185,038 results match your criteria Pelvic Ring Fracture Imagings

High R wave as a risk factor for cardivoascular and all-cause mortality. A 45-year follow-up of 13 cohorts of the Seven Countries Study.

J Electrocardiol 2022 Jun 22;73:103-107. Epub 2022 Jun 22.

Department of Internal Medicine, Division of Cardio-Vascular Medicine, Kurume University, School of Medicine, Kurume, Japan.

Objectives: To study the role of high R waves predicting cardiovascular (CVD) and all-cause mortality in a male middle-aged population followed-up 45 years.

Material And Methods: A total of 7985 CVD-free men aged 40-59 years were enrolled in 13 cohorts in seven countries (USA, Finland, the Netherlands, Italy, Serbia, Greece, Japan) and high R waves were classified by Minnesota Code 3.1 (as a dichotomous variable) from baseline resting otherwise normal ECG at entry examination together with other personal characteristics. Read More

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Transvaginal small bowel evisceration: Case report and review of literature.

Int J Surg Case Rep 2022 Jun 24;96:107322. Epub 2022 Jun 24.

Department of Obstetrics and Gynaecology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Introduction: Transvaginal evisceration is a rare life-threatening condition that is usually seen in postmenopausal women with past history of gynaecological surgery.

Presentation Of Case: A 54-year-old woman presented with sudden-onset abdominal pain and protrusion of a mass through the vagina after her grandson jumped on her abdomen while at play. She had undergone laparoscopic total hysterectomy and bilateral salpingo-oophorectomy 9 months earlier. Read More

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A novel ultrasound probe calibration method for multimodal image guidance of needle placement in cervical cancer brachytherapy.

Phys Med 2022 Jun 24;100:81-89. Epub 2022 Jun 24.

School of Mechanical Engineering, Tianjin University, Tianjin 300350, China.

Purpose: Interstitial needles placement is a critical component of combined intracavitary/interstitial (IC/IS) brachytherapy (BT). To ensure precise placement of interstitial needles, we proposed a novel ultrasonic (US) probe calibration method to accurately register the US image in the magnetic resonance imaging (MRI) image and provide multimodal image guidance for needle placement.

Methods: A wire-based calibration phantom combined with the stylus was developed for the calibration of US probe. Read More

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Evaluating suggested stricter gamma criteria for linac-based patient-specific delivery QA in the conventional and SBRT environments.

Phys Med 2022 Jun 24;100:72-80. Epub 2022 Jun 24.

Fox Chase Cancer Center, Department of Radiation Oncology, 333 Cottman Avenue, Philadelphia, PA 19111, United States.

Purpose: To evaluate AAPM TG-218 recommended tolerances for IMRT QA for conventional and SBRT delivery.

Methods: QA analysis was repeated for 150 IMRT/VMAT patients with varying gamma criteria. True composite delivery was utilized, corrected for detector and output variation. Read More

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Preemptive Infiltration of Local Anesthetics During Vaginal Hysterectomy: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Female Pelvic Med Reconstr Surg 2022 Jun 24. Epub 2022 Jun 24.

From the Urogynecology Unit, 1st Department of Obstetrics and Gynaecology, Alexandra Hospital, Athens, Greece.

Importance: Vaginal hysterectomy (VH) is the preferred route of choice for women desiring hysterectomy to treat uterine pathology, including premalignant conditions and fibroids.

Objective: The aim of this study was to evaluate the impact of the use of preemptive local analgesia (LA) on postoperative pain and perioperative outcomes for women undergoing VH.

Study Design: A systematic search of 4 electronic databases (MEDLINE, Scopus, Cochrane CENTRAL Register of Controlled Trials, and Clinicaltrials. Read More

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Centering Group Treatment for Women With Interstitial Cystitis/Bladder Pain Syndrome: A Qualitative Analysis.

Female Pelvic Med Reconstr Surg 2022 Jun 18. Epub 2022 Jun 18.

From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology.

Importance: Women with interstitial cystitis/bladder pain syndrome (ICBPS) face challenging treatment and feelings of isolation. Centering models of group medical visits have been successful in other spheres but have not been explored in ICBPS therapy.

Objective: We sought to describe opinions of women with ICBPS regarding Centering visits, including advantages, experience, and barriers to participation and efficacy. Read More

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Image Quality Evaluation in Dual Energy CT of the Chest, Abdomen and Pelvis in Obese Patients with Deep Learning Image Reconstruction.

Corey T Jensen

J Comput Assist Tomogr 2022 Jun 23. Epub 2022 Jun 23.

From the Department of Abdominal Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX.

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Health Care Disparities Among Latina Patients Presenting With Pelvic Organ Prolapse.

Female Pelvic Med Reconstr Surg 2022 Jun 18. Epub 2022 Jun 18.

Urology, University of California Los Angeles, Los Angeles.

Importance: This study identifies barriers, including language and insurance status, Latina patients may face in accessing urogynecology care.

Objective: The aim of the study was to determine differences in objective prolapse severity at the time of presentation between Latina and non-Latina patients and the effect socioeconomic disparities may have on these differences.

Study Design: This is a retrospective cohort study of patients visiting urogynecology clinics at 2 academic institutions (1 private, 1 public). Read More

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Length of Stay and 30-Day Postoperative Complications Following Minimally Invasive Apical Prolapse Repair.

Female Pelvic Med Reconstr Surg 2022 Jun 18. Epub 2022 Jun 18.

Division of Minimally Invasive Gynecologic Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC.

Importance: Data on the correlation between length of stay and postoperative complications following urogynecologic surgery are limited.

Objectives: The objective of this study was to use a nationwide database to examine the correlation between length of stay and 30-day postoperative complications following minimally invasive apical prolapse repair.

Study Design: This retrospective cohort study included women in the American College of Surgeons National Surgical Quality Improvement Program database from 2008 to 2018 who underwent laparoscopic/robotic sacrocolpopexy or uterosacral/sacrospinous repair and were discharged on postoperative day 0 (POD0) or 1 (POD1). Read More

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Enhanced Myogenesis by Silencing Myostatin with Nonviral Delivery of dCas9 Ribonucleoprotein Complex.

CRISPR J 2022 Jun 27. Epub 2022 Jun 27.

Knuppe Molecular Urology Laboratory, Department of Urology, School of Medicine, University of California, San Francisco, San Francisco, California, USA.

Stress urinary incontinence (SUI) and pelvic floor disorder (PFD) are common conditions with limited treatment options in women worldwide. Regenerative therapy to restore urethral striated and pelvic floor muscles represents a valuable therapeutic approach. We aim to determine the CRISPR interference-mediated gene silencing effect of the nonviral delivery of nuclease-deactivated dCas9 ribonucleoprotein (RNP) complex on muscle regeneration at the cellular and molecular level. Read More

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Wiad Lek 2022 ;75(5 pt 1):1095-1099


Objective: The aim: To search for new and improvement of known methods of diagnosis and surgical treatment of atypical forms of acute appendicitis.

Patients And Methods: Materials and methods: There were analyzed the results of diagnosis and surgical treatment of 852 patients with atypical course of acute appendicitis, which amounted to 25.3% of the total number of patients in this category. Read More

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Feasibility and Safety of Ambulatory Surgery as the Next Management Paradigm in Colorectal Resection Surgery.

Ann Surg 2022 Jun 27. Epub 2022 Jun 27.

Colorectal Surgery, Columbia University Medical Center/New York Presbyterian Hospital, 161 Ft. Washington Ave. 8th Fl, New York, NY, 10032.

Background: Current clinical dogma favors universal inpatient admission after colorectal resection particularly in the presence of an anastomosis. We evaluate the feasibility and safety of ambulatory surgery in carefully selected patients undergoing colorectal resection/anastomosis.

Methods: Between October 2020-October 2021, all patients undergoing colorectal resection/anastomosis meeting specific criteria (no major comorbidity (ASA<4), not on therapeutic anticoagulation, compliant patient/family) were counseled preoperatively for ambulatory surgery (discharge <24 h post-surgery). Read More

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Postaxial hypoplasia of the lower extremity associated with congenital dislocation of the patella: A case report.

Medicine (Baltimore) 2022 Jun 24;101(25):e29283. Epub 2022 Jun 24.

Health Science Division, Division of Plastic and Reconstructive Surgery, Unit of Hip and Pelvis Orthopedic Surgery, Hospital de Traumatología y Ortopedia No. 21, Instituto Mexicano del Seguro Social (IMSS), Monterrey, N.L., México.

Rationale: Evaluation of clinical and radiologic abnormalities in patients with postaxial hypoplasia of the lower extremity (PHLE) for treatment decisions represents a major challenge, which is more complicated when PHLE is associated with congenital dislocation of the patella.

Patient Concerns: : Herein, we present the case of an 8-year-old female patient with evident length inequality in her left lower extremity and inability to walk.

Diagnoses: Radiological evaluation revealed PHLE with fibular hemimelia, proximal femoral focal deficiency, tarsal coalition, and congenital patellar dislocation of the patella. Read More

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Movement posture and injury pattern of pelvis-lumbar spine of seated human impacted by the vertical high loads: a finite element analysis.

Comput Methods Biomech Biomed Engin 2022 Jun 26:1-11. Epub 2022 Jun 26.

State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, Beijing, China.

The injury conditions of the sitting position occupant inside the military equipment are highly related to the vertical impact environments. In this study, a detailed three-dimensional finite element (FE) model of pelvis-lumbar spine of seated human with nonlinear material property and strain failure criterion was developed and validated. A series of sinusoidal accelerations with a constant peak speed of 8 m/s and frequencies ranging from 10 Hz to 90 Hz were loaded on the FE model to investigate the injury conditions under different high loading rates. Read More

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Risk Factors for Acute Ankle Sprains in Field-Based, Team Contact Sports: a Systematic Review of Prospective Etiological Studies.

Phys Sportsmed 2022 Jun 27. Epub 2022 Jun 27.

Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.

Disclaimer: This manuscript is original and is not being considered for publication elsewhere. The authors listed have contributed significantly to the given text and consented to have their names appear for authorship. There are no conflicts of interest related to this research and no external financial support. Read More

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Whole-body magnetic resonance imaging findings and patterns of chronic nonbacterial osteomyelitis in a series of Greek pediatric patients.

Acta Radiol Open 2022 Jun 22;11(6):20584601221106701. Epub 2022 Jun 22.

Department of Radiology, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.

Background: Chronic nonbacterial osteomyelitis (CNO) is a pediatric autoinflammatory disorder presenting with sterile inflammatory bone lesions. Whole-body MRI (WBMRI) has most recently emerged for disease assessment, but data are limited.

Purpose: The purpose is to evaluate the imaging findings and patterns of CNO on WBMRI in a series of Greek pediatric patients. Read More

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Pelvic Floor Mobility measured by Transperineal Ultrasound Imaging in Women with and without Urgency and Frequency Predominant Lower Urinary Tract Symptoms.

J Womens Health Phys Therap 2022 Apr-Jun;46(2):100-108

Program in Physical Therapy, Washington University in St. Louis, St Louis, MO.

Background: Women with urgency/frequency predominant lower urinary tract symptoms (UF-LUTS) may have elevated pelvic floor muscle (PFM) position at rest and limited mobility with PFM contraction and bearing down, but this has not been quantified.

Objectives: To compare PFM position and mobility using transperineal ultrasound (TPUS) at rest, maximal PFM contraction (perineal elevation), and bearing down (perineal descent) in women with and without UF-LUTS. We hypothesized that women with UF-LUTS would demonstrate elevated resting position and decreased excursion of pelvic landmarks during contraction and bearing down as compared to women without UF-LUTS. Read More

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Fistula Between a Primary Sigmoid Large B-Cell Lymphoma and an Ovarian Teratoma.

ACG Case Rep J 2022 Jun 22;9(6):e00794. Epub 2022 Jun 22.

General Surgery Unit, PO Sesto San Giovanni, ASST Nord Milano, Sesto San Giovanni, MI, Italy.

Primary colorectal lymphoma is a rare neoplasm. We report the case of a fistula between a diffuse large B-cell lymphoma of the sigmoid colon and an ovarian teratoma. An emergent laparotomy for an acute abdomen in a 90-year-old woman was performed. Read More

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: An increasingly recognized human pathogen.

IDCases 2022 16;29:e01539. Epub 2022 Jun 16.

Larner College of Medicine at the University of Vermont, Burlington, VT, USA.

The authors present the case of a bloodstream infection and sepsis due to in a severely malnourished patient with small bowel obstruction and pelvic abscess. The organism was identified with matrix-assisted laser desorption ionization-time-of-flight mass spectrometry. The authors discuss the characteristics, diagnosis, treatment, and emerging scope of clinical infection caused by species. Read More

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Introducing the New Surgical Robot HUGO™ RAS: System Description and Docking Settings for Gynecological Surgery.

Front Oncol 2022 9;12:898060. Epub 2022 Jun 9.

Unità Operativa Complessa (UOC) Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

This study provides a detailed description of the new HUGO™ RAS System and suggests docking settings for gynecological surgery. The system is composed of an "open" surgical console with an HD-3D passive display, a system tower, and four arm carts. Each arm has an extremely wide range of adaptability resulting from the numerous joints. Read More

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Associations between dietary advice on modified fibre and lactose intakes and nutrient intakes in men with prostate cancer undergoing radiotherapy.

Ups J Med Sci 2022 10;127. Epub 2022 Jun 10.

Department of Medical Sciences, Clinical Diabetology and Metabolism, Uppsala University, Uppsala, Sweden.

Objectives: A variety of non-evidence-based dietary advice on modified fibre and lactose intakes are provided to patients undergoing pelvic radiotherapy to counteract treatment-related bowel symptoms. More knowledge on the nutritional consequences of such advice is needed. This study aimed to explore how advice on modified fibre and lactose intakes during pelvic radiotherapy was associated with nutrient intakes amongst patients with prostate cancer. Read More

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Laparoscopic Subtotal Gastrectomy and Sigmoidectomy Combined With Natural Orifice Specimen Extraction Surgery (NOSES) for Synchronous Gastric Cancer and Sigmoid Colon Cancer: A Case Report.

Front Surg 2022 8;9:907288. Epub 2022 Jun 8.

Department of General Surgery, The First Affiliated Hospital of Weifang Medical College, Weifang People's Hospital, Weifang, China.

Background: Gastric cancer and colon cancer are rarely seen in clinic, but there are still related reports. For gastric cancer and simultaneous colon cancer, surgical resection is the main treatment. Traditional surgery requires an incision from xiphoid process to pubic symphysis. Read More

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Case Report: Rectal Perforation Secondary to a Toothbrush in an Elderly Man.

Front Surg 2022 10;9:921843. Epub 2022 Jun 10.

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Rectal foreign bodies often constitute an arduous diagnosis and perplexing management. A 72-year-old gentleman who is mentally sound was brought to the emergency department for severe epigastric pain of a 1-week duration. On examination, he was pyrexial and in sepsis. Read More

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Non-spinal Hydatid Disease of Bone: A Series of Nine Cases.

Arch Bone Jt Surg 2022 May;10(5):447-452

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Extra-spinal osseous hydatid disease is reported in a small number of case series. In the present study, we report our experience with extra-spinal hydatid disease of the bone in a series of nine patients.

Methods: In this retrospective study, the patients who were diagnosed with an extra-spinal osseous hydatid disease were included. Read More

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Minimally Invasive Surgery to Remove a Broken and Retained Epidural Catheter Fragment.

Cureus 2022 May 23;14(5):e25255. Epub 2022 May 23.

Department of Orthopaedics and Traumatology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

Epidural anaesthesia (EA) has consistently been used for treatments affecting the pelvis, lower limbs, lower abdomen, and perineum; however, it is progressively employed as a single anaesthetic or supplement to general and spinal anaesthesia for a broader range of procedures. The retention of a broken epidural catheter piece is an uncommon but well-known complication. In this report, we present a 30-year-old male with avascular necrosis (AVN) of the hip who was referred for total hip replacement (THR). Read More

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Transverse Myelitis in a Child with Chronic Recurrent Multifocal Osteomyelitis.

Natan Cramer

Neurohospitalist 2022 Jul 23;12(3):579-580. Epub 2022 Apr 23.

UPMC Children's Hospital of Pittsburgh, Division of Pediatric Emergency Medicine, Pittsburgh, PA, USA.

A 16-year-old girl with a history of clavicular chronic recurrent multifocal osteomyelitis (CRMO) presented with fever, vomiting, urinary and bowel retention, thigh paresthesia, and back pain for 2 days. The patient had 2 separate viral illnesses within a month prior to presentation. Spine magnetic resonance imaging (MRI) displayed increased T2 hyperintensity of the central grey matter from C3 to the conus medullaris (Figure 1). Read More

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Targeting Ferroptosis Attenuates Inflammation, Fibrosis, and Mast Cell Activation in Chronic Prostatitis.

J Immunol Res 2022 17;2022:6833867. Epub 2022 Jun 17.

Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 Hubei, China.

Purpose: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common urological disorder. Although ferroptosis is closely associated with inflammation, oxidative stress, and neuropathic pain, its role in CP/CPPS has not yet been elucidated. Therefore, we sought to explore the role and mechanism of ferroptosis in the prostatitis development. Read More

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Double Trouble: A Case Report of Abnormal Uterine Bleeding due to Both Central and Peripheral Pathology.

Int J Appl Basic Med Res 2022 Apr-Jun;12(2):134-136. Epub 2022 May 10.

Department of OBG, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.

A 46-year-old female came to the gynecology outpatient department with heavy and prolonged menstrual bleeding. The examination revealed a thyroid mass and tachycardia. Systemic and gynecological examinations were insignificant. Read More

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Isolated penile corporeal cavernosal injury accompanying pelvic fracture after motor vehicle accident.

Proc (Bayl Univ Med Cent) 2022 22;35(4):565-566. Epub 2022 Mar 22.

Division of Urology, Department of Surgery, Baylor Scott & White Medical Center - Temple, Temple, Texas.

Pelvic fracture is a common cause of traumatic injury of the bladder and posterior urethra; however, isolated corporal injury is rare. We present a case of pelvic fracture associated with proximal injury of the penile corpora cavernosa sparing the urethra and bladder, together with a literature review of erectile dysfunction post-pelvic fracture. Read More

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How and on whom to perform uterine-preserving surgery for uterine prolapse.

Obstet Gynecol Sci 2022 Jun 27. Epub 2022 Jun 27.

Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

The demand for uterine preservation in pelvic reconstructive surgery for uterovaginal prolapse is steadily increasing, and several procedures have been introduced, such as sacrospinous hysteropexy, uterosacral hysteropexy, sacrohysteropexy, and hysteropectopexy. However, the benefits and risks of uterine-preserving surgeries are not well understood. This review discusses the current evidence surrounding uterine-preserving surgery for uterovaginal prolapse repair. Read More

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