keyword
https://read.qxmd.com/read/38435211/pubic-osteomyelitis-after-laparoscopic-simple-prostatectomy-pubic-bone-resection-with-partial-cystectomy
#21
João Aragão Vital, Miguel Marques Monteiro, José Silva Soares, Frederico Teves, Avelino Fraga
Osteomyelitis of the pubic symphysis presents a diagnostic challenge, characterized by symptoms of pubic pain and discomfort radiating to the groin, thigh, or hip. Post-prostate surgery occurrences are rare, with a propensity for cancer-related procedures. Conservative antibiotic therapy may prove insufficient, necessitating surgical intervention. This article details a unique case involving Pseudomonas aeruginosa infection, the second most prevalent pathogen. Despite the rarity of the diagnosis, particularly after a benign surgical procedure, timely intervention was hindered, leading to a delayed management course...
February 2024: Curēus
https://read.qxmd.com/read/38427055/history-of-pain-around-the-lumbopelvic-region-during-perinatal-period-a-prospective-cohort-study
#22
JOURNAL ARTICLE
Saori Morino, Mika Ishihara, Fumiko Umezaki, Hiroko Hatanaka, Mamoru Yamashita, Tomoki Aoyama
PURPOSE: Many women experience pain around the low back and pelvic girdle during/after pregnancy. These pains have different risk factors and require independent management strategies. Therefore, an epidemiological database is required to understand when each type of pain occurs, and how serious it could be. Thus, the history of pain in the lumbopelvic region throughout the perinatal period was investigated. METHODS: The information of 170 women recruited at the obstetrics and gynecology clinics in Japan was collected at 12, 24, 30, and 36 weeks of pregnancy, in the early days after childbirth, and one month after childbirth...
March 1, 2024: European Spine Journal
https://read.qxmd.com/read/38420224/triangular-osteosynthesis-as-a-surgical-treatment-option-for-unstable-sacral-fracture-fixation-with-sacroiliac-dislocation-a-case-report
#23
Anurag Baghel, Mohit Kumar Verma, Sanjay Sharma
INTRODUCTION: Sacral fractures, which can occur in young individuals following road traffic accidents or falls from a height, as well as in elderly individuals with osteoporosis after minor trauma, are considered a diverse type of fracture. The incidence of non-osteoporotic sacral fractures is estimated to be 2.1/100,000 people, whereas osteoporotic fractures are estimated to affect 1-5% of elderly individuals at risk. Triangular osteosynthesis is a relatively new fixation technique used as a surgical treatment for unstable sacral fractures...
February 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38408529/new-anatomical-concepts-regarding-pubic-related-groin-pain-a-dissection-study
#24
JOURNAL ARTICLE
Thomas Mathieu, Francis Van Glabbeek, Lenie Denteneer, Levi Van Winckel, Emile Schacht, Benjamin De Vlam, Luc Van Nassauw
OBJECTIVE: Pubis-related groin pain remains a difficult topic in orthopedic and sports medicine. A better understanding of the anatomy of the adductors and the pubic ligaments is necessary. The aim of this study is to map all the musculotendinous attachments to the pubic ligaments and to investigate in detail all the possible inter-adductor fusions. METHODS: The pubic symphyses were dissected in eight male and fourteen female embalmed cadavers (mean age 85 years), focusing on the fusion between the adductors, pubic ligaments, and musculotendinous attachments at the pubic ligaments...
February 24, 2024: Annals of Anatomy
https://read.qxmd.com/read/38406003/management-of-neglected-pubic-symphysis-diastasis-and-sacroiliac-joint-disruption-with-erectile-dysfunction-in-polytrauma-a-case-report
#25
Dilip Kumar Naidu, Aswin S, Madhan R, Gowthaman N, Kevin Dhas
Pelvic fractures are the most common among patients sustaining high-energy trauma. They are associated with high morbidity and mortality rates, often because of high blood loss and injury to the lumbosacral plexus, genitourinary system, and gastrointestinal system. The age, complexity of the pelvic fracture, and pubic symphysis diastasis would represent risk factors for erectile dysfunction after major and neglected pelvic injuries; the neglected pelvic ring injuries could cause disabilities that manifest with symptoms like pain, lower limb length discrepancy, standing or sitting imbalance and even sexual dysfunction...
January 2024: Curēus
https://read.qxmd.com/read/38394437/primary-signet-ring-cell-adenocarcinoma-arising-in-exstrophy-of-the-urinary-bladder-epispadias-exstrophy-complex
#26
JOURNAL ARTICLE
Gwendolyn Fernandes, Gloria Khumanthem, Nupur Harinkhede, Amey Rojekar
Bladder exstrophy is a rare congenital anomaly in which the urinary bladder develops outside the body. It may be part of the bladder epispadias-exstrophy-cloacal complex, which is a serious embryological defect where a spectrum of abnormalities involving the urinary tract, genital tract, musculoskeletal system, and intestinal tract is seen. Primary signet ring cell adenocarcinoma (PSRCA) arising in exstrophy of the urinary bladder is extremely rare with only a few cases reported in the literature. A 32-year-old man with congenital, untreated bladder exstrophy presented with a large fungating mass on the lower abdominal wall...
November 9, 2023: Indian Journal of Pathology & Microbiology
https://read.qxmd.com/read/38389650/complications-after-breast-augmentation-with-dermal-fillers-containing-copolyamide-a-systematic-review
#27
JOURNAL ARTICLE
Karin Hedström, Alberto Falk-Delgado, Helena Sackey
BACKGROUND: Dermal fillers containing copolyamide are used for breast augmentation and are marketed under different labels, such as Aquafilling, Los Deline, Aqualift, and Activegel. In recent years, the number of publications reporting complications after use of these fillers has increased. METHODS: Through a computerized search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review of published studies on complications, treatment options, and radiological findings related to breast augmentation with dermal fillers containing copolyamide was performed...
June 2024: JPRAS Open
https://read.qxmd.com/read/38380369/interpretable-machine-learning-model-to-predict-surgical-difficulty-in-laparoscopic-resection-for-rectal-cancer
#28
REVIEW
Miao Yu, Zihan Yuan, Ruijie Li, Bo Shi, Daiwei Wan, Xiaoqiang Dong
BACKGROUND: Laparoscopic total mesorectal excision (LaTME) is standard surgical methods for rectal cancer, and LaTME operation is a challenging procedure. This study is intended to use machine learning to develop and validate prediction models for surgical difficulty of LaTME in patients with rectal cancer and compare these models' performance. METHODS: We retrospectively collected the preoperative clinical and MRI pelvimetry parameter of rectal cancer patients who underwent laparoscopic total mesorectal resection from 2017 to 2022...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38369745/a-56-year-old-woman-presenting-19-years-after-pubic-bone-fracture-with-a-surgical-screw-foreign-body-in-the-bladder
#29
JOURNAL ARTICLE
Michael N Chrysikos, Sergios Konstantinidis, Anastasios Katsourakis, Parthena Samara, Alexandros Sarakatsanos, Nikolaos Karakasis, Konstantinos Fotiadis, Iosif Chatzis, Dimitra Vrampa, Apostolos Papalakis
BACKGROUND Non-calculus foreign bodies in the bladder are rare and are usually introduced via the urethra. Reports of the migration of metallic foreign bodies from previous surgery are uncommon and mainly associated with surgical screws used for the internal fixation of pubic bone fracture and total hip replacement. This report is of a 56-year-old woman presenting with a surgical screw foreign body in the bladder 19 years after open surgical reduction and internal plate and screw fixation of traumatic fracture of the pubic bone...
February 19, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38354684/management-of-urosymphyseal-fistula-and-pubic-bone-osteomyelitis-description-of-a-new-surgical-technique-by-cystectomy-urinary-diversion-and-pelvic-filling-flap-by-unilateral-pedicled-myocutaneous-vertical-rectus-abdominus-muscle-flap
#30
JOURNAL ARTICLE
Stessy Kutchukian, Caroline Chapelle, Vincent Huguier, Gwenaël Le Moal, Simon Bernardeau, Pierre Pries, Elias Ayoub, Maxime Vallée
Pubic bone osteomyelitis is a rare infection, mostly related to urinary fistula. The published data about the medical or surgical management of this type of infection is relatively poor. In this case study of three patients, we describe our surgical technique for the management of urosymphyseal fistula complicated with pubic bone infection using pelvic filling flap by unilateral pedicled myocutaneous vertical rectus abdominus muscle flap. The first patient had the pelvic space filled with omentum flap. Unfortunately, the patient presented, postoperatively, an enteric fistula resulting from intestine incarceration on the resected bone...
February 13, 2024: Fr J Urol
https://read.qxmd.com/read/38333373/abdominoplasty-after-massive-weight-loss-safety-preservation-fascia-technique-and-clinical-outcomes-in-a-large-single-series-comparative-study
#31
JOURNAL ARTICLE
Claudio Cannistrà, Eleonora Lori, Konstantinos Arapis, Gaetano Gallo, Marzia Varanese, Daniele Pironi, Alessandro De Luca, Federico Frusone, Maria Ida Amabile, Salvatore Sorrenti, Federica Gagliardi, Domenico Tripodi
INTRODUCTION: Weight loss after bariatric surgery causes very important modifications to the patient's silhouette. Abdominal fat and skin excess reduction are associated with several complications. The most frequent are seroma and hematoma whereas major complications, such as pulmonary embolism, are less frequent. This study aimed to describe our technical procedure for abdominoplasty in patients with massive weight loss after bariatric surgery. METHODS: In total, 196 patients were included...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38322249/urethral-entrapment-by-an-overlapping-dislocation-of-the-pubic-symphysis-in-a-cat
#32
Tiffany Pereira, Julie Besson, Delphine N Rault, Tiare Delaune
CASE SUMMARY: A 1-year-old neutered male domestic shorthair cat was referred with suspected uroperitoneum. Ultrasonography showed peritoneal effusion. CT further revealed a bilateral sacroiliac joint disruption associated with an overlapped dislocation of the pubic symphysis, resulting in an abnormal trajectory of the urethra with extramural urethral compression. An open reduction and internal fixation of the pubis with correction of the urethral trajectory was performed under general anaesthesia...
2024: JFMS Open Reports
https://read.qxmd.com/read/38321940/3d-ct-based-age-estimation-from-the-pubic-symphyseal-surface-in-an-indian-population-using-the-chen-et-al-method
#33
JOURNAL ARTICLE
Seshagiri Raju Vempalli, Vikas Meshram, Raghvendra Singh Shekhawat, Binit Sureka, Rutwik Shedge, Mohammed Akbar, Puneet Setia, Tanuj Kanchan
The pubic symphyseal surface is one of the reliable parameters used to estimate age, as it consistently shows degenerative observational variations throughout the lifespan, particularly from the 3rd decade onwards. These changes have been extensively studied to generate population-specific models for forensic age estimation. In the past, there have been many studies used to estimate age at death from the pubis symphysis using skeletal remains. However, due to dearth of contemporary skeletal repositories, and the resource intensive maceration process required for obtaining examination quality bones, studies on cadaver are difficult to conduct...
February 6, 2024: Anthropologischer Anzeiger; Bericht über die Biologisch-anthropologische Literatur
https://read.qxmd.com/read/38320104/comparison-of-esin-and-other-minimally-invasive-techniques-for-anterior-pelvic-ring-injury-a-finite-element-analysis-and-case-control-study
#34
JOURNAL ARTICLE
Weijie Xia, Hongyi Jiang, Endong Tao, Jianjun Ye, Fulin Wang, Xianyu Wang, Leyi Cai, Yongzeng Feng
OBJECT: A novel technique, percutaneous elastic stable intramedullary nail fixation (ESIN), proposed by our team for the treatment of anterior pelvic ring injury. Finite element analysis and retrospective case-control study were used to compare biomechanical properties and clinical outcomes between ESIN and other techniques. METHODS: Four groups of finite element models of pelvic anterior ring injury were simulated, including ESIN (model A), retrograde transpubic screw fixation (RTSF, model B), subcutaneous internal fixator (model C), and external fixator (model D), and a vertical downward load of 500 N was applied to the S1 vertebral endplate...
February 5, 2024: International Journal of Surgery
https://read.qxmd.com/read/38318871/the-endocrine-phenotype-induced-by-paediatric-adrenocortical-tumours-is-age-and-sex-dependent
#35
JOURNAL ARTICLE
Marina Kunstreich, Desiree Dunstheimer, Pascal Mier, Paul-Martin Holterhus, Stefan A Wudy, Angela Hübner, Antje Redlich, Michaela Kuhlen
CONTEXT: Adrenocortical carcinomas are very rare malignancies in childhood associated with poor outcome in advanced disease. Most adrenocortical tumours (ACT) are functional causing signs and symptoms of adrenal hormone excess. In most studies, endocrine manifestations were reported 4-6 months prior to diagnosis. OBJECTIVE: We seeked to extend our knowledge on endocrine manifestations with regard to age and sex to facilitate early diagnosis. DESIGN/SETTINGS/PATIENTS: We retrospectively analysed features of adrenal hormone excess in children and adolescents with ACT registered with the GPOH-MET studies between 1997 and 2022...
February 6, 2024: Journal of Clinical Endocrinology and Metabolism
https://read.qxmd.com/read/38318299/paediatric-cushing-s-disease-long-term-outcome-and-predictors-of-recurrence
#36
REVIEW
Martin O Savage, Rosario Ferrigno
Paediatric Cushing's disease (CD) is characterized by excess ACTH secretion from a pituitary adenoma, leading to hypercortisolism. It has approximately 5% of the incidence of adult CD and is a rare disorder in the paediatric age range. The four most specific presenting features of hypercortisolism are: change in facial appearance, weight gain, decreased linear growth and virilisation shown by advanced pubic hair for the stage of breast development or testicular volume. The main diagnostic priority is the demonstration of hypercortisolism followed by distinction between its ACTH-dependent and ACTH-independent origin, thus leading to identification of aetiology...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38302788/mri-findings-in-athletic-groin-pain-correlation-of-imaging-with-history-and-examination-in-symptomatic-and-asymptomatic-athletes
#37
JOURNAL ARTICLE
Michelle Wei Xin Ooi, Matthew Marzetti, Emma Rowbotham, Dominic Bertham, Philip Robinson
OBJECTIVE: To determine differences in prevalence and diagnostic accuracy of MRI findings between asymptomatic athletes and athletes with longstanding groin pain. MATERIALS AND METHODS: One hundred twenty-three adult male athletes were approached with 85 consecutive athletes recruited. Group 1 (symptomatic, n = 34) athletes referred for longstanding groin pain (insidious onset, > 3 weeks duration). Group 2 (control, n = 51) athletes referred for injuries remote from the pelvis and no groin pain in the last 12 weeks...
February 2, 2024: Skeletal Radiology
https://read.qxmd.com/read/38299139/surgical-treatment-of-a-large-post-cesarean-hematoma-in-the-retzius-space-accompanied-by-a-blood-coagulation-disorder-a-rare-case-report
#38
Anna Thanasa, Efthymia Thanasa, Vasiliki Grapsidi, Emmanouil M Xydias, Ektoras-Evangelos Gerokostas, Ioannis Rafail Antoniou, Evangelos Kamaretsos, Apostolos C Ziogas, Ioannis Paraoulakis, Ioannis Thanasas
Hematoma in the Retzius space after a cesarean section is a rare complication. The Retzius space, also referred to as the prevesical or retropubic space, represents an extraperitoneal artificial cavity situated between the pubic symphysis and the bladder. In instances where conservative treatment involving vigilant monitoring along with analgesics and antibiotics or ultrasound-guided percutaneous puncture proves unsuccessful, re-operation becomes imperative. Our case report concerns a second-parity pregnant patient who underwent a cesarean section in the 39th gestational week...
December 2023: Curēus
https://read.qxmd.com/read/38289751/postpartum-symphysis-pubis-diastasis-a-case-report
#39
JOURNAL ARTICLE
Babita Chaudhary, Sumit Bidari, Sujata Maharjan, Gauri Adhikari, Lokendra Bata
UNLABELLED: The pubic symphysis is a midline, non-synovial joint connecting the right and left superior pubic rami. The joint allows very limited movement of approximately 0.5-1 mm. Under hormonal stimulation during pregnancy, the widening of the symphysis pubis and sacroiliac joints occurs. Pubic symphysis diastasis is defined as the widening of the pubic joint of >10 mm. It is a rare complication of vaginal childbirth for which no gold standard treatment has been defined. Most cases are treated conservatively...
December 1, 2023: JNMA; Journal of the Nepal Medical Association
https://read.qxmd.com/read/38289745/surgical-management-among-patients-with-acetabular-pelvis-fractures-in-a-trauma-care-centre
#40
JOURNAL ARTICLE
Yogendra Agrahari, Marie Joey Lambaco Agrahari, Sangita Karki Kunwor
INTRODUCTION: Surgical management of pelvic and acetabular fractures due to high-energy trauma is one of the most challenging in orthopaedics. Most patients are often associated with other life-threatening injuries. Several studies demonstrated that accurate fracture reduction decreases the incidence of post-traumatic arthritis and improves functional outcomes. The aim of the study was to find out the prevalence of the surgical management among patients with acetabular-pelvis fractures in a trauma care centre...
November 1, 2023: JNMA; Journal of the Nepal Medical Association
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