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Chailee F Moss, Lynn A Damitz, Richard H Gracely, Alice C Mintz, Denniz A Zolnoun, A Lee Dellon
INTRODUCTION: Transobturator slings can be successfully used to treat stress urinary incontinence and improve quality of life through a minimally invasive vaginal approach. Persistent postoperative pain can occur and pose diagnostic and therapeutic dilemmas. Following a sling procedure, a patient complained of pinching clitoral and perineal pain. Her symptoms of localized clitoral pinching and pain became generalized over the ensuing years, eventually encompassing the entire left vulvovaginal region...
2016: Journal of Pain Research
Omar Felipe Dueñas-Garcia, Danielle Patterson, Maria De la Luz Nieto, Katherine Leung, Michael Kevin Flynn
OBJECTIVES: This study aimed to compare the effect of periurethral infiltration of bupivacaine versus normal saline on postoperative voiding function and pain in patients undergoing retropubic midurethral sling METHODS: A randomized double-blind placebo-controlled study was performed at the University of Massachusetts from March 2012 to June 2015. Ninety patients were randomized to receive 0.5% bupivacaine with epinephrine or normal saline with epinephrine solution for periurethral hydrodissection...
September 26, 2016: Female Pelvic Medicine & Reconstructive Surgery
Arndt-Christian Müller, Johannes Mischinger, Theodor Klotz, Bernd Gagel, Gregor Habl, Gencay Hatiboglu, Michael Pinkawa
BACKGROUND: The aim of the study was to reach a consensus on indication and application of a hydrogel spacer based on multicentre experience and give new users important information to shorten the learning curve for this innovative technique. METHODS: The interdisciplinary meeting was attended by radiation oncologists and urologists, each with experience of 23 - 138 hydrogel injections (SpaceOAR®) in prostate cancer patients before dose-escalated radiotherapy. User experience was discussed and questions were defined to comprise practical information relevant for successful hydrogel injection and treatment...
September 1, 2016: Radiology and Oncology
S A Calderon-Lara, F Morgan-Ortiz, I M Trapero-Corona, M Trapero-Morales
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
R A Alammari, E B Greenberg
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Daniel Chiung Jui Su, Mei-Chen Yeh, Willy Chou
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Servet Cetinkaya, Yasemin Fatma Cetinkaya, Zeynep Dadaci, Nursen Oncel Acir
PURPOSE: To evaluate the results and complications of phacoemulsification surgery in eyes with posterior polar cataracts and compare the techniques of viscodissection and hydrodissection. METHODS: The medical records of 29 consecutive patients (16 males, 13 females) with posterior polar cataracts (44 eyes) who had undergone cataract surgery were retrospectively reviewed. Patients were divided into two groups according to the technique used; viscodissection was applied to the experimental group (group 1) and hydrodissection to the control group (group 2)...
July 2016: Arquivos Brasileiros de Oftalmologia
Kun Yan, Wei Yang, Min-Hua Chen, Zhong-Yi Zhang, Jung-Chieh Lee, Hai-Xing Liao, Wei Wu, S Nahum Goldberg
PURPOSE: To determine the efficacy and safety of percutaneous hepatic wedge ablation in treating hepatic malignancies of the inferior margin. MATERIALS AND METHODS: 77 patients with hepatic malignancies at the inferior margin underwent percutaneous radiofrequency ablation (RFA). 32 patients underwent hepatic wedge ablation and 45 patients underwent conventional tumor ablation. Comparative analysis of the two groups was performed including gender, age, tumor size, number of ablation cycles, ablation duration, and injected hydrodissection volume...
September 2, 2016: International Journal of Hyperthermia
G Isaacson, D C Ianacone, A M S Soliman
OBJECTIVE: To develop an ovine model for teaching suspension laryngoscopy and phonosurgery. METHODS: The head and neck from 10 pre-pubescent sheep were harvested following humane euthanasia at the end of an in vivo protocol. No live animals were used in this study. The tissues were saline-perfused and refrigerated for 1-5 days. Suspension laryngoscopy was performed using adolescent Parsons and adult Kantor-Berci laryngoscopes suspended with a Benjamin-Parsons laryngoscope holder...
August 30, 2016: Journal of Laryngology and Otology
Shannon E Boye, John J Alexander, C Douglas Witherspoon, Sanford L Boye, James J Peterson, Mark E Clark, Kristen J Sandefer, Chris A Girkin, William W Hauswirth, Paul D Gamlin
Adeno-associated virus (AAV) has emerged as the preferred vector for targeting gene expression to the retina. Subretinally injected AAV can efficiently transduce retinal pigment epithelium and photoreceptors in primate retina. Inner and middle primate retina can be transduced by intravitreally delivered AAV, but with low efficiency. This is due to dilution of vector, potential neutralization of capsid because it is not confined to the immune-privileged retinal compartment, and the presence of the inner limiting membrane (ILM), a barrier separating the vitreous from the neural retina...
August 2016: Human Gene Therapy
Lulu He, Jason Genin, Patricia Delzell
The purpose of this article is to report 3 cases of Kager's fat pad scarring and tethering to the deep surface of the Achilles tendon in patients with Achilles tendinosis symptomatology. The 3 patients were diagnosed sonographically by the use of a dynamic maneuver we described and named the "Kager's squeeze" technique. The key finding for diagnosis is the deformation and bowing of the deep fibers of the Achilles tendon during dynamic squeezing of Kager's fat pad. After diagnosis, the patients were treated with ultrasound-guided hydrodissection and scar release to restore normal motion between Kager's fat pad and the Achilles tendon...
September 2016: Skeletal Radiology
Julien Garnon, Guillaume Koch, Jean Caudrelier, Nitin Ramamurthy, Pramod Rao, Georgia Tsoumakidou, Roberto Luigi Cazzato, Afshin Gangi
OBJECTIVE: This study was designed to describe the technique of percutaneous image-guided cryoablation with large-volume hydrodissection for the treatment of challenging mediastinal lesions. METHODS: Between March 2014 and June 2015, three patients (mean age 62.7 years) with four neoplastic anterior mediastinal lesions underwent five cryoablation procedures using large-volume hydrodissection. Procedures were performed under general anaesthesia using CT guidance...
June 6, 2016: Cardiovascular and Interventional Radiology
Brian J Linder, John B Gebhart, John A Occhino
INTRODUCTION: We present a video describing the technical considerations for performing a total colpocleisis in the management of symptomatic post-hysterectomy pelvic organ prolapse. METHODS: A 76-year old female presented with pelvic pressure and the presence of a palpable vaginal bulge. She had significant bother and had previously failed use of a pessary. She wasnot sexually active, with no plans for future sexual activity. Her medical history was significant for coronary artery disease with prior myocardial infarction...
May 14, 2016: International Urogynecology Journal
Hugh C J McGregor, Maythem Saeed, Andrew Surman, Eric C Ehman, Steven W Hetts, Mark W Wilson, Miles B Conrad
PURPOSE: To investigate the feasibility of percutaneous gallbladder cryoablation (GBC) under CT guidance in a swine model with histopathologic correlation. MATERIALS AND METHODS: Institutional Animal Care and Use Committee approval was obtained for this study protocol. Five pigs underwent GBC. Under CT guidance, 3-4 cryoprobes were positioned percutaneously at the gallbladder margins. Thermocouple probes were placed percutaneously at the gallbladder fundus, neck, free wall, and gallbladder fossa...
July 2016: Cardiovascular and Interventional Radiology
J S Izquierdo-Luna, J G Campos-Salcedo, C E Estrada-Carrasco, J J Torres-Gómez, J C López-Silvestre, M A Zapata-Villalba
INTRODUCTION: Nephron-sparing surgery is reporting satisfactory oncological results, with improved quality of life. The laparoscopic approach is technically complex and requires advanced skills; however, the use of robotic systems facilitates the transition to this procedure. With improved strategies for diagnosis and follow-up, as well as ablative technologies, the role of partial nephrectomy continuous to evolve. The use of water-jet technology to dissect and resect organs helps create anatomical planes in a relatively blood-free field, which improves vision and does not cause heat damage...
June 2016: Actas Urologicas Españolas
Rafael Queiroz de Souza, Cláudia Regina Gonçalves, Tamiko Ichikawa Ikeda, Áurea Silveira Cruz, Kazuko Uchikawa Graziano
Objective To assess the cytotoxicity of products subsequent to a cleaning process based on a validated standard operating procedure (SOP), and a final rinse with different types of water: tap, deionized, distilled, treated by reverse osmosis and ultra-purified. Method This was an experimental and laboratory study. The sample consisted of 130 hydrodissection cannulas, 26 per experimental group, characterized according to type of water used in the final rinse. The samples were submitted to internal and external contamination challenge with a solution containing 20% defibrinated sheep blood and 80% of sodium chloride 0...
February 2015: Revista da Escola de Enfermagem da U S P
Shane P Cass
Nerve hydrodissection is a technique used when treating peripheral nerve entrapments. It involves using an anesthetic or solution such as saline to separate the nerve from the surrounding tissue, fascia, or adjacent structures. There are no high-level studies to determine the need or effectiveness of hydrodissection or to establish its safety. Low-level studies do demonstrate some effectiveness and safety for the technique, but further research is necessary.
January 2016: Current Sports Medicine Reports
Hee Jin Park, Sung Moon Lee, So Yeon Lee, Eun Seok Son, Eun Chul Chung, Myung Ho Rho, Sun Joo Lee
OBJECTIVE: We described the technique of ultrasound (US)-guided percutaneous removal of the foreign bodies (FB) with hydro-dissection in the radiologic department and presented video files of several cases. MATERIALS AND METHODS: Four patients referred to the radiology department for US evaluation and US-guided percutaneous removal of the FBs in the upper and lower extremities between November, 2006 and November, 2013 were included in this study. The procedures started with US evaluation for the exact location and shape of the FB...
November 2015: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
Timothy Lee, Nirav Patel, Beau B Toskich, Paolo M Fanzio, Ming-Huei Cheng, Bernard T Lee, Dhruv Singhal
INTRODUCTION: A novel method of high-volume hydrodissection that provides both subfascial and intramuscular perforator dissection of deep inferior epigastric perforators has been safely demonstrated in animals. This manuscript demonstrates our preliminary results when translating this technique to humans. METHODS: A retrospective review was performed of all free-flap breast reconstructions utilizing the high-volume hydrodissection technique performed by the senior author (DS) at the University of Florida Medical Center from January 2014 to June 2015...
November 13, 2015: Microsurgery
Ryan R Fader, Justin J Mitchell, Vivek P Chadayammuri, John Hill, Michelle L Wolcott
Symptomatic neuromas of the sural nerve are a rare but significant cause of pain and debilitation in athletes. Presentation is usually in the form of chronic pain and dysesthesias or paresthesias of the lateral foot and ankle. Treatment traditionally ranges from conservative measures, such as removing all external compressive forces, to administration of nonsteroidal anti-inflammatory drugs, vitamin B6, tricyclic antidepressants, antiepileptics, or topical anesthetics. This article reports a case of sural nerve entrapment in a 34-year-old male triathlete with a history of recurrent training-induced right-sided gastrocnemius strains...
November 2015: Orthopedics
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