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https://www.readbyqxmd.com/read/29644381/autologous-rectus-fascia-sling-placement-in-the-management-of-female-stress-urinary-incontinence
#1
Adam R Miller, Brian J Linder, Deborah J Lightner
INTRODUCTION AND HYPOTHESIS: Autologous pubovaginal sling placement remains a treatment option in index patients, given high, long-term success rates. This video reviews the technical considerations for performing an autologous rectus fascia sling. METHODS: The patient is a 47-year-old woman with stress urinary incontinence (SUI) refractory to conservative management. First, a 10-cm rectus fascial segment is harvested and prepped with placement of nonabsorbable stay sutures for later sling passage...
April 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29628547/ultrasound-guided-combined-fascial-plane-blocks-as-an-intervention-for-pain-management-after-laparoscopic-cholecystectomy-a-randomized-control-study
#2
Seshadri Ramkiran, Mathews Jacob, Manish Honwad, Desiraju Vivekanand, Mathangi Krishnakumar, Seema Patrikar
Background: Pain associated with laparoscopic cholecystectomy is most severe during the first 24 h and the port sites are the most painful. Recent multimodal approaches target incisional pain instead of visceral pain which has led to the emergence of abdominal fascial plane blocks. This study embraces a novel combination of two independently effective fascial plane blocks, namely rectus sheath block and subcostal transversus abdominis plane (TAP) block to alleviate postoperative pain...
January 2018: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29626245/a-new-method-for-surgical-abdominal-mass-closure-after-abdominal-fascial-dehiscence-using-nasogastric-tube-and-hemovac-perforator-a-case-series-study
#3
Jalal Vahedian, Sepideh Jahanian, Behrouz Banivaheb, Nima Hemmati, Mehrnaz Ghavamipour, Majid Chegini, Mahdi Alemrajabi
BACKGROUND: As the challenge for finding the best abdominal incision closure technique continues, surgeons are aiming to minimize postoperative wound complications such as wound dehiscence and hernia as an acute or late manifestation. In order to achieve this goal, several abdominal opening and closure techniques have been tried. In this article, we describe a method in which we used a nasogastric tube (NGT) in mass closure for patients with fascial dehiscence. METHODS: In this case-series study, a total number of 25 patients participated...
April 6, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29622835/diagnosing-and-treating-rare-lesions-in-a-low-resource-setting-lessons-from-ahybrid-epithelioid-trophoblastic-tumor-and-choriocarcinoma
#4
Patrick K Akakpo, Kofi Ulzen-Appiah, Evans Agbeno, Leonard Derkyi-Kwarteng
Objective: To raise awareness of the existence of a rare type of malignant trophoblastic tumor and discuss the diagnostic challenges and management of this lesion in a low resource setting. Case report and intervention: A 35 -year -old G6 P3 woman was referred to our facility on account of persistent vaginal bleeding due to a suspected incomplete miscarriage with a cervical mass. Her serum β-HCG was elevated (36,900 mIU/ml) and examination showed a bleeding cervical mass...
December 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29605724/timing-of-laparotomy-and-closure-in-burn-patients-with-abdominal-compartment-syndrome-effects-on-survival
#5
Jesus I Ramirez, Soman Sen, Tina L Palmieri, David G Greenhalgh
BACKGROUND: Survival of burned patients with abdominal compartment syndrome (ACS) is uniformly reported to be poor, averaging just 16% after laparotomy. We hypothesize that better outcomes may be achieved with a strategy of immediate laparotomy and early fascial closure. STUDY DESIGN: Patients with burn injury who were diagnosed with ACS between 2005 and 2016 were identified through a search of databases. Data was gathered from electronic medical records. Timing of laparotomy and closure were calculated for each patient...
March 29, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29603711/management-of-a-severe-cervicofacial-odontogenic-infection
#6
Ana Km Tormes, Manoela M De Bortoli, Rui M Júnior, Emanuel Ss Andrade
INTRODUCTION: Odontogenic infections originate from a tooth or from its supporting structures, generally secondary to a pulp necrosis, periodontal disease, pericoronitis, apical lesions, or complications of dental procedures, which can be restricted to the alveolus or can reach the jaws and face through maxillofacial spaces. These are the most common conditions which affect the head and neck regions. AIM: The aim of this study is to report a severe case of a cervicofacial odontogenic infection while discussing the most relevant aspects...
March 1, 2018: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/29603352/comparison-of-symmetry-after-smile-reconstruction-for-flaccid-facial-paralysis-with-combined-fascia-lata-grafts-and-functional-gracilis-transfer-for-static-suspension-or-gracilis-transfer-alone
#7
Jurij Kiefer, David Braig, Jan R Thiele, Holger Bannasch, G Björn Stark, Steffen U Eisenhardt
PURPOSE: Facial paralysis has a profound impact on functionality and esthetics of the oral region. In patients with strong skin laxity and soft tissue ptosis, functional smile reconstruction is challenging due to the accentuated asymmetry at rest. Thus, the purpose of the study was to analyze facial symmetry in this patient clientele following a combination of dynamic reanimation with fascial strips for static suspension compared to functional gracilis transfer alone. METHODS: In 2014, we altered the single-stage approach for microsurgical smile reconstruction in patients with significant soft tissue ptosis by adding fascia lata grafts for static support...
March 30, 2018: Microsurgery
https://www.readbyqxmd.com/read/29601081/outcome-of-open-abdominal-management-following-military-trauma
#8
S Pengelly, J E A Berry, S E Herrick, D M Bowley, G L Carlson
BACKGROUND: Temporary abdominal closure (TAC) is increasingly common after military and civilian major trauma. Primary fascial closure cannot be achieved after TAC in 30 per cent of civilian patients; subsequent abdominal wall reconstruction carries significant morbidity. This retrospective review aimed to determine this morbidity in a UK military cohort. METHODS: A prospectively maintained database of all injured personnel from the Iraq and Afghanistan conflicts was searched from 1 January 2003 to 31 December 2014 for all patients who had undergone laparotomy in a deployed military medical treatment facility...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29595181/case-report-of-ventral-hernia-complicating-bariatric-surgery
#9
Ankush Sarwal, Rajesh Khullar, Anil Sharma, Vandana Soni, Manish Baijal, Pradeep Chowbey
Ventral hernias (VHs) are common in the bariatric population with incidence of around 8% of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB). The factors contributing to the incidence of VH includes high intra-abdominal pressures, previous histories of abdominal surgeries, defects in fascial structure and reduced healing tendency. There is a high index of suspicion in BS patients with VH for hernia complications which can be lethal after LRYGB. Here, we present a case where VH complicated the LRYGB surgery...
March 23, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29589417/blocking-around-the-transversalis-fascia-behind-the-scene
#10
Francesco Vasques, Carla Stecco, Raffaele Mitri, Raffaele DE Caro, Pierfrancesco Fusco, Astrid U Behr
BACKGROUND: The transversalis fascia plane and the quadratus lomborum blocks target the branches of T12-L1 nerves and provide analgesia in patients undergoing surgery involving the corresponding dermatomes. The transversalis fascia is believed to contribute to determine the spread of local anesthetic in such blocks. Nonetheless, the anatomy of this fascia and its possible role in these blocks still have to be precisely defined. METHODS: We conducted a series of 10 dissections and full-thickness specimens were obtained from one side for the microscopic analysis...
March 27, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29581969/analgesic-effect-of-extracorporeal-shock-wave-treatment-combined-with-fascial-manipulation-theory-for-adhesive-capsulitis-of-the-shoulder-a-retrospective-study
#11
Xiangnan Yuan, Fenghua Zhou, Lixin Zhang, Zhiqiang Zhang, Jianjun Li
Objectives: This study aims to explore whether extracorporeal shockwave treatment (ESWT) based on the theory of fascial manipulation (FM) at select treatment points is superior to traditional local ESWT for pain relief in adhesive capsulitis of the shoulder. Methods: Data from patients with adhesive capsulitis of the shoulder who received weekly ESWT according to fascial manipulation theory (ESWT-FM) or local extracorporeal shockwave treatment (L-ESWT) during a 5-week treatment period were evaluated...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29578104/impact-of-operative-time-on-early-joint-infection-and-deep-vein-thrombosis-in-primary-total-hip-arthroplasty
#12
B W Wills, E D Sheppard, W R Smith, J R Staggers, P Li, A Shah, S R Lee, S M Naranje
PURPOSE: Infections and deep vein thrombosis (DVT) after total hip arthroplasty (THA) are challenging problems for both the patient and surgeon. Previous studies have identified numerous risk factors for infections and DVT after THA but have often been limited by sample size. We aimed to evaluate the effect of operative time on early postoperative infection as well as DVT rates following THA. We hypothesized that an increase in operative time would result in increased odds of acquiring an infection as well as a DVT...
March 22, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29575206/the-fasciacytes-a-new-cell-devoted-to-fascial-gliding-regulation
#13
Carla Stecco, Caterina Fede, Veronica Macchi, Andrea Porzionato, Lucia Petrelli, Carlo Biz, Robert Stern, Raffaele De Caro
INTRODUCTION: Hyaluronan occurs between deep fascia and muscle, facilitating gliding between these two structures, and also within the loose connective tissue of the fascia, guaranteeing the smooth sliding of adjacent fibrous fascial layers. It also promotes the functions of the deep fascia. In this study a new class of cells in fasciae is identified, which we have termed fasciacytes, devoted to producing the hyaluronan-rich extracellular matrix. MATERIALS AND METHODS: Synthesis of the hyaluronan-rich matrix by these new cells was demonstrated by Alcian Blue staining, anti-HABP (hyaluronic acid binding protein) immunohistochemistry, and transmission electron microscopy...
March 25, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29574122/autologous-rectus-fascia-graft-interposition-repair-of-urethrocutaneous-fistulae-in-female-to-male-metoidioplasty-patients
#14
Niels V Johnsen, Bryan B Voelzke
Objective To describe our technique and outcomes using an autologous rectus fascia interposition graft for repair of recurrent urethrocutaneous fistulae (UCF) following metoidioplasty. Materials and Methods A circumferential incision is made to the skin surrounding the UCF and carried to the level of the underlying subcutaneous tissues. The inner fistula skin edges are closed with a running 5-0 monofilament absorbable suture to obliterate the urethral side. The length of the urethral wound is measured and an appropriate sized rectus fascia graft harvested from a small transverse lower abdominal incision that is also used for concomitant percutaneous suprapubic tube placement...
March 21, 2018: Urology
https://www.readbyqxmd.com/read/29573191/is-fascial-defect-closure-with-intraperitoneal-onlay-mesh-superior-to-standard-intraperitoneal-onlay-mesh-for-laparoscopic-repair-of-large-incisional-hernia
#15
Katsuhito Suwa, Tomoyoshi Okamoto, Katsuhiko Yanaga
INTRODUCTION: The ideal surgical technique for large incisional hernia repair has not yet been identified. The aim of this study was to evaluate surgical outcomes of standard intraperitoneal onlay mesh (sIPOM) versus fascial defect closure with intraperitoneal onlay mesh (IPOM-Plus) for large incisional hernia repair. METHODS: Of 49 patients who underwent laparoscopic incisional hernia repair between November 2005 and December 2016, 26 cases with large incisional hernia (transverse diameter ≥10 cm) were examined to compare surgical outcomes between sIPOM (n = 12) and IPOM-Plus (n = 14)...
March 23, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29561295/interfascial-plane-blocks-back-to-basics
#16
Hesham Elsharkawy, Amit Pawa, Edward R Mariano
Ultrasound-guided interfascial plane blocks are a recent development in modern regional anesthesia research and practice and represent a new route of transmission for local anesthetic to various anatomic locations, but much more research is warranted. Before becoming overtaken with enthusiasm for these new techniques, a deeper understanding of fascial tissue anatomy and structure, as well as precise targets for needle placement, is required. Many factors may influence the ultimate spread and quality of resulting interfascial plane blocks, and these must be understood in order to best integrate these techniques into contemporary perioperative pain management protocols...
March 20, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29560766/postoperative-pain-and-neuropathy-after-caesarean-operation-featuring-blunt-or-sharp-opening-of-the-fascia-a-randomised-parallel-group-double-blind-study
#17
Fatma Yazici Yilmaz, Begum Aydogan Mathyk, Serhat Yildiz, Nefise Nazli Yenigul, Ceren Saglam
The purpose of this study was to compare postoperative pain and neuropathy after primary caesarean sections with either blunt or sharp fascial expansions. A total of 123 women undergoing primary caesarean sections were included in the study. The sharp group had 61 patients, and the blunt group had 62. In the sharp group, the fascia was incised sharply and extended using scissors. In blunt group, the fascia was bluntly opened by lateral finger-pulling. The primary outcome was postoperative pain. The long-term chronic pain scores were significantly lower in the blunt group during mobilisation (p = ...
March 21, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29550826/-new-proposal-to-define-the-fascial-system
#18
Bruno Bordoni, Fabiola Marelli, Bruno Morabito, Roberto Castagna, Beatrice Sacconi, Paul Mazzucco
No abstract text is available yet for this article.
March 19, 2018: Complementary Medicine Research
https://www.readbyqxmd.com/read/29550698/safety-of-fascial-therapy-in-adult-patients-with-hemophilic-arthropathy-of-ankle-a-cohort-study
#19
Elena Donoso-Úbeda, Javier Meroño-Gallut, José Antonio López-Pina, Rubén Cuesta-Barriuso
BACKGROUND: Hemophilic arthropathy is characterized by loss of function and chronic pain. Fascial therapy mobilizes the connective tissue, intervening in the state of the injured fascial complex and the surrounding tissues. OBJECTIVES: The aim of this study is to evaluate the safety of a physiotherapy program through fascial therapy in adult patients with hemophilic ankle arthropathy. DESIGN: Prospective cohort study. METHODS: Twenty-three adult patients with hemophilia from 26 to 65 years of age were recruited...
March 12, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29546273/commentary-on-prominent-ear-correction-a-comprehensive-review-of-fascial-flaps-in-otoplasty
#20
Kayvan Shokrollahi
No abstract text is available yet for this article.
March 12, 2018: Aesthetic Surgery Journal
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