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https://www.readbyqxmd.com/read/29620963/minimal-invasive-linea-alba-reconstruction-for-the-treatment-of-umbilical-and-epigastric-hernias-with-coexisting-rectus-abdominis-diastasis
#1
Gernot Köhler, Ines Fischer, Richard Kaltenböck, Rudolf Schrittwieser
INTRODUCTION: Patients with umbilical or epigastric hernias benefit from mesh- based repairs, and even more so if a concomitant rectus diastasis (RD) is present. The ideal technique is, however, still under debate. In this study we introduce the minimal invasive linea alba reconstruction (MILAR) with the supraaponeurotic placement of a fully absorbable synthetic mesh. MATERIALS AND METHODS: Midline reconstruction with anterior rectus sheath repair and mesh augmentation by an open approach is a well-known surgical technique for ventral hernia repair...
April 5, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29582969/incidence-and-risk-factors-of-neurosurgical-site-infections-results-of-a-prospective-multicenter-cohort-study-on-6359-surgeries
#2
Laura Valentini, Francesca Chiaffarino, Nicoletta Bonfanti, Marilou Pannacci, Paolo Cortellazzi, Caterina Uberti-Foppa, Marika Furlanetto, Francesco DI Meco, Luca Massimi
OBJECTIVES: Neurosurgical surgical site infections (SSI) are life-threatening complications, requiring medical treatment and additional surgeries and remain a substantial cause of morbidity. In order to identify the incidence and the main risk factors for SSI, we developed the Prophylaxis with Antibiotic protocol for neuroSurgical Site Infections Study (PASSIS), a prospective observational multicenter cohort study for examining a large number of neurosurgical procedures. METHODS: The study PASSIS involved four Italian Neurosurgical Departments applying the same antibiotic prophylaxis (ABP) protocol on 6359 consecutive neurosurgical procedures...
March 26, 2018: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/29575922/evaluation-of-the-area-of-the-lisfranc-ligament-damaged-by-screw-fixation
#3
Isaac Fernandez, William M Weiss, Vinod K Panchbhavi
BACKGROUND: A cannulated screw is currently the standard fixation method to reduce and stabilize diastasis at the lisfranc joint following injury. Currently, there is no literature examining the area of the lisfranc ligament damaged by screw placement. The objective of this investigation is to define the area of the ligament damaged by fixation with a 3.5-mm cannulated screw. MATERIALS AND METHODS: Twelve cadaveric feet were dissected to identify the Lisfranc ligament metatarsal insertion site and origin on the medial cuneiform...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29557680/comparison-of-radiographic-and-intraoperative-visual-assessment-of-scaphotrapezoid-joint-arthritis-in-patients-with-end-stage-carpometacarpal-arthritis-of-the-thumb-base
#4
Anil Akoon, Louis C Grandizio, Gaurav G Mookerjee, Jove Graham, Joel C Klena
BACKGROUND: The purpose of this investigation is to compare the radiographic and intraoperative assessment of scaphotrapezoid (ST) joint arthritis in patients with end-stage carpometacarpal (CMC) arthritis of the thumb base. We aim to define the incidence of ST arthritis in this population and determine whether radiographic features such as lunate morphology, dorsal intercalated segment instability (DISI), and scapholunate (SL) diastasis are associated with the incidence of ST arthritis...
March 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29536245/quantitative-mdct-assessment-of-binder-effects-after-pelvic-ring-disruptions-using-segmented-pelvic-haematoma-volumes-and-multiplanar-caliper-measurements
#5
David Dreizin, Uttam Bodanapally, Daniel Mascarenhas, Robert V O'Toole, Nikki Tirada, Ghada Issa, Jason Nascone
OBJECTIVE: To assess effects of pelvic binders for different instability grades using quantitative multidetector computed tomography (MDCT) parameters including segmented pelvic haematoma volumes and multiplanar caliper measurements. METHODS: CT examinations of 49 patients with binders and 49 controls performed from January 2008-June 2016, and matched 1:1 for Tile instability grade and Pennal/Young-Burgess force vector, were compared for differences in pubic symphysis and sacroiliac displacement using caliper measurements in three orthogonal planes...
March 13, 2018: European Radiology
https://www.readbyqxmd.com/read/29521685/cost-effectiveness-analysis-of-syndesmotic-screw-versus-suture-button-fixation-in-tibiofibular-syndesmotic-injuries
#6
Duncan C Ramsey, Darin M Friess
OBJECTIVES: To evaluate the cost-effectiveness of suture buttons compared to syndesmotic screws for repair of tibiofibular syndesmotic injuries. METHODS: A decision-tree model was constructed to describe outcomes after syndesmosis repair using suture buttons and syndesmotic screws from the perspective of a capitated healthcare system. Outcomes were uneventful healing, removal of symptomatic implants, deep infection, and persistent diastasis requiring revision. Weighted literature averages were used to estimate variables for a baseline model...
February 20, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29512814/diastasis-recti-abdominis-a-review-of-treatment-methods
#7
Agata Michalska, Wojciech Rokita, Daniel Wolder, Justyna Pogorzelska, Krzysztof Kaczmarczyk
Diastasis recti abdominis is a condition in which both rectus abdominis muscles disintegrate to the sides, this being ac-companied by the extension of the linea alba tissue and bulging of the abdominal wall. DRA may result in the herniation of the abdominal viscera, but it is not a hernia per se. DRA is common in the female population during pregnancy and in the postpartum period. There is a scant knowledge on the prevalence, risk factors, prevention or management of the abovemen-tioned condition. The aim of this paper is to present the methods of DRA treatment based on the results of recent studies...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29504860/surgical-and-endoscopic-treatment-of-bladder-exstrophy-epispadias-complex-in-a-female-dog
#8
Brittani Jones, Allyson C Berent, Chick W Weisse, Robert Hart, Leilani Alvarez, Anthony Fischetti, B David Horn, Douglas Canning
CASE DESCRIPTION A 14-week-old 7.7-kg (16.9-lb) sexually intact female Golden Retriever was evaluated because of urine dripping from the caudoventral aspect of the abdomen. CLINICAL FINDINGS Ultrasonography, radiography, excretory CT urography, and vaginocystourethroscopy were performed. Results indicated eversion of the bladder through the ventral abdominal wall with exposure of the ureterovesicular junctions, pubic diastasis, and an open vulva and clitoral fossa. Clinical findings were suggestive of bladder exstrophy, a rare congenital anomaly...
March 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29493515/role-of-diastology-in-transcatheter-aortic-valve-implantation
#9
Sivasankaran Sivasubramonian, Arun Gopalakrishnan, Bijulal Sasidharan, Ajitkumar Valaparambil
Transient elevation of LV diastolic pressure above LA pressure can occur in severe aortic regurgitation in the diastasis phase. Mitral E wave reversal in such a situation could serve as non-invasive evidence of elevated left ventricular diastolic pressures, thereby guiding therapeutic decision making.
March 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29481394/abdominoplasty-improves-low-back-pain-and-urinary-incontinence
#10
D Alastair Taylor, Steven L Merten, Gavin D Sandercoe, Dilip Gahankari, Scott B Ingram, Nicholas J Moncrieff, Kevin Ho, Graham D Sellars, Mark R Magnusson
BACKGROUND: The authors studied the incidence of low back pain and urinary incontinence in the postpartum population presenting for abdominoplasty, and the extent of improvement following the operation. METHODS: This multicenter prospective study used validated questionnaires: the Oswestry Disability Index for back pain and the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form for urinary incontinence. Questionnaires were administered preoperatively and at 6 weeks and 6 months postoperatively...
March 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29456778/incidence-and-functional-outcomes-of-scapholunate-diastases-associated-distal-radius-fractures-a-2-year-follow-up-scapholunate-dissociation
#11
Jonathan Lans, Alejandro Lasa, Neal C Chen, Jesse B Jupiter
Background: The Scapholunate Interosseous Ligament (SLIL) is the first intrinsic carpal ligament to be injured in wrist trauma, present in up to 64% of the distal radius fractures. However, it remains unclear what patients develop symptoms, making primary treatment of these injuries accompanying distal radius fractures remains questionable. Objective: The aim of this study was to evaluate the functional outcomes of patients with scapholunate diastasis associated with distal radius fractures...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29435451/umbilical-hernia-repair-and-pregnancy-before-during-after%C3%A2
#12
REVIEW
Hakan Kulacoglu
Umbilical hernias are most common in women than men. Pregnancy may cause herniation or render a preexisting one apparent, because of progressively raised intra-abdominal pressure. The incidence of umbilical hernia among pregnancies is 0.08%. Surgical algorithm for a pregnant woman with a hernia is not thoroughly clear. There is no consensus about the timing of surgery for an umbilical hernia in a woman either who is already pregnant or planning a pregnancy. If the hernia is incarcerated or strangulated at the time of diagnosis, an emergency repair is inevitable...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29409256/biomechanical-comparison-of-fixation-stability-using-a-lisfranc-plate-versus-transarticular-screws
#13
Nathan C Ho, Sophia N Sangiorgio, Spenser Cassinelli, Stephen Shymon, John Fleming, Virat Agrawal, Edward Ebramzadeh, Thomas G Harris
BACKGROUND: To obtain adequate fixation in treating Lisfranc soft tissue injuries, the joint is commonly stabilized using multiple transarticular screws; however iatrogenic injury is a concern. Alternatively, two parallel, longitudinally placed plates, can be used to stabilize the 1st and 2nd tarsometatarsal joints; however this may not provide adequate stability along the Lisfranc ligament. Several biomechanical studies have compared earlier methods of fixation using plates to the standard transarticular screw fixation method, highlighting the potential issue of transverse stability using plates...
August 23, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29399975/diagnostic-imaging-of-ankle-syndesmosis-injuries-a-general-review
#14
REVIEW
John J Kellett, Gregory A Lovell, David A Eriksen, Matthew J Sampson
Literature on the various techniques for imaging injuries to the ankle syndesmosis to determine the most appropriate imaging modality for diagnosing syndesmosis ligament disruption and instability was reviewed using the following data sources: Pubmed, Google scholar, SportsDiscus, E-journals and PLOSone. Search terms used were: syndesmosis paired with injury, imaging, radiology, X-ray, stress X-ray, arthrography, ultrasound, nuclear medicine scan, CT scan, MRI and arthroscopy. Articles were selected by reading abstracts and the full article if indicated...
April 2018: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/29373443/evidence-based-medicine-abdominoplasty
#15
Karol A Gutowski
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Differentiate between techniques for standard abdominoplasty and lipoabdominoplasty. 2. Assess patients for risk associated with abdominoplasty alone and combined with other procedures. 3. Implement newer modalities for abdominoplasty perioperative pain management. 4. Better understand the implications and techniques for rectus diastasis correction by rectus sheath plication. 5. Understand the evidence for eliminating the need for drains in abdominoplasty...
February 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29351646/effect-of-a-postpartum-training-program-on-the-prevalence-of-diastasis-recti-abdominis-in-postpartum-primiparous-women-a-randomized-controlled-trial
#16
Sandra L Gluppe, Gunvor Hilde, Merete K Tennfjord, Marie E Engh, Kari Bø
Background: Diastasis recti abdominis affects a significant number of women during the prenatal and postnatal period. Objective: The objective was to evaluate the effect of a postpartum training program on the prevalence of diastasis recti abdominis. Design: The design was a secondary analysis of an assessor-masked randomized controlled trial. Methods: One hundred seventy-five primiparous women (mean age = 29.8 ± 4...
April 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29320936/role-of-the-deltoid-ligament-in-syndesmotic-instability
#17
Jafet Massri-Pugin, Bart Lubberts, Bryan G Vopat, Jonathon C Wolf, Christopher W DiGiovanni, Daniel Guss
BACKGROUND: The deltoid ligament (DL) is the principal ligamentous stabilizer of the medial ankle joint. Little is known, however, about the contribution of the DL toward stabilizing the syndesmosis. The aim of this study was to arthroscopically evaluate whether the DL contributes to syndesmotic stability in the coronal plane. METHODS: Eight above-knee cadaveric specimens were used in this study. A lateral hook test was performed by applying 100 N of lateral force to the fibula in the intact state and after sequential transection of the DL, anterior-inferior tibiofibular ligament (AITFL), interosseous ligament (IOL), and posterior-inferior tibiofibular ligament (PITFL)...
January 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29318419/prolapsed-bladder-following-rupture-of-patent-urachal-cyst-mimicking-bladder-exstrophy-a-case-report-and-literature-review
#18
Kasemsri Srisupundit, Phitsanu Mahawong, Cholaros Charoenratana, Theera Tongsong
A 26-year-old pregnant woman was diagnosed with fetal bladder prolapse following rupture of a patent urachus/urachal cyst, based on the finding of cyst disappearance with replacement with an infra-umbilical, extra-abdominal solid soft-tissue mass, mimicking bladder exstrophy. The neonatal findings confirmed the prenatal diagnosis. The baby was healthy and had a successful surgical correction. This report provides clues to differentiating ruptured bladder prolapse from bladder exstrophy as follows: (1) well-documented urachal cyst with urine-filled mass in the early gestation, (2) development of solid soft-tissue mass shortly after disappearance of the urachal cyst, and (3) no other structural abnormalities (bladder exstrophy is usually associated with abnormal genitalia, epispadias, or pubic diastasis)...
January 9, 2018: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/29300255/peripartum-perineal-hernia-a-case-report-and-a-review-of-the-literature
#19
Katherine N Hines, Gopal H Badlani, Catherine A Matthews
OBJECTIVES: This article reviews the literature for the management and repair of perineal hernias and presents a previously undescribed case of perineal bladder herniation after intrapartum pubic symphysis rupture. METHODS: A review of the literature was completed through the PubMed database using the search terms "bladder," "canal of Nuck," "labial hernia," "gynecology," "hernia," "obstetrics," "perineal hernia," "postpartum," "pubic diastasis," "pubic symphysis," "vaginal delivery," "symphyseal rupture," and "symphyseal separation...
January 3, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29298692/an-in-vivo-comparison-of-stimulated-echo-and-motion-compensated-spin-echo-sequences-for-3-t-diffusion-tensor-cardiovascular-magnetic-resonance-at-multiple-cardiac-phases
#20
Andrew D Scott, Sonia Nielles-Vallespin, Pedro F Ferreira, Zohya Khalique, Peter D Gatehouse, Philip Kilner, Dudley J Pennell, David N Firmin
BACKGROUND: Stimulated-echo (STEAM) and, more recently, motion-compensated spin-echo (M2-SE) techniques have been used for in-vivo diffusion tensor cardiovascular magnetic resonance (DT-CMR) assessment of cardiac microstructure. The two techniques differ in the length scales of diffusion interrogated, their signal-to-noise ratio efficiency and sensitivity to both motion and strain. Previous comparisons of the techniques have used high performance gradients at 1.5 T in a single cardiac phase...
January 3, 2018: Journal of Cardiovascular Magnetic Resonance
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