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https://www.readbyqxmd.com/read/28228207/complications-and-mortality-associated-with-temporary-abdominal-closure-techniques-a-systematic-review-and-meta-analysis
#1
Adam Cristaudo, Scott Jennings, Ronny Gunnarsson, Alan DeCosta
Temporary abdominal closure (TAC) techniques are routinely used in the open abdomen. Ideally, they should prevent evisceration, aid in removal of unwanted fluid from the peritoneal cavity, facilitate in achieving safe definitive fascial closure, as well as prevent the development of intra-abdominal complications. TAC techniques used in the open abdomen were compared with negative pressure wound therapy (NPWT) to identify which was superior. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines involving Medline, Excerpta Medica, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, and <ext-link ext-link-type="uri" xlink:href="http://Clinicaltrials...
February 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28226372/reconstruction-of-the-intranasal-lining
#2
Joseph Zenga, John J Chi
Reconstruction of full-thickness nasal defects has been the subject of surgical inquiry and innovation for over 2,000 years. The replacement of the internal nasal lining is a critical feature of complex nasal reconstruction. Successful reconstruction can prevent cicatricial contraction, external distortion, and internal stenosis. An array of reconstructive possibilities has been described, including cutaneous, mucosal, and fascial options. The challenge to the reconstructive surgeon is to select the repair that maximizes internal stability, while maintaining a patent nasal airway, minimizing morbidity, and meeting patient expectations...
February 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28221292/dermatofibroma-of-the-eyelid-immunohistochemical-diagnosis
#3
Frederick A Jakobiec, Fouad R Zakka, Yufei Tu, Suzanne K Freitag
A 66-year-old man developed a painless 2 mm to 3 mm recurrent nodule at the left upper eyelid margin. Excision disclosed a spindle cell lesion without frank atypia or mitotic activity growing in a twisted fascicular pattern often referred to as storiform. All the surgical margins were involved with tumor. Immunohistochemistry demonstrated that many of the constituent spindle and dendritic tumor cells were CD34, factor XIIIa, and CD 163, the latter 2 being biomarkers for monocytic lineage. The lesion was diagnosed as a dermatofibroma rather than a fibrous histiocytoma, a term that should be reserved for more aggressive lesions of deeper fascial planes...
February 17, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28217988/complex-abdominal-wall-defect-repair-using-biologic-porcine-matrix
#4
Eleftherios Gialamas, Alexandre Balaphas, Michela Assalino, Philippe Morel, Christian Toso, Wojciech Staszewicz
BACKGROUND: The management of patients with complex abdominal wall defect (CAWD) is challenging, and requires appropriate surgical planning, and intensive patient preparation in order to minimize postoperative complications. The aim of this work was to review the management of CAWD using one-stage repair with biologic mesh. METHODS: We retrospectively reviewed patients with CAWD having undergone repair with biologic mesh between January 2013 and October 2014. Demographics, preoperative assessment, intraoperative management and postoperative outcomes were assessed...
February 17, 2017: Minerva Chirurgica
https://www.readbyqxmd.com/read/28212128/endoscopically-assisted-intraoral-removal-of-an-ectopic-third-molar-in-the-mandibular-subcondylar-region
#5
Isaac Liau, Jennie Han, Andrew Cheng, Paul Duke, Paul John Sambrook, Alastair Goss
The ectopic placement of mandibular third molars in the subcondylar region is an uncommon phenomenon. Most patients are asymptomatic but can present with acute infection or associated pathology necessitating surgical intervention. Surgical approaches have been described utilizing both extraoral and intraoral approaches to the region.This paper presents a clinical report of a patient presenting with acute fascial space infection arising from an ectopic third molar in the mandibular subcondylar region, managed with surgical removal via an endoscopically assisted intraoral approach...
February 16, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28208893/comparative-evaluation-of-mastoid-cavity-obliteration-by-vascularised-temporalis-myofascial-flap-and-deep-temporal-fascial-periosteal-flap-in-canal-wall-down-mastoidectomy
#6
Navjot Kaur, Dinesh Kumar Sharma, Jagdeepak Singh
INTRODUCTION: A consensus is emerging amongst otologists that obliteration of the mastoid cavity that results after modified radical mastoidectomy is a sound option to prevent cavity related problems such as otorrhoea, infection, granulation tissue and hearing loss. A variety of techniques have been proposed to perform the obliteration. AIM: The present study aimed to compare the conventional method of mastoid cavity obliteration by vascularised temporalis myofascial flap with deep temporal fascial-periosteal flap in canal wall down mastoidectomy...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28208110/trocar-site-evisceration-of-the-vermiform-appendix-following-laparoscopic-sigmoid-colectomy-a-case-report
#7
Jagdeep Singh Bhangu, Ruth Exner, Thomas Bachleitner-Hofmann
INTRODUCTION: There is an ongoing debate whether prophylactic drainage or incidental appendectomy should be performed in patients undergoing colorectal surgery. On the other hand, it has been shown that the placement of drains through former trocar sites as well as the use of large (≥10mm) trocars, incomplete fascial closure or closed laparoscopy technique all predispose for the occurrence of trocar site hernias. PRESENTATION OF CASE: We report the case of a 59-year-old male patient who underwent laparoscopic sigmoid colectomy with primary anastomosis for recurrent sigmoid diverticulitis...
February 1, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28203595/acute-gastrocnemius-soleus-complex-injuries-in-national-football-league-athletes
#8
Brian C Werner, Nicole S Belkin, Steve Kennelly, Leigh Weiss, Ronnie P Barnes, Hollis G Potter, Russell F Warren, Scott A Rodeo
BACKGROUND: Lower extremity muscle injuries are common in professional football. Although less common than hamstring or quadriceps injuries in National Football League (NFL) athletes, calf injuries occur with relative frequency and have not previously been studied. PURPOSE: To evaluate gastrocnemius-soleus complex muscle injuries over the past 13 years from a single NFL team to determine the incidence of such injuries, their imaging characteristics, and return to play after such injuries and any correlation between imaging findings and prolonged return to play...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28203500/reconstructive-surgery-for-bronchopleural-fistula-and-empyema-new-application-of-free-fascial-patch-graft-combined-with-free-flap
#9
Minoru Sakuraba, Hiroki Umezawa, Shimpei Miyamoto, Masahide Fujiki, Takuya Higashino, Azusa Oshima, Masahiro Tsuboi
BACKGROUND: Postoperative bronchopleural fistula (BPF) and empyema are not uncommon after lung cancer surgery. Some patients require reconstructive surgery to achieve wound healing. In this report, we describe a novel method of reconstructive surgery for BPF and empyema. METHODS: From 1996 through 2014, we performed reconstructive surgery for the treatment of BPF and empyema in 13 cases. BPF or a pulmonary fistula was present in 11 patients at the time of reconstruction...
January 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28203499/sandwich-fascial-anterolateral-thigh-flap-in-head-and-neck-reconstruction-evolution-or-revolution
#10
Mario Cherubino, Jens Berli, Mario Turri-Zanoni, Paolo Battaglia, Francesca Maggiulli, Martina Corno, Federico Tamborini, Edoardo Montrasio, Paolo Castelnuovo, Luigi Valdatta
INTRODUCTION: The anterolateral thigh perforator flap (ALT) represents the workhorse for most reconstructive efforts in the head and neck regions. The main advantages of this flap are its versatility, the length of the pedicle, and the low morbidity of the donor site. The major drawback is the bulkiness of this flap with the frequent need for secondary revisions. To overcome this, we have developed a novel way to harvest and inset the ALT, called the sandwich fascial ALT flap (SALT). METHODS: All patients undergoing head and neck reconstruction using the SALT flap from January 2013 to March 2016 were included in this retrospective analysis...
January 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28194294/pedicle-temporalis-fascial-flap-with-axial-scalp-flap-obviates-need-of-free-flap-in-extensive-scalp-wound
#11
F W Nangole, S O Khainga
Extensive scalp defect with exposed bone is best reconstructed with flaps. Majority of these wounds are now routinely reconstructed with free flaps in many centers. Free flaps however require lengthy operative time and may not be available to all patients, where possible less extensive options should thus be encouraged. A sixty-eight-year-old patient presented to us with a Marjolin's ulcer on the vertex of the scalp. After wide local excision a defect of about 17 cm and 12 cm was left. The defect was successfully covered with a combination of an ipsilateral pedicle temporalis fascial flap and an axial supraorbital scalp flap with good outcome...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28189118/case-report-of-ovary-and-fallopian-tube-as-content-of-a-spigelian-hernia-a-rare-entity
#12
Pralaya Khadka, Sunil K Sharma Dhakal
INTRODUCTION: Spigelian hernia is a rare entity, comprising 1-2% of all hernias. Various abdominopelvic viscera herniate through the defect in the Spigelian fascia and become incarcerated. Specifically in females, the ovary and/or the fallopian tube can herniate through this defect. This is the third reported case of such a hernia. PRESENTATION OF CASE: We report here a young lady aged 30 years with right-sided ovarian Spigelian hernia. She presented with a painful lump in the right lower quadrant of abdomen for 2 weeks...
January 28, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28178151/reconstruction-of-large-area-defect-of-the-nail-bed-by-cross-finger-fascial-flap-combined-with-split-thickness-toe-nail-bed-graft-a-new-surgical-method
#13
Jianyun Yang, Tao Wang, Cong Yu, Yudong Gu, Xiaotian Jia
Fingertip injury commonly results in avulsion of the nail bed. For large area defects of the nail bed with distal phalanx exposure, methods for reconstruction of soft tissue defects are scarcely mentioned in the literature.From May 2014 to January 2016, 6 patients with large area defects of the nail bed with distal phalanx exposure were enrolled. A new surgical method, cross finger fascial flap combined with thin split-thickness toe nail bed graft, was applied in all patients.All the 6 patients were followed-up at least 3 months...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28167179/effect-of-myofascial-induction-therapy-on-post-c-section-scars-more-than-one-and-a-half-years-old-pilot-study
#14
Antonio Chamorro Comesaña, Ma Del Pilar Suárez Vicente, Tirso Docampo Ferreira, Ma Del Mar Pérez-La Fuente Varela, Ma Magdalena Porto Quintáns, Andrzej Pilat
Myofascial Induction Therapy (MIT) is a manually-applied method used in physiotherapy and focused on restoring altered fascial tissue. In a healthy body, the fascial system maintains elasticity and coordination of movements. However, injuries and their after-effects, such as scars, may reduce this tissue role, causing a dysfunction. The aim of this study is to ascertain the effect of MIT on scars which have completed the repair process in healthy individuals without any associated pathology that might affect the healing process...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28167174/comment-on-defining-the-fascial-system
#15
Graham Scarr
No abstract text is available yet for this article.
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28167173/defining-the-fascial-system
#16
Sue Adstrum, Gil Hedley, Robert Schleip, Carla Stecco, Can A Yucesoy
Fascia is a widely used yet indistinctly defined anatomical term that is concurrently applied to the description of soft collagenous connective tissue, distinct sections of membranous tissue, and a body pervading soft connective tissue system. Inconsistent use of this term is causing concern due to its potential to confuse technical communication about fascia in global, multiple discipline- and multiple profession-spanning discourse environments. The Fascia Research Society acted to address this issue by establishing a Fascia Nomenclature Committee (FNC) whose purpose was to clarify the terminology relating to fascia...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28163816/plasmacytoid-urothelial-carcinoma-puc-imaging-features-with-histopathological-correlation
#17
Andrew D Chung, Nicola Schieda, Trevor A Flood, Ilias Cagiannos, Kien T Mai, Shawn Malone, Christopher Morash, Shaheed W Hakim, Rodney H Breau
INTRODUCTION: Plasmacytoid urothelial carcinoma (PUC) is a high-grade variant of conventional urothelial cell carcinoma. This study is the first to describe the imaging findings of PUC, which are previously unreported, using clinical and histopathological correlation. METHODS: With internal review board approval, we identified 22 consecutive patients with PUC from 2007-2014. Clinical parameters, including age, gender, therapy, surgical margins, and long-term outcome, were recorded...
January 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28160442/xenografting-of-isolated-equine-equus-caballus-testis-cells-results-in-de-novo-morphogenesis-of-seminiferous-tubules-but-not-spermatogenesis
#18
W Zeng, W Alpaugh, D Stefanovski, K Schlingmann, I Dobrinski, R M Turner
The study of spermatogenesis in the horse is challenging because of the absence of an in vitro system that is capable of reproducing efficient spermatogenesis and because of the difficulties and costs associated with performing well-controlled studies in vivo. In an attempt to develop novel methods for the study of equine spermatogenesis, we tested whether cells from enzymatically digested pre-pubertal equine testicular tissue were capable of de novo tissue formation and spermatogenesis following xenografting under the back skin of immunocompromised mice...
February 3, 2017: Andrology
https://www.readbyqxmd.com/read/28158957/trunk-muscle-characteristics-of-the-multifidi-erector-spinae-psoas-and-quadratus-lumborum-in-older-adults-with-and-without-chronic-low-back-pain
#19
J Megan Sions, James M Elliott, Ryan T Pohlig, Gregory E Hicks
Study Design Cross-sectional study. Background Muscle support for the trunk is provided by the multifidi, erector spinae, psoas, and quadratus lumborum. Trunk muscle characteristics may be altered with aging and/or chronic LBP. To date, most trunk muscle research has been conducted among younger adults. Given age-related muscle changes, i.e. reduced size and increased intramuscular fat, studies are needed in older adults, including comparisons of older adults with and without LBP. Objective To determine if there are differences in trunk muscle characteristics between older adults with and without chronic low back pain (LBP), while controlling for age, sex, and body mass index...
February 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28150344/a-case-of-eosinophilic-fasciitis-associated-with-pyoderma-gangrenosum
#20
Eric L Maranda, Renee Sheinin, Adam Brys, Bernard Rubin, Henry W Lim
Eosinophilic fasciitis (EF) is a rare, systemic inflammatory disease that is characterized by symmetrical swelling and scleroderma-like indurations of the distal extremities and trunk, often accompanied by pain and eosinophilia. Rarely, muscle degeneration may occur. Histologically, EF is marked by thickened, fibrotic fascia and fascial inflammation with lymphocytes and eosinophils.(1,2) Herein, we present a previously unreported case of concurrent pyoderma gangrenosum (PG) and biopsy-proven EF successfully treated with rituximab...
February 1, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
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