Read by QxMD icon Read


Chai Kobkitsuksakul, Pakorn Jiarakongmun, Ekachat Chanthanaphak, Sirintara Pongpech
PURPOSE: The classic symptoms and signs of carotid cavernous sinus fistula or cavernous sinus dural arteriovenous fistula (AVF) consist of eye redness, exophthalmos, and gaze abnormality. The angiography findings typically consist of arteriovenous shunt at cavernous sinüs with ophthalmic venous drainage with or without cortical venous reflux. In rare circumstances, the shunts are localized outside the cavernous sinus, but mimic symptoms and radiography of the cavernous shunt. We would like to present the other locations of the arteriovenous shunt, which mimic the clinical presentation of carotid cavernous fistulae, and analyze venous drainages...
October 21, 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
Yong Cao, Yuan Zhou, Shuangfei Ni, Tianding Wu, Ping Li, Shenghui Liao, Hong-Bin Lu, Jianzhong Hu
A full understanding of the mechanisms behind spinal cord injury (SCI) processes requires reliable 3D imaging tools for a thorough analysis of changes in angio-spatial architecture. We aimed to employ synchrotron radiation μCT (SRμCT) to characterize 3D temperal-spatial changes in microvasculature post-SCI. Morphometric measurements revealed a significant decrease in vascular volume fraction (VVF), vascular bifurcation density (VBD), vascular segment density (VSD) and vascular connectivity density (VCD) 1 day post-injury, followed by a gradual increase at 3, 7, and 14 days...
September 27, 2016: Journal of Neurotrauma
Bastab Ghosh, Deepak K Biswal, Malay K Bera, Dilip K Pal
INTRODUCTION: Vesicovaginal fistula (VVF) is the most common type of urogenital fistula. Gynecologic surgery is the most common cause associated with it. Laparoscopic approach for VVF repair gives the benefit of minimally invasive surgery with principles similar to open transabdominal approach. MATERIALS AND METHODS: We retrospectively reviewed data of 13 patients who underwent laparoscopic vesicovaginal repair at our department from December 2012 to December 2014...
October 2016: Journal of Obstetrics and Gynaecology of India
Steven N Shephard, Sunday J Lengmang, Carolyn V Kirschner
INTRODUCTION AND HYPOTHESIS: The objective was to assess the outcomes of a one-stage approach to bladder stones in the setting of a vesicovaginal fistula, performing fistula repair concurrently with stone extraction. METHODS: Retrospective review of urogenital fistula surgeries at Evangel VVF Center in Jos, Nigeria, between December 2003 and April 2014, identified 87 women with bladder stones accompanying their fistulas and 2,979 repaired without stones. Concurrent stone extraction and fistula repair were performed in 51 patients...
September 17, 2016: International Urogynecology Journal
Vineet V Mishra, Tanvir Tanvir, Sumesh Choudhary, Nilesh Goraniya
Vesicovaginal fistula (VVF) is a devastating social problem. It can either result from obstetric trauma or following gynecological surgeries, malignancy, or radiation. We present a case of a 70-year-old woman who had a VVF following mesh augmentation surgery for anterior compartment prolapse. She required a transvaginal removal of the eroded mesh followed by a transvaginal repair of VVF using a Martius flap, 6 weeks later. Transvaginal removal of mesh is technically feasible and a good approach. Timing and route of surgery should be individualized...
April 2016: Journal of Mid-life Health
Ziv Tsafrir, Joelle Aoun, Rabbie Hanna, Eleni Papalekas, Lauren Schiff, Evan Theoharis, David Eisenstein
BACKGROUND AND OBJECTIVES: A renewed interest in the supra cervical approach to hysterectomy has created a cohort of patients with a retained cervix at risk of persistent symptoms requiring a subsequent trachelectomy. The objective of this study was to evaluate the efficacy of robotic trachelectomy after a previous supracervical hysterectomy. METHODS: This is a retrospective chart review of women who had robotic trachelectomy after supracervical hysterectomy for benign gynecologic disease from January 2009 through October 2014...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Ccg Chen, D Barry, S K Khatry, E M Klasen, M Singh, S C LeClerq, J Katz, J M Tielsch, L C Mullany
OBJECTIVE: To validate a symptom-based fistula screening questionnaire and estimate obstetric fistula (OF) prevalence in rural Nepal. DESIGN: Cross-sectional and nested case-control study. SETTING: Sarlahi District, Nepal. POPULATION: Parous, reproductive age women. METHODS: The questionnaire assessed symptoms of vesicovaginal and rectovaginal fistula (VVF and RVF, respectively), stress and urge urinary incontinence (SUI and UUI, respectively), fecal incontinence (FI), and included interviewer observations on the smell and presence of urine and/or stool...
July 27, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Nagabhushana Mahadevappa, Swathi Gudage, Karthikeyan V Senguttavan, Ashwin Mallya, Sachin Dharwadkar
OBJECTIVE: Vesicovaginal fistula (VVF) is a major complication with psychosocial ramifications. In literature, few VVF cases have been managed by laparoendoscopic single site surgery (LESS) and for the 1(st) time we report VVF repair by LESS using conventional laparoscopic instruments. We present our initial experience and to assess its feasibility, safety and outcome. PATIENTS AND METHODS: From March 2012 to September 2015, LESS VVF repair was done for ten patients aged between 30 and 65 (45...
July 2016: Urology Annals
Sachin Malde, Marco Spilotros, Ailsa Wilson, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, P Julian Shah, Tamsin Greenwell
PURPOSE: To assess the indications, morbidity, efficacy and outcomes of Martius fat pad (MFP) interposition in reconstructive female urology. MATERIALS AND METHODS: Data on 159 women with MFP interposition as part of their primary procedure between 2 September 2005 and 2 July 2015 were prospectively collected. Patient demographics and the indications for MFP interposition along with the outcomes of their primary procedures and short- and long-term complications related to the MFP, along with patient reported perception of post-operative appearance, were noted...
July 7, 2016: World Journal of Urology
Aideen Madden, Asadullah Aslam, Nadeem B Nusrat
Intrauterine devices (IUDs) are reliable method for contraception. Although, they are generally regarded as safe, serious consequences may occur in case of uterine perforation or intravesical migration. We present a rare case of a 74 year old lady with a forgotten IUD for 42 years resulting in intravesical migration, formation of vesicovaginal fistula (VVF) without uterine perforation, complete urinary incontinence, recurrent urinary tract infections (UTIs) and a large vesicovaginal calculus.
July 2016: Urology Case Reports
Divakar Dalela, Piyush Gupta, Disha Dalela, A K Srinivas, Ved Bhaskar, Tuhina Govil, Apul Goel, Satya Narayan Sankhwar
OBJECTIVE: To assess the safety and effectiveness of a novel transurethral bougie-guided monorail technique for suprapubic catheterization in females with vesicovaginal fistula. METHODS: Patients undergoing transvaginal vesicovaginal fistula repair from February 2013 to December 2013 were selected. Suprapubic catheter was placed using this technique and assessment was done in terms of time taken, intraprocedural dislodgement or entanglement of catheter during the procedure, bleeding from the anterior abdominal wall or urethra, or any other intraoperative difficulty...
August 2016: Urology
Fazal Wahab, Amir Nasir, Fazal Manan
OBJECTIVE: To find out the outcome in cases of vesicovaginal fistula repair. METHODS: The descriptive study was conducted at the District Headquarter Hospital, Timergara, Lower Dir, Pakistan, from November 1, 2011 to November 2013, and comprised all patients admitted in Urology unit with vesicovaginal fistula. Repair was done with either transabdominal or transvaginal approach. Repair technique involved good tissue separation, interrupted sutures, and no omental interposition...
May 2016: JPMA. the Journal of the Pakistan Medical Association
O Birge, D Arslan, E Kinali, C Karaca
Iatrogenic vesicovaginal fistula (VVF) is one of the possible complications after gynecologic operations. However, fistula formation owing to a forgotten foreign body is a rare condition. Infectious complications and subsequent vesicovaginal perforation due to foreign body is difficult to diagnose since it is an unlikely condition. Delays in diagnosis and treatment can lead to serious morbidities and even mortality. This paper aims to discuss a VVF case developed after anterior colporraphy owing to forgotten gauze...
2016: Clinical and Experimental Obstetrics & Gynecology
Ankur Bansal, Manoj Kumar, Sunny Goel, Ruchir Aeron
In developing countries such as India, the vesicovaginal fistula (VVF) is a commonly found entity in urogynaecology. VVFs secondary to obstructive labour still remain the most common cause in these countries. We report a very unusual case of a VVF in a young woman that developed due to self-insertion of a plastic box for sexual gratification.
2016: BMJ Case Reports
Ruchira Singh, Jennifer J Schmitt, John J Knoedler, John A Occhino
INTRODUCTION AND HYPOTHESIS: The objective was to demonstrate a surgical technique for the management of a small vesicovaginal fistula (VVF) involving a combination of cystoscopic holmium laser ablation and vaginal repair. METHODS: A 55-year-old morbidly obese female presented with complaints of menometrorrhagia and complex adnexal mass. She underwent an attempted robotic hysterectomy, which was converted to open hysterectomy, omentectomy, and lymphadenectomy owing to an intraoperative diagnosis of endometrioid carcinoma of the endometrium and dense pelvic adhesions...
June 2016: International Urogynecology Journal
Alberto Martini, Eugenio Dattolo, Jacopo Frizzi, Donata Villari, Maria Cristina Paoletti
INTRODUCTION AND HYPOTHESIS: A vesico-vaginal fistula (VVF) is a fistulous tract that connects bladder and vagina, causing urine leakage via the vagina. In the developed world, iatrogenic postoperative VVF is the most common case. Classically, when treating a VVF via the abdominal route, an abdominal flap is mobilized and interposed between the bladder and the vagina. METHODS: In our video, we describe a robotic VVF repair technique with no omental flap interpositioning for a vaginal vault-located fistula...
August 2016: International Urogynecology Journal
Justin L Paluku, Tamar E Carter
BACKGROUND: The Democratic Republic of Congo (DRC) is a developing country with poor obstetric indicators. Despite ongoing efforts to improve care, women continue to suffer multiple complications of child birth including vesico-vaginal fistulae (VVF). OBJECTIVE: To describe socio-demographic and clinical characteristics of VVF patients in Northern DRC. METHODS: Women presenting at two VVF mobile surgical campaign missions in the province of Equateur in Northern DRC in August 2012 and October 2013 were examined and treated for VVF...
December 2015: African Health Sciences
Jianzhong Hu, Yong Cao, Tianding Wu, Dongzhe Li, Hongbin Lu
STUDY DESIGN: The micro-computed tomography (micro-CT) was applied to assess the effect of tetramethylpyrazine (TMP) on experimental spinal cord injury (SCI). OBJECTIVE: The aim of the study was to explore the therapeutic effect of TMP on a rat SCI model using micro-CT. SUMMARY OF BACKGROUND DATA: SCI is a devastating event and always accompanied by severe vascular injury. Promoting angiogenesis after SCI has recently been recognized as a potential way to enhance the neurological function recovery...
August 15, 2016: Spine
Jill Fredrickson, Natalie J Serkova, Shelby K Wyatt, Richard A D Carano, Andrea Pirzkall, Ina Rhee, Lee S Rosen, Alberto Bessudo, Colin Weekes, Alex de Crespigny
PURPOSE: To assess the feasibility of acquiring vessel size imaging (VSI) metrics using ferumoxytol injections and stock pulse sequences in a multicenter Phase I trial of a novel therapy in patients with advanced metastatic disease. METHODS: Scans were acquired before, immediately after, and 48 h after injection, at screening and after 2 weeks of treatment. ΔR2 , ΔR2*, vessel density (Q), and relative vascular volume fractions (VVF) were estimated in both normal tissue and tumor, and compared with model-derived theoretical and experimental estimates based on preclinical murine xenograft data...
February 26, 2016: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
Yang Xiong, Yunhua Tang, Fang Huang, Longfei Liu, Xiangyang Zhang
INTRODUCTION AND HYPOTHESIS: We investigated the treatment outcomes of laparoscopic vesicovaginal fistula repair (LVVFR) in patients with supratrigonal vesicovaginal fistula (VVF) in contrast with open transperitoneal vesicovaginal fistula repair (OVVFR). METHODS: We analyzed 58 VVF repairs from June 2005 to July 2014, with 22 patients in the LVVFR group and 36 in the OVVFR group. Demographic parameters, operative variables, and perioperative outcomes were retrospectively collected and analyzed...
September 2016: International Urogynecology Journal
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"