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Pubis symphysis

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https://www.readbyqxmd.com/read/28444997/a-holistic-view-of-the-effects-of-episiotomy-on-pelvic-floor
#1
Dulce A Oliveira, Marco P L Parente, Begoña Calvo, Teresa Mascarenhas, Renato M Natal Jorge
Vaginal delivery is commonly accepted as a risk factor in pelvic floor dysfunction (PFD), however, other obstetric procedures (episiotomy) are still controversial. In this work, to analyze the relationship between episiotomy and pelvic floor function, a finite element model (FEM) of the pelvic cavity is used considering the pelvic floor muscles (PFM) with damaged regions from spontaneous vaginal delivery, and from deliveries with episiotomy. Common features assessed at screening of PFD are evaluated during numerical simulations of both Valsalva maneuver and contraction...
April 26, 2017: International Journal for Numerical Methods in Biomedical Engineering
https://www.readbyqxmd.com/read/28444408/prolapse-assessment-supine-and-standing-do-we-need-different-cutoffs-for-significant-prolapse
#2
Nuria-Laia Rodríguez-Mias, Nishamini Subramaniam, Talia Friedman, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Translabial ultrasound (TLUS) has shown good correlations between clinical examination and imaging findings in the supine position, and limits of normality have been described. This is not the case for imaging in the standing position. This study was designed to test the hypothesis that different cutoff values are required for imaging in the standing position. METHODS: This was a retrospective study carried out in a tertiary urogynecological unit in women presenting with symptoms of lower urinary tract and pelvic floor dysfunction between August 2013 and December 2015...
April 25, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28397010/corona-mortis-anastomosis-a-three-dimensional-computerized-tomographic-angiographic-study
#3
Ely L Steinberg, Tomer Ben-Tov, Galit Aviram, Yohai Steinberg, Ehud Rath, Galia Rosen
PURPOSE: We evaluated the corona mortis (CM) anatomy by means of three-dimensional computerized tomography angiographic (CTA). METHODS: Patient demographic, anastomosis incidence, artery diameter, artery distance from the symphysis pubis, and pelvic size (distance between both acetabular upper labrum) parameters were assessed. The 100 patients included 66 males and 34 females (average age of 67.8 years). RESULTS: There were 66 (33%) arterial anastomoses in the 200 evaluated arteries, 30 in the right side and 36 in the left side, 36 unilaterally and 15 bilaterally...
April 10, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28386607/automatic-cystocele-severity-grading-in-ultrasound-by-spatio-temporal-regression
#4
Dong Ni, Xing Ji, Yaozong Gao, Jie-Zhi Cheng, Huifang Wang, Jing Qin, Baiying Lei, Tianfu Wang, Guorong Wu, Dinggang Shen
Cystocele is a common disease in woman. Accurate assessment of cystocele severity is very important for treatment options. The transperineal ultrasound (US) has recently emerged as an alternative tool for cystocele grading. The cystocele severity is usually evaluated with the manual measurement of the maximal descent of the bladder (MDB) relative to the symphysis pubis (SP) during Valsalva maneuver. However, this process is time-consuming and operator-dependent. In this study, we propose an automatic scheme for csystocele grading from transperineal US video...
October 2016: Medical Image Computing and Computer-assisted Intervention: MICCAI ..
https://www.readbyqxmd.com/read/28384153/cartilage-formation-in-the-pelvic-skeleton-during-the-embryonic-and-early-fetal-period
#5
Misaki Okumura, Aoi Ishikawa, Tomoki Aoyama, Shigehito Yamada, Chigako Uwabe, Hirohiko Imai, Tetsuya Matsuda, Akio Yoneyama, Tohoru Takeda, Tetsuya Takakuwa
The pelvic skeleton is formed via endochondral ossification. However, it is not known how the normal cartilage is formed before ossification occurs. Furthermore, the overall timeline of cartilage formation and the morphology of the cartilage in the pelvis are unclear. In this study, cartilage formation in the pelvic skeletons of 25 human fetuses (crown-rump length [CRL] = 11.9-75.0 mm) was observed using phase-contrast computed tomography and 7T magnetic resonance imaging. The chondrification center of the ilium, ischium, and pubis first appeared simultaneously at Carnegie stage (CS) 18, was located around the acetabulum, and grew radially in the later stage...
2017: PloS One
https://www.readbyqxmd.com/read/28328629/clinical-biomechanical-and-anatomic-investigation-of-colles-fascia-and-pubic-ramus-periosteum-for-use-during-medial-thighplasty
#6
Martin J Carney, Tim Matatov, Matthew Freeman, John Miller, Rahul Vemula, Jason Schuster, Michael Dancisak, John Lindsey, Guenevere Rae
INTRODUCTION: The medial thighplasty is a procedure where patients may attain superior mobility, hygiene, and cosmesis. Most surgeons use attachment of the superficial fascial system (SFS) of the thigh flap to the Colles fascia, whereas others attach the SFS to the pubic ramus periosteum. Because of a high complication profile, we aim to elucidate the clinical, biomechanical, and anatomic qualities of the Colles fascia versus the pubic ramus periosteum. MATERIALS AND METHODS: We performed a 17-year retrospective review documenting clinical complications, a biomechanical analysis of sutures placed in different tissue layers of the thigh, and a histologic analysis surrounding the ischiopubic ramus...
March 21, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28290969/pubic-osteomyelitis-in-a-combat-training-soldier-a-case-report
#7
David Segal, Iris Eshed, Niv Marom, Georgiy Gurman, Jacopo Chen, Meir Nyska, Gideon Mann, Eyal Yaacobi
INTRODUCTION: Infectious osteomyelitis of the symphysis pubis, known as pubic osteomyelitis is a rare condition with potentially devastating consequences. To the best of our knowledge, this article is the first reported case of a military trainee presenting with pubic osteomyelitis. MATERIALS AND METHODS: We present a unique case of a patient who simultaneously suffered a combination of local recurrent stress to the symphysis pubis area, and slow-healing multiple palm and finger lacerations which probably acted as distant ports of bacterial entry that concomitantly led to his illness...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28270058/internal-fixation-of-s1-s3-iliosacral-screws-and-pubic-screw-as-the-best-configuration-for-unstable-pelvic-fracture-with-unilateral-vertical-sacral-fracture-ao-type-c1-3
#8
Ismail Hadisoebroto Dilogo, Oryza Satria, Jessica Fiolin
BACKGROUND: Although internal fixation is the definitive treatment in unstable pelvic fractures with disruption of the anterior arch and a vertical fracture of the sacrum (AO type C1.3), there have been no agreement of the best technique of internal fixation yet. We aimed to derive comparable objective data on stiffness and load to failure in this type of fracture fixations. METHODS: Synbone was modified into AO type C1.3 fracture model, while treatments were divided into six internal fixation treatment groups using tension band plate (TBP), symphysis pubis plate (SP) with iliosacral screw at S1 and S2 (IS S1-S2), pubic screw (PS) with iliosacral TBP, PS and IS S1-S2, SP and IS S1-S3, PS and S1-S3 and finally PS and IS S1-S3...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28246048/evaluation-of-symphysis-pubis-and-sacroiliac-joint-distances-in-skeletally-immature-patients-a-computerized-tomography-study-of-1020-individuals
#9
Önder Kalenderer, Ali Turgut, Tayfun Bacaksız, Emre Bilgin, Mert Kumbaracı, Hasan Ali Akkan
OBJECTIVE: The aim of this study was to create a reference about normal pubic symphysis and sacroiliac joint widths of children and adolescents. METHODS: A total of 1020 computerized tomography axial scans of patients without pelvic injury between 2 and 18 year-old were studied. The narrowest width of pubic symphysis and bilateral sacroiliac joints were measured. RESULTS: The average pubic symphyseal width at 2 years old boys was 6.35 ± 1...
February 25, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28215933/gender-determination-from-diagnostic-factors-on-anteroposterior-pelvic-radiographs
#10
Azadeh Memarian, Kamran Aghakhani, Shahrokh Mehrpisheh, Foroozan Fares
BACKGROUND: Gender determination from skeletal remains is one of the primary factors in forensic medicine. This study aimed to identify the gender of patients referred to the radiology ward of the Rasoul Akram Hospital of Tehran using anteroposterior pelvic radiography. METHODS: A total of 200 patients (100 male and 100 female) referred to the radiology ward of the Rasoul Akram Hospital for anteroposterior pelvic radiography during 2013-2014 were included in this study...
March 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28213798/digital-rectal-examination-in-the-evaluation-of-rectovaginal-septal-defects
#11
Suneetha Rachaneni, Ixora Kamisan Atan, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate the diagnostic potential of digital rectal examination in the identification of a true rectocele. METHODS: This is a retrospective observational study utilising 187 archived data sets of women presenting with lower urinary tract symptoms and/or pelvic organ prolapse between August 2012 and November 2013. Evaluation included a standardised interview, ICS-POPQ, rectal examination and 4D translabial ultrasound...
February 17, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28122599/is-there-a-clinical-benefit-of-additional-tension-band-wiring-in-plate-fixation-of-the-symphysis
#12
Myung-Sik Park, Sun-Jung Yoon, Seung-Min Choi, Kwanghun Lee
BACKGROUND: The purpose of this study was to determine whether additional tension band wiring in the plate for traumatic disruption of symphysis pubis has clinical benefits. Therefore, outcomes and complications were compared between a plate fixation group and a plate with tension band wiring group. METHODS: We retrospectively evaluated 64 consecutive patients who underwent open reduction and internal fixation of the symphysis pubis by using a plate alone (n = 39) or a plate with tension band wiring (n = 25)...
January 25, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28078361/infix-versus-plating-for-pelvic-fractures-with-disruption-of-the-symphysis-pubis
#13
Rahul Vaidya, Adam Jonathan Martin, Matthew Roth, Kerellos Nasr, Petra Gheraibeh, Frederick Tonnos
PURPOSE: The purpose of this study is to compare INFIX to plating in the treatment of unstable pelvic ring injuries with disruption of the symphysis. METHODS: Twenty-four patients treated with INFIX were compared to 28 patients fixed by plating. All patients had anterior and posterior fixation. Injuries were classified using the Young and Burgess and AO/OTA classification systems. Reductions of the pelvic ring were assessed using the pelvic deformity index (PDI) and symphyseal widening...
January 11, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28026738/-infectious-inflammation-of-pubic-symphysis-symphysitis-pubis-purulenta-five-case-reports-and-literature-view
#14
REVIEW
F Fridrich, V Báča, V Džupa
Purulent inflammation of the pubic symphysis is a rare condition involving the symphysis and parasymphyseal parts of the pubic bones. It is usually found in immuno-compromised patients and its most frequent cause is Staphylococcus aureus. Conservative treatment is based on long-term administration of antibiotics and has been efficient, as reported, in about 50% of the patients. The authors treated five patients with a late diagnosis of purulent infection of the pubic symphysis in whom the antibiotic therapy had to be completed by surgical intervention...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28025679/vascular-anatomical-relationships-of-the-retropubic-space-and-the-sacrospinous-ligament-using-three-dimensional-imaging
#15
Omar F Dueñas-Garcia, Youngwu Kim, Katherine Leung, Michel K Flynn
INTRODUCTION AND HYPOTHESIS: Pelvic anatomy is complex and intimate knowledge of variabilities in anatomical relationships is critical for surgeons to safely perform surgical procedures. Three-dimensional Imaging provides the opportunity to analyze undisturbed anatomical relationships. The authors hypothesized that three-dimensional models created from pelvic computed tomography angiograms could be used to obtain vascular anatomical measurements, and that the measurements obtained from three-dimensional models would be similar to those from cadaver studies...
December 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27973670/fixed-distance-model-for-balloon-placement-during-fluoroscopy-free-resuscitative-endovascular-balloon-occlusion-of-the-aorta-in-a-civilian-population
#16
Pierre Pezy, Alexandros N Flaris, Nicolas J Prat, François Cotton, Peter W Lundberg, Jean-Louis Caillot, Jean-Stéphane David, Eric J Voiglio
Importance: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an innovative procedure in the treatment of noncompressible truncal hemorrhage. However, readily available fluoroscopy remains a limiting factor in its widespread implementation. Several methods have been proposed to perform REBOA without fluoroscopic guidance, and these methods were adapted predominantly from the military theater. Objective: To develop a method for performing REBOA in a civilian population using a standardized distance from a set point of entry...
April 1, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/27898928/predicting-pork-loin-chop-yield-using-carcass-and-loin-characteristics
#17
K B Wilson, M F Overholt, E K Hogan, C Schwab, C M Shull, M Ellis, N S Grohmann, A C Dilger, D D Boler
The objective was to determine the predictive ability of carcass length for the number of equal-thickness chops obtained from a boneless pork loin. Longer pork carcasses are assumed to yield longer loins and, therefore, an increased number of chops. Loins were collected from pigs (1,238 total) raised under commercial conditions and marketed when the mean pig weight in a pen reached 138 kg. Pigs were slaughtered over 7 wk in a commercial facility. Carcass length was measured at 1 d postmortem on the left side of each carcass from the anterior edge of the symphysis pubis bone to the anterior edge of the first rib...
November 2016: Journal of Animal Science
https://www.readbyqxmd.com/read/27830594/a-digital-anatomical-study-of-the-corona-mortis-in-females
#18
Yan Han, Ping Liu, Chunlin Chen, Hui Duan, Lan Chen, Yikai Xu, Ruiying Chen, Hongxin Pan, Chunmei Zhao, Lei Tang
It was a different study from traditional anatomy to construct three-dimensional (3D) model of the corona mortis (CMOR) through contrasted enhanced computed tomography (CT) scanning. This will provide an aid for the understanding of the fine anatomy of CMOR, as well as surgical produces. A medical image processing system was used to process computed tomography scanning data collected from 330 cases of woman patients. Accurate digital 3D models of the CMOR were used to study the incidence, location, and the morphological patterns...
November 11, 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/27824705/correlation-between-echodefecography-and-3-dimensional-vaginal-ultrasonography-in-the-detection-of-perineal-descent-in-women-with-constipation-symptoms
#19
Sthela M Murad-Regadas, Francisco Sergio Pinheiro Regadas, Lusmar V Rodrigues, Adjra da Silva Vilarinho, Guilherme Buchen, Livia Olinda Borges, Lara B Veras, Mariana Murad da Cruz
BACKGROUND: Defecography is an established method of evaluating dynamic anorectal dysfunction, but conventional defecography does not allow for visualization of anatomic structures. OBJECTIVE: The purpose of this study was to describe the use of dynamic 3-dimensional endovaginal ultrasonography for evaluating perineal descent in comparison with echodefecography (3-dimensional anorectal ultrasonography) and to study the relationship between perineal descent and symptoms and anatomic/functional abnormalities of the pelvic floor...
December 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27793113/pre-induction-translabial-ultrasound-measurements-in-predicting-mode-of-delivery-compared-to-bishop-score-a-cross-sectional-study
#20
Soghra Khazardoost, Fahimeh Ghotbizadeh Vahdani, Sahar Latifi, Sedighe Borna, Maryam Tahani, Mohammad Ali Rezaei, Masoomeh Shafaat
BACKGROUND: By increased concerns about the accuracy of the traditional methods to predict outcomes after induction of labor, developing new standards has a great clinical importance. Here, we compared the predictive value of translabial ultrasound measurements with Bishop Score to determine the suitability of induction of labor. METHODS: A homogenous population of primigravid women was recruited. Induction of labor was performed with low-dose infusion of oxytocin...
October 28, 2016: BMC Pregnancy and Childbirth
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