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Line Schmidt, Stina Öberg, Kristoffer Andresen, Jacob Rosenberg
BACKGROUND: Few studies have described recurrence rates after groin hernia repair in women. Our aim was to investigate if laparoscopic repair of primary groin hernias in women results in a lower reoperation rate for recurrence compared with open repairs. Furthermore, we wished to compare hernia subtypes at primary repair and reoperation. METHODS: This nationwide cohort study was reported according to the RECORD statement. We used prospectively collected data from the Danish Hernia Database to generate a cohort of females operated for a primary groin hernia from 1998 to 2017...
June 15, 2018: Surgical Endoscopy
Umberto Bracale, Giovanni Merola, Antonio Sciuto, Giuseppe Cavallaro, Jacopo Andreuccetti, Giusto Pignata
BACKGROUND: More than 20 million patients worldwide undergo groin hernia repair annually. Every year more than 800,000 inguinal hernia repairs are performed in the United States alone. Since the first report by Ger et al. in 1990, laparoscopic inguinal hernia repair has gained wide acceptance due to its many advantages with more than 20% of inguinal hernias treated by this approach. The aim of our study is to estimate the number of cases needed over the course of a trainee's learning curve period to achieve stabilization of operating time and intra and post-operative complication rates when performing laparoscopic transabdominal preperitoneal hernia repair (TAPP)...
June 14, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Nor Hazla Mohamed Haflah, Min Hwei Ng, Mohd Heikal Mohd Yunus, Amaramalar Selvi Naicker, Ohnmar Htwe, Kamarul Arifin Abdul Razak, Ruszymah Idrus
CASE: A 22-year-old man sustained a laceration that measured 180 cm, after debridement, over the anterolateral aspect of the right leg following a road traffic accident. The wound was treated with MyDerm (Universiti Kebangsaan Malaysia), a cell-based, bilayered, bioengineered dermal substitute that contains no animal-derived components and is fully autologous. For its construction, only a small area of skin was harvested from the left groin, which was closed primarily with absorbable sutures...
June 13, 2018: JBJS Case Connector
Htoo Kyaw, Felix Raju, Atif Z Shaikh, Aung Naing Lin, Aye T Lin, Joseph Abboud, Sarath Reddy
Infective endocarditis (IE) secondary to Staphylococcus lugdunensis has been increasingly recognized since 1988. IE-related thromboembolism represents an associated complication of the disease and carries a dismal prognosis. However, the incidence of cerebrovascular accident secondary to S. lugdunensis IE is relatively uncommon and its treatment has not been clearly elucidated yet. We performed an extensive literature search using Pubmed, Medline, Scopus, and Google Scholar to identify the articles using the following keywords: 'Staphylococcus lugdunensis', 'infective endocarditis', 'stroke', and 'cerebrovascular accident...
April 12, 2018: Curēus
William J Long, Samir Nayyar, Kevin K Chen, David Novikov, Roy I Davidovitch, Jonathan M Vigdorchik
Ultraporous acetabular components were developed to improve osseointegration and fit for increased longevity and better outcomes after total hip arthroplasty. There is a paucity of literature detailing this acetabular component's clinical performance, with even less detailing those with screw fixation. We identify 5 patients at our institution who underwent revision total hip arthroplasty for early aseptic acetabular cup loosening of an ultraporous acetabular component known as the Tritanium primary cup with secondary screw fixation...
June 2018: Arthroplasty Today
Takuro Ueno, Tamon Kabata, Yoshitomo Kajino, Daisuke Inoue, Takaaki Ohmori, Hiroyuki Tsuchiya
BACKGROUND: Groin pain and functional limitations may occur after total hip arthroplasty (THA) due to iliopsoas impingement (IPI). We aimed to determine the risk factors and thresholds of cup protrusion for symptomatic IPI. METHODS: This retrospective case-control study evaluated 569 primary THAs performed by a single surgeon in a single center. In all THAs, the cup was inserted with the assistance of the computed tomography-based navigation system. Twenty-two THAs (3...
May 17, 2018: Journal of Arthroplasty
Joar Harøy, Benjamin Clarsen, Espen Guldahl Wiger, Mari Glomnes Øyen, Andreas Serner, Kristian Thorborg, Per Hölmich, Thor Einar Andersen, Roald Bahr
BACKGROUND: Groin injuries represent a considerable problem in male football. Previous groin-specific prevention programmes have not shown a significant reduction in groin injury rates. An exercise programme using the Copenhagen Adduction exercise increases hip adduction strength, a key risk factor for groin injuries. However, its preventive effect is yet to be tested. AIM: To evaluate the effect of a single-exercise approach, based on the Copenhagen Adduction exercise, on the prevalence of groin problems in male football players...
June 10, 2018: British Journal of Sports Medicine
Carlo J E Milani, Peter J Moley
Hip and groin injuries comprise up to 17% of athletic injuries and can pose rehabilitation challenges for many athletes. Injuries involving abnormal femoral acetabular morphology, reduced range of motion, and decreased lumbopelvic strength and endurance also may increase the risk of injury to lower extremities and delay return to play if proper rehabilitation does not take place. The rehabilitation of athletic hip injuries requires a multifaceted interdisciplinary approach that manages the interplay of multiple factors to restore preinjury function and facilitate return to play...
June 2018: Current Sports Medicine Reports
Susan Mayes, April-Rose Ferris, Peter Smith, Jill Cook
OBJECTIVES: To compare the cross-sectional area (CSA) of hip external rotators, obturator externus (OE) and obturator internus (OI), in ballet dancers and nondancing athletes, and evaluate the relationship between obturator muscle size and hip pain. DESIGN: Case-control study. SETTING: Elite ballet and sport. PARTICIPANTS: 33 male and female professional ballet dancers and 33 age and sex-matched athletes. MAIN OUTCOME MEASURES: CSA's of OE and OI measured on magnetic resonance imaging (MRI) of one hip...
June 2, 2018: Physical Therapy in Sport
Roberto Gabrielli, Franco Ciocca, Angelica Dante, Aldo Musilli, Maurizio Maiorano, Marco Ventura
BACKGROUND: Redo area region operation is associated with a significant morbidity such as neurovascular injury, infection and lymphorrhea. The traditional management of occluded femoro-popliteal grafts often includes redissection of a scarred groin to obtain adequate inflow via the common femoral artery. These procedures are more technically demanding and require more expertise and judgment than the primary operation. We describe a case of using the ipsilateral iliac branch prosthesis of aorto-bifemoral as inflow for iliac-peroneal bypass, avoiding the previous groin incisions, to minimize the local complications related to a redo groin dissection and to decrease the operative time required to obtain an adequate inflow source...
June 7, 2018: Annals of Vascular Surgery
Stefania Aglaia Gerontopoulou, Wilhelm Kath, Knuth Rass
OBJECTIVES: Neovascularization from the saphenofemoral junction (SFJ) is regarded to be an important cause of clinical recurrence. The ideal treatment of SFJ recurrence is still matter of debate. Barrier strategies have been implemented to improve surgical outcome by reducing neovascularization. This study analyses the value of inguinal reoperation for recurrent SFJ incompetence using a combined approach of stump suture technique, removal of neovasculates, cauterization of free endothelium and additional tumescent local anesthesia...
June 7, 2018: Annals of Vascular Surgery
Saqib Zia, Kuldeep Singh, Amandeep Juneja, Jonathan Schor, Jonathan Deitch
PURPOSE: Transradial access (TRad) is becoming the preferred access for cardiac catheterization. The utility and safety of TRad in non-coronary and peripheral vascular interventions remains ill-defined and serves as the basis for this study. METHODS: Patients undergoing non-coronary and peripheral endovascular procedures via TRad from August 2010 to February 2013 at our institution were reviewed retrospectively. Demographic data, indications, interventions performed, sheath size, procedural outcomes and access site complications were evaluated...
June 6, 2018: Annals of Vascular Surgery
Gregory J Nadolski, Maria Dolores Ponce-Dorrego, Kassa Darge, David M Biko, Maxim Itkin
PURPOSE: To assess the feasibility of validating the position of the needle in groin lymph nodes using injection of ultrasound (US) contrast prior to magnetic resonance (MR) lymphangiography. MATERIALS AND METHODS: In 28 patients (average age, 52 y; 15 women, 13 men), 25G needles were placed in bilateral groin lymph nodes using US guidance outside the MR suite. The confirmation of the position of the needles in lymph nodes and efferent lymphatic flow was performed by injecting 1 mL of the US contrast agent (Lumason) mixed with 2 mL of lidocaine and observing contrast enhancement of the efferent lymphatic ducts leading to the pelvis from the lymph node...
June 4, 2018: Journal of Vascular and Interventional Radiology: JVIR
Alessandro Vidoni, Satyanarayana T V Sankara, Venkata Ramana, Rajesh Botchu
The transverse acetabular ligament is an unusual location for ganglion cysts. Only a few cases have been reported in the literature. They can be asymptomatic and represent an incidental finding or can cause an atypical pattern of hip joint/groin pain. We report a case of ganglion cyst arising from the TAL causing entrapment of the anterior branch of the obturator nerve with associated acute denervation of the abductor longus (AL), adductor brevis (AB), and gracilis muscles.
June 6, 2018: Skeletal Radiology
Houcine Maghrebi, Amin Makni, Amin Sebai, Faouzi Chebbi, Wael Rebai, Amin Daghfous, Rachid Ksantini, Mohamed Jouini, Montassar Kacem, Zoubeir Ben Safta
Groin hernia in adults is a frequent affection in digestive surgery. Many repair techniques have been described to date, including laparoscopic surgery. Two methods are quickly adopted by the various practitioners for the surgical treatment of groin hernia using laparoscopy: laparoscopic totally extra-peritoneal (TEP) technique and laparoscopic transperitoneal inguinal hernia repair (TAPP). This study focused on the feasibility of groin hernia repair using coelioscopy, aiming to describe its outcomes in terms of recurrence and postoperative pain...
2018: Pan African Medical Journal
Syed H Mufarrih, Nada Q Qureshi, Anum Sadruddin, Pervaiz Hashmi, Syed Faisal Mahmood, Afia Zafar, Shahryar Noordin
BACKGROUND: Surgical site infections following total hip or knee arthroplasties have a reported rate of 0.49%-2.5% and can cause significant morbidity as well as tripling the cost of health care expenses. Both methicillin sensitive and methicillin resistant strains of Staphylococcus aureus surgical site infections have been established as a major risk factor for postoperative surgical site infections. S. aureus colonizes the nose, axillae, and perineal region in up to 20%-30% of individuals...
June 6, 2018: JMIR Research Protocols
Neda Irenji, Suresh Kumar Gopala Pillai, Jennifer Susan West-Jones
Groin pain is a frequently occurring complaint in presentations to the Emergency Department. Muscular sprain is often a differential diagnosis, however serious conditions such as pyomyositis should not be ignored. This case report presents a child with atraumatic right groin pain, which was initially diagnosed as a muscular sprain. The patient later re-presented out of hours to the Emergency Department with what was found to be extensive pelvic abscesses. He was subsequently found to have bilateral pneumonia and later developed a pericardial effusion and osteomyelitis of the right iliac bone, sacroiliac joint and sacrum...
June 5, 2018: BMJ Case Reports
James Wareham, Sebastian Luppe, Adam Youssef, Robert Crossley, Alex Mortimer
Background The relationship between bridging thrombolysis and femoral access site complications after mechanical thrombectomy remains contested. Use of a closure device could minimise bleeding complications. This study aimed to elucidate the rate of access site complications in a cohort of patients treated using an 8F groin sheath with subsequent closure using the Angio-Seal to assess safety and the impact of bridging thrombolysis on access site complication rate. Methods All patients with large vessel occlusive stroke treated between 2014 and 2017 with thrombectomy with or without bridging thrombolysis were reviewed...
January 1, 2018: Interventional Neuroradiology
Joshua Payne, Trent Bickel, Sandeep Gautam
BACKGROUND: Ablation for atrial fibrillation (AF) requires multiple venous sheaths and anticoagulation with heparin, both risk factors for bleeding complications. Manual compression (MC) with heparin reversal is the standard method to achieve venous hemostasis post ablation, however temporary figure-of-eight sutures (F8S) are an alternative. While this technique has been shown to be safe and effective, little is known about its effect on post-procedural recovery time. METHODS: In this retrospective cohort study, consecutive patients who underwent AF radiofrequency ablation over a 23 month period were reviewed for type of hemostasis (manual compression or figure-of-eight suture), demographics, peri-procedural anticoagulation, groin complications, and procedural duration...
June 5, 2018: Pacing and Clinical Electrophysiology: PACE
Manuela Aspalter, Klaus Linni, Wolfgang Hitzl, Florian Enzmann, Julio Ellacuriaga, Ara Ugurluoglu, Thomas J Hölzenbein
OBJECTIVE/BACKGROUND: Carotid bifurcation resection with subsequent reconstruction is performed infrequently. While internal carotid artery (ICA) revascularisation is regarded as mandatory, the external carotid artery (ECA) is severed in most instances. Indications for and results of an autologous bifurcated carotid artery reconstruction are discussed. METHODS: This was a single centre retrospective analysis of a consecutive series of patients treated at an academic vascular surgery centre...
May 31, 2018: European Journal of Vascular and Endovascular Surgery
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