12,344 results match your criteria Groin Injury


Two-Team Surgical Approach to Improve Retroperitoneal Nerve Identification in the Treatment of Groin Pain.

Ann Plast Surg 2019 Jan;82(1):82-84

Greater Baltimore Medical Center, Towson, Maryland.

Background: An estimated 700,000 groin hernia repairs are performed in the United States each year. Studies have shown that up to 50% of patients who undergo groin hernia repair are affected by persistent pain beyond the first few days after surgery. At 2 to 5 years after either open or laparoscopic, mesh or without mesh, 10% to 12% of these patients will have persistent and disabling pain. Read More

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January 2019

Predictive and individualized management of stroke-success story in Czech Republic.

EPMA J 2018 Dec 25;9(4):393-401. Epub 2018 Oct 25.

1Department of Neurology, Faculty of Medicine in Pilsen, Charles University, Husova 3, 301 66 Plzen, Czech Republic.

The model of centralized stroke care in the Czech Republic was created in 2010-2012 by Ministry of Health (MH) in cooperation with professional organization-Cerebrovascular Section of the Czech Neurological Society (CSCNS). It defines priorities of stroke care, stroke centers, triage of suspected stroke patients, stroke care quality indicators, their monitoring, and reporting. Thirteen complex cerebrovascular centers (CCC) provide sophisticated stroke care, including intravenous thrombolysis (IVT), mechanical thrombectomy (MTE), as well as other endovascular (stenting, coiling) and neurosurgical procedures. Read More

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December 2018

Retrograde fixation of the lesser trochanter in the adolescent: new surgical technique and clinical results of two cases.

Arch Orthop Trauma Surg 2018 Dec 10. Epub 2018 Dec 10.

Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

Introduction: Avulsions of the lesser femoral trochanter are rare injuries in the adolescent population. An acute avulsion causes severe functional impairment with compromised hip flexion. Recent literature reports the superiority of surgical treatment for apophyseal avulsion fractures of the pelvis in adolescents. Read More

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December 2018

Abdominal ultrasound in paraneoplastic Pyoderma gangrenosum caused by renal carcinoma.

Med Ultrason 2018 Dec;20(4):541-542

2nd Medical Clinic, UMF Iuliu Hatieganu University, Cluj-Napoca, Romania.

We present the case of a 60-year-old male patient, with refractory ulcers in the groin. Ultrasoundand CT showed a large vascularized tumor of the kidney with cystic parts and inhomogeneous dynamic behaviour. Histology demonstrated Pyoderma gangrenosum (ulcer) and well differentiated adenocarcinoma (kidney). Read More

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December 2018
1 Read

Ultrasound-Guided Vascular Access Is an Important Tool to Prevent Catastrophes: Transinferior Epigastric Artery Cardiac Catheterization.

Case Rep Cardiol 2018 8;2018:2041643. Epub 2018 Nov 8.

Department of Cardiovascular Services, Marshall University Joan C. Edwards School of Medicine, Huntington, WV, USA.

We report a case of cardiac catheterization that was done entirely by accidentally accessing the inferior epigastric artery (IEA) through an unintentional puncture of the U-shaped portion of the inferior epigastric artery. Luckily the patient did not have any trauma to the IEA and was d/c home with no complications. A 48-year-old female with history of hypertension and CAD S/P left circumflex stent many years ago who presented to our facility with persistent crescendo angina for which decision was made to proceed with LHC. Read More

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November 2018

Surgical Anatomy of the Superficial Circumflex Iliac Artery Perforator Flap: An Anatomic Study of the Correlation of the Superficial and the Deep Branches of the Superficial Circumflex Iliac Artery and Evaluation of Perfusion from the Deep Branch to the Sartorius Muscle and the Iliac Bone.

Plast Reconstr Surg 2018 Nov 26. Epub 2018 Nov 26.

. Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550 Japan.

Background: Harvesting the sartorius muscle and the iliac bone with a superficial circumflex iliac artery (SCIA) perforator flap can be a challenging procedure. The aim of this study was to describe the anatomical topology of the deep branch of the SCIA in fresh cadavers, which has not been reported in detail.

Methods: Twenty groin regions from 10 fresh cadavers were dissected. Read More

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November 2018

First attempt recanalization with ADAPT: rate, predictors, and outcome.

J Neurointerv Surg 2018 Dec 7. Epub 2018 Dec 7.

Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Introduction: The rate of first-attempt recanalization (FAR) with the newer-generation thrombectomy devices, and more specifically with aspiration devices, is not well known. Moreover, the effect of FAR on outcomes after mechanical thrombectomy is not properly understood.

Objective: To report the rate of FAR using a direct aspiration first pass technique (ADAPT), investigate the association between FAR and outcomes, and identify the predictors of FAR. Read More

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December 2018

Free composite groin flap to solve a complex loss of tissue in a traumatic injury of the foot: A case report.

Injury 2018 Dec 3;49 Suppl 4:S25-S28. Epub 2018 Dec 3.

University of Turin, Orthopaedic Clinic, C.T.O. Hospital, Turin, Italy.

Severe traumatic losses of soft tissues and bone at foot and ankle level are often treated by means of amputation, but this may involve important psychological and anatomic consequences for the patient. If there are good vascular conditions, reconstruction by means of composite free flaps is often the only alternative to this demolitive treatment. The transfer of composite free flaps that include vascularized bone from various donor sites may provide anatomical reconstruction and recovery of function of the foot and ankle. Read More

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December 2018

[Women with groin hernias should be referred to surgery].

Ugeskr Laeger 2018 Nov;180(48)

In females, approximately 75% of groin hernias are inguinal hernias, and 25% are femoral. However, all groin hernias in women should be considered potential femoral hernias due to the difficult preoperative diagnosis of hernia type and the high incidence of femoral hernias. Complications following an untreated femoral hernia are unacceptable, which is why, watchful waiting is not recommended in women. Read More

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November 2018
1 Read

The effectiveness of junctional tourniquets: a systematic review and meta-analysis.

J Trauma Acute Care Surg 2018 Nov 30. Epub 2018 Nov 30.

Royal Canadian Medical Service, Ottawa, ON, Canada.

Background: Junctional tourniquets have been incorporated into tactical combat casualty care for junctional vascular trauma. They apply external compression to stop blood flow in the groin and axilla.

Objectives: The primary outcome was effectiveness in achieving arterial occlusion. Read More

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November 2018
1 Read

Laparoscopic transabdominal preperitoneal (TAPP) groin hernia repair using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure: learning experience during introduction into clinical practice.

Authors:
P Wilson L Hickey

Hernia 2018 Nov 30. Epub 2018 Nov 30.

University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, UK.

Introduction: In a single centre evaluation of a novel hernia repair device, 200 consecutive patients underwent 247 laparoscopic (TAPP) groin hernia repairs (47 bilateral) using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure over a 2-year period by a single experienced laparoscopic surgeon.

Patients And Methods: All groin hernia patients requiring TAPP repair were included in the study: Inguinal 142, Femoral 14, Spigelian 4, and Inguinal disruption 40. A retrospective review of the data was performed. Read More

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November 2018

The anatomy and an illustrated description of a technique for combined laparoscopic and vaginal total removal of an obturator mid urethral tape.

Transl Androl Urol 2018 Dec;7(6):978-981

1Department of Urology, 2Department of Gynaecology, University College London Hospital, London, UK.

To date complete excision of a mid-urethral obturator tape has required vaginal and groin exploration-a morbid procedure. We detail the theoretical anatomy and describe the operative technique for the first ever combined laparoscopic and vaginal complete excision of mid-urethral obturator tape. This procedure was successfully performed in a 65-year-old female along with simultaneous laparoscopic redo colposuspension with complete removal of mid-urethral obturator tape and successful resolution of all symptoms including stress urinary incontinence. Read More

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December 2018

Predictors of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci co-colonization among nursing facility patients.

Am J Infect Control 2018 Nov 27. Epub 2018 Nov 27.

Department of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, MI; Geriatrics Research Education and Clinical Center, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI.

Background: The emergence of vancomycin-resistant Staphylococcus aureus (VRSA) poses significant challenges for antibiotic therapy. We characterized the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) co-colonization that may facilitate resistance transfer and vancomycin-resistant S aureus emergence among nursing facility patients.

Methods: We cultured newly admitted patient hands, nares, oropharynx, groin, and perianal region plus wounds and device insertion sites, if applicable, upon enrollment at day 14, day 30, and monthly follow-up up to 6 months. Read More

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November 2018
1 Read

Pseudoaneurysm: A complication of laparoscopic inguinal hernia repair.

Int J Surg Case Rep 2018 Nov 27;54:39-41. Epub 2018 Nov 27.

Department of Surgical Gastroenterology, Medical College, Kolkata, India.

Introduction: Laparoscopic inguinal hernia repair has gained importance during last few decades, because of its several advantages. However, it has its own set of complications, which can be avoided by following the basic anatomical principles of laparoscopic inguinal hernia repair.

Presentation Of Case: An 85-year-old male patient, developed a painless intraabdominal lump following laparoscopic inguinal hernia repair. Read More

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November 2018
2 Reads

Is hip muscle strength normalised in patients with femoroacetabular impingement syndrome one year after surgery?: Results from the HAFAI cohort.

J Sci Med Sport 2018 Oct 17. Epub 2018 Oct 17.

Department of Public Health, Section for Sport, Aarhus University, Denmark.

Objectives: Little is known about hip function after hip arthroscopic surgery in patients with femoroacetabular impingement syndrome. Hence, the aim of the study was (1) to investigate changes in hip muscle strength from before to one year after hip arthroscopic surgery, (2) to compare patients with a reference group.

Design: Cohort study with a cross-sectional comparison. Read More

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October 2018
1 Read

Results of Telehealth Electronic Monitoring for Post Discharge Complications and Surgical Site Infections Following Arterial Revascularization with Groin Incision.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Centers for Clinical Sciences Research, Charleston Area Medical Center Health Education and Research Institute, Charleston, WV.

Introduction: Post-surgical discharge complications result in increased hospital readmissions, cost, and patient dissatisfaction. Telehealth technology to monitor patients, especially those in geographically isolated areas, may reduce post-operative complications, improve health and financial outcomes.

Objective: The primary objective was to compare outcomes between patients that received Telehealth electronic monitoring (THEM) to those with routine discharge instructions and no monitoring, Standard Of Care (SOC). Read More

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November 2018
1 Read

Sportsmans Groin: The Inguinal Ligament and the Lloyd Technique.

J Belg Soc Radiol 2017 Dec 16;101(Suppl 2):16. Epub 2017 Dec 16.

Leicester Royal Infirmary, GB.

Groin pain is a catch all phrase used to define a common set of symptoms that affect many individuals. It is a common condition affecting sportsmen and women (1, 2) and is often referred to as the sportsman groin (SG). Multiple surgical operations have been developed to treat these symptoms yet no definitive imaging modalities exist to diagnose or predict prognosis. Read More

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December 2017
7 Reads

Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin.

J Belg Soc Radiol 2017 Dec 16;101(Suppl 2). Epub 2017 Dec 16.

Musculoskeletal Radiology, Radiology Department, Leeds Teaching Hospitals, Chapel Allerton Hospital, Leeds, UK.

Hip and groin pain often presents a diagnostic and therapeutic challenge. The differential diagnosis is extensive, comprising intra-articular and extra-articular pathology and referred pain from lumbar spine, knee and elsewhere in the pelvis. Various ultrasound-guided techniques have been described in the hip and groin region for diagnostic and therapeutic purposes. Read More

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December 2017
4 Reads

Bilateral external iliac venous aneurysms in a long-distance runner.

Ann Vasc Surg 2018 Nov 26. Epub 2018 Nov 26.

Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University.

Aneurysms of the iliac veins are very rare, but are potentially fatal due to their potential to cause thromboembolic complications or even rupture. We herein report an unusual case of bilateral external iliac venous aneurysms in a 50-year-old male long-distance runner who presented with bilateral groin pain. The aneurysms were successfully treated with tangential aneurysmectomy with lateral venorrhaphy. Read More

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November 2018
2 Reads

Solitary exophytic plaque on the left groin.

Cutis 2018 Oct;102(4):E15-E17

Department of Dermatology, Istanbul Medeniyet University Goztepe Research and Training Hospital, Turkey.

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October 2018
2 Reads

Percutaneous Mechanical Thromboembolectomy in Acute Lower Limb Ischemia.

Cardiovasc Intervent Radiol 2018 Nov 28. Epub 2018 Nov 28.

Department of Vascular Surgery, Klinikum Ingolstadt, Ingolstadt, Germany.

Purpose: To analyze the immediate outcome of percutaneous mechanical thromboembolectomy in acute infrainguinal leg ischemia in a consecutive cohort of patients with acute lower limb ischemia.

Material And Method: We retrospectively analyzed the data of 156 acute infrainguinal ischemic events in 148 patients. Patients presented with acute limb ischemia Rutherford category I in 68 cases (44%), Rutherford category II A in 64 instances (41%) and Rutherford II B in 24 instances (15%). Read More

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November 2018
3 Reads

Rare Co-Existence of Amyand's and Littre's Hernia Treated with Appendectomy and Bowel Resection Followed by Polypropylene Mesh Application.

Am J Case Rep 2018 Nov 29;19:1422-1424. Epub 2018 Nov 29.

3rd Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.

BACKGROUND Amyand's and Littre's hernias are 2 rare types of inguinal hernias, which constitute less than 1% of all types of hernias. Amyand's hernia is characterized mainly by the presence of a vermiform appendix in an inguinal hernia sac, whereas Littre's hernia includes a protrusion of a Meckel's diverticulum into the hernial sac. CASE REPORT In this article, we report a case of co-existence of Amyand's and Littre's hernia in the same sac of a groin hernia. Read More

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November 2018
1 Read

Autoimmune progesterone dermatitis manifesting as generalized fixed drug eruption.

An Bras Dermatol 2018 Nov/Dec;93(6):874-877

Department of Pathology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Autoimmune progesterone dermatitis is an uncommon, poorly recognized and under-diagnosed catamenial dermatosis associated with hypersensitivity reactions to progestagens. Most cases manifest as urticaria, eczema or erythema multiforme-like. A 26-year-old woman developed violaceous plaques on the groin and abdomen, 4 days after a spontaneous abortion resolved with uterine curettage. Read More

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July 2017
1 Read

Hip and Core Muscle Injuries in Soccer.

Am J Orthop (Belle Mead NJ) 2018 Oct;47(10)

Riverside University Health System, 26520 Cactus Ave, Moreno Valley, CA 92555, USA. Email:

Soccer is the most popular sport in the world and has the fourth highest number of sports injuries. Hip and groin injuries account for 14% of soccer injuries and can be difficult to recognize and treat as they often require a high level of suspicion and advanced imaging. Groin pain can be separated into 3 categories: (1) defined clinical entities for groin pain (adductor-related, iliopsoas-related, inguinal-related [sports hernias/athletic pubalgia], and pubic-related groin pain), (2) hip-related groin pain (hip morphologic abnormalities, labral tears, and chondral injuries), and (3) other causes of groin pain. Read More

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October 2018
6 Reads

Post-traumatic massive hand lymphedema fully cured by vascularized lymph node flap transfer.

SICOT J 2018 27;4:53. Epub 2016 Nov 27.

Department of Thoracic Surgery and Lung Transplantation, Paris Descartes University, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, Paris, France - INSERM UMR-S 1162, Paris, France.

Post-traumatic localized hand lymphedema is a rare situation and its diagnosis may be difficult, causing lack of care leading to failure of care. Our case study is of two young women with massive post-traumatic hand lymphedema who were treated for algodystrophy for 2 years, and whose bandages and physiotherapy were unsuccessful. Major social and psychological consequences due to difficulty with diagnosis and management resulting in inappropriate tests and therapeutic treatment were prescribed due to these issues. Read More

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November 2016
1 Read

Long-term follow-up of endoscopic totally extraperitoneal direct inguinal hernia repair using the Endoloop technique.

Surg Endosc 2018 Nov 26. Epub 2018 Nov 26.

Bankstown-Lidcombe Hospital, University of NSW, Sydney, NSW, Australia.

Introduction: The pre-tied suture Endoloop™ technique for plication of the weakened transversalis fascia is efficient in post-operative seroma prevention, after laparoscopic/endoscopic direct inguinal hernia repair. No studies have evaluated long-term tolerability of this new technique in regards to chronic pain and hernia recurrence.

Methods: Prospective longitudinal evaluation study of consecutive patients treated with Endoloop™ for M2 or M3 direct defects, during endoscopic totally extraperitoneal approach. Read More

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November 2018
4 Reads

The Short-Form Inguinal Pain Questionnaire (sf-IPQ): An Instrument for Rating Groin Pain After Inguinal Hernia Surgery in Daily Clinical Practice.

World J Surg 2018 Nov 27. Epub 2018 Nov 27.

Center for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.

Background: The Inguinal Pain Questionnaire (IPQ) is a standardised and validated instrument for assessing persisting pain after groin hernia surgery. The IPQ is often perceived as being too extensive for routine use. The aim of this study was to develop and evaluate a condensed version of the IPQ in order to facilitate its use in daily clinical practice. Read More

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November 2018
1 Read

[Osteitis pubis or symphysitis pubis].

Authors:
F Gaudino M-A Weber

Radiologe 2018 Nov 26. Epub 2018 Nov 26.

Institut für Diagnostische und Interventionelle Radiologie, Kinder- und Neuroradiologie, Universitätsklinikum, Schillingallee 35, Rostock, 18057, Deutschland.

Clinical/methodical Issue: Osteitis pubis is one of the most common causes of chronic groin pain in many professional athletes. Symphysitis pubis with instability of the joint due to softening of the joint capsule and muscular imbalance of the corresponding muscles increases the instability of the sympyseal region, thus, resulting in a vicious cycle.

Standard Radiological Methods: Magnetic resonance imaging (MRI). Read More

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November 2018
14 Reads

Spontaneous Infrarenal Aortic Dissection in an Athlete Managed Emergently With Endovascular Stent Grafts, Occluders, and Femoral-Femoral Artery Bypass.

J Am Osteopath Assoc 2018 Dec;118(12):827-831

While competing in an obstacle course race, a 57-year-old male athlete developed left groin and leg pain. Several days later, infrarenal aortic dissection with clinically worsening left leg ischemia was diagnosed. An emergent repair was performed and consisted of an aorto-uni-iliac endovascular stent graft, an occluder in the left iliac artery, and a right-to-left femoral-femoral artery bypass. Read More

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December 2018
1 Read

Late ascended testes: is non-orthotopic gubernacular insertion a confirmation of an alternative embryological etiology?

J Pediatr Urol 2018 Oct 25. Epub 2018 Oct 25.

Department of Urology, Ghent University Hospital, Ghent, Belgium. Electronic address:

Introduction: Re-ascended testes account for a proportion of all undescended testes (UDTs); one main hypothesis relating to their etiology relates to a patent processus vaginalis peritonei. The aim was to investigate gubernacular insertion points in boys with late ascended testis as a possible guide to an alternative embryological etiology.

Patients And Methods: Patients with proven ascended testes were recruited from four different pediatric urology centers between May 2016 and September 2017. Read More

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October 2018

Surgical fenestration and rehabilitation of a sports traumatic non-union ischial tuberosity fracture - Case report.

Int J Surg Case Rep 2018 Nov 17;53:362-366. Epub 2018 Nov 17.

Department of Orthopaedic Surgery, Aalborg University Hospital, Hobrovej 18-22, 9000, Aalborg, Denmark. Electronic address:

Introduction: Ischial tuberosity fractures and complications may be an under recognized diagnosis in adolescent athletes. Operative interventions differ and may include anchor re-fixations, resections and osteostimulating drilling and partial hamstring releases. This case report illustrates a novel and less invasive management of a non-union following a proximal ischial tuberosity avulsion. Read More

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November 2018
2 Reads

Donor limb assessment after vascularized groin lymph node transfer for the treatment of breast cancer-related lymphedema: Clinical and lymphoscintigraphy findings.

J Plast Reconstr Aesthet Surg 2018 Nov 3. Epub 2018 Nov 3.

Division of Plastic and Reconstructive Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong SAR, China.

Introduction: Vascularized lymph node transfer is an established treatment for secondary lymphedema. Different donor sites of lymph node flap have been described. In our institute, vascularized groin lymph node (VGLN) flap is the workhorse flap for treating breast cancer-related lymphedema (BCRL). Read More

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November 2018
2 Reads

Leg power, pelvic movement and physical activity after periacetabular osteotomy. A prospective cohort study.

Acta Orthop Belg 2018 Jun;84(2):163-171

To investigate changes in leg power, pelvic movement and patient-reported outcome in patients with hip dysplasia one year after periacetabular osteotomy. Forty-one patients (7 males) with a mean age of 28.8 years scheduled for periacetabular osteotomy were tested before surgery, and 4 and 12 months after. Read More

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June 2018
2 Reads

Which treatment is most effective for patients with patellofemoral pain? A protocol for a living systematic review including network meta-analysis.

BMJ Open 2018 Nov 18;8(11):e022920. Epub 2018 Nov 18.

Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

Introduction: Patellofemoral pain (PFP) affects 1 in every 14 adults. Many treatments for PFP have been evaluated, but the comparative effectiveness of all available treatments has never been examined. Network meta-analysis is the only design to study the comparative effectiveness of all available treatments in one synthesis. Read More

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November 2018
8 Reads

Patterns of Pain in Adolescents with Slipped Capital Femoral Epiphysis.

J Pediatr 2018 Nov 16. Epub 2018 Nov 16.

Department of Orthopaedic Surgery, Children's Mercy Hospital, Kansas City, MO.

Objective: To prospectively characterize pain locations in slipped capital femoral epiphysis (SCFE) and evaluate pain locations as predictors of a delay in diagnosis.

Study Design: This was an institutional review board approved prospective study of 110 children who underwent surgery for SCFE at a tertiary children's hospital between 2009 and 2015. Standardized pain diagrams were completed by 107 children. Read More

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November 2018
8 Reads

Sentinel lymph nodes in vulvar cancer: Management dilemmas in patients with positive nodes and larger tumors.

Gynecol Oncol 2018 Nov 16. Epub 2018 Nov 16.

University of Toronto, Department of Obstetrics and Gynecology, Toronto, Ontario, Canada; Division of Gynecologic Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address:

Background: Although sentinel lymph node (SLN) biopsy has been routinely used in the treatment of invasive squamous cell carcinoma (SCC), questions still remain regarding the management of patients with positive nodes, as well as its use in patients with larger tumors.

Methods: Retrospective study of all patients at a single institution with primary vulvar cancer who had SLN biopsy (2008-2015). Patient and tumor characteristics were collected from hospital records. Read More

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November 2018
4 Reads

Do femoral fractures in adult patients with osteogenesis imperfecta imitate atypical femoral fractures? A case series.

Osteoporos Int 2018 Nov 17. Epub 2018 Nov 17.

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 165, Aarhus N, 8200, Aarhus, Denmark.

Atypical femoral fractures (AFFs) are low-energy femoral fractures with characteristic radiological features and a suspected relation to treatment with bisphosphonate (BP) or denosumab. In osteogenesis imperfecta (OI), BP is currently the drug of choice when medical treatment is indicated. Due to bone deformities, the radiologic appearance of femoral fractures may be different in patients with OI and patients with osteoporosis. Read More

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November 2018
3 Reads

Vertical Medial Thigh Contouring.

Authors:
Joseph Michaels

Clin Plast Surg 2019 Jan 22;46(1):91-103. Epub 2018 Oct 22.

Private Practice, Michaels Aesthetic & Reconstructive Plastic Surgery, 11404 Old Georgetown Road, Suite 206, North Bethesda, MD 20852, USA; Department of Plastic and Reconstructive Surgery, Johns Hopkins Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA. Electronic address:

Excess thigh laxity is a problem for many patients following significant weight loss. Thigh laxity has both vertical and horizontal components that require correction to optimize the aesthetic appearance of the thigh. The vertical vector is best corrected first with a lower body lift or extended abdominoplasty. Read More

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January 2019
1 Read

The role of sartorius muscle flaps in the management of complex groin wounds.

Interact Cardiovasc Thorac Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Vascular Surgery, The Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Blackburn, UK.

A best evidence topic in vascular surgery was written according to a structured protocol. The question addressed was whether sartorius muscle flaps (SMF) can be effectively used in the setting of complex groin wounds with exposed prosthetic grafts for graft salvage and limb salvage. The literature review identified 33 articles reporting on the use of SMF for complex vascular wounds. Read More

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November 2018
5 Reads

A step up therapeutic regimen for chronic post-Pfannenstiel pain syndrome.

Eur J Obstet Gynecol Reprod Biol 2018 Dec 26;231:248-254. Epub 2018 Oct 26.

The SolviMáx Center for Chronic Abdominal Wall and Groin Pain, Department of General Surgery, Máxima Medical Center, Veldhoven, The Netherlands. Electronic address:

Objective: Up to 8% of patients undergoing surgery via a Pfannenstiel incision may develop chronic inguinal pain. This type of pain is frequently caused by inguinal nerve entrapment and may strongly interfere with daily functioning. We report our long term experience of a step up approach using tender point infiltration and surgical neurectomy for intractable neuropathic post-Pfannenstiel groin pain. Read More

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December 2018
4 Reads

Is human fibrin sealant a possible choice for the fixation of laparoscopic inguinal hernia repair? A single center experience and the analysis of the results after 326 TAPP in two years.

G Chir 2018 Sep-Oct;34(5):309-314

Background: Groin hernioplasty is most intervention performed in the worldwide. The present study aimed to evaluate a combination between ultralight mesh and fibrin human sealant in the laparoscopic treatment of inguinal hernia.

Patients And Methods: This retrospective study included consecutive patients who underwent laparoscopic transabdominal preperitoneal hernioplasty (TAPP) from 1st of January 2015 to 31st of December 2016. Read More

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November 2018
1 Read

Neutrophil to lymphocyte ratio predicts intracranial hemorrhage after endovascular thrombectomy in acute ischemic stroke.

J Neuroinflammation 2018 Nov 15;15(1):319. Epub 2018 Nov 15.

Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Ignaz-Harrer-Straße 79, 5020, Salzburg, Austria.

Background: The development of intracranial hemorrhage (ICH) in acute ischemic stroke is associated with a higher neutrophil to lymphocyte ratio (NLR) in peripheral blood. Here, we studied whether the predictive value of NLR at admission also translates into the occurrence of hemorrhagic complications and poor functional outcome after endovascular treatment (EVT).

Methods: We performed a retrospective analysis of consecutive patients with anterior circulation ischemic stroke who underwent EVT at a tertiary care center from 2012 to 2016. Read More

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November 2018
4 Reads

Individual Factors Affecting Rugby Sevens Match Performance.

Int J Sports Physiol Perform 2018 Nov 14:1-22. Epub 2018 Nov 14.

1 University of Technology Sydney (UTS), Sport & Exercise Discipline Group, Faculty of Health, Australia.

Purpose:: To examine the collective independent influence of a range of individual characteristics on physical and technical match performance during international rugby sevens matches.

Methods:: Data was collected from 20 international rugby sevens players from one team across one season. Activity profiles were measured using wearable microtechnology devices, and technical performance measures were collected from match video analysis. Read More

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November 2018
3 Reads

Incarcerated Femoral Hernia Repair with Ventralex™ Hernia Patch through Same Skin Incision and Suprainguinal Laparotomy.

Case Rep Surg 2018 22;2018:9719310. Epub 2018 Oct 22.

Department of General Surgery, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.

Purpose: To report our experience with incarcerated femoral hernia procedure, which allows laparotomy through same inguinal skin incision, inspection and resection of compromised bowel, and preperitoneal tension-free transabdominal repair with Ventralex™ Hernia Patch.

Materials And Methods: The suprainguinal laparotomy was performed via same groin incision without compromising iliopubic tract. The femoral ring was sealed with Ventralex™ Hernia Patch pulled through the abdominal cavity and secured outside. Read More

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October 2018
1 Read

Technical nuances of percutaneous sacroiliac joint fixation: A cadaveric study.

J Clin Neurosci 2018 Nov 10. Epub 2018 Nov 10.

Department of Neurosurgery, University of Pennsylvania Hospital, Philadelphia, PA, United States.

Sacroiliac (SI) joint can produce debilitating lower back pain with radiation to groin, buttocks, and lower extremities. SI joint dysfunction poses a clinical challenge to the spine surgeons. Studies entailing surgical arthrodesis utilizing Titanium implants have been reported with reputedly high level of patient satisfaction. Read More

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November 2018
4 Reads

Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study.

Hernia 2018 Nov 12. Epub 2018 Nov 12.

Center of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China.

Purpose: This study aimed to explore risk factors of postoperative complications for adult patients with incarcerated groin hernia (IGH).

Methods: From January 2010 to December 2017, consecutive patients undergoing emergency hernia repair for IGH in our center were retrospectively reviewed. Postoperative complications, such as surgical site infection, seroma, hernia recurrence and mortality, were investigated, with risk factors for such complications analyzed using univariate and multivariate regressions. Read More

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November 2018
5 Reads

Recurrent groin hernia surgery after primary open inguinal procedures: a reappraisal of the open preperitoneal (Ugahary) technique.

Hernia 2018 Nov 12. Epub 2018 Nov 12.

Department of Gastroenterological Surgery, Jyväskylä Central Hospital, Keskussairaalantie 19, 40620, Jyväskylä, Finland.

Purpose: There are several methods for repairing recurrent inguinal hernia, depending on the type of initial repair. Our aim was to analyze our long follow-up results on the open preperitoneal repair for patients with recurrent inguinal hernia.

Methods: Our retrospective survey included 135 consecutive recurrent inguinal hernia patients, operated on during 1999-2010, with a mean follow-up time of 8. Read More

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November 2018
5 Reads

Phthirus pubis Infestation of the Scalp: A Case Report and Review of The Literature.

Korean J Parasitol 2018 Oct 31;56(5):487-489. Epub 2018 Oct 31.

Department of Pathophysiology and Transplantation, Università degli Studi di Milano, I.R.C.C.S. Foundation, Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.

Phthirus pubis usually infests the pubis, groin, buttocks and perianal region. It can sometimes infest the thighs, abdomen, chest, axillae and beard. Eyelashes and eyebrows may be involved in children. Read More

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October 2018
4 Reads

[Osteogenic potential of different adipose derived stem cells in rats].

Zhonghua Kou Qiang Yi Xue Za Zhi 2018 Nov;53(11):771-776

Shanxi Medical University School and Hospital of Stomatology, Taiyuan 030001, China (Stomatological Center, Armed Police General Hospital, Beijing 100039, China).

To compare the osteogenic ability of brown adipose stem cells (BADSC) and white adipose stem cells (WADSC), and to provide evidence for further research and clinical application of adipose-derived stem cells. The brown fat under the scapula of SD rats and the white adipose tissue in the groin were isolated and obtained BADSC and WADSC. The morphology of the cells was observed by an inverted phase contrast microscope, and the cell count was used to detect the proliferative ability. Read More

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November 2018
4 Reads