-poultry-breast-muscle
#20
M S Lilburn, J R Griffin, M Wick
The glycolytic capacity in the "white muscle fibers" found predominantly in broiler and turkey breast muscle have long been recognized as being key components contributing to optimal pH changes post-harvest and the quality of breast muscle products. The pectoralis major (PMAJ) is the predominant breast muscle and is almost exclusively comprised of fast-twitch glycolytic (anaerobic) type IIb muscle fibers (white). In nature, the pectoralis muscles are designed to meet the intense, periodic energy demands of flight in contrast to the continual, oxidative metabolism (aerobic) inherent to the type I slow twitch fibers (red) in the thigh and drum...
October 27, 2018: Poultry Science
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