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broad ligament

Shallu Garg, K Hemanth Kumar, Daisy Sahni, Thakur Deen Yadav, Anjali Aggarwal, Tulika Gupta
BACKGROUND: To describe the hepatic arterial anatomy in detail, tracing the individual hepatic arteries from their origin, extrahepatic course, branching to their segmental territorial supply as applicable to the vascular mapping for hepatic endovascular procedures. METHODS: The study was conducted on 100 formalin fixed adult cadaveric livers. The hepatic arterial anatomy was dissected from the origin of hepatic arteries up to their segmental branching. RESULTS: The origin of hepatic arteries was standard in 72% and aberrant in 28% livers...
August 7, 2019: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
Malwattage Lara Tania Jayatilaka, Matthew D G Philpott, Andrew Fisher, Lauren Fisher, Andrew Molloy, Lyndon Mason
BACKGROUND: Our aim in this study was to identify the extent of the posterior inferior tibiofibular ligament (PITFL) insertion on the posterior tibia and its relation to intra-articular posterior malleolar fractures. METHODS: Careful dissection was undertaken on 10 cadaveric lower limbs to identify the ligamentous structures on the posterior aspect of the ankle. The ligamentous anatomy was further compared with our ankle fracture database, specifically posterior malleolar fracture patterns, demonstrating a rotational pilon etiology (Mason and Molloy type 2A and B)...
August 8, 2019: Foot & Ankle International
Mahesh Shetty
Once a pelvic mass is identified on an ultrasound examination, the first step in the differential diagnostic work up is to determine its origin. Most lateral pelvic masses in women are ovarian in origin, and the distinction between ovarian and nonovarian mimics of ovarian cancer is critical for appropriate clinical and surgical management. Adnexal masses detected on ultrasound can be further characterized by magnetic resonance imaging (MRI) when needed. Superior contrast resolution, multiplanar imaging, characteristic signal intensity of common pathology such as dermoid tumors or endometriomas allows one to accurately evaluate adnexal tumors with supplemental use of MRI...
August 2019: Seminars in Ultrasound, CT, and MR
Fatima Ahmed, Rachel Pounds, Hong-Giap Teo, James Nevin, Kavita Singh, Jason Yap
Outcomes following the excision of the external iliac vein during gynaecological oncology surgery are poorly documented. This is because most gynaecological oncologists consider tumours with vascular involvement inoperable. We describe a patient whose right external iliac vein was transected during the removal of a large broad ligament leiomyosarcoma invading the right external iliac vein. The patient's recovery following surgery was uneventful, and she remained disease-free 6 months postoperatively, with minimal morbidity...
July 2019: Case Reports in Women's Health
Kristin Kirkby Shaw, Leilani Alvarez, Sasha A Foster, Julia E Tomlinson, Aaron J Shaw, Antonio Pozzi
OBJECTIVE: To review fundamental principles of tissue healing and physical rehabilitation as they apply to dogs recovering from cranial cruciate ligament (CCL) surgery. STUDY DESIGN: Invited Review. SAMPLE POPULATION: None. METHODS: A multidisciplinary group of specialists in small animal surgery, rehabilitation/sports medicine, and human physical and occupational therapy reviewed the currently available evidence for rehabilitation post-CCL surgery...
July 4, 2019: Veterinary Surgery: VS
Andrea Ferretti, Edoardo Monaco, Andrea Redler, Giuseppe Argento, Angelo De Carli, Adnan Saithna, Paulo Victor Partezani Helito, Camilo Partezani Helito
Background: Broad variation in the reported rate of magnetic resonance imaging (MRI)-detected abnormalities of the anterolateral structures of the anterior cruciate ligament (ACL)-injured knee suggests a lack of reliability that has limited the use of MRI in clinical decision making. Purpose/Hypothesis: The aim of this study was to use MRI to determine the prevalence and spectrum of abnormalities of the anterolateral structures in acute ACL-injured knees, using the contralateral uninjured knee as a reference...
June 2019: Orthopaedic Journal of Sports Medicine
Edyta Barnaś, Renata Raś, Joanna Skręt-Magierło, Mariusz Wesecki, Justyna Filipowska, Mariusz Książek, Andrzej Skręt, Kazimierz Widenka
RATIONALE: Most leiomyomas are located in the uterus. Leiomyomas are rarely found outside the uterus and classified as leiomyoma beyond the uterus (LBU). This group consists of disseminated peritoneal leiomyomatosis, benign metastasizing leiomyoma, intravenous leiomyomatosis, parasite leiomyoma located in the broad ligament and retroperitoneal space. The descriptions of the patients who suffer from these types of leiomyomas are presented mainly in case reports. PATIENT CONCERNS: A 34-year-old multiparous woman was operated on multiple recurrent uterine leiomyoma in parametrium...
June 2019: Medicine (Baltimore)
Shai Eyal, Shiri Kult, Sarah Rubin, Sharon Krief, Neta Felsenthal, Kyriel M Pineault, Dena Leshkowitz, Tomer-Meir Salame, Yoseph Addadi, Deneen M Wellik, Elazar Zelzer
Bone protrusions provide stable anchoring sites for ligaments and tendons and define the unique morphology of each long bone. Despite their importance, the mechanism by which superstructures are patterned is unknown. Here, we identify components of the genetic program that controls the patterning of Sox9+/Scx+ superstructure progenitors in mouse and show that this program includes both global and regional regulatory modules. Using light sheet fluorescence microscopy combined with genetic lineage labeling, we mapped the broad contribution of the Sox9+/Scx+ progenitors to the formation of bone superstructures...
June 20, 2019: Development
Hyun Jung Lee, Eun Duc Na, Hyeon Chul Kim, Mi Sun Kim, Myoung Jin Moon
No abstract text is available yet for this article.
June 12, 2019: Journal of Minimally Invasive Gynecology
Rizuwana Parween, Duraisamy Shriram, Rajesh Elara Mohan, Yee Han Dave Lee, Karupppasamy Subburaj
The paper aims to provide a state-of-the-art review of methods for evaluating the effectiveness and effect of unloader knee braces on the knee joint and discuss their limitations and future directions. Unloader braces are prescribed as a non-pharmacological conservative treatment option for patients with medial knee osteoarthritis to provide relief in terms of pain reduction, returning to regular physical activities, and enhancing the quality of life. Methods used to evaluate and monitor the effectiveness of these devices on patients' health are categorized into three broad categories (perception-, biochemical-, and morphology-based), depending upon the process and tools used...
May 2019: Biomedical Engineering Letters
Yong Seuk Lee
The surgical outcome of posterior cruciate ligament reconstruction is generally accepted as inferior to that of anterior cruciate ligament reconstruction. Numerous studies have reported causes of failure, and fixation stability would be one of the most important factors for a successful posterior cruciate ligament reconstruction. The fixation method, fixation area, graft construct, and effective length of the graft can all be consideration points. Strong fixation over a broad area that reduces the effective length of the graft and is composed of a multistranded graft would be the best...
June 2019: Arthroscopy
Alejandro I Marcano, Richard Nordenvall, Pär Karlsson, Martin Gerdin, Johanna Adami, Mårten Palme, Ville M Mattila, Shahram Bahmanyar, Li Felländer-Tsai
OBJECTIVES: To investigate the association between choice of treatment and patients' income after cruciate ligament (CL) injury and assess the effect of different covariates such as sex, age, comorbidities and type of work. METHODS: This entire-population cohort study in Sweden included working patients with a diagnosed CL injury between 2002 and 2005, identified in The National Swedish Patient Register (n = 13,662). The exposure was the treatment choice (operative or non-operative treatment)...
May 19, 2019: Knee
Alaa El-Kheir, Youssef Sleiman, Omar Hamdach, Layla Ismail, Mustafa Allouch
No abstract text is available yet for this article.
April 1, 2019: American Surgeon
Alaa El-Kheir, Youssef Sleiman, Omar Hamdach, Layla Ismail, Mustafa Allouch
No abstract text is available yet for this article.
April 1, 2019: American Surgeon
S Dützmann, R Fernandez, D Rosenthal
BACKGROUND AND OBJECTIVE: Thoracic spinal stenosis is characterized by a reduction in the volume of the thoracic spinal canal, leading to compromise of the spinal cord or nerve roots. This article provides an overview of the known etiology, pathogenesis, diagnostic algorithm, and treatment of thoracic spinal stenosis. MATERIALS AND METHODS: This paper is based on an overview of the literature from the past 25 years as well as the authors' own experience and results...
April 30, 2019: Der Orthopäde
B H van Duren, M Lebe, D C Davies, H Pandit, N Somashekar
For surgical reconstruction of the medial patello-femoral ligament (MPFL) a variety of techniques are used for fixation of the graft to the medial border of the patella. The bone bridge or V-shaped tunnel technique utilises two tunnels drilled from the medial aspect of the patella that converge centrally creating a tunnel through which the graft is threaded. This technique has advantages: it avoids hardware (bone anchors) and their associated complications, creates a broad attachment of the ligament approximating normal anatomy and the tunnel does not breach the lateral cortex of the patella reducing the risk of patella fracture...
April 29, 2019: Journal of Medical Engineering & Technology
Manuela Graça Fernandes, Ana Rita Loureiro, Maria João Obrist, César Prudente
Internal hernias are a rare cause of bowel obstruction (1%) and can be caused by broad ligament defects in 4% to 7% of the cases. These defects may be congenital or acquired and are classified according to its anatomical location. This paper reports three cases of small bowel obstruction by broad ligament hernia. The patients, three women aged from 35 to 51 years old, were admitted to the emergency department with small bowel obstruction. An exploratory laparotomy was performed during which an internal hernia through a broad ligament defect was identified...
March 29, 2019: Acta Médica Portuguesa
Jiri Lenz, Ludek Fiala, Radek Chvatal, Jan Tibon, Lucie Uncapher, Miroslav Kavka, Petr Cizek
AIM: The aim of this paper is to describe an unique case of deep infiltrating endometriosis of the rectum in non-pregnant woman with unusual clinical and pathological presentation resulting in spontaneous perforation. MATERIALS AND METHODS: A female (20 years of age) with a two year history of chronic recurrent abdominal pain of unknown etiology treated by a psychiatrist underwent diagnostic laparoscopy which revealed many peritoneal implants of endometriosis involving the right ovarian fossa, the vesico-uterine pouch and sacrouterine ligament; the bowel wall showed no structural abnormalities...
March 5, 2019: Annali Italiani di Chirurgia
Deepak Menon, Sruthi S Nair, Bejoy Thomas, K Krishna Kumar, Muralidharan Nair
CONTEXT: Idiopathic spinal cord herniation (ISCH) remains an obscure, under recognised but potentially treatable entity among the etiologies of compressive myelopathy. FINDINGS: Here, we present a retrospective case series of eight patients of ISCH with their clinical features, imaging findings and long-term follow up data along with a relevant review of the literature. Mean age at presentation was 36 years with the duration of symptoms ranging from two months to more than thirty years...
March 14, 2019: Journal of Spinal Cord Medicine
Noriaki Koizumi, Yosuke Ariyoshi, Hiroshi Fujiki, Chouhei Sakakura
Broad ligament hernia is a rare type of internal hernia. We herein report a case of broad ligament hernia successfully treated by needlescopic surgery. A 41-year-old woman was referred to our hospital with a complaint of nausea and vomiting. Abdominal contrast-enhanced computed tomography showed diffuse dilatation of the small bowel accompanied by a caliber change at the right side of the uterus. She was thus diagnosed with small bowel obstruction due to incarceration through right broad ligament hernia. After bowel decompression, she underwent elective needlescopic surgery using 2- and 3-mm instruments...
February 14, 2019: Asian Journal of Endoscopic Surgery
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