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Pelvic Compression

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https://www.readbyqxmd.com/read/29774885/-comparison-of-compression-stability-in-left-common-iliac-vein-at-different-time-by-contrast-enhanced-ct
#1
Li Shen, Jianping Gu, Liwei Wang
To explore the compression stability in left common iliac vein (LCIV) at different times by contrast-enhanced CT in the same patients.
 Methods: This retrospective study included 124 patients (without signs of lower extremity venous diseases), who underwent contrast-enhanced CT at pelvic cavity and reexamined within one year. The degree of compression changes in LCIV was calculated and compared between the two examinations. Moreover, the relationship between age and the compression rate of LCIV was analyzed...
April 28, 2018: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/29757068/physiotherapy-interventions-for-patients-with-chronic-pelvic-pain-a-systematic-review-of-the-literature
#2
Pedro Fuentes-Márquez, Irene Cabrera-Martos, Marie Carmen Valenza
OBJECTIVE: To summarize the available scientific evidence on physiotherapy interventions in the management of chronic pelvic pain (CPP). DATA SOURCES: A systematic review of randomized controlled trials was performed. An electronic search of MEDLINE, CINAHL, and Web of Science databases was performed to identify relevant randomized trials from 2010-2016. STUDY SELECTION: Manuscripts were included if at least one of the comparison groups received a physiotherapy intervention...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29747214/intestinal-perforation-due-to-deep-infiltrating-endometriosis-during-pregnancy-case-report
#3
Márcia Mendonça Carneiro, Luciana Maria Pyramo Costa, Maria Das Graças Torres, Patrícia Salomé Gouvea, Ivete de Ávila
We report the case of a 33 year-old woman who complained of severe dysmenorrhea since menarche. From 2003 to 2009, she underwent 4 laparoscopies for the treatment of pain associated with endometriosis. After all four interventions, the pain recurred despite the use of gonadotropin-releasing hormone (GnRH) analogues and the insertion of a levonorgestrel intrauterine system (LNG-IUS). Finally, a colonoscopy performed in 2010 revealed rectosigmoid stenosis probably due to extrinsic compression. The patient was advised to get pregnant before treating the intestinal lesion...
April 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29746537/kinetic-and-kinematic-variables-affecting-trunk-flexion-during-level-walking-in-patients-with-lumbar-spinal-stenosis
#4
Tatsuya Igawa, Junji Katsuhira, Akira Hosaka, Kenta Uchikoshi, Shinichi Ishihara, Ko Matsudaira
Lumbar spinal stenosis causes cauda equina and nerve root compression, resulting in neurological symptoms. Although trunk flexion during level walking may alleviate these symptoms by enabling spinal canal decompression, some patients do not use this strategy. We aimed to identify the kinetic and kinematic variables that affect trunk flexion in patients during level walking. Gait was recorded in 111 patients using a three-dimensional motion capture system and six force plates. From the data recorded, walking velocity, bilateral step length, cycle time, maximum trunk flexion angle, forward pelvic tilt angle, pelvic rotation angle, maximum and minimum joint angles, and moment and power of the lower limb were calculated...
2018: PloS One
https://www.readbyqxmd.com/read/29744050/iatrogenic-nerve-lesion-following-laparoscopic-surgery-a-case-report
#5
Michele Vecchio, Andrea Santamato, Fortunato Geneovese, Giulia Malaguarnera, Vito Emanuele Catania, Saverio Latteri
Background: Peripheral neuropathy after surgical treatment is an under recognized potential untoward event. Pelvic surgery may be associated with nerve lesions by essentially three main mechanisms: transection, entrapment and pressure-stretching; the latter is the modality most frequently linked to patient's positioning on the operating room table. Presentation of the case: A 25 years old woman, after undergoing a laparoscopic gynaecologic procedure lasted >3 hours, on postoperative day one presented with numbness over her lateral right leg and dorsum of the foot, right foot drop and gait instability due to compression-stretching of the right superficial peroneal nerve...
April 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29729217/improving-care-for-women-with-obstetric-fistula-new-who-recommendation-on-duration-of-bladder-catheterization-after-the-surgical-repair-of-a-simple-obstetric-urinary-fistula
#6
Mariana Widmer, Özge Tunçalp, Maria Regina Torloni, Olufemi T Oladapo, Maurice Bucagu, A Metin Gülmezoglu
Under the Sustainable Development Goals (SDGs) and universal health coverage, the "survive, thrive, transform" agenda moves beyond reducing mortality and focuses on the importance of maternal morbidity.(1 ) An obstetric fistula, one of the most devastating types of maternal morbidity, is usually caused by injury during childbirth from prolonged or obstructed labour. The prolonged compression of the fetal head against the pelvic bones can cause ischaemic necrosis of parts of the bladder, urethra or vagina, resulting in an abnormal opening between a woman's genital tract and her urinary tract that leads to the continuous flow of urine through the vagina...
May 5, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29725550/massive-ovarian-edema-in-a-girl-with-hemoglobin-sc-disease
#7
Eric Johannesen, Van Nguyen
Massive ovarian edema is a benign tumor like lesion of the ovary. The widely accepted mechanism is disruption of vascular drainage resulting in accumulation of fluid within the stroma and enlargement of the ovary. We report a case of massive ovarian edema in a teenage girl with hemoglobin SC disease. A 16-year-old female with hemoglobin SC disease was admitted with right lower quadrant pain. An ultrasound and CT scan showed a large, heterogeneous solid, and cystic pelvic mass. Due to the size and the possibility of malignancy, the patient underwent a salpingo-oophorectomy...
2018: Case Reports in Pathology
https://www.readbyqxmd.com/read/29702268/vascular-entrapment-of-both-the-sciatic-and-pudendal-nerve-causing-persistent-sciatica-and-pudendal-neuralgia
#8
Ahmet Kale, Gulfem Basol, Taner Usta, Isa Cam
STUDY OBJECTIVE: To demonstrate the laparoscopic approach to malformed branches of the vessels entrapping the nerves of the sacral plexus. DESIGN: A step-by-step explanation of the surgery using video (instructive video). The Ethics Committee ruled that approval was not required for this video. SETTING: Derince Education and Research Hospital, Turkey PATIENT: : The 26-year-old patient who had failed the medical therapy, complained about numbness and burning pain on the right side of the vagina and pain radiating to the lower limb for approximately 36 months period...
April 24, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29684953/-midline-cyst-of-the-prostate-with-increased-urinary-frequency-and-urgency-a-case-report
#9
Kosuke Nakano, Hiroshi Kiuchi, Yasushi Miyagawa, Akira Tsujimura, Norio Nonomura
A 40-year-old man presented to our institution with a few-month history of increased urinary frequency, urgency and voiding difficulty. He had severe lower urinary tract symptoms with an International Prostate Symptom Score of 28 and quality of life score of 6. The mean urinary frequency and voided volume was 20 times per day and 150 ml, respectively. Abdominal ultrasonography and pelvic magnetic resonance imaging revealed the prostate measuring 15 cm3 with a 3 cm midline cyst which compressed the posterior of the bladder wall...
February 2018: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/29624732/effect-of-a-5-ht2c-receptor-agonist-on-urethral-closure-mechanisms-in-female-rats
#10
Mifuka Ouchi, Takeya Kitta, Yukiko Kanno, Madoka Higuchi, Mio Togo, Kimihiko Moriya, Nobuo Shinohara
AIMS: The serotonin (5-HT2c) receptor is known to be involved in the mechanism of urethral closure in a model of stress incontinence. Lorcaserin (Belviq®) has received Food and Drug Administration approval for the treatment of obesity. However, it is unclear whether this selective 5-HT2c receptor agonist enhances urethral closure in stress urinary incontinence (SUI) models. Therefore, we investigated whether lorcaserin could enhance urethral closure in female rats with vaginal distention (VD)...
April 6, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29623736/treatment-of-venous-stenosis-in-oncologic-patients
#11
Anna Maria Ierardi, Maria Laura Jannone, Mario Petrillo, Pietro Maria Brambillasca, Enrico Maria Fumarola, Salvatore Alessio Angileri, Matteo Crippa, Gianpaolo Carrafiello
Symptomatic obstruction related to malignant involvement of large veins may occur in central veins both in the thoracic and pelvic regions, and in the abdominal region of the body. Both cases represent a therapeutic challenge, and endovascular revascularization, consisting of angioplasty and stent placement, is safe and effective. Superior vena cava stenting has become widespread in the management of occlusive venous disease. The percutaneous placement of large expandable metal stents allows rapid restoration of normal blood flow in the majority of patients, thus improving symptoms...
April 6, 2018: Future Oncology
https://www.readbyqxmd.com/read/29582114/vertical-shear-pelvic-injury-evaluation-management-and-fixation-strategies
#12
REVIEW
Laura Blum, Mark E Hake, Ryan Charles, Todd Conlan, David Rojas, Murphy Trey Martin, Cyril Mauffrey
Vertical shear pelvic ring fractures are rare and account for less than 1% of all fractures. Unlike severely displaced antero-posterior compression and lateral compression pelvic fractures, patients' mortality is lower. Nevertheless, patients must be managed acutely using well-defined ATLS protocols and institution-specific protocols for haemodynamically unstable pelvic ring fractures. The definitive treatment of vertical shear pelvic fractures is however more controversial with a paucity of literature to recommend the ideal reduction and fixation strategy...
March 26, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29566440/transcranial-magnetic-motor-evoked-potentials-and-magnetic-resonance-imaging-findings-in-paraplegic-dogs-with-recovery-of-motor-function
#13
Johannes S Siedenburg, Adriano Wang-Leandro, Hanna-Luise Amendt, Karl Rohn, Andrea Tipold, Veronika M Stein
BACKGROUND: Transcranial magnetic motor evoked potentials (TMMEP) are associated with severity of clinical signs and magnetic resonance imaging (MRI) findings in dogs with spinal cord disease. HYPOTHESIS: That in initially paraplegic dogs with thoracolumbar intervertebral disc herniation (IVDH), MRI findings before surgery and TMMEPs obtained after decompressive surgery are associated with long-term neurological status and correlate with each other. ANIMALS: Seventeen client-owned paraplegic dogs with acute thoracolumbar IVDH...
March 22, 2018: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/29545228/does-the-presence-of-endometriosis-cause-a-challenge-for-transvaginal-oocyte-retrieval-procedure-a-comparison-between-patients-with-endometriosis-and-without-endometriosis
#14
Işıl Kasapoğlu, Pınar Türk, Aylin Dayan, Gürkan Uncu
OBJECTIVE: The aim of the study was to compare patients with endometriosis to those without endometriosis regarding performance rates, difficulties and complications associated with transvaginal oocyte retrieval (TVOR) procedures. MATERIAL AND METHODS: A prospective cohort study was conducted at the IVF Unit of the Division of Reproductive Endocrinology and Infertility Department of an University Hospital. Fifty-eight patients with endometriosis and 61 patients without endometriosis underwent a TVOR procedure consecutively...
March 16, 2018: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/29541696/robotic-assisted-left-renal-vein-transposition-as-a-novel-surgical-technique-for-the-treatment-of-renal-nutcracker-syndrome
#15
Anthony H Chau, Haidar Abdul-Muhsin, Xin Peng, Victor J Davila, Erik P Castle, Samuel R Money
Renal nutcracker syndrome is an anatomic anomaly characterized by the compression of the left renal vein between the superior mesenteric artery and the aorta or between the aorta and the vertebral body. Diagnosis is often challenging. Common presenting symptoms include hematuria, abdominal pain, and pelvic congestion. Several open and endovascular techniques have been described to treat this syndrome. We report a novel surgical technique with robotic-assisted left renal vein transposition to treat a 19-year-old woman with renal nutcracker syndrome...
March 2018: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29537745/-preservation-of-sexual-function-a-challenge-for-the-colorectal-surgeon
#16
Émilie Liot, Nicolas Christian Buchs, Jacques Klein, Boris Schiltz, Philippe Morel, Frederic Ris
Patients with rectal cancer have an increased risk of developing sexual disorders. These dysfunctions are caused by the disease itself (negative psychological impact, nerve compression in the pelvis), as well as by the treatments (radiotherapy, chemotherapy and surgery). Most sexual disorders are due to the surgery and can be attributed to injuries of the retroperitoneal nerves. Sexuality assessment of patients before and after treatment, a precise knowledge of the pelvic anatomy by the surgeon, and an appropriate care by specialists (gynaecologists, urologists and sexologists) are essential to reduce the risk of sexual disorders and to minimize their impact on overall quality of life...
March 14, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29518508/ilio-iliac-arteriovenous-fistulae-an-unusual-diagnosis-with-an-even-more-unusual-clinical-presentation
#17
Andreia Coelho, Pedro Brandão, Miguel Lobo, Ignatio Lojo, Alexandra Canedo
BACKGROUND: Major pelvic ilio-iliac arteriovenous fistula (AVF) is an exceedingly rare diagnosis with only a few described cases in the literature, most of them related to congenital defects or trauma. In this case report, we aim to present a case of an ilio-iliac AVF with an atypical clinical presentation. METHODS: Relevant medical data were collected from hospital database. RESULTS: The patient is a 77-year-old woman, with a relevant medical history of a temporally remote hysterectomy...
March 5, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29493473/-severe-vaginal-discharge-following-rectal-surgery
#18
L C Burg, A J A Bremers, J P F A Heesakkers, K B Kluivers
BACKGROUND: Almost 50% of women who have had rectal surgery subsequently develop vaginal discharge. Due to the recurrent and unexpected nature of this heavy discharge, they often experience it as very distressing. Many of these women undergo extensive diagnostic tests that are mainly focused on identifying fistula formation. If no fistula is found, in most cases no other cause for severe vaginal discharge can be demonstrated. CASE DESCRIPTION: In our practice, we saw three patients (49-, 54- and 74-years-old, respectively) with similar severe vaginal discharge after rectal surgery and in whom no explanation for the vaginal discharge could be found...
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29487651/nutcracker-syndrome-in-adolescent-with-perineal-pain-an-interesting-case-of-an-adolescent-with-perineal-pain-due-to-pelvic-congestion-from-nutcracker-syndrome-with-relief-after-balloon-venoplasty-and-sclerotherapy
#19
Kathleen Boyer, Eamon Filan, Brian Ching, Veronica Rooks, Dwight Kellicut
Nutcracker phenomenon is the descriptor for a patient's anatomy whenever the left renal vein becomes compressed between the abdominal aorta and the superior mesenteric artery. Nutcracker syndrome is the terminology used when the nutcracker phenomenon is accompanied by symptoms including pain (abdominal, flank, pelvic), hematuria, and orthostatic proteinuria. Diagnosis can be made with Doppler ultrasound, venography, computed tomography, or magnetic resonance imaging. This case demonstrates some of the typical findings of nutcracker syndrome...
February 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29486944/-greater-omentum-flap-treatment-of-chronic-wounds-and-seroma-about-a-case
#20
D Boccara, K Serror, M Mimoun, M Chaouat
INTRODUCTION: Cicatricial complications after abdominal or pelvic surgery are more frequent in obese patients. In this case, infection, seroma and delays in scarring can be extremely difficult to treat. The objective of this technical note is to present an original case of an obese patient operated nine years ago of a hysterectomy by laparotomy and chronically presenting a non-resolving septic seroma despite multiple surgical procedures whose healing could be obtained by a flap of greater omentum...
February 24, 2018: Annales de Chirurgie Plastique et Esthétique
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