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https://www.readbyqxmd.com/read/29148186/undescended-testis-what-paediatricians-need-to-know
#1
REVIEW
John M Hutson, Jaya Vikraman, Ruili Li, Joergen Thorup
Undescended testis (UDT) occurs when something goes wrong with testicular descent from high in the abdominal cavity to the scrotum. Normal descent occurs in two steps, with the transabdominal phase controlled by a new testicular hormone, insulin-like hormone 3, and the inguinoscrotal phase controlled by androgens. The latter phase requires a complex process of migration from the inguinal abdominal wall to the scrotum and is commonly defective, leading to the high incidence (2-4%) of UDT at birth. The clinical examination of babies and infants aims to confirm the persistence of congenital UDT by 3-6 months, so surgery can be optimally timed at 6-12 months...
November 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29144557/penile-warty-mucoepidermoid-carcinoma-with-features-of-stratified-mucin-producing-intraepithelial-lesion-and-invasive-stratified-mucin-producing-carcinoma
#2
Kenji Yorita, Naoto Kuroda, Takushi Naroda, Masato Tamura, Chisato Ohe, Mukul Divatia, Mahul B Amin, Antonio L Cubilla, Dimitry V Kazakov, Ondrej Hes, Michael Michal, Michal Michal
AIMS: Stratified mucin-producing intraepithelial lesion (SMILE) and invasive stratified mucin-producing carcinoma (ISMC) are recently described cervical and penile lesions. We report an unusual case of mixed variant of penile squamous cell carcinomas with warty, usual and mucoepidermoid SMILE/ISMC features. METHODS AND RESULTS: A 62-year-old Japanese man had a glans penis lesion of one and a half years duration, suggesting malignancy. Partial penectomy and left inguinal lymphadenectomy were performed...
November 16, 2017: Histopathology
https://www.readbyqxmd.com/read/29132477/elective-division-of-ilioinguinal-nerve-in-inguinal-hernioplasty-remedy-for-the-morbid-postoperative-inguinal-pain
#3
Muhammad Danish Muneeb, Mirza Aga Naushad Baig
OBJECTIVE: To compare the postoperative pain in inguinal hernioplasty, by preserving versus wide elective division of ilioinguinal nerve. STUDY DESIGN: Randomized controlled trial. PLACE AND DURATION OF STUDY: Surgical Department, Civil Hospital, Karachi, from January till August 2015. METHODOLOGY: All patients of either gender above 15 years of age, undergoing mesh repair for unilateral, reducible inguinal hernia, were included...
November 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29124402/presence-of-viable-germ-cells-in-testicular-regression-syndrome-remnants-is-routine-excision-indicated-a-systematic-review
#4
REVIEW
Ramesh Mark Nataraja, Evie Yeap, Costa J Healy, Inderpal S Nandhra, Feilim L Murphy, John M Hutson, Chris Kimber
There is no consensus in the literature about the necessity for excision of testicular remnants in the context of surgery for an impalpable testis and testicular regression syndrome (TRS). The incidence of germ cells (GCs) within these nubbins varies between 0 and 16% in previously published series. There is a hypothetical potential future malignancy risk, although there has been only one previously described isolated report of intratubular germ-cell neoplasia. Our aim was to ascertain an accurate incidence of GCs and seminiferous tubules (SNTs) within excised nubbins and hence guide evidence-based practice...
November 9, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/29118545/imaging-modalities-for-an-uncommon-inguinal-scrotal-pathology-a-case-report-and-literature-review
#5
Koo Hao Chun, Fam Xeng Inn, Erica Yee Hing, Goh Eng Hong
Inguinal scrotal swelling is a common presentation to surgical clinic with various differential diagnoses. In most circumstances, a good clinical assessment is sufficient to identify the diagnosis. Imaging is necessary when diagnostic difficulty was encountered. The choice of imaging study could affect the management and outcome. A 60-year-old male presented with an enlarging right inguinal scrotal swelling for 5 years. Clinical examination showed a swelling extended from the right inguinal region down to the right scrotum, firm, not reducible, and not separable from the right testis...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29116312/malignant-transformation-of-abdominal-wall-endometriosis-to-clear-cell-carcinoma-case-report
#6
João Kleber de Almeida Gentile, Renato Migliore, Fábio Jorge Neubaner Kistenmacker, Marcio Menezes de Oliveira, Rodrigo Biscuola Garcia, Fang Chia Bin, Pedro Marcos Santinho Bueno de Souza, José César Assef
BACKGROUND: Malignant transformation of endometriosis in the abdominal wall is a rare and still poorly understood event. Less than 30 cases have been reported in the worldwide literature. Most cases of solid tumors are report in a previous abdominal scar with malignant transformation of a focus of endometriosis. Presence of lymph node metastases in nearby chains is frequent and is associated with poor prognosis. CASE REPORT: We report a case of a 42-year-old woman with a history of abdominal surgery (Pfannenstiel) to resect abdominal wall endometriosis...
November 6, 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/29114846/savings-from-reducing-low-value-general-surgical-interventions
#7
REVIEW
H T Malik, J Marti, A Darzi, E Mossialos
BACKGROUND: Finding opportunities for improving efficiency is important, given the pressure on national health budgets. Identifying and reducing low-value interventions that deliver little benefit is key. A systematic literature evaluation was done to identify low-value interventions in general surgery, with further assessment of their cost. METHODS: A multiplatform method of identifying low value interventions was undertaken, including a broad literature search, a targeted database search, and opportunistic sampling...
November 8, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/29108870/is-two-port-laparoendoscopic-single-site-surgery-t-less-feasible-for-pediatric-hydroceles-single-center-experience-with-the-initial-59-cases
#8
Furan Wang, Tiejun Shou, Hongji Zhong
INTRODUCTION: Although T-LESS is increasingly being used to treat pediatric inguinal hernia, there is no study regarding T-LESS for pediatric hydrocele. OBJECTIVE: To further evaluate the feasibility of T-LESS and present our single-center experience for repair of pediatric hydroceles. STUDY DESIGN: From January 2016 to July 2016, all boys undergoing T-LESS for hydrocele in our institute were retrospectively reviewed. A laparoscope and a needle-holding forceps were introduced at umbilicus...
October 16, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29103256/-a-case-of-intravesical-foreign-body-by-erosion-of-surgical-mesh-used-for-an-inguinal-hernia-repair
#9
Kota Iida, Fumiaki Hoshiyama, Masahiro Tanaka, Kiyohide Fujimoto
We report our experience with a case in which eroded mesh used for inguinal hernia repair migrated into the bladder. An 84-year-old man underwent surgery for colorectal cancer at the age of 40, and radical surgery for a right inguinal hernia at the age of 83. At his initial visit, he reported macroscopic hematuria. Cystoscopy revealed a yellowish-brown foreign body on the right bladder wall, and computed tomography showed the presence of emphysema in association with the foreign body. Based on a presumptive diagnosis of vesical calculi, transurethral lithotripsy was performed...
October 2017: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/29102511/polyester-mosquito-net-mesh-for-inguinal-hernia-repair-a-feasible-option-in-resource-limited-settings-in-cameroon
#10
J Rouet, G Bwelle, F Cauchy, P Masso-Misse, S Gaujoux, B Dousset
BACKGROUND: In developing countries, most inguinal hernia repairs are performed using Bassini or Shouldice techniques resulting in higher recurrence rates than with mesh placement. Our study aimed to evaluate the postoperative course and quality of life of patients undergoing inguinal hernia repair with a polyester mosquito net meshes during non-governmental organization health campaigns in Cameroon. METHODS: Patients were prospectively included from January to November 2013...
November 1, 2017: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29101564/first-experience-with-the-autolap%C3%A2-system-an-image-based-robotic-camera-steering-device
#11
Paul J M Wijsman, Ivo A M J Broeders, Hylke J Brenkman, Amir Szold, Antonello Forgione, Henk W R Schreuder, Esther C J Consten, Werner A Draaisma, Paul M Verheijen, Jelle P Ruurda, Yuval Kaufman
BACKGROUND: Robotic camera holders for endoscopic surgery have been available for 20 years but market penetration is low. The current camera holders are controlled by voice, joystick, eyeball tracking, or head movements, and this type of steering has proven to be successful but excessive disturbance of surgical workflow has blocked widespread introduction. The Autolap™ system (MST, Israel) uses a radically different steering concept based on image analysis. This may improve acceptance by smooth, interactive, and fast steering...
November 3, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29100881/pedicled-posteromedial-thigh-ppmt-perforator-flap-and-its-application-in-loco-regional-soft-tissue-reconstructions
#12
Mario F Scaglioni, Alberto Franchi, Pietro Giovanoli
INTRODUCTION: The posteromedial thigh (PMT) perforator flap is a valuable reconstructive option. In its pedicled form, the experience is currently limited to a few case reports. The purpose of this article is to describe various clinical applications of the pedicled posteromedial thigh (pPMT) flap for reconstruction of loco-regional soft tissue defects. PATIENTS AND METHODS: From 2014 to 2016, 15 patients underwent reconstruction with 15 pPMT flaps. The locations of the defects included the inguinal region (4 cases), the perineal and genital region (3 cases), the proximal and distal medial thigh (3 and 2 cases, respectively), and the popliteal fossa (3 cases)...
October 16, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29097087/laser-ablation-as-monotherapy-for-penile-squamous-cell-carcinoma-a-multi-center-cohort-analysis
#13
Dominic H Tang, Sylvia Yan, Sarah R Ottenhof, Désirée Draeger, Adam S Baumgarten, Juan Chipollini, Chris Protzel, Yao Zhu, Ding-Wei Ye, Oliver W Hakenberg, Simon Horenblas, Nicholas A Watkin, Philippe E Spiess
INTRODUCTION: Although the trend towards penile sparing therapy is increasing for penile squamous cell carcinoma, outcomes for laser ablation therapy have not been widely reported. We assessed the clinical outcomes of penile cancer patients treated with only laser ablation. MATERIALS AND METHODS: A retrospective review was performed on 161 patients across 5 multi-center tertiary referral centers from 1985 to 2015. All patients underwent penile sparing surgery with only laser ablation for squamous cell carcinoma of the penis...
October 30, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/29089787/left-sided-incarcerated-amyand-s-hernia-with-cecum-and-terminal-ileum-a-case-report
#14
Kebebe Bekele, Desalegn Markos
BACKGROUND: Amyand's hernia, which is the presence of a normal or pathological appendix as a part of an inguinal hernia, is a rare clinical entity. We are reporting a very rare case of left-sided incarcerated Amyand's hernia with cecum and terminal ileum involvement. CASE PRESENTATION: A 4-year-old male child with left inguinal swelling of 2-year duration presented to Goba Referral Hospital. Two days before the patient visited our hospital, the swelling had become irreducible and caused severe groin pain...
2017: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29089736/early-experience-with-laparoscopic-management-of-nonpalpable-undescended-testes
#15
Okechukwu Hyginus Ekwunife, Victor Ifeanyichukwu Modekwe, Jideofor Okechukwu Ugwu, Chuka Abunike Ugwunne
BACKGROUND: Nonpalpable undescended testes (NPT) constitute 20%-30% of undescended testes, and its management has been a challenge both in diagnosis and treatment. Worldwide, laparoscopy is the current gold standard of management. In Nigeria, the management of NPT has largely been by open surgery with consequent high morbidity. In Nigeria, the trend is changing from a largely open management with its attendant high morbidity, to laparoscopic management which is the current worldwide gold standard of care...
July 2017: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/29084192/transient-left-ventricular-dysfunction-due-to-coronary-spasm-after-spinal-anesthesia-with-bupivacaine-a-case-report
#16
Waldemar Elikowski, Małgorzata Małek-Elikowska, Marek Słomczyński, Karolina Horbacka, Jarosław Bartkowski, Bartosz Kalawski
Bupivacaine is a long-acting local anesthetic (LA) used for cutaneous infiltration, peripheral nerve blocks, epidural and spinal anesthesia. However, its application may result in cardiovascular complications such as: hypotension, bradycardia, cardiac arrest and toxic myocardial injury. The authors describe a 53-year-old male with a history of cigarette smoking, admitted for an elective inguinal hernia surgery. Before surgery, the patient received subarachnoid injection of bupivacaine (20 mg). After the operation, he developed transient hypotension...
October 23, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29079483/urinary-carbohydrate-antigen-19-9-creatinine-ratio-a-non-invasive-marker-for-follow-up-of-unilateral-ureteropelvic-junction-obstruction-in-children
#17
Farshid Alizadeh, Ali Mohammad Taefnia, Saeid Haghdani
INTRODUCTION: Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in children. One major challenge in the management of UPJO is to select the patients that must be subjected to early obstruction relief. Currently, there is no gold standard for this assessment. Therefore, the aim of the present study was to evaluate the urinary levels of carbohydrate antigen (CA) 19-9 and normalized CA 19-9 (Ca 19-9/Cr ratio) in UPJO patients before and after surgery and compare them with a control group to assess their potential clinical application as an assisting tool in diagnosis of UPJO patients...
October 13, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29078911/resident-postgraduate-year-does-not-influence-rate-of-complications-following-inguinal-herniorrhaphy
#18
Oswaldo Renteria, Ali A Mokdad, Jonathan Imran, Sergio Huerta
BACKGROUND: Previous data indicate that patients who undergo surgery with a postgraduate year 3 (PGY-3) resident as the junior surgeon have a lower rate of recurrence compared with PGY-1 and PGY-2 after an open inguinal herniorrhaphy. Lower PGY level was also associated with increased operative time. We hypothesize that when controlling for surgeon, technique, and hernia type, the outcomes for inguinal herniorrhaphy are the same independent of PGY level. MATERIALS AND METHODS: A retrospective review of all open unilateral inguinal hernia repairs done by residents who assisted the same senior surgeon at the Veterans Affairs North Texas Health Care System was performed...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29075969/what-are-the-influencing-factors-for-chronic-pain-following-tapp-inguinal-hernia-repair-an-analysis-of-20-004-patients-from-the-herniamed-registry
#19
H Niebuhr, F Wegner, M Hukauf, M Lechner, R Fortelny, R Bittner, C Schug-Pass, F Köckerling
BACKGROUND: In inguinal hernia repair, chronic pain must be expected in 10-12% of cases. Around one-quarter of patients (2-4%) experience severe pain requiring treatment. The risk factors for chronic pain reported in the literature include young age, female gender, perioperative pain, postoperative pain, recurrent hernia, open hernia repair, perioperative complications, and penetrating mesh fixation. This present analysis of data from the Herniamed Hernia Registry now investigates the influencing factors for chronic pain in male patients after primary, unilateral inguinal hernia repair in TAPP technique...
October 26, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29075545/amyand-s-hernia-state-of-the-art-and-new-points-of-view
#20
Guido Mantovani, Michela De Angelis, Francesco Di Lecce, Annalisa Pascariello, Domenico Risio, Luigi Boccia
BACKGROUND: Amyand's hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH. CASE PRESENTATION: A 75-year-old Caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Diagnosis was posed preoperatively with computed tomography (CT) scan. Patient underwent urgent surgery and simultaneous appendectomy and hernia repair by Bassini's technique were performed...
2017: Case Reports in Surgery
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