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https://www.readbyqxmd.com/read/29664826/repeated-use-of-gluteal-fold-flaps-for-post-oncologic-vulvoperineal-reconstruction
#1
J Joris Hage, Maurits Lange, Henry J Zijlmans, Marc van Beurden
BACKGROUND AND AIM: Because of the associated high recurrence rate, future reconstructive options should be reckoned with during surgical treatment of primary or recurrent (pre)malignant vulvoperineal lesions. One of the claimed advantages of the gluteal fold flap is the possibility of repeated use of the flap in case of recurrence. We present our experience with such reuse of gluteal fold flaps to illustrate this possibility. METHODS: A mean of 27 months after initial use, 10 subcutaneously pedicled or perforator-based V-Y advancement or propeller-rotation flaps were elevated from previously used gluteal fold flaps in 9 women presenting with recurrent vulvoperineal (pre)malignancy...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29661729/myositis-ossificans-another-condition-with-usp6-rearrangement-providing-evidence-of-a-relationship-with-nodular-fasciitis-and-aneurysmal-bone-cyst
#2
Elise M Bekers, Astrid Eijkelenboom, Katrien Grünberg, Rona C Roverts, Jacky W J de Rooy, Ingrid C M van der Geest, Joost M van Gorp, David Creytens, Uta Flucke
Myositis ossificans is defined as a self-limiting pseudotumor composed of reactive hypercellular fibrous tissue and bone. USP6 rearrangements have been identified as a consistent genetic driving event in aneurysmal bone cyst and nodular fasciitis. It is therefore an integral part of the diagnostic workup when dealing with (myo)fibroblastic lesions of soft tissue and bone. Two cases of myositis ossificans with USP6 rearrangement were published so far. We determine herein the incidence of USP6 rearrangement in myositis ossificans using USP6 fluorescence in situ hybridization analysis (FISH)...
January 12, 2018: Annals of Diagnostic Pathology
https://www.readbyqxmd.com/read/29655872/-contribution-of-the-scrotal-flap-for-the-coverage-of-ischial-and-perineal-pressure-ulcers
#3
M Vantomme, R Viard, R Aimard, P-L Vincent, J-P Comparin, D Voulliaume
INTRODUCTION: The ischiatric pressure sore is a common pathology in rehabilitated spinal cord injured people, despite careful prevention. Medical treatment by discharge and directed healing is not always sufficient and surgery using local musculocutaneous flaps is often essential. Unfortunately, recidivism is frequent and the availability of local flaps is limited. The scrotal flap is an excellent complement to classic flaps, gluteal flaps or hamstrings. It can be used alone or in addition to another musculocutaneous flap, in first or second intention...
April 11, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29653454/how-does-autologous-breast-reconstruction-impact-downtime
#4
Giovanni Zoccali, Daniel Simon Rais, Jian Farhadi
BACKGROUND:  Although autologous breast reconstruction is technically quite demanding, it offers the best outcomes in terms of durable results, patient perceptions, and postoperative pain. Many studies have focused on clinical outcomes and technical aspects of such procedures, but few have addressed the impact of various flaps on patient recovery times. This particular investigation entailed an assessment of commonly used flaps, examining the periods of time required to resume daily activities...
April 13, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29650262/triple-flap-technique-for-vulvar-reconstruction
#5
R Mercut, R Sinna, R Vaucher, P A Giroux, N Assaf, A Lari, S Dast
OBJECTIVE: Perineal defects are encountered ever more frequently, in the treatment of vulvar cancers or abdominoperineal resection. The surgical treatment of vulvar cancer leads to significant skin defect. The aim of the reconstruction is not to provide volume but rather to resurface perineum. We propose a new solution to cover the extensive skin defect remaining after excision. METHODS: We report 3 patients who underwent large excision for vulvar cancer, with lymph node dissection...
April 9, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29650015/inclusion-and-exclusion-criteria-used-in-non-specific-low-back-pain-trials-a-review-of-randomised-controlled-trials-published-between-2006-and-2012
#6
Pål André Amundsen, David W Evans, Dévan Rajendran, Philip Bright, Tom Bjørkli, Sandra Eldridge, Rachelle Buchbinder, Martin Underwood, Robert Froud
BACKGROUND: Low back pain is a common health complaint resulting in substantial economic burden. Each year, upwards of 20 randomised controlled trials (RCTs) evaluating interventions for non-specific low back pain are published. Use of the term non-specific low back pain has been criticised on the grounds of encouraging heterogeneity and hampering interpretation of findings due to possible heterogeneous causes, challenging meta-analyses. We explored selection criteria used in trials of treatments for nsLBP...
April 12, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29643670/role-of-early-dynamic-positron-emission-tomography-computed-tomography-with-68ga-prostate-specific-membrane-antigen-hbed-cc-in-patients-with-adenocarcinoma-prostate-initial-results
#7
Gazala Perveen, Geetanjali Arora, Nishikant Avinash Damle, Meghana Prabhu, Saurabh Arora, Madhavi Tripathi, Chandrasekhar Bal, Praveen Kumar, Rajeev Kumar, Prabhjot Singh
Rationale: Prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) is widely used for imaging of prostate cancer (PC) nowadays. However, appearance of bladder activity many a times hampers lesion detection vis-a-vis primary as well as regional nodes. We aimed to assess if early dynamic PET/CT can be a potential solution to this issue. Methodology: A total of 15 biopsy-proven PC patients who were referred to our department for 68 Ga-PSMA PET/CT for staging/restaging were prospectively studied...
April 2018: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
https://www.readbyqxmd.com/read/29643607/changes-in-gluteal-pressure-and-center-of-force-during-sitting-in-children-with-cerebral-palsy
#8
Do Hyun Kim, Won-Gyu Yoo, Ji-Hye Do
[Purpose] The purpose of this study was to measure gluteal pressure and center of force (COF) during sitting in children with cerebral palsy (CP). [Subjects and Methods] The participants were five children with CP and five typically developing controls. We measured peak gluteal pressure and COF using the TekScan system. During the measurements, all children sat on the therapeutic table for 1 minute without back and foot support. [Results] The peak gluteal pressure and COF in children with CP were significantly higher than values in controls...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29629997/effects-of-hyperglycemia-on-fluorine-18-fluorodeoxyglucose-biodistribution-in-a-large-oncology-clinical-practice
#9
Dillenia Rosica, Su-Chun Cheng, Margo Hudson, Christopher Sakellis, Annick D Van den Abbeele, Chun K Kim, Heather A Jacene
AIM: Suggested cutoff points of blood glucose levels (BGL) before F-FDG PET/CT scanning vary between 120 and 200 mg/dl in current guidelines. This study's purpose was to compare the frequency of abnormal fluorine-18-fluorodeoxyglucose (F-FDG) biodistribution on PET/CT scans of patients with various ranges of abnormal BGL and to determine the effect of BGL greater than 200 mg/dl on F-FDG uptake in various organs. PATIENTS AND METHODS: F-FDG PET/CT scans were retrospectively reviewed for 325 patients with BGL greater than 120 mg/dl at the time of scan and 112 with BGL less than or equal to 120 mg/dl...
May 2018: Nuclear Medicine Communications
https://www.readbyqxmd.com/read/29628688/nerve-injuries-associated-with-total-hip-arthroplasty
#10
REVIEW
Rohit Hasija, John J Kelly, Neil V Shah, Jared M Newman, Jimmy J Chan, Jonathan Robinson, Aditya V Maheshwari
Nerve injury is a relatively rare, yet potentially devastating complication of total hip arthroplasty (THA). Incidence of this ranges from 0.6 to 3.7%, and is highest in patients with developmental hip dysplasia and previous hip surgery. Apart from patient and surgeon dissatisfaction, this complication can have medico-legal consequences. Therefore, the purpose of this study was to review the risk factors, etiology, diagnostic options, management strategies, prognosis, and prevention measures of nerve injuries associated with THA...
January 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29625856/characteristics-and-outcomes-of-reversed-patients-admitted-to-an-emergency-department-for-vka-related-intramuscular-hematoma
#11
F Moustafa, L Poujol, N Vincent, J Saint-Denis, N Dublanchet, N Breuil, S Heuser, A Lebreton, F Dutheil, J Schmidt
BACKGROUND: According to the International Society on Thrombosis and Haemostasis (ISTH), intramuscular hematoma without other severity criteria is not considered a major bleeding. OBJECTIVES: In a large cohort of reversed vitamin K antagonist (VKA) patients admitted to the emergency unit for muscular hematoma, we assess frequency, severity, and anticoagulation management based on whether ISTH criteria were met or not. MATERIALS AND METHODS: We performed a retrospective single-center study involving patients admitted to an emergency unit for VKA-induced intramuscular hematoma whose bleeding was reversed with prothrombin complex concentrates...
March 27, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29614274/a-randomized-double-blind-placebo-controlled-trial-on-the-effect-of-local-analgesia-on-postoperative-gluteal-pain-in-patients-undergoing-sacrospinous-ligament-colpopexy
#12
Cecile A Unger, Mark D Walters
OBJECTIVES: To determine if intraoperative local analgesia administered at the level of the sacrospinous ligament can lessen the gluteal pain felt by patients postoperatively after sacrospinous ligament (SSL) colpopexy. STUDY DESIGN: In a randomized double-blind placebo-controlled trial, women with vaginal apex prolapse undergoing surgical management with SSL colpopexy underwent intraoperative injection with either 0.25% bupivacaine or normal saline. Subjects completed visual analog pain scales (0-10), the Activities Assessment Scale, and recorded use of pain medications over a 6-week period...
March 31, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29610954/buttock-lifting-using-elastic-thread-elasticum-%C3%A2-with-a-new-classification-of-gluteal-ptosis
#13
Chang Hyun Oh, Seung Bin Jang, Chang Min Kang, Jeong Su Shim
PURPOSE: Conventional buttock lifting is invasive, so it is difficult to recommend it to patients especially to those who do not have severe gluteal ptosis. In addition, the gluteal area is a large area change among the joints. Therefore, this surgery can cause pain during hip flexion after lifting using a conventional thread. The authors report on buttock lifting using an elastic thread with high satisfaction from patients. METHODS: From July 2016 to June 2017, 60 patients were enrolled in this study...
April 2, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29610937/paediatric-musculoskeletal-disease-in-kumi-district-uganda-a-cross-sectional-survey
#14
Kristin Alves, Norgrove Penny, Olive Kobusingye, Robert Olupot, Jeffrey N Katz, Coleen S Sabatini
PURPOSE: The purpose of this study is to estimate the burden of musculoskeletal disease among children treated in Kumi District, Uganda, to inform training, capacity-building efforts, and resource allocation. METHODS: We conducted a retrospective cohort study by reviewing the musculoskeletal (MSK) clinic and community outreach logs for children (age < 18 years) seen at Kumi Hospital in Kumi, Uganda, between January 2013 and December 2015. For each patient, we recorded the age, sex, diagnosis, and treatment recommendation...
April 2, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29606539/anatomy-of-the-pudendal-nerve-and-other-neural-structures-around-the-proximal-hamstring-origin-in-males
#15
Gregory L Cvetanovich, Bryan M Saltzman, Gift Ukwuani, Rachel M Frank, Nikhil N Verma, Charles A Bush-Joseph, Shane J Nho
PURPOSE: To define the anatomy of the pudendal nerve in relationship to the proximal hamstring and other nearby neurological structures during proximal hamstring repair. METHODS: Six fresh-frozen human cadaveric hemi-pelvises from male patients ages 64.0 ± 4.1 years were dissected in prone position with hips in 10° flexion to identify the relationship of proximal hamstring origin to surrounding neurologic structures including the pudendal nerve, sciatic nerve, and posterior femoral cutaneous nerve...
March 29, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29605954/development-of-targeted-muscle-reinnervation-model-in-hind-limb-amputated-rats
#16
Rohit Garg, Safak Uygur, Joanna Cwykiel, Maria Siemionow
BACKGROUND:  Targeted muscle reinnervation (TMR) is a novel approach to postamputation neuroma pain; however, this has not been explicitly studied. The purpose of this study was to develop a TMR model in hind limb amputated rats. METHODS:  Ten hind limbs from 5 Sprague Dawley cadaver rats were used. Sciatic nerve, main branches of the sciatic nerve (common peroneal, tibial, sural), motor branches from the sciatic nerve to the biceps femoris and cauda femoris, gluteal nerve and its motor branches to the semimembranosus, and biceps femoris and femoral nerve were dissected to look for consistent nerve anatomy that can be used for TMR in the rat hind limb amputation model...
April 1, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29587967/the-gluteal-muscles-in-end-stage-osteoarthritis-of-the-hip-intra-and-interobserver-reliability-and-agreement-of-mri-assessments-of-muscle-atrophy-and-fatty-degeneration
#17
K Kivle, E Lindland, K E Mjaaland, A H Pripp, S Svenningsen, L Nordsletten
AIM: To assess the intra- and interobserver reliability and agreement of muscular atrophy and fatty degeneration of the gluteal muscles on magnetic resonance imaging (MRI) in patients with end-stage osteoarthritis of the hip. MATERIALS AND METHODS: Thirty-nine patients with end-stage osteoarthritis of the hip, who scheduled for hip replacement surgery, were included in the study. The cross-sectional areas of the gluteus medius and minimus muscles were manually circumscribed and automatically calculated, while intramuscular fatty degeneration was assessed using the semi-quantitative classification system of Goutallier...
March 24, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29572323/evaluation-of-collateral-source-characteristics-with-3-dimensional-analysis-using-micro-x-ray-computed-tomography
#18
Yuichiro Arima, Seiji Hokimoto, Noriaki Tabata, Osamu Nakagawa, Asahi Oshima, Yosuke Matsumoto, Takahiro Sato, Toshifumi Mukunoki, Jun Otani, Masanobu Ishii, Michie Uchikawa, Eiichiro Yamamoto, Yasuhiro Izumiya, Koichi Kaikita, Hisao Ogawa, Koichi Nishiyama, Kenichi Tsujita
BACKGROUND: Collateral arteries provide an alternative blood supply and protect tissues from ischemic damage in patients with peripheral artery disease. However, the mechanism of collateral artery development is difficult to validate. METHODS AND RESULTS: Collateral arteries were visualized using micro-x-ray computed tomography. Developmental characteristics were assessed using confocal microscopy. We conducted a single-center, retrospective, observational study and assessed the dilatation of collateral arteries on ischemic sides...
March 23, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29564295/effectiveness-of-endoscopic-sciatic-nerve-decompression-for-the-treatment-of-deep-gluteal-syndrome
#19
Dong Hun Ham, Woo Chull Chung, Dae Ung Jung
Purpose: The purpose of this retrospective study was to evaluate clinical outcomes of endoscopic nerve decompression in patients with deep gluteal syndromes (DGS). Materials and Methods: Between October 2013 and March 2015, 24 patients who underwent surgical treatment of DGS were retrospectively included in this study. The mean age was 47 years (range, 35 to 76 years), and there were 11 males and 13 females. The mean duration of pain was 12 months (range, 5 to 35 months) and the mean follow-up period was 32 months (range, 26 to 45 months)...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29563748/merkel-cell-carcinoma
#20
Shravan Shanbhag, Amol Amonkar
Merkel cell carcinoma is a primary neuroendocrine tumour of the skin arising from the dermis and extending into the subcutis, occurring commonly in sun-exposed areas of the head and neck of the elderly. Clinically, non-specific erythematous or violaceous firm nodules or small plaques which may be surrounded by small adjacent satellite tumours are seen. Diagnosis of Merkel cell carcinoma is difficult by light microscopy alone and need of ancillary techniques like electron microscopy and immunohistochemistry may be necessary...
March 2018: Indian Journal of Surgical Oncology
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