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Kiyohisa Ogawa, Wataru Inokuchi, Takayuki Honma
Isolated fracture of the inferior scapular angle is extremely rare. We present the case of a 20-year-old female with persistent periscapular pain and a winged scapula caused by delayed union of an inferior scapular angle (ISA) fracture. Ten months previously, the patient had a car accident while seated in the left rear passenger seat. The patient visited an orthopedic clinic where a surgeon diagnosed left shoulder contusion without any abnormal radiographic findings. The left arm was kept in a sling for 2 months, as left arm elevation caused severe pain in the upper back...
2019: Case Reports in Orthopedics
A-M Itkonen Freitas, P Rahkola-Soisalo, T S Mikkola, M Mentula
Stress urinary incontinence (SUI) affects millions of women worldwide. Pelvic floor muscle training is the first-line treatment for SUI, and if this fails, midurethral sling surgery has become the gold-standard treatment. More recently, complications from midurethral mesh slings, particularly chronic pain and dyspareunia, have become a major concern. Although traditional SUI treatments, such as colposuspension and fascia slings, are used, the future of SUI treatment likely will rely on less invasive alternatives...
February 18, 2019: Climacteric: the Journal of the International Menopause Society
Emmanuel Chartier-Kastler, Christine Reus
As slings are the most frequent first-line treatment for management of female urinary incontinence, an artificial urinary sphincter may be indicated in cases of failure and sphincter deficiency. The level of evidence has to improve and prospective studies or new devices are awaited.
February 13, 2019: European Urology Focus
Ayman Tammaa, Vesna Bjelic-Radisic, Susanne Hölbfer, Gerda Trutnovsky, Karl Tamussino, Thomas Aigmüller, Daniela Ulrich
[This corrects the article DOI: 10.1371/journal.pone.0209668.].
2019: PloS One
Dae-Hyun Kim, Suhn-Yeop Kim
PURPOSE: Forward head posture is identified as the flexion of the lower cervical spine along with the extension of the upper cervical spine, with an overall increase in the cervical curve. This study aimed to compare the immediate effect of upper-cervical level and cervicothoracic junction level manual therapy on head posture, cervical range of motion and muscle activity of the subjects with forward head posture. METHODS: A total 22 subjects with chronic neck pain (numeric pain rating scale >3, forward head posture: cranio-vertebral angle <51°) participated in the study and were randomly allocated into the upper-cervical (n = 11) and cervicothoracic junction (n = 11) groups...
February 13, 2019: Disability and Rehabilitation
Giulio Porcedda, Alice Brambilla, Silvia Favilli, Bruno Murzi, Lorenzo Mirabile, Roberto Baggi, Luigi Arcieri
BACKGROUND:  Left pulmonary artery (LPA) sling (PAS) is a vascular ring, which is frequently associated with long-segment tracheal stenosis (TS). Mortality rate in operated children is still high, especially in cases of severe tracheal hypoplasia and/or associated congenital heart defects (CHDs). We report our experience of treatment and follow-up in a pediatric cohort of patients affected by PAS with severe tracheobronchial involvement. METHODS:  From 2005 to 2017, we enrolled 11 children diagnosed with PAS and congenital TS requiring surgical intervention...
February 11, 2019: Thoracic and Cardiovascular Surgeon
Jia Lin Ng, Krittin Kajohnwongsatit, Chucheep Sahakitrungruang
INTRODUCTION: Obesity is a burgeoning problem worldwide. Although beneficial in obese patients, conventional laparoscopic mesorectal excision for rectal cancer is technically challenging, with a higher conversion rate to open compared with nonobese patients. We describe novel strategies to circumvent these difficulties. TECHNIQUE: The key steps are 1) lateral-to-medial colonic mobilization and left-sided mesorectal excision with the surgeon on the patient's right; 2) switching to the patient's left for right-sided mesorectal excision; 3) further rectal retraction with cotton tape and preperitoneal fat sling; and 4) caudal-to-cephalad mobilization of colon after distal transection, which facilitates extrapelvic mesenteric dissection and vessel ligation...
March 2019: Diseases of the Colon and Rectum
Daniel Carlos Moser, Carlos Arturo Levi D'ancona, Brunno Raphael Iamashita Voris, Daniel Lahan, Kavina Jani, Gerard D Henry
OBJECTIVE: To propose a new way to objectively evaluate the external sphincter function prior to male sling surgery. MATERIALS AND METHODS: We evaluated the pre-operative sphincter function throughout sphincter pressure at rest (SPAR) and sphincter pressure under contraction (SPUC) obtained throughout urethral profilometry profile (UPP) of 10 consecutive patients (age range, 54-79 years) treated with the retrourethral transobturator sling (RTS) for stress urinary incontinence (SUI) because of prostate surgery...
February 10, 2019: International Braz J Urol: Official Journal of the Brazilian Society of Urology
M Friedrich, D Cucchi, S Walter, S Gravius, D C Wirtz, J Schmolders
OBJECTIVE: Reconstruction of proximal humeral bone defects in the setting of shoulder revision arthroplasty by implantation of a modular humeral component. INDICATIONS: Severe segmental humeral bone defects in revision total shoulder arthroplasty, after tumor resection, trauma, pathological fractures, post-infectious or after failed osteosynthesis. CONTRAINDICATIONS: Acute or chronic local infections, large diaphyseal bone defects preventing adequate anchorage of the prosthesis, very short life expectancy (<3 months)...
February 6, 2019: Operative Orthopädie und Traumatologie
Kun-Ling Lin, Yung-Shun Juan, Shih-Hsiang Chou, Cheng-Yu Long
Background: The aim of this study was to assess anatomical changes in the urethra at rest and during straining following sling surgery with and without transvaginal mesh surgery (TVM) in women with stress urinary incontinence (SUI) with or without pelvic organ prolapse (POP) using three-dimensional ultrasonography. Methods: 76 women with SUI with or without pelvic organ prolapse after sling surgery. They underwent sling surgery alone (S group, n=36) or concomitant TVM (M group, n=40)...
2019: BioMed Research International
Kathrin Meisterhofer, Sereina Herzog, Karin A Strini, Luca Sebastianelli, Ricarda Bauer, Orietta Dalpiaz
CONTEXT: Male slings are recommended by the European Association of Urology guideline for the treatment of mild to moderate postprostatectomy incontinence. However, none of them has been proved to be superior to the others, and there are no defined guidelines to preference of a given sling model. OBJECTIVE: To evaluate and compare the efficacy and safety of the different types of male slings in the treatment of postprostatectomy incontinence. EVIDENCE ACQUISITION: This systematic review and meta-analysis was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement...
February 1, 2019: European Urology Focus
Franca Natale, Ester Illiano, Alessandro Zucchi, Matteo Balzarro, Chiara La Penna, Elisabetta Costantini
INTRODUCTION AND HYPOTHESIS: To assess whether detrusor underactivity (DU) is a risk factor for voiding dysfunction (VD) after transobturator tape (TOT) and if a detrusor pressure at maximum flow (PdetQmax) value predicts postoperative VD in DU patients. Also, we examined uncomplicated patients for postoperative VD. METHODS: This is a prospective long-term study on SUI patients who underwent TOT. Exclusion criteria were preoperative POP stage ≥ 2, previous anti-incontinence surgery and comorbidities...
February 4, 2019: International Urogynecology Journal
Matthew S Yong, Michael Z L Zhu, Douglas Bell, Nelson Alphonso, Johann Brink, Yves d'Udekem, Igor E Konstantinov
OBJECTIVES: Pulmonary artery (PA) sling is a rare vascular anomaly often associated with congenital tracheal stenosis. We describe the long-term outcomes with repair of this condition. METHODS: A retrospective study was conducted at 2 institutions. From 1984 to 2018, 33 patients with PA sling underwent repair. RESULTS: The median age at the time of surgery was 5.9 months (quartile 1-3: 2.5-12 months). Concomitant tracheal surgery was required in 21 patients (64%) where slide tracheoplasty was used in 11 patients (52%)...
January 31, 2019: European Journal of Cardio-thoracic Surgery
Sahoko Imoto, Ryosuke Satomi, Mayuko Watase, Matsuo So, Hiroaki Murakami, Sakiko Hosoo, Iio Miwa, Kazuyuki Fujimoto, Shigenari Nukaga, Kazuma Yagi, Sota Oguro, Takahiko Oyama, Ryoichi Kato, Yoshitaka Oyamada
Pulmonary artery (PA) sling is a congenital disease in which the left PA abnormally arises from the right PA and is usually diagnosed during the infantile period. We present an adult case of PA sling accompanied by tracheobronchomalacia found in a 49-year-old woman with a history of recurrent pneumonia. Computed tomography of the chest showed that the left lung was nourished by two aberrant PAs. Bronchoscopy demonstrated achondroplasia of the trachea and the right bronchus, which we speculate to have resulted in their stenosis...
February 1, 2019: Internal Medicine
Victoria C S Scott, Janine L Oliver, Shlomo Raz, Ja-Hong Kim
INTRODUCTION AND HYPOTHESIS: Pelvic reconstructive surgery is increasingly being performed with autologous grafts to avoid complications of synthetic mesh and improve the durability of a native tissue repair. Autologous fascia lata (AFL) provides a reliable source of robust connective tissue to improve surgical outcomes. We present our technique and initial experience with performing robotic sacrocolpopexy (RSC) augmented with AFL. METHODS: A retrospective review was conducted of patients who underwent RSC with AFL between January 2015 and November 2017...
February 1, 2019: International Urogynecology Journal
Lucas Mira Gon, Cassio Luis Zanettini Riccetto, Caio Cesar Citatini de Campos, Brunno Raphael Iamashita Voris, Leonardo O Reis, Paulo Cesar Rodrigues Palma
PURPOSE: To evaluate mini-sling long-term results and correlate them to failure predictors. Many studies show comparable results among different single-incision slings developed as an attempt to reduce complications while keeping good results, but there is a lack of evidence about mini-slings outcomes in the long term. METHODS: This prospective, single-center study evaluated 40 patients for long-term outcomes after mini-sling placement. Objective cure was defined as leakage of less than 1 g in 1-hour pad-test and no leakage at Valsalva maneuver...
January 30, 2019: Urologia Internationalis
Hjalmar A Schiøtz
Periurethral injection offers an alternative to the current main method for surgical treatment of stress incontinence in women, which is a polypropylene sling that is placed without tension below the mid-urethra. Injection therapy is a simple, gentle method that provides significant improvement in the degree of leakage and quality of life, but the results are not on a par with the polypropylene sling. Injection therapy may be relevant when the main method is not suitable or desired.
January 29, 2019: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
Neha Bansal, Deemah R Mahadin, Sanjeev Aggarwal
Congenital complete tracheal rings are usually associated with pulmonary slings. We report a rare association of congenital complete tracheal rings with hypoplastic left heart variant. A term infant with diagnosis of a mildly hypoplastic mitral valve, unicuspid aortic valve, and moderately hypoplastic aortic arch with severe coarctation underwent a hybrid procedure initially. Upon failing extubation attempts, complete tracheal rings were seen on direct laryngoscopy. The combination of the lesions resulted in a poor outcome...
January 30, 2019: Cardiology in the Young
Y Cao, L M Lin, C Ma, K X Deng, Y Y Yuan, T Xu, L Zhu
Objective: To evaluate the histocompatibility of an original Chinese-made mid-urethral sling (Repelvica mid-urethral sling). Methods: In total 10 female New Zealand white rabbits were implanted with Repelvica mid-urethral sling or tension-free vaginal tape-obturator tape (TVT-O; Gynecare). Both brands of sling were implanted under deep fascia of the abdominal wall and in the space between vagina and bladder. All animal groups were sacrificed at set time intervals (4 weeks and 12 weeks), and the abdominal and vaginal slings were harvested for histological evaluation...
January 25, 2019: Zhonghua Fu Chan Ke za Zhi
Katelyn R Smithling, Emily E Adams-Piper, Alexis M Tran A, Bhumy A Davé, Christine M Chu, Robert C Chan, Danielle D Antosh, Robert E Gutman
OBJECTIVE: The objective of this study is to compare quality of life and success rates of repeat midurethral slings (RMUS) using retropubic (RP) and transobturator (TO) routes. MATERIALS AND METHODS: Multicenter retrospective cohort with prospective follow-up of patients undergoing RMUS from 2003 to 2016. Prospective Urinary Distress Inventory (UDI-6) and Patient Global Impression of Improvement (PGI-I) were collected by phone. Primary outcome was success of repeat sling by approach (RP vs TO), defined as responses of no to UDI-6 number 3 and very much better or much better on PGI-I...
July 11, 2018: Female Pelvic Medicine & Reconstructive Surgery
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