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chronic surgical pain

Barış Sevinç, Nurullah Damburacı, Murat Güner, Ömer Karahan
Background/aim: Inguinal hernia repair is one of the most common surgical procedures worldwide. There is still controversy over which method has the best postoperative results. The aim of this study was to compare early and late postoperative results of laparoscopic totally extraperitoneal herniorrhaphy (TEP) and open Lichtenstein herniorrhaphy (OLR). Materials and methods: The study was conducted in a randomized prospective manner and it was concluded with 302 patients (147 cases in TEP group and 155 cases in OLR group)...
February 11, 2019: Turkish Journal of Medical Sciences
Doralina L Anghelescu, Jessica Michala Tesney
Neuropathic pain in pediatric oncology can be caused by distinct lesions or disease processes affecting the somatosensory system, including chemotherapy-related neuronal injury, solid tumor-related involvement of neural structures, post-surgical neuropathic pain-including phantom limb pain and pain after limb-sparing surgery-and the complex circumstances of neuropathic pain at the end of life. Treatment algorithms reflect the general treatment principles applied for adult neuropathic pain, but the dose regimens applied in children are modest and rarely escalated to the maximum doses to optimize analgesic efficacy...
February 14, 2019: Paediatric Drugs
Lan Lan, Jiayang Li, Xin Xu, Yanyi Cen
<strong>BACKGROUND</strong> One-lung ventilation under general anesthesia is necessary for most thoracic surgical procedures. However, adverse effects may derive from mechanical ventilation in emphysema patients. At present, lung volume reduction surgery under spontaneous ventilation may attenuate these adverse effects. <strong>CASE REPORT</strong> We present a case of left-side secondary spontaneous pneumothorax in a 71-year-old male who had a history of chronic obstructive pulmonary disease for 12 years, combined with a contralateral giant bulla...
January 30, 2019: American Journal of Case Reports
Carine Mekoguem, Cécile Triboulet, Alexandre Gouveia
BACKGROUND: Mycetoma is a neglected infectious disease caused by a fungus (eumycetoma) or bacteria (actinomycetoma); it is characterized by chronic local inflammation with sinus formation and purulent discharge. Its course can be quite devastating because of the difficulty in diagnosing the infection and in eliminating the causative agent. Although endemic in many countries in the tropics and subtropics, the migration of Africans to Europe may increase the presence of this neglected disease in European countries...
February 12, 2019: Journal of Medical Case Reports
Teng-Fei Lou, Gen Wen, Chun-Yang Wang, Yi-Min Chai, Pei Han, Xiao-Fan Yin
BACKGROUND: We described the use of the technique of L-shaped corticotomy with bone flap sliding to treat chronic osteomyelitis of the tibia in eight patients and presented the preliminary results. METHODS: L-shaped corticotomy with bone flap sliding was performed in eight patients between 2007 and 2014. All patients had chronic tibial osteomyelitis involving the anterior tibial cortex with intact and healthy posterior cortex. The size of bone defects following sequestrectomy and radical debridement was 8...
February 12, 2019: Journal of Orthopaedic Surgery and Research
Wenjun Zhang, Yuguo Liu, Yi Sun, Zengxu Liu
OBJECTIVES: The aim of this study was to determine the role of microencapsulated olfactory ensheathing cell (MC-OEC) transplantation in rats with sciatic nerve injury-induced pain, and its relationship with P2 × 7 receptor expression in the L4-5 spinal cord segment. METHODS: Olfactory bulb tissues of healthy Sprague Dawley (SD) rats were collected to culture olfactory ensheathing cells using differential attachment methods. Forty-eight healthy SD rats were randomly assigned to four groups: the sham, chronic constriction injury (CCI), olfactory ensheathing cell (OEC), and MC-OEC groups...
February 9, 2019: Neuroscience Letters
Bin Yang, Shengning Zhou, Yingru Li, Jianan Tan, Shuang Chen, Fanghai Han
There remain concerns about the optimal technique for repairing recurrent inguinal hernias because of the high risks of complications and recurrence. The aim of this study was to compare Lichtenstein hernioplasty with the transabdominal preperitoneal (TAPP) laparoscopic technique in the treatment of recurrent inguinal hernias. One hundred twenty-two patients who underwent surgery for recurrent inguinal hernia were prospectively randomized to receive either Lichtenstein (n = 63) or TAPP (n = 59) hernioplasty between January 2010 and December 2014...
November 1, 2018: American Surgeon
Tsung-Yen Ho, Ming-Jen Ke, Liang-Cheng Chen, Yung-Tsan Wu
Metatarsalgia is characterized by pain in the forefoot, which is associated with increased stress over the metatarsal head region. Despite the availability of a variety of conservative or surgical treatments for this condition, a few cases have demonstrated relapse or poor response to treatment. Pulsed radiofrequency (PRF) can provide pain relief in patients with diverse chronic conditions without causing neural injury. Recently, studies have shown that ultrasound-guided PRF may be beneficial for adhesive capsulitis, carpal tunnel syndrome, tarsal tunnel syndrome, and recalcitrant plantar fasciitis...
November 2018: Journal of the American Podiatric Medical Association
Sabri Mahjoub, Ahmed Amine Lahmar, Mourad Zarâa, Belhadj Massoud Ahmed, Mohamed Abdelkafi, Mondher Mbarek
Introduction: The ductal syndromes of the shoulder combine all the compressive processes of the suprascapular nerve at the level of its passage in the spinoglenoid notch and this for several causes. The most common is a lesion of the labrum resulting in the formation of a cyst. These cysts are rare and often underestimated. Provoking a compression of the suprascapular nerve, they are likely to cause an atrophy of the external rotator muscles of the cuff. Case Report: We present a rare case of a paraglenoid cyst resulting in a ductal syndrome by suprascapular nerve compression...
September 2018: Journal of Orthopaedic Case Reports
Daniel D Droukas, Mark P Zoland, Devon A Klein
Groin pain is a common complaint in the general population, with an underlying etiology that may be difficult to diagnose. Although uncommon, type I obturator hernias may be a significant source of chronic or refractory groin pain. In this review, we discuss the commonly missed findings of type I obturator hernias at CT and MRI, as well as correlate these findings with images obtained at the time of laparoscopic repair.
January 31, 2019: Clinical Imaging
Mayur Sharma, Pooja SirDeshpande, Beatrice Ugiliweneza, Nicholas Dietz, Maxwell Boakye
OBJECTIVESymptomatic perineural or Tarlov cysts (TCs) are a rare cause of chronic low-back pain. Given the rarity of the disease, there is no literature consensus regarding the optimal management of these cysts.METHODSThe authors conducted a systematic comparative outcome analysis of symptomatic TCs treated with surgery (group A, 32 studies, n = 333) or percutaneous interventions (group B, 6 studies, n = 417) analyzing the demographic characteristics, baseline characteristics of the cysts, clinical presentations, types of interventions, complication rates, and the recurrence rate in both treatment groups...
February 8, 2019: Journal of Neurosurgery. Spine
Min Li, Atik Badshah Shaikh, Jinbo Sun, Peng Shang, Xiliang Shang
Background: Type II superior labrum anterior and posterior (SLAP) lesions could induce chronic shoulder pain and impaired movement. Current management of Type II SLAP lesions consists of two well-established surgical procedures: arthroscopic biceps tenodesis and SLAP repair. However, which technique is preferred over the other is still a controversy. Methods: We performed a systematic electronic database search on Cochrane Central Register of Controlled Trials, MEDLINE and Embase to identify articles equating superior labral repair with biceps tenodesis, which were reported before August 2017 which included the phrase "superior labral anterior posterior" or "SLAP...
January 2019: Journal of Orthopaedic Translation
Pedro Diniz, Jácome Pacheco, Miguel Flora, Diego Quintero, Sjoerd Stufkens, Gino Kerkhoffs, Jorge Batista, Jon Karlsson, Hélder Pereira
PURPOSE: The purpose of this review is to systematically analyse current literature on the use of allografts in the surgical treatment of foot and ankle disorders in adult patients. Based on this study, we propose evidence-based recommendations. METHODS: The database for PubMed was searched for all published articles. No timeframe restrictions were applied. Clinical studies eligible for inclusion met the following criteria: performed on patients over 18 years old; subject to surgical treatment of foot and ankle disorders; with report on the outcome of the use of allografts; with a report and assessment of pain and function, or equivalent; minimum follow-up of 1 year was required...
February 5, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Alan D Kaye, Laxmaiah Manchikanti, Matthew B Novitch, Imran N Mungrue, Muhammad Anwar, Mark R Jones, Erik M Helander, Elyse M Cornett, Matthew R Eng, Jay S Grider, Michael E Harned, Ramsin M Benyamin, John R Swicegood, Thomas T Simopoulos, Salahadin Abdi, Richard D Urman, Timothy R Deer, Cyrus Bakhit, Mahendra Sanapati, Sairam Atluri, Ramarao Pasupuleti, Amol Soin, Sudhir Diwan, Ricardo Vallejo, Kenneth D Candido, Nebojsa Nick Knezevic, Douglas Beall, Sheri L Albers, Richard E Latchaw, Hari Prabhakar, Joshua A Hirsch
BACKGROUND: Interventional pain management involves diagnosis and treatment of chronic pain. This specialty utilizes minimally invasive procedures to target therapeutics to the central nervous system and the spinal column. A subset of patients encountered in interventional pain are medicated using anticoagulant or antithrombotic drugs to mitigate thrombosis risk. Since these drugs target the clotting system, bleeding risk is a consideration accompanying interventional procedures. Importantly, discontinuation of anticoagulant or antithrombotic drugs exposes underlying thrombosis risk, which can lead to significant morbidity and mortality especially in those with coronary artery or cerebrovascular disease...
January 2019: Pain Physician
Micaela Pagliari, Carlo Raimondo Menna, Andrea Migliorini, Marco Molinari
the spontaneous and simultaneous rupture of both quadriceps tendons is uncommon and has rarely been reported in medical literature. The current case involves a 62-years old man with bilateral atraumatic complete quadriceps tendon rupture. Aim of this study is to provide a systematic review of this case and a literature review of similar cases. Methods: we reviewed and analyzed this patient's records. Initial x rays of both knees showed a bilateral patellar spur. Real time ultrasonography scan of both knees showed a complete tear of quadriceps...
December 19, 2018: Acta Bio-medica: Atenei Parmensis
Carlotta Pari, Agnese Puzzo, Stefania Paderni, Alberto Belluati
The annular ligament has a crucial role in the radial head stability and  it is critical to the proper functioning of the proximal  radio-capitellar joint. Its chronic injury may lead to radial head instability, elbow pain with decrease in motion and valgus deformity. Method: We present the case of a 53-year-old heavy laborer who reported a complex trauma of the right upper limb with a Floating Elbow Injury, associated to an open Monteggia fracture-dislocation. One month later, despite the definitive fixation with plates of  both the forearm and the supracondylar fractures, X-rays showed the persistence of the radial head dislocation...
December 19, 2018: Acta Bio-medica: Atenei Parmensis
Marc R Laufer, Jon I Einarsson
BACKGROUND: Adolescent endometriosis typically presents as Stage I with superficial peritoneal disease [SPD] and less commonly as Stage III or IV with deeply infiltrative disease [DIE]. Endometriosis lesions can be destroyed (cautery or laser), cutting out the discrete lesion with excision and destroyed, or radically excised with removal of the lesion and surrounding tissue. It has been shown to be beneficial to excise DIE to improve pain. Radical excision has been promoted by a subset of surgeons and involves removal of large areas of peritoneum with the promise/proposal of a cure and suggestion of no need for medical suppression of endometriosis...
January 29, 2019: Journal of Pediatric and Adolescent Gynecology
Luca De Luca, Alessandro Repici, Adea Koçollari, Francesco Auriemma, Mario Bianchetti, Benedetto Mangiavillano
Per-oral pancreatoscopy (POPS) is an endoscopic procedure to visualize the main pancreatic duct. POPS specifically has the advantage of direct visualization of the pancreatic duct, allowing tissue acquisition and directed therapies such as stones lithotripsy. The aim of this review is to analyze and summarize the literature around pancreatoscopy. Pancreatoscopy consists of the classic technique of the mother-baby method in which a mini-endoscope is passed through the accessory channel of the therapeutic duodenoscope...
January 16, 2019: World Journal of Gastrointestinal Endoscopy
Gottfried Wechselberger, Fabian Koeninger, Jennifer Neureiter, Klemens Heinrich, Karl Schwaiger
No abstract text is available yet for this article.
January 31, 2019: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Peng Zhang, Liangqi Kang, Qimiao Hu, Chenjie Xia, Huan Yu, Lei Wang, Kejian Lian, Dasheng Lin
Children with fibrous dysplasia (FD) chronically suffer from pain, pathological fractures, and limb deformities. The most effective methods for managing the associated pathological fractures remain controversial. The purpose of this study was to evaluate the clinical results of the treatment of diaphyseal pathological fractures in children with monostotic fibrous dysplasia (MFD) using cortical strut allografts and internal plating.We retrospectively analyzed outcomes in nine children (5 boys, 4 girls) with diaphyseal pathological fractures due to MFD, who were treated with cortical strut allografts and internal plating (6 femoral fractures and 3 humeral fractures) between July 2007 and November 2012...
February 2019: Medicine (Baltimore)
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