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P Raynal
Simulation in obstetrical emergency is in expansion. The important economic and human cost in simulation needs a real evaluation about enhancement in technical and non-technical skills, maternal and neonatal morbidity and mortality. We present a literature review of the results published on the subject in shoulder dystocia, post-partum haemorrhage, eclampsia and cord prolaps with a selection of publications with high evidence level or positive impact of training on obstetrical emergencies. There are few publications with a positive impact of training on obstetrical emergencies...
September 20, 2016: Gynécologie, Obstétrique & Fertilité
K Grimminck, S L Mourik, F Tjin-Asjoe, J Martens, M Aktas
OBJECTIVE: The aim of this study is to investigate the effect of robot assisted laparoscopic sacrohysteropexy (RALS), with preservation of the uterus, in patients with pelvic organ prolapse on short and long term outcome. We report on (anatomical) status of the prolaps and the associated health related quality of life of women treated with RALS before and five years after surgery. STUDY DESIGN: A prospective cohort study in a teaching hospital in The Netherlands was performed...
August 31, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
F Cour, A Vidart
INTRODUCTION: The never ending debate over the surgical approach of genital prolapse repair (abdominal versus vaginal route) is as passionate as ever. The available literature may support a multidisciplinary analysis of our expert daily practice. OBJECTIVE: Our purpose was to define selection criteria for surgical approach between abdominal and vaginal route in the management of genital prolapse by reviewing the literature. MATERIAL AND METHODS: Systematically review of the literature concerning comparative anatomical and functionnal results of surgery of pelvic organ prolaps by vaginal or abdominal route...
July 2016: Progrès en Urologie
M Cayrac, S Warembourg, L Le Normand, B Fatton
OBJECTIVE: Provide guidelines for clinical practice concerning hysterectomy during surgical treatment of pelvic organ prolaps, with or without mesh. METHODS: Systematically review of the literature concerning anatomical and functionnal results of uterine conservation or hysterectomie during surgical treatment of pelvic organ prolaps. RESULTS: Sacrospinous hysteropexy is as effective as vaginal hysterectomy and repair in retrospective comparative studies and in a meta-analysis with reduced operating time, blood loss and recovery time (NP2)...
July 2016: Progrès en Urologie
Dewi Vernerey, Florence Huguet, Angélique Vienot, David Goldstein, Sophie Paget-Bailly, Jean-Luc Van Laethem, Bengt Glimelius, Pascal Artru, Malcolm J Moore, Thierry André, Laurent Mineur, Benoist Chibaudel, Magdalena Benetkiewicz, Christophe Louvet, Pascal Hammel, Franck Bonnetain
BACKGROUND: The management of locally advanced pancreatic cancer (LAPC) patients remains controversial. Better discrimination for overall survival (OS) at diagnosis is needed. We address this issue by developing and validating a prognostic nomogram and a score for OS in LAPC (PROLAP). METHODS: Analyses were derived from 442 LAPC patients enrolled in the LAP07 trial. The prognostic ability of 30 baseline parameters was evaluated using univariate and multivariate Cox regression analyses...
July 26, 2016: British Journal of Cancer
Vasilije Jeremić, Srdjan Mijatović, Slobodan Krstić, Sanja Dragasević, Tamara Alempijević
INTRODUCTION: Many factors have been indentified as a possible cause of rectal prolaps. Despite the fact that it is not a life- threating condition, its clinical presentation varies, and sometimes it can present as an emergency. We presented a patient with prolapse of an unusually large segment of the rectosigmoid colon caused by chronic constipation, as an incarcerated segment repaired surgically. CASE REPORT: A 62-year-old female patient was referred to the Emergency Department in bad condition with severe pain in the perianal region...
December 2015: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
M Sarreau, D Bon, V Estrade, P Villemonteix, X Fritel
OBJECTIVE: To evaluate the quality of sexual activity after a transobturator tape procedure for urinary incontinence and to examine the global satisfaction reported by patients. MATERIALS AND METHODS: This is a bicentric retrospective study, postoperative questionnaires were sent to 247 women operated for urinary incontinence by TOT/TVT-O surgery, after 1 year, prolaps were excluded. Patients' overall improvement was assessed using the French version of Patient Global Impression and Improvement (PGI-I), urinary symptoms were assessed with the use of ICIQ-Fluts and quality of sexual function using Lemack and Zimmern questionnaire and ICIQ-Fluts-Sex...
January 2016: Progrès en Urologie
E Quiboeuf, S Nidecker, P Ballanger, C Hocké
OBJECTIVE: To describe the prevalence and time of occurrence of vaginal mesh exposure based on the initial surgical approach of prolaps. To describe their therapeutic management. MATERIAL: Descriptive retrospective study of 43 women followed for vaginal mesh exposure diagnosed during a follow-up visit or motivated by symptoms. The initial surgery was performed abdominally (promontofixation) or vaginally. The therapeutic management was carried out by medical and/or surgical (prosthetic resection partial or complete)...
December 2015: Progrès en Urologie
F Ohnolz, K T M Schneider, B Haller, B Kuschel
The aim of this study was to identify which operation technique [total cervical occlusion (TMV), cerclage (C) or combination of both (TMV+C)] would lead to the greatest pregnancy prolongation in 3 different collectives of patients at risk (history of preterm birth, cervical insufficiency, prolapsing membranes). In this retrospective data collection, 200 cervical occlusions performed between 1997 and 2010 were analysed. In patients with a history of preterm birth/stillbirth (n=80) a prophylactic TMV increased the lifebirth rate from 35% without TMV to 95% with TMV (p<0...
June 2015: Zeitschrift Für Geburtshilfe und Neonatologie
Johanna Frida Gudmundsdottir, Sigurdur Ragnarsson, Arnar Geirsson, Ragnar Danielsen, Tomas Gudbjartsson
OBJECTIVES: To review, for the first time, the outcome of mitral valve repair operations in Iceland. MATERIAL AND METHODS: A retrospective study of all mitral valve repair patients (average age 64 yrs, 74% males) operated in Iceland 2001-2012. All 125 patients had mitral regurgitation; either due to degenerative disease (56%) or functional regurgitation (44%). Survival was estimated using the Kaplan-Meier method. The median follow-up time was 3.9 years RESULTS: The number repair-procedures increased from 39 during the first half of the study period to 86 during the latter period...
November 2014: Læknablađiđ
T K Hoffmann, M Scheithauer, R Koenig, P J Schuler
BACKGROUND: After tumor surgery or traumatic defects the anterior skull base needs sufficient closure in order to prevent rhinoliquorrhea, ascending infection and brain tissue prolaps. Small defects are sufficiently closed by non-vital tissue, e. g. mucosa, muscle, fat, fascia, bone, allogenic, xenogenic or alloplastic material. Larger defects of the skull base often require more extensive surgery, including transfer of local or distal vascularized flaps. The current article presents a stepwise tutorial for reconstruction of the skull base and by a large case series focuses on the interdisciplinary therapy of complex (size, recurrence, after radiotherapy) skull base defects...
November 2014: Laryngo- Rhino- Otologie
B Mrevlje, J Legutko, J Jąkała, M Noč, D Dudek, R Birkemeyer, M Aboukoura, C Nienaber
Optical coherence tomography (OCT) is the latest intravascular imaging modality for the investigation of coronary arteries. It can be used in patients with stable coronary artery disease as well as in patients with acute coronary syndrome. Its almost microscope-like resolution of 10-20 μm (10-times greater than intravascular ultrasound) gives us the most detailed insight into the coronary artery wall in vivo so far.Optical coherence tomography can be used for accurate qualitative and quantitative assessment of stenoses in stable coronary artery disease and accurate guidance of percutaneous coronary interventions as well as accurate postprocedural control...
September 2014: Deutsche Medizinische Wochenschrift
Małgorzata Baka-Ostrowska, Kinga Kowalczyk, Karina Felberg, Zbigniew Wawer
INTRODUCTION: Bladder exstrophy is the most common form of the exstrophy - epispadias complex. It is observed in 1:30 000 life births, about four times more often in boys than in girls. Iliac osteotomy is used to facilitate bringing together pubic bones and to minimize the tension of fused elements. To analyze complications after primary bladder exstrophy closure with a special consideration of the role of pelvic osteotomy. MATERIAL AND METHOD: It is a retrospective study evaluating 100 patients (chosen by chance out of 356) with bladder exstrophy (65 boys and 35 girls), treated in Pediatric Urology Department of the Children's Memorial Health Institute in Warsaw, Poland between 1982 and 2006...
2013: Central European Journal of Urology
Ahmad Khaleghnejad Tabari, Alireza Mirshemirani, Nasibeh Khaleghnejad Tabari
BACKGROUND: Complete colonic duplication is a very rare congenital anomaly that may have different presentations according to its location and size. Complete colonic duplication can occur in 15% of gastrointestinal duplication. We report two cases of complete colonic duplications, and their characteristics. CASE PRESENTATION: We present two patients with complete colonic duplication with different types and presentations. Case 1: A 2- year old boy presented to the clinic with abdominal protrusion, difficulty to defecate, chronic constipation and mucosal prolaps covered bulging (rectocele) since he was 6 months old...
2012: Caspian Journal of Internal Medicine
Christoph Langer, Thomas Butz, Klaus-Peter Mellwig, Emanoel Oepangat, Andreas Fruend, Lothar Faber, Dieter Horstkotte, Marcus Wiemer, Frank Van Buuren
BACKGROUND: Aortic or mitral valvular regurgitation (left cardiac valvular regurgitation, LCVR) of less than second-degree (< degree II) occasionally found in competitive athletes is of questionable relevance. Precisely detectable by echocardiography there is scarce published data that clarifies cardiopulmonary capacity or any limitations LCVR < degree ll may cause. METHODS: In this single-centre study we consecutively recruited highly trained athletes (n= 14) with LCVR < degree ll detected in 2D echo...
October 2013: Acta Cardiologica
C Kindler, B Lukas
We report a case of an 80-year-old woman with an acute carpal tunnel syndrome. This was based on an acute episode of chondrocalcinoses and accompagnied by a prolaps of the median nerve into a gap of the forearm fascia as result of a cut injury in childhood.
October 2013: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Mohammad Kazem Moslemi, Mehdi Abedinzadeh, Alireza Nazari
INTRODUCTION: Pelvic organ prolape is not uncommon in multi-parous or elderly women. It is one of the rare but important causes of obstructive uropathy. Herein, we report two cases of severe procidentia that were referred with obstructive uropathy due to prolapsed bladder and ureters. PRESENTATION OF CASE: The first case was a 78-year-old woman, with severe pelvic organ prolape and secondary bilateral hydroureteronephrosis and post-renal failure. She was treated successfully by bilateral nephrostomy insertion and then pessary insertion...
2013: International Journal of Surgery Case Reports
Evaghelos Xynos
Several procedures have been designed and applied to treat overt rectal prolapse (ORP). Transperineal procedures, such Altemeier and Delorme operations, are associated with less morbidity, but higher rate of recurrence and less optimal functional results. Transabdominal procedures include a variety of rectopexies with the use of prosthesis or sutures and with or without resection of the redundant sigmoid colon. Nowadays, they are all approached by laparoscopy. Traditional prosthesis rectopexies repair ORP and improve incontinence, but are associated with increased rate of constipation...
2012: Acta Chirurgica Iugoslavica
Marc Possover, A Forman
Pudendal nerve entrapment (Alcock canal syndrome) is an uncommon source of chronic pelvic pain, in which the pudendal nerve is entrapped or compressed. Pain is located in the perineal, genital and perianal areas and is worsened by sitting. By simple entrapment of the PN without neurogenic damages, pain is usually isolated. In neurogenic damages to the PN, genito-anal numbness, fecal and/or urinary incontinence can occurred. PNE can be caused by obstetric traumas, scarring due to genitoanal surgeries (prolaps procedures!), accidents and surgical mishaps...
December 2012: Current Bladder Dysfunction Reports
Abdolhadi Jahanshahi, Esmail Mashhadizadeh, Mohammad-Hossein Sarmast
UNLABELLED: Hemorrhoid is protrusion of plexus or blood vessels in the anal canal. The hemorrhoid may cause symptoms that are: bleeding, pain, prolaps, itching, soilage of feces, and psychologic discomfort. There are many methods for treatment of hemorrhoid like, medical therapy, cryo-therapy, rubber band ligation, sclerotherapy, laser, and surgery. All methods have some complication in postoperative period and recurrence. THE AIM OF THE STUDY: Was to evaluate Diode laser for treatment of hemorrhoid...
July 2012: Polski Przeglad Chirurgiczny
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