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https://www.readbyqxmd.com/read/28099300/plate-fixation-compared-with-nonoperative-treatment-for-displaced-midshaft-clavicular-fractures-a-multicenter-randomized-controlled-trial
#1
Sarah Woltz, Sylvia A Stegeman, Pieta Krijnen, Bart A van Dijkman, Tom P H van Thiel, Niels W L Schep, Piet A R de Rijcke, Jan Paul M Frölke, Inger B Schipper
BACKGROUND: The use of operative treatment for clavicular fractures is increasing, despite varying results in previous studies. The aim of this study was to compare plate fixation and nonoperative treatment for displaced midshaft clavicular fractures with respect to nonunion, adverse events, and shoulder function. METHODS: In this multicenter, prospective, randomized controlled trial, patients between 18 and 60 years old with a displaced midshaft clavicular fracture were randomized between nonoperative treatment and open reduction with internal plate fixation...
January 18, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28096921/a-sequential-comparison-of-postoperative-voiding-function-between-two-different-transobturator-sling-procedures
#2
Don Kyoung Choi, Ha Bum Jung, Young Goo Lee, Ki Kyung Kim, Sung Tae Cho
INTRODUCTION: We evaluated sequential postoperative voiding function of two types of sling procedures (Monarc(®) and ALIGN(®)) in patients with stress urinary incontinence. METHODS: Ninety-one women diagnosed with urodynamic stress incontinence were randomly assigned to the study. All enrolled patients underwent Monarc or ALIGN procedure. They were postoperatively evaluated at one day, one week, one month, three months, 12 months, and 24 months. The voiding function was evaluated with uroflowmetry and post-void residual urine...
November 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28096915/the-impact-of-prior-urethral-sling-on-artificial-urinary-sphincter-outcomes
#3
Matthew J Ziegelmann, Brian J Linder, Marcelino E Rivera, Boyd R Viers, Daniel S Elliott
INTRODUCTION: We sought to evaluate device outcomes in men who underwent primary artificial urinary sphincter (AUS) placement after failed male urethral sling (MUS). METHODS: We performed a retrospective chart review of 990 men who underwent an AUS procedure between 2003 and 2014. Of these, 540 were primary AUS placements, including 30 (5.5%) with a history of MUS. AUS revisions and explantations were compared between men stratified by the presence of prior sling...
November 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28094490/urinary-incontinence-in-women-non-pharmacologic-approaches-and-newer-pharmacotherapies-an-update
#4
Casey G Kowalik, Joshua A Cohn, Alex Gomelsky, Roger R Dmochowski
Urinary incontinence is a widespread problem for women, with stress urinary incontinence (SUI) being the most common type. An updated review of PubMed literature using the following keywords was performed: stress urinary incontinence, women, midurethral slings, bulking agents, pubovaginal slings, retropubic suspension, postoperative complications, and treatment outcome. More recent publications, systematic reviews, and meta-analyses were given preference. The aging population will increase the demand for care of women with SUI...
January 17, 2017: Minerva Medica
https://www.readbyqxmd.com/read/28091712/two-cases-of-female-urethral-reconstruction-with-acellular-porcine-urinary-bladder-matrix
#5
Sana Ansari, Mickey Karram
INTRODUCTION AND HYPOTHESIS: Female urethral reconstruction via the traditional routes can be limiting for various reasons. Current literature on the use of acellular biologic grafts derived from viscera for female urethral reconstruction is limited. We present two cases of women with complete loss of their posterior urethra presenting for urethral reconstruction. METHODS: Two cases of urethral reconstruction using acellular porcine urinary bladder matrix (UBM), along with labial fat pad transposition and biologic pubovaginal sling are presented...
January 13, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28088089/the-traumatic-potential-of-a-projectile-shot-from-a-sling
#6
Igor Borovsky, Zvi Lankovsky, Leonid Kalichman, Victor Belkin
Herein, we analyze the energy parameters of stones of various weights and shapes shot from a sling and based on this data evaluate its traumatic potential. Four police officers proficient in the use of a sling participated in the trials. The following projectile types, shot using an overhead technique at a target 100m away were: round steel balls of different sizes and weights (24mm, 57g; 32mm, 135g; 38mm, 227g); different shaped stones weighing 100-150g and 150-200g and a golf ball (47g). Our data indicated that projectiles shot from unconventional weapons such as a sling, have serious traumatic potential for unprotected individuals and can cause blunt trauma of moderate to critical severity such as fractures of the trunk, limb, and facial skull bone, depending on the weight and shape of the projectile and the distance from the source of danger...
October 26, 2016: Forensic Science International
https://www.readbyqxmd.com/read/28079568/two-dimensional-and-three-dimensional-transperineal-ultrasound-findings-in-women-with-high-pressure-voiding-after-midurethral-sling-placement
#7
Kindra Larson, Lauren Scott, Tina D Cunningham, Yili Zhao, Alfred Abuhamad, Peter Takacs
OBJECTIVES: The aim of this study was to evaluate dynamic two-dimensional (2D) and 3D transperineal pelvic ultrasound findings with urodynamic studies in women with lower urinary tract symptoms after midurethral sling placement. METHODS: On 2D images, the sling position, and on 3D imaging the sling angle, urethral diameter, urethral height, and urethral cross sectional area were recorded with and without Valsalva. Patients were categorized into 3 groups based on 2D imaging: group 1-at rest, the sling lies parallel to the urethral lumen, and during Valsalva, the sling becomes C shaped; group 2-both at rest and during Valsalva, the sling runs parallel to the urethral lumen; group 3-at rest, the sling is C shaped, and during Valsalva, this curved shape is maintained...
January 10, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28078523/simple-vs-six-branches-autologous-suburethral-sling-during-robot-assisted-radical-prostatectomy-to-improve-early-urinary-continence-recovery-prospective-randomized-study
#8
Andrea Cestari, Matteo Ferrari, Mattia Sangalli, Matteo Zanoni, Massimo Ghezzi, Fabio Fabbri, Francesco Sozzi, Carolina Lolli, Vincenzo Dell'Acqua, Patrizio Rigatti
We have recently described the use of a retropubic suburethral autologous sling created and placed during robotic radical prostatectomy (RARP). In this study, we assess the effectiveness of newly designed six-branches compared to two-branches suburethral autologous sling in improving early urinary continence (UC) recovery. 120 patients submitted to RARP were prospectively randomized according to the intraoperative positioning of six-branches (group 1, n = 60) or two-branches autologous sling (group 2, n = 60) obtained by different configuration of a same tract of vas deferens removed...
January 11, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28071152/fatal-orbito-cerebral-penetration-by-industrial-grease-viscous-rare-case-report
#9
Mohit Chauhan, Chittaranjan Behera, P C Dikshit
Assorted projectiles including shrapnel, sling shots, stones, metal and rock fragments and other missiles cause fatal penetrating skull injuries. In this case, a 34-year-old foreman suffered a fatal penetrating orbito-cerebral injury while lubricating a hydraulic rock-splitting machine with industrial grease viscous.
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28066949/editorial-comment-to-are-complications-of-stress-urinary-incontinence-surgery-procedures-associated-with-the-position-of-the-sling
#10
Hikaru Tomoe
No abstract text is available yet for this article.
January 9, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28054249/management-of-mid-shaft-clavicular-fractures-comparison-between-non-operative-treatment-and-plate-fixation-in-60-patients
#11
B M Naveen, G R Joshi, B Harikrishnan
Clavicle fracture is a common injury due to its subcutaneous and relatively anterior position. Fractures affecting the middle third account for majority of all clavicular fractures. Both non-operative and surgical methods have been described for the management of this injury. However, there is no uniform consensus on the definite choice of treatment. Hence, this study was undertaken to compare conservative approach with primary internal plate fixation in mid-shaft clavicular fractures in terms of subjective outcome, functional outcome, the rates of nonunion and malunion and other local complications...
January 4, 2017: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/28053308/evaluation-of-left-pulmonary-artery-sling-associated-cardiovascular-anomalies-and-surgical-outcomes-using-cardiovascular-computed-tomography-angiography
#12
Jiajun Xie, Yu-Hsiang Juan, Qiushi Wang, Jimei Chen, Jian Zhuang, Zhaofeng Xie, Changhong Liang, Yulei Zhu, Zhuliang Yu, Jinglei Li, Sachin S Saboo, Hui Liu
We evaluated the prevalence, image appearance, associated cardiovascular anomalies, and surgical outcomes of left pulmonary artery sling (LPAS) using cardiovascular computed tomography angiography (CCTA). A retrospective search of patients from our database between October 2007 and December 2014 identified 52,200 patients with congenital heart diseases (CHD) referred for CCTA, echocardiography, or magnetic resonance imaging. Clinical information, CCTA findings, associated cardiovascular anomalies, and surgical outcomes were analyzed...
January 5, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28052048/a-biomimetic-mesh-for-treating-female-stress-urinary-incontinence
#13
Kuilin Lai, Jiazhen Zhang, Guoshuai Wang, Xin Luo, Man Liu, Xinzhi Zhang, Yuyu Yuan, Bin Liu, Tao Xu
For patients with medium to severe incontinence, sub-urethral support surgery has a high cure rate, but using synthetic meshes leads to some complications such as mesh erosion/exposure and thigh pain. Autologous or acellular extracellular matrix grafts present few complications but have a high recurrence rate. Regensling(™) is a new sling product made of a synthetic material with a biomimetic structure, aiming to provide long-term mechanical support with a lower complication rate. To assess the safety and effectiveness of Regensling(™), both in vitro and in vivo experiments were performed...
January 4, 2017: Biofabrication
https://www.readbyqxmd.com/read/28043849/clavicle-fractures
#14
REVIEW
M Ropars, H Thomazeau, D Huten
Management of clavicle fracture has progressed over the last decade, notably with wider use of surgery in midshaft fracture, and new techniques for lateral fracture. Midshaft clavicle fracture treatment needs to be personalized and adapted to the patient's activity level. Whichever the segment involved, treatment for non-displaced fracture is functional; elbow-to-body sling immobilization seems the best tolerated. Apart from regular surgical indications (shoulder impaction, floating shoulder, open fracture or fracture with neurovascular complications), surgery is recommended in case of bone shortening exceeding 1...
December 30, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28043779/-adjustable-retropubic-suburethral-sling-remeex-%C3%A2-in-the-treatment-of-male-stress-urinary-incontinence-one-year-results
#15
B Leizour, A Chevrot, L Wagner, S Droupy, P Costa
OBJECTIVE: To evaluate the efficacy and safety of the adjustable suburethral sling Remeex(®) in the treatment of male stress urinary incontinence (SUI). PATIENTS AND METHODS: Single-center prospective study of patients treated for SUI after radical prostatectomy or transurethral resection of prostate. The severity of incontinence was evaluated by the number of pads used per day. Success rate, complications and number of adjustments were studied. RESULTS: From February 2011 to May 2015, Remeex(®) was implanted in 25 patients...
December 30, 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/28043113/long-term-outcome-of-the-retrourethral-transobturator-male-sling-after-transurethral-resection-of-the-prostate
#16
Alexander Kretschmer, Alexander Buchner, Benedikt Leitl, Markus Grabbert, Anne Sommer, Wael Khoder, Christian Gozzi, Christian G Stief, Ricarda M Bauer
PURPOSE: To evaluate long-term outcomes of AdVance and AdVanceXP male slings in patients with persistent stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP). METHODS: A total of 18 consecutive patients received AdVance (n=14) or AdVanceXP (n=4) male sling implantation between 2007 and 2013. Continence was determined by pad use, 24-hour pad testing and validated questionnaires (International Consultation on Incontinence Questionnaire Short Form, ICIQ-SF)...
December 2016: International Neurourology Journal
https://www.readbyqxmd.com/read/28039517/solvent-dehydrated-dermal-allograft-axis%C3%A2-augmented-cystocele-repair-longitudinal-results
#17
Saad Juma, Omer A Raheem
INTRODUCTION AND HYPOTHESIS: Surgical repair options for pelvic organ prolapse (POP) include native tissue, allograft, xenograft, and synthetic grafts. Solvent-dehydrated dermal allograft (SDDG) has an improved safety profile. We evaluated the long-term safety and efficacy of SDDG use for cystocele repair. METHODS: A total of 184 patients completed a minimum follow-up of 12 months. Incontinence Impact Questionnaire (IIQ), Urogenital Distress Inventory (UDI), and Visual Analogue Scale (VAS) were used pre and post operatively...
December 30, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28034649/is-vaginal-mesh-a-stimulus-of-autoimmune-disease
#18
Bilal Chughtai, Art Sedrakyan, Jialin Mao, Karyn S Eilber, Jennifer T Anger, J Quentin Clemens
OBJECTIVE: To investigate a potential link between the development of systemic/ autoimmune disorders and synthetic polypropylene mesh repairs. METHODS: New York State Department of Health Statewide Planning and Research Cooperative System data was utilized to conduct this retrospective cohort study. Adult women undergoing surgery for pelvic organ prolapse (POP) with vaginally implanted mesh between January 2008 and December 2009 in inpatient and ambulatory surgery settings in New York State were identified...
December 26, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28034608/risk-factors-for-urinary-tract-infection-following-midurethral-sling-surgery
#19
H R Vigil, R Mallick, V W Nitti, L T Lavallée, R H Breau, D R Hickling
PURPOSE: Midurethral sling surgery is common. Post-operative urinary tract infection rates vary in the literature and independent risk factors for urinary tract infection are not well defined. We sought to determine the incidence of and risk factors for urinary tract infection following midurethral sling surgery. MATERIAL AND METHODS: A retrospective cohort of females who underwent sling surgery was captured from the National Surgical Quality Improvement Program (NSQIP) database 2006-2014...
December 27, 2016: Journal of Urology
https://www.readbyqxmd.com/read/28033180/a-woman-with-a-midurethral-sling-and-bladder-outlet-obstruction
#20
Jessica Nelson, Phillipe Zimmern
A midurethral sling is a common procedure for stress urinary incontinence in women. Tensioning of the tape used for the sling is an art, and overtensioning during surgery can lead to obstructive symptoms. A patient with new onset of lower urinary tract symptoms after sling surgery should be evaluated for possible voiding dysfunction. Sling incision does not always correct the obstruction and excision may be needed.
January 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
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