152,876 results match your criteria Pelvic Organ Prolapse


Clinical utility and concordance of upper urinary tract cytology and biopsy in predicting Clinicopathologic features of upper urinary tract urothelial carcinoma.

Hum Pathol 2018 Dec 8. Epub 2018 Dec 8.

Department of Pathology, University of Michigan, 2800 Plymouth Road, Building 35, Ann Arbor, MI 48109, USA; Michigan Center for Translational Pathology, 5309 CCC 5940, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA; Comprehensive Cancer Center, University of Michigan Medical School, 1500 E Medical Center Drive, Ann Arbor, MI, 48109, USA. Electronic address:

5% of urothelial carcinoma occurs in the upper urinary tract (UUT), a challenging location to biopsy. We aim to evaluate concordance between biopsy, cytology, and resection specimens in a large upper tract urothelial carcinoma (UTUC) cohort.117 UTUC resections with UUT biopsy and/or cytology specimens from 2000-2016 were retrieved; pathologic material was re-reviewed, evaluated for concordance, and correlated with clinical information. Read More

View Article
December 2018

Validation of the Acetabulum As a Skeletal Indicator of Age at Death in Modern European-Americans.

J Forensic Sci 2018 Dec 10. Epub 2018 Dec 10.

Department of Anthropology, University of West Florida, 11000 University Parkway, Bldg. 13, Pensacola, FL, 32514.

Progressive changes in the acetabulum have been used in modern skeletal age estimation, but they have not been completely understood. If their age correlations are weakened by the influence of factors like physical activity and obesity, acetabular changes should not be used for age estimation. To investigate their utility for aging, the acetabular variables of Rissech et al. Read More

View Article
December 2018

Sacral neuromodulation: standardized tined lead implantation technique: two-year clinical outcome and sensory response upon lead stimulation comparing the use of the curved versus straight stylet.

BJU Int 2018 Dec 11. Epub 2018 Dec 11.

Department of Urology, Antwerp University Hospital, Edegem, Belgium.

Objectives: To assess clinical follow-up data over 24 months using the standardized tined lead implantation technique, comparing the use of the curved vs straight stylet.

Patients And Methods: Single tertiary center, prospective study (August 2013 - June 2015) involving 40 patients with overactive bladder and 15 with non-obstructive urinary retention refractory to first-line treatment.

Primary Outcome: successful tined lead procedure; intention to treat analysis at 12 and 24 months. Read More

View Article
December 2018

Recommendations for Iliosacral Screw Placement in Dysmorphic Sacrum based on Modified In-Out-In Corridors.

J Orthop Res 2018 Dec 11. Epub 2018 Dec 11.

Clinic of Orthopaedics and Sportsorthopaedics, Klinikum rd. Isar, Technische Universität München, Munich, Germany.

(1) Can iliosacral osseous corridor diameters in sacral dysmorphism be enlarged by in-out-in screw placement at the posterior iliosacral recessus? (2) Are lumbosacral transitional vertebra (LSTV) the anatomical cause for sacral dysmorphism? (3) Are there sex-specific differences in sacral dysmorphism? 594 multislice CT scans were screened for sacral dysmorphism and 55 data-sets selected. Each pelvis was segmented manually and cylindrical iliosacral corridors (S1 and S2 vertebra) were semi-automatically determined. Corridor trajectories, -diameters and -lengths were measured. Read More

View Article
December 2018

Physiological in vitro sacroiliac joint motion: a study on three-dimensional posterior pelvic ring kinematics.

J Anat 2018 Dec 9. Epub 2018 Dec 9.

Fraunhofer Institute for Machine Tools and Forming Technology IWU, Dresden, Germany.

The sacroiliac joint (SIJ) is a well-known source of low back and pelvic pain, of increasing interest for both conservative and surgical treatment. Alterations in the kinematics of the pelvis have been hypothesized as a major cause of SIJ-related pain. However, definitions of both the range and the extent of physiological movement are controversial, and there are no clear baseline data for pathological alterations. Read More

View Article
December 2018

Genetic testing and surveillance guidelines in hereditary pheochromocytoma and paraganglioma.

J Intern Med 2018 Dec 8. Epub 2018 Dec 8.

Clinical Genetics, Karolinska University Hospital, 171 76, Stockholm.

Pheochromocytomas (PCC) and paragangliomas (PGL), collectively abbreviated PPGL are rare tumours originating from the chromaffin cells in the adrenal medulla (PCC) or the sympathetic or parasympathetic extra-adrenal paraganglia (PGL) (1, 2), Figure 1. The enlarged cell volume leads to increased levels of catecholamines (adrenaline, noraderenaline and/or dopamine) and their metabolites which can be measured in plasma or urine for biochemical diagnosis. Hormone-producing PPGL commonly originate from sympathetic paraganglia in the adrenal glands, abdomen or pelvis (3). Read More

View Article
December 2018

Impact of Long-Course Neoadjuvant Radiation on Postoperative Low Anterior Resection Syndrome and Quality of Life in Rectal Cancer: Post Hoc Analysis of a Randomized Controlled Trial.

Ann Surg Oncol 2018 Dec 7. Epub 2018 Dec 7.

Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Background: Neoadjuvant radiation is recommended for locally advanced rectal cancer, with proven benefit in local control but not in disease-free survival. However, the impact of long-course radiation on postoperative bowel function and quality of life (QOL) remains controversial. This study aimed to investigate the impact of long-course neoadjuvant radiation on bowel function and QOL, and to identify risk factors for severe bowel dysfunction. Read More

View Article
December 2018

Application of the Guiding Template Designed by Three-dimensional Printing Data for the Insertion of Sacroiliac Screws: a New Clinical Technique.

Curr Med Sci 2018 Dec 7;38(6):1090-1095. Epub 2018 Dec 7.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

This study is aimed to explore the clinical application of the guiding template designed by three-dimensional printing data for the insertion of sacroiliac screws. A retrospective study of 7 cases (from July 2016 to December 2016), in which the guiding template printed by the threedimensional printing technique was used for the insertion of sacroiliac screws of patients with posterior ring injuries of pelvis, was performed. Totally, 4 males and 3 females were included in template group, aged from 38 to 65 years old (mean 50. Read More

View Article
December 2018

The role of tenascin-X in the uterosacral ligaments of postmenopausal women with pelvic organ prolapse: an immunohistochemical study.

Int Urogynecol J 2018 Dec 10. Epub 2018 Dec 10.

Department of General Gynecology and Gynecologic Oncology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.

Introduction And Hypothesis: Abnormalities of connective tissue structure or its repair mechanism may predispose women to pelvic organ prolapse (POP). We hypothesized that the expression of tenascin-X in the uterosacral ligament of postmenopausal women with symptomatic POP is increased compared with postmenopausal women without POP. Furthermore, we identified clinical risk factors associated with POP in our study population. Read More

View Article
December 2018

Factors associated with post-relapse survival in patients with recurrent cervical cancer: the value of the inflammation-based Glasgow Prognostic Score.

Arch Gynecol Obstet 2018 Dec 10. Epub 2018 Dec 10.

Gynecologic Cancer Unit, Department of Gynecology and Gynecologic Oncology, Comprehensive Cancer Centre, Medical University of Vienna, Vienna, Austria.

Purpose: The aim of the present study was to assess the value of the Glasgow Prognostic Score (GPS) as a prognostic tool for predicting post-relapse survival (PRS) in patients with recurrent cervical cancer.

Methods: We retrospectively evaluated the data of 116 patients with recurrent cervical cancer in whom serologic biomarkers had been assessed at the time of relapse. The GPS was calculated as follows: patients with elevated serum C-reactive protein levels and hypoalbuminemia were allocated a score of 2, and those with 1 or no abnormal value were allocated a score of 1 and 0, respectively. Read More

View Article
December 2018

Minimally invasive internal fixator for unstable pelvic ring injuries with a pedicle screw-rod system: a retrospective study of 23 patients after 13.5 months.

Arch Orthop Trauma Surg 2018 Dec 8. Epub 2018 Dec 8.

Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University of Munich (LMU), Munich, Germany.

Purpose: Pelvic ring fractures are challenging injuries and require effective treatment due to the frequently compromised patient condition. The aim of this study was to evaluate the outcome of unstable pelvic ring injuries treated with a minimally invasive pedicle screw-rod system.

Methods: Retrospective analysis was performed for patients with an unstable pelvic ring injury that were treated with a minimally invasive anterior internal pelvic fixator (INFIX) with or without a posterior pedicle screw-rod fixator (6/2012-4/2015). Read More

View Article
December 2018

Sacral neuromodulation and sexual function: a systematic review and meta-analysis of the literature.

Int Urogynecol J 2018 Dec 7. Epub 2018 Dec 7.

James Cook University Hospital, Middlesbrough, TS4 3BW, UK.

Introduction And Hypothesis: Sexual function is being increasingly recognized as an important patient-reported outcome. Sacral neuromodulation (SNM) is a treatment with an expanding list of indications. The effect of sacral neuromodulation on sexual function has been examined in a number of studies with variable results. Read More

View Article
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

View Article
December 2018

Endometrial stromal sarcoma in a 27-year-old woman. Case report and literature review.

Rom J Morphol Embryol 2018 ;59(3):933-938

Department of Obstetrics-Gynecology and Neonatology, "Carol Davila" University of Medicine and Pharmacy, Department of Obstetrics and Gynecology, "St. John" Emergency Clinical Hospital, Bucharest, Romania;

Endometrial stromal tumors are very rare, representing approximately 0.2% of uterine malignancies, having an incidence of one to two from a million of women. The diagnosis cannot be established by imaging, it is histopathological only, often necessitate supplementary immunohistochemistry tests. Read More

View Article
January 2018

Chondrosarcoma of the pelvis - case report.

Rom J Morphol Embryol 2018 ;59(3):927-931

Department of Obstetrics and Gynecology, University Emergency Hospital of Bucharest, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania;

Chondrosarcoma (CHS) is the third most common primary bone tumor after myeloma and osteosarcoma. Histologically, it is made of pure hyaline cartilage differentiation. The tumor itself may have myxoid modification and calcification. Read More

View Article
January 2018

Ultrasound for kidney access in percutaneous nephrolithotomy: a contemporary review.

Med Ultrason 2018 Dec;20(4):508-514

Center for Uronephrology and Renal Transplantation, Fundeni Clinical Institute, Bucharest, Romania, Urologic Surgery, Fundeni Clinical Institute,"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Nowadays percutaneous nephrolithotomy (PCNL) is the standard of care for renal staghorn calculus or large (>20 mm) pelvic or caliceal stones, as well as for the failure of other treatment options. This review aims to evaluate the contemporary use of ultrasound imaging in PCNL, by comparing it to conventional fluoroscopy, reviewing data regarding the complication and success rate of nephrostomy tract creation and stone free rate (SFR), as well as data concerning the learning curve for these procedures and cost indicators. The evidence acquired shows that the ultrasound guided access (USGA) is a comparable method with the classic fluoroscopic guided access (FGA), with a similar safety profile, with a significant reduction in radiation exposure, up to radiation free complete PCNL. Read More

View Article
December 2018

Pseudotumor and Subsequent Implant Loosening as a Complication of Revision Total Hip Arthroplasty with Ceramic-on-Metal Bearing: A Case Report.

Hip Pelvis 2018 Dec 6;30(4):276-281. Epub 2018 Dec 6.

Department of Orthopaedics, Korea University Guro Hospital, Seoul, Korea.

Pseudotumors are not uncommon complications after total hip arthroplasty (THA) and may occur due to differences in bearing surfaces of the head and the liner ranging from soft to hard articulation. The most common causes of pseudotumors are foreign-body reaction, hypersensitivity and wear debris. The spectrum of pseudotumor presentation following THA varies greatly-from completely asymptomatic to clear implant failure. Read More

View Article
December 2018

Cement Augmentation of Dynamic Hip Screw to Prevent Screw Cut Out in Osteoporotic Patients with Intertrochanteric Fractures: A Case Series.

Hip Pelvis 2018 Dec 6;30(4):269-275. Epub 2018 Dec 6.

Department of Orthopaedics, Government Medical College, Kota, India.

Purpose: The purpose of this study is to describe a method of inserting cement in the femoral head before fixation with dynamic hip screw to prevent screw cut out due to osteoporosis and to evaluate its clinical outcome in these patients.

Materials And Methods: In this prospective study, 30 patients aged 60 years and older with intertrochanteric fracture were included. Bone mineral density was measured. Read More

View Article
December 2018
1 Read

One-stage Hip Reconstruction for Developmental Hip Dysplasia in Children over 8 Years of Age.

Hip Pelvis 2018 Dec 6;30(4):260-268. Epub 2018 Dec 6.

Department of Orthopaedic and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore, Pakistan.

Purpose: This study was performed to assess the clinical and radiological outcomes following one-stage hip reconstruction, consisting of open reduction femoral shortening and pelvic osteotomy, for neglected developmental dislocation of the hip (DDH).

Materials And Methods: This is a retrospective analysis of 77 hips in 65 patients (46 females and 19 males; 12 had bilateral dislocations), operated at a Ghurki Trust Teaching Hospital in Pakistan between 2013 and 2015. The average age at surgery was 11. Read More

View Article
December 2018

Outcomes of Internal Fixation with Compression Hip Screws in Lateral Decubitus Position for Treatment of Femoral Intertrochanteric Fractures.

Hip Pelvis 2018 Dec 6;30(4):254-259. Epub 2018 Dec 6.

Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.

Purpose: Internal fixation using compression hip screws (CHS) and traction tables placing patients in the supine position is a gold standard option for treating intertrochanteric fractures; however, at our institution, we approach this treatment with patients in a lateral decubitus position. Here, the results of 100 consecutive elderly (i.e. Read More

View Article
December 2018
1 Read

Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis.

Hip Pelvis 2018 Dec 6;30(4):241-253. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea.

Purpose: This study was conducted to compare cemented and cementless bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures via meta-analysis and systematic review of relevant studies.

Materials And Methods: Systematic review and meta-analysis were performed on 31 available clinical studies; 19 of these studies used cemented stems, 12 used cementless stems, one used both types of stems, and two studies involved a comparative analysis of both stem types.

Results: There were statistically significant differences in rates of leg length discrepancy (LLD) greater than 1 cm between the cemented (event rate, 0. Read More

View Article
December 2018

Does Simultaneous Computed Tomography and Quantitative Computed Tomography Show Better Prescription Rate than Dual-energy X-ray Absorptiometry for Osteoporotic Hip Fracture?

Hip Pelvis 2018 Dec 6;30(4):233-240. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Purpose: This study aimed to evaluate the efficacy of simultaneous computed tomography (CT) and quantitative CT (QCT) in patients with osteoporotic hip fracture (OHF) by analyzing the osteoporosis detection rate and physician prescription rate in comparison with those of conventional dual-energy X-ray absorptiometry (DXA).

Materials And Methods: This study included consecutive patients older than 65 years who underwent internal fixation or hip arthroplasty for OHF between February and May 2015. The patients were assigned to either the QCT (47 patients) or DXA group (51 patients). Read More

View Article
December 2018

Risk Factors of Neuropathic Pain after Total Hip Arthroplasty.

Hip Pelvis 2018 Dec 6;30(4):226-232. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan.

Purpose: Pain caused by osteoarthritis is primarily nociceptive pain; however, it is considered that a component of this pain is due to neuropathic pain (NP). We investigated the effects of total hip arthroplasty (THA) in patients with NP diagnosed by the PainDETECT questionnaire.

Materials And Methods: One hundred sixty-three hips (161 patients) were evaluated. Read More

View Article
December 2018

Utility of False Profile View for Screening of Ischiofemoral Impingement.

Hip Pelvis 2018 Dec 6;30(4):219-225. Epub 2018 Dec 6.

Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Purpose: Ischiofemoral impingement (IFI)-primarily diagnosed by magnetic resonance imaging (MRI)-is an easily overlooked disease due to its low incidence. The purpose of this study was to evaluate the usefulness of false profile view as a screening test for IFI.

Materials And Methods: Fifty-eight patients diagnosed with IFI between June 2013 and July 2017 were enrolled in this retrospective study. Read More

View Article
December 2018

Hip Arthroplasty Using the Bencox® Hip System: An Evaluation of a Consecutive Series of One Thousand Cases.

Hip Pelvis 2018 Dec 6;30(4):210-218. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Purpose: This is a report on the outcomes associated with a consecutive series of 1,000 cementless hip arthroplasties utilizing the Bencox® hip stem-the first Korean-developed hip prosthesis.

Materials And Methods: A consecutive series of 1,000 hip arthroplasties using the Bencox® hip stem were analyzed, starting from its initial release (September 2006) until June 2014. Patients in this consecutive series underwent surgery for fractures (n=552), arthritis (n=155), avascular necrosis (n=209), and revisions (n=84). Read More

View Article
December 2018

Surgical Treatment of the Atypical Femoral Fracture: Overcoming Femoral Bowing.

Hip Pelvis 2018 Dec 6;30(4):202-209. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.

Atypical femoral fractures differ from ordinary femoral diaphyseal or subtrochanteric fractures in several aspects. Although several authors have reported the results of surgical treatment for atypical femoral fractures, the rate of complications (e.g. Read More

View Article
December 2018

Deep Vein Thrombosis Prophylaxis after Total Hip Arthroplasty in Asian Patients.

Authors:
Jun-Shik Kim

Hip Pelvis 2018 Dec 6;30(4):197-201. Epub 2018 Dec 6.

The Joint Replacement Center, Ewha Womans University Medical Center, Seoul, Korea.

In Western patient populations, the reported incidence of imaging-demonstrated deep vein thrombosis (DVT) after total hip arthroplasty (THA) is as high as 70% without prophylaxis. The reported rates of symptomatic pulmonary embolism (PE) after THA in recent studies range from 0.6% to 1. Read More

View Article
December 2018

Is the 4.5-F ureteroscope (Ultra-Thin) an alternative in the management of ureteric and renal pelvic stones?

Arab J Urol 2018 Dec 21;16(4):429-434. Epub 2018 Jun 21.

Department of Urology, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey.

Objectives: To compare the 7.5-9.5F ureteroscope (URS) with the 4. Read More

View Article
December 2018

Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi - A single-centre experience.

Arab J Urol 2018 Dec 11;16(4):417-421. Epub 2018 Jun 11.

M.S. Ramaiah Hospital, Bangalore, India.

Objective: To describe the effectiveness and safety of our novel technique of simultaneous percutaneous cystolithotripsy with transurethral resection of prostate (TURP) for patients with benign prostatic hyperplasia (BPH) complicated with large vesical calculi.

Patients And Methods: This was a retrospective analysis of 25 patients who underwent simultaneous percutaneous cystolithotripsy with TURP between January 2012 and January 2016. Technique: A 28-F Amplatz sheath was inserted percutaneously into the bladder after sequential dilatation under cystoscopic guidance. Read More

View Article
December 2018

Extraskeletal myxoid chondrosarcoma with massive pulmonary metastases.

Clin Sarcoma Res 2018 5;8:20. Epub 2018 Dec 5.

2Department of Radiology, NYU Langone Medical Center, New York, NY USA.

Background: Extraskeletal myxoid chondrosarcoma (EMC) is a rare malignant mesenchymal neoplasm of uncertain differentiation characterized by rearrangements of the NR4A3 gene. EMC often affects adults around the age of 50 and arise in the deep tissues of the proximal extremities and limb girdles. EMC is characterized by indolent growth rate but strong tendency to local recurrence and metastatic spread. Read More

View Article
December 2018

Intraoperative radiation therapy in uterine cervical cancer: A review.

Rep Pract Oncol Radiother 2018 Nov-Dec;23(6):589-594. Epub 2018 Aug 10.

Radiation Oncology Department, Hospital Clinic of Barcelona, Spain.

Locally advanced uterine cervical cancer continues to present a high number of pelvic relapses. Intraoperative radiation therapy (IORT) allows a precise therapeutic intensification in the surgical area in cases in which removal of the tumour recurrence is feasible. At the same time, IORT excludes the radiosensitive organs from the field of irradiation. Read More

View Article

What is the evidence for the clinical value of SBRT in cancer of the cervix?

Rep Pract Oncol Radiother 2018 Nov-Dec;23(6):574-579. Epub 2018 Oct 9.

Radiotherapy Dept., Fundación Arturo López Pérez, Santiago, Chile.

Aim: The aim of this review is to describe and analyze indications and results of the use of SBRT in uterine cervix cancer, reviewing articles published from January 2010 up to August 2017, for any one of the four indications listed:1Patient refusal or anatomic impediments to interstitial or intracavitary brachytherapy (BCT), i.e. SBRT as an "alternative" for BCT;2Patients with voluminous tumors, or asymmetric tumors where BCT alone would not achieve curative doses, i. Read More

View Article
October 2018

The role of para-aortic nodal irradiation in cervical cancer.

Rep Pract Oncol Radiother 2018 Nov-Dec;23(6):540-546. Epub 2018 Oct 9.

Department of Radiation Oncology, Médica Sur Hospital, México, DF, Mexico.

The current standard of care for locally advanced cervical cancer is whole pelvis and para-aortic radiation when indicated, delivered concomitantly with chemotherapy and brachytherapy. Para-aortic node involvement is a predictor of survival in locally advanced disease but presence of metastases is difficult to determine because the currently available imaging methods lack enough sensitivity to be able to detect accurately para-aortic metastases when surgical staging is not feasible. The objective of this review is to describe the current status of para-aortic lymph node irradiation in locally advanced cervical cancer. Read More

View Article
October 2018

Problems and solutions in IGRT for cervical cancer.

Rep Pract Oncol Radiother 2018 Nov-Dec;23(6):517-527. Epub 2018 May 26.

Centro Medico Imbanaco, Radiation Therapy Unit, Colombia.

The contribution of Image-guided Radiotherapy (IGRT) to modern radiotherapy is undeniable, being the way to bring into daily practice the dosimetric benefits of Intensity-Modulated Radiotherapy (IMRT). Organ and target motion is constant and unpredictable at the pelvis, thus posing a challenge to the safe execution of IMRT. There are potential benefits of IMRT in the radical treatment of cervical cancer patients, both in terms of dose escalation and decrease of toxicity. Read More

View Article

Image-guided brachytherapy in cervical cancer: Experience in the Complejo Hospitalario de Navarra.

Rep Pract Oncol Radiother 2018 Nov-Dec;23(6):510-516. Epub 2018 Oct 19.

Department of Radiation Oncology, Hospital de Navarra, Pamplona, Spain.

Purpose: To evaluate dosimetric and clinical findings of MRI-guided HDR brachytherapy (HDR-B) for cervical carcinoma.

Material And Methods: All patients had a CT, MRI and pelvic-paraaortic lymphadenectomy. Treatment: pelvic (+/-)para-aortic3D/IMRT radiotherapy (45 Gy), weekly cisplatin and HDR-B and pelvic node/parametrial boost 60 Gy until interstitial brachytherapy was done. Read More

View Article
October 2018

Present status of sentinel lymph node biopsy in cervical cancer.

Rep Pract Oncol Radiother 2018 Nov-Dec;23(6):495-502. Epub 2018 May 9.

Gynecological Oncology Unit, Barcelona Clinic Hospital, 170 Villaroel St, Barcelona 08036, Spain.

Cervical cancer is the fourth most common cancer in women, and seventh overall. This disease represents a medical, economic and social burden. In early FIGO stage patients (IA, IB1 and IIA1), nodal involvement is the most important prognostic factor. Read More

View Article

Adult Primary Bone Sarcoma and Time to Treatment Initiation: An Analysis of the National Cancer Database.

Sarcoma 2018 11;2018:1728302. Epub 2018 Nov 11.

Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.

Objective: The time to treatment interval (TTI), defined as the period from diagnosis to first definitive treatment, has very limited descriptions toward understanding delays in primary bone sarcoma (PBS) care. Our primary goal was to determine the national standard for time to treatment initiation (TTI) in PBS in adults and to identify characteristics associated with TTI variability.

Methods: An analysis of the National Cancer Database identified 15,083 adult patients with PBS diagnosed from 2004 to 2013. Read More

View Article
November 2018

Trigonometric Algorithm Defining the True Three-Dimensional Acetabular Cup Orientation: Correlation Between Measured and Calculated Cup Orientation Angles.

JB JS Open Access 2018 Sep 12;3(3):e0063. Epub 2018 Jul 12.

Department of Orthopaedics, Clinical Orthopedic Research Center - mN, Diakonessenhuis Zeist, Zeist, the Netherlands.

Background: Acetabular cup orientation plays a key role in implant stability and the success of total hip arthroplasty. To date, the orientation has been measured with different imaging modalities and definitions, leading to lack of consensus on optimal cup placement. A 3-dimensional (3D) concept involving a trigonometric description enables unambiguous definitions. Read More

View Article
September 2018

Whole body computed tomography in multi trauma patients: Review of the current literature.

Turk J Emerg Med 2018 Dec 3;18(4):142-147. Epub 2018 Oct 3.

Ümraniye Training and Research Hospital, Department of Emergency Medicine, Istanbul, Turkey.

Many authors adopt the Selected Computed Tomography (SCT) approach of the Advanced Trauma Life Support (ATLS) for the management of multiple trauma patients. In the SCT approach, the initial physical examination is followed by conventional radiography (cervical X-ray, chest X-ray, pelvic X-ray and Focused Abdominal Sonography in Trauma (FAST)), and the computed tomography (CT) of the specific body regions if indicated. An alternative to this traditional approach is the Whole-body Computed Tomography (WBCT) protocol, which became widespread all over the world in the last two decades to minimize the rate of missed injuries and decrease the mortality rate. Read More

View Article
December 2018

hCG production by mucinous adenocarcinoma of the ovary in a reproductive aged woman.

Gynecol Oncol Rep 2018 Nov 31;26:102-104. Epub 2018 Oct 31.

Division of Gynecologic Oncology, The University of Iowa Hospitals and Clinics, United States.

When elevated serum hCG is discovered during the work up of a gynecologic tumor, it is paramount to identify the source of hCG prior to initiation of treatment. Potential sources of hCG include viable intrauterine pregnancy, ectopic pregnancy, miscarriage, gestational trophoblastic disease, pituitary hCG production, phantom hCG (heterophilic antibody interference), and tumor production. Here, we present a case of elevated hCG in a young women with a large complex pelvic mass. Read More

View Article
November 2018

Disengagement and intrapelvic migration of a dynamic helical hip screw.

Radiol Case Rep 2019 Feb 1;14(2):291-297. Epub 2018 Dec 1.

University of Washington Medical Center, 1959 NE Pacific St, Seattle, WA 98195 USA.

Some proximal femur fractures may be treated surgically with the use of fracture fixation hardware such as the sliding hip screw and its variants. These devices allow the femoral head and neck fragment to compress against the trochanteric or shaft fragment as the hip screw telescopes into the barrel of the side plate. We describe an unusual complication in which the hip screw disengaged in the opposite direction, migrated through the hip joint, and came to rest inside the pelvic cavity. Read More

View Article
February 2019

Posture and firmness changes in a pressure-relieving air mattress affect cough strength in elderly people with dysphagia.

PLoS One 2018 11;13(12):e0208895. Epub 2018 Dec 11.

Department of Physical Analysis and Therapeutic Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Dysphagia is the major pathophysiologic mechanism leading to aspiration pneumonia in the elderly. Elderly people with dysphagia who show low levels of the cough peak flow (CPF) are at greater risk for aspiration pneumonia. It has been reported that CPF values were significantly lower in the "soft" versus "hard" mode of a pressure-relieving air mattress in healthy volunteers in a supine position. Read More

View Article
December 2018
1 Read

A clinically functioning gonadotroph adenoma presenting with abdominal pain, ovarian hyperstimulation and fibromatosis.

Endocrinol Diabetes Metab Case Rep 2018 Dec 11;2018. Epub 2018 Dec 11.

Southmead Hospital, North Bristol NHS Trust, Westbury-on-Trym, Bristol, UK.

Pituitary adenomas can be classified as functioning or non-functioning adenomas. Approximately 64% of clinically non-functioning pituitary adenomas are found to be gonadotroph adenomas on immunohistochemistry. There are reported cases of gonadotroph adenomas causing clinical symptoms, but this is unusual. Read More

View Article
December 2018

Chronic Non-specific Low Back Pain and Motor Control During Gait.

Front Psychol 2018 23;9:2236. Epub 2018 Nov 23.

Institute of Sport Sciences, Technische Universität Darmstadt, Darmstadt, Germany.

Chronic non-specific low back pain (LBP) poses a major socioeconomic problem, although the mechanisms are not yet clear. Impaired motor control is one of the mechanisms being discussed. The purpose of this review is to provide an overview of motor control parameter differences between individuals with and without non-specific LBP during gait. Read More

View Article
November 2018
1 Read

An epidemiologic study on symptomatic pelvic organ prolapse in obese Chinese women: a population-based study in China.

Diabetes Metab Syndr Obes 2018 16;11:761-766. Epub 2018 Nov 16.

Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China,

Background: The aim of this study was to investigate the prevalence and risk factors of symptomatic pelvic organ prolapse in obese Chinese women.

Subjects And Methods: We performed a secondary analysis of 3,105 obese women from an observational cross-sectional study conducted between February 2014 and March 2016 in Mainland China. The obesity standard in our study was the Chinese standard (body mass index ≥28). Read More

View Article
November 2018

Optic nerve sheath diameter-guided extubation plan in obese patients undergoing robotic pelvic surgery in steep Trendelenburg position: A report of three cases.

Indian J Anaesth 2018 Nov;62(11):896-899

Department of Anesthesia and Pain Management, Max Superspeciality Hospital, New Delhi, India.

Robotic pelvic surgery requires steep Trendelenburg positioning with pneumoperitoneum which causes raised thoracic and intracranial pressures. In obese patients, the basal thoracic pressures are high. Increased intrathoracic pressure can decrease the cranial venous flow leading to deficient intracranial absorption of cerebrospinal fluid and a further increase in intracranial pressure. Read More

View Article
November 2018
1 Read

Three-Dimensional Models in Planning of Revision Hip Arthroplasty with Complex Acetabular Defects.

Indian J Orthop 2018 Nov-Dec;52(6):625-630

Department of Trauma, Orthopaedics and Disaster Surgery, Federal State Autonomous Educational Institution of Higher Education, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow 119991, Russia.

Background: Careful preoperative planning in revision cases with complex acetabular defects is crucial for optimal surgery outcome. However, in many cases, computed tomography (CT) scans cannot give a clear understanding of the pelvic destruction. Three-dimensional (3D) models-based on CT data can help surgeon in planning of complex acetabular reconstruction. Read More

View Article
December 2018

Task-Based Model Observer Assessment of A Partial Model-Based Iterative Reconstruction Algorithm in Thoracic Oncologic Multidetector CT.

Sci Rep 2018 Dec 7;8(1):17734. Epub 2018 Dec 7.

Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, Rue du Bugnon 46, 1011, Lausanne, Switzerland.

To investigate the impact of a partial model-based iterative reconstruction (ASiR-V) on image quality in thoracic oncologic multidetector computed tomography (MDCT), using human and mathematical model observers. Twenty cancer patients examined with regular-dose thoracic-abdominal-pelvic MDCT were retrospectively included. Thoracic images reconstructed using a sharp kernel and filtered back-projection (reference) or ASiR-V (0-100%, 20% increments; follow-up) were analysed by three thoracic radiologists. Read More

View Article
December 2018

[State of the venous outflow from the small pelvis after surgical correction of pelvioperineal reflux].

Angiol Sosud Khir 2018 ;24(4):90-94

Chair of Faculty Surgery #1, Therapeutic Department, Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia.

Objective: The study was aimed at assessing the venous outflow from the small pelvis after surgical correction of pelvioperineal reflux with the use of reference methods of examination.

Patients And Methods: We examines a total of 43 female patients (aged 41.5±5. Read More

View Article
January 2018

[Prevention of cognitive dysfunction in elderly cancer patients operated on the pelvic organs in conditions of multimodal anesthesia].

Khirurgiia (Mosk) 2018 (11):44-48

FGBU 'Rostov Research Institute of Oncology' of the Ministry of Health of the Russia, Rostov-on-Don, Russia.

The aim of the study was to evaluate the impact of various variants of multimodal anesthesia on the cognitive functions of elderly patients after surgical interventions on pelvic organs, the development of preventive measures for POCD.

Material And Methods: A study was conducted in 76 elderly patients aged 62 to 84 years with an increased risk of developing POCD. Of these, 46 women and 30 men. Read More

View Article
January 2018
1 Read