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Transversus Abdominus

N Moores, H Conway, D Donato, B Gociman, C J Pannucci, J Agarwal
BACKGROUND: As posterior component separation techniques continue to gain popularity there is uncertainty regarding the degree of fascial advancement afforded by the various techniques. Our study seeks to compare the degree anterior rectus sheath translation seen in full transversus abdominus release compared to simple release of the posterior lamella of the rectus sheath. METHODS: Ten hemi-abdomens in five fresh cadavers were dissected. One hemi-abdomen underwent external oblique release...
December 11, 2018: American Journal of Surgery
Timothy J Gibbons, Marie-Louise Bird
BACKGROUND: The training of abdominal muscles has a positive impact on the functional capacity of healthy adults, being applied practically in fields of athletics and fitness through to rehabilitation for lower back pain. OBJECTIVE: The study compares abdominal muscle activity while performing graded isometric exercises on stable and unstable surfaces. We also examined perceived stability and comfort for the different surfaces. METHODS: Thirty young, healthy adults performed three graded, isometric exercises on a Pilates table, foam roller and Oov (a newly developed tool)...
December 11, 2018: Journal of Sport Rehabilitation
Yar Luan Yeap, John Wolfe, Jonathan A Fridell, Jake Ezell, John A Powelson
BACKGROUND: Postoperative pain management in transplant recipients undergoing incisional herniorraphy is challenging. Historically limited to intravenous or oral opioids, alternatives including transversus abdominus plane (TAP) block catheters and thoracic epidural catheters have been introduced. The aim of this study was to determine whether TAP catheters and thoracic epidural analgesia significantly impacted on postoperative pain and opioid usage in transplant recipients undergoing incisional hernia repair...
October 2018: Clinical Transplantation
H J Lacassie, A Rolle, L I Cortínez, S Solari, M A Corvetto, F R Altermatt
BACKGROUND: Transversus abdominis plane block is increasingly used for post-Caesarean section analgesia. Cases of toxicity and the limited pharmacokinetic information during pregnancy motivated this study. The objective of the study was to characterise and compare the pharmacokinetics of levobupivacaine with epinephrine in tranversus abdominis plane block, in post-Caesarean section patients and healthy volunteers. METHODS: After approval by the Ethics Committee, we collected data from 12 healthy parturients after elective Caesarean section (Study 1) and data from 11 healthy male volunteers from a previous study (Study 2)...
August 2018: British Journal of Anaesthesia
John J Winslow, Mark Jackson, Andrew Getzin, Michael Costello
OBJECTIVE:   To describe the conservative management of a young athlete with extension-based (EB) low back pain (LBP). BACKGROUND:   We present the case of a 15-year-old female high school gymnast with a 4-year history of EB LBP. Magnetic resonance imaging revealed a healed spondylolysis and significant atrophy with fatty infiltrate of the lumbar multifidi muscles (LMM). She had several courses of outpatient orthopaedic rehabilitation that focused on core muscle strengthening (improving activation and strength of the LMM and transversus abdominus muscle in a neutral pelvic position) without long-lasting improvement...
February 2018: Journal of Athletic Training
H Bougard
The open retrorectus approach to the repair of incisional hernias remains the gold standard approach despite the availability of multiple options. The addition of a transverses abdominus release to the procedure increases the number of patients and the complexity of the cases for which this approach is suitable. It facilitates midline closure in almost all cases, avoids significant neuromuscular bundle injury and dissection of poorly vascularized subcutaneous tissue, and allows the placement of a very large but simple mesh in a space outside the peritoneal cavity...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
Bruce Ramshaw, Brandie Remi Forman, Karla Moore, Eric Heidel, Michael Fabian, Greg Mancini, Girish P Joshi
INTRODUCTION: Traditional methods of clinical research may not be adequate to improve the value of care for patients undergoing abdominal wall reconstruction (AWR). These patients are prone to high complication rates and high costs. Here, we describe a clinical quality improvement (CQI) effort to enhance outcomes for patients undergoing AWR. MATERIALS AND METHODS: CQI was applied for the entire care cycle for consecutive patients who underwent AWR from August 2011-September 2015...
January 13, 2017: Surgical Technology International
Nicole L Nelson
BACKGROUND: Chronic low back pain (CLBP) is a prevalent issue that engenders enormous social and economic burdens. Recently, kinesio taping (KT) has become of interest in the management of chronic pain. Accordingly, this is the first systematic review to explicitly report the effects of KT on CLBP. OBJECTIVE: The aim of this review was to summarize the results of randomized controlled trials (RCTs) investigating the effects of KT on CLBP. METHODS: A search was performed on the electronic databases PubMed, MEDLINE, SPORT Discus and Science Direct, up to June 17, 2015, using the following keywords: Kinesiology taping, kinesio taping, chronic low back pain...
July 2016: Journal of Bodywork and Movement Therapies
Lauren J Lattimer, Joel L Lanovaz, Jonathan P Farthing, Stéphanie Madill, Soo Kim, Cathy Arnold
Falling on the outstretched hands (FOOSH), a protective mechanism to arrest the body and avoid injury, requires upper limb and trunk motor control for effective body descent. The purpose of this study was to investigate muscle activity during three phases of an unexpected FOOSH in healthy older and younger women. Twenty young (mean age 22.9yrs, SD±3.7) and 20 older females (mean age 68.1yrs, SD±5.0) performed five trials of unexpected FOOSHs. Surface electromyography (EMG) determined muscle activations for left shoulder girdle, elbow and abdominal muscles during an unexpected FOOSH...
October 2016: Journal of Electromyography and Kinesiology
Alison Smith, Robert Cacchione, Ed Miller, Lindsay McElmurray, Robert Allen, Abigail Stocker, Thomas L Abell, Michael G Hughes
We compared outcomes for two gastric electrical stimulation placement strategies, minilaparotomy with adjunctive care (MLAC) versus laparoscopy without adjunctive care (LAPA). For electrode placement, the peritoneal cavity was accessed with either a single 2.5 to 3.0 cm midline incision (MLAC) or three trocar incisions (LAPA). For both groups, generator was placed subcutaneously over the anterior rectus sheath. For MLAC, adjunctive pain control measures were used for placement of both electrode and generator (transversus abdominus plane block)...
April 2016: American Surgeon
Martin D Zielinski, Melissa Kuntz, Xiaoming Zhang, Abigail E Zagar, Mohammad A Khasawneh, Benjamin Zendejas, Stephanie F Polites, Michael Ferrara, William Scott Harmsen, Karla S Ballman, Myung S Park, Henry J Schiller, David Dries, Donald H Jenkins
BACKGROUND: Damage-control laparotomy (DCL) is a lifesaving operation used in critically ill patients; however, interval primary fascial closure remains a challenge. We hypothesized that flaccid paralysis of the lateral abdominal wall musculature induced by botulinum toxin A (BTX) would improve rates of primary fascial closure, decrease duration of hospital stay, and enhance pain control. METHODS: Consenting adults who had undergone a DCL at two institutions were prospectively randomized to receive ultrasound-guided injections of their external oblique, internal oblique, and transversus abdominus muscles with either BTX (150 mL, 2 U/mL) or placebo (150-mL 0...
February 2016: Journal of Trauma and Acute Care Surgery
Douglas E Haladay, Craig R Denegar, Sayers J Miller, John Challis
BACKGROUND: In order to accurately assess the abdominal muscles, clinicians need valid clinical measures. The double leg lowering test (DLLT) and lower abdominal muscle progression (LAMP) are two common tests of abdominal muscle performance. The purposes of this study were to determine the relation between surface electromyographic (EMG) activity during the DLLT and LAMP levels; hip joint resultant moments and DLLT and LAMP levels; and the two measures of DLLT and LAMP. METHODS: Ten healthy participants were tested under both conditions...
2015: Physiotherapy Theory and Practice
J Derek Stensby, Jonathan C Baker, Michael G Fox
The lateral abdominal wall is comprised of three muscles, each with a different function and orientation. The transversus abdominus, internal oblique, and external oblique muscles span the abdominal cavity between the iliocostalis lumborum and quadratus lumborum posteriorly and the rectus abdominis anteriorly. The lateral abdominal wall is bound superiorly by the lower ribs and costal cartilages and inferiorly by the iliac crest and inguinal ligament. The lateral abdominal wall may be acutely or chronically injured in a variety of athletic endeavors, with occasional acute injuries in the setting of high-energy trauma such as motor vehicle collisions...
February 2016: Skeletal Radiology
Elizabeth C Wick, Daniel J Galante, Deborah B Hobson, Andrew R Benson, K H Ken Lee, Sean M Berenholtz, Jonathan E Efron, Peter J Pronovost, Christopher L Wu
BACKGROUND: The goals of quality improvement are to partner with patients and loved ones to end preventable harm, continuously improve patient outcomes and experience, and eliminate waste, yet few programs have successfully worked on of all these in concert. STUDY DESIGN: We evaluated implementation of a pathway designed to improve patient outcomes, value, and experience in colorectal surgery. The pathway expanded on pre-existing comprehensive unit-based safety program infrastructure and used trust-based accountability models at each level, from senior leaders (chief financial officer and senior vice president for patient safety and quality) to frontline staff...
September 2015: Journal of the American College of Surgeons
Carol Ann Weis, John J Triano, Jon Barrett, Michelle D Campbell, Martine Croy, Jessica Roeder
OBJECTIVE: The purpose of this study was to determine the effect size in measurable change of abdominal musculature morphology using ultrasonography in postpartum women within 1 month of a healthy, vaginal delivery. METHODS: One hundred fifty-six participants were recruited for this study. B-mode ultrasound imaging was used to measure abdominal muscle thickness on 80 nulliparous women and 76 mothers who had delivered within the past 4 weeks. Measures were taken for the upper and lower rectus abdominus, external and internal obliques, and transversus abdominus at rest...
June 2015: Journal of Manipulative and Physiological Therapeutics
Mark H Halliday, Paulo H Ferreira, Mark J Hancock, Helen A Clare
OBJECTIVE: To investigate if McKenzie exercises when applied to a cohort of patients with chronic LBP who have a directional preference demonstrate improved recruitment of the transversus abdominis compared to motor control exercises when measurements were assessed from ultrasound images. DESIGN: A randomized blinded trial with a 12-month follow-up. SETTING: The Physiotherapy department of Concord Hospital a primary health care environment...
June 2015: Physiotherapy
Seth A Waits, Paul Hilliard, Kyle H Sheetz, Randall S Sung, Michael J Englesbe
BACKGROUND: Enhanced recovery protocols align with the current advantages of laparoscopic donor nephrectomy and may continue to decrease disincentives to donation. METHODS: In this single-center retrospective analysis, we compare the outcomes of the first 60 living kidney donors enrolled in our enhanced recovery program (ERP) to those patients treated before implementation of the protocol. In addition to improved coordination of care, highlights of the ERP bundle included the use of transversus abdominus plane block, preoperative carbohydrate loading and narcotic free pain regimens...
February 2015: Transplantation
Sarah L Nizamuddin, Katharine M Koury, Mary E Lau, Lisa D Watt, Padma Gulur
Anterior cutaneous nerve entrapment syndrome (ACNES) is a commonly overlooked source of chronic abdominal wall pain. A diagnosis of ACNES should be considered in cases of severe, localized abdominal pain that is accentuated by physical activity. Providers should consider diagnosing ACNES once a patient has both a positive result from a Carnett's test and precise localization of pain. We describe the use of transversus abdominus plane (TAP) blocks to treat ACNES in the pediatric patient population. TAP blocks are a treatment modality which have been described less frequently in the management of this syndrome, with rectus sheath blocks being used more commonly...
September 2014: Pain Physician
George W Williams, Adam J Antflick, Jaideep H Mehta
No abstract text is available yet for this article.
January 2015: Journal of Neurosurgical Anesthesiology
Toni Zhong, Marie Ojha, Shaghayegh Bagher, Kate Butler, Anne C O'Neill, Stuart A McCluskey, Hance Clarke, Stefan O P Hofer, Coimbatore Srinivas
BACKGROUND: Breast reconstruction using the free muscle-sparing transversus abdominus myocutaneous or deep inferior epigastric perforator flaps are common methods for restoring mastectomy defects for breast cancer patients. Despite its increasing popularity and safety, the abdominal donor site remains a major source of postoperative pain. Conventional postoperative pain relief protocol consists primarily of a patient-controlled anesthesia device delivering intravenous opioids. Opioids can cause numerous side effects such as sedation, headache, nausea, vomiting, breathing difficulties and bladder and bowel dysfunction...
December 10, 2013: Trials
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