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Medicine (Baltimore) 2019 Apr;98(14):e15086

Department of Obstetrics and Gynecology.

This article aims to evaluate the safety and outcome of women with pelvic organ prolapse (POP) treated by a minimally invasive bilateral sacrospinous hysteropexy (UPHOLD LITE Vaginal Support System, Boston Scientific) without concomittent anti-incontinence surgery.This retrospective study was conducted between 2014 and 2016. Evaluated items included surgical parameter and postoperative outcome. Read More

Medicine (Baltimore) 2019 Apr;98(14):e15063

Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung.

Vaginal pessary treatment for pelvic organ prolapse (POP) is relatively safe and cost-effective. Since long-term use is an important key to keep the benefit of pessary treatment, we would like to investigate the factors which might affect the compliance of vaginal pessaries. In this retrospective study, 65 women were included, and we found poor compliance in women with severe stress urinary incontinence (SUI) after reduction (1-hour pad test >10 gm vs ≦10 gm, 57. Read More

Emerg Med Clin North Am 2019 May;37(2):193-205

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

Variations in estrogen levels across a woman's lifetime lead to important changes in genital physiology and pathophysiology. Low estrogen states like menopause and the prepubertal period share important physiologic changes, including more friable, dry, and inelastic mucosa that is prone to irritation, injury, and infection. These and other factors lead to unique gynecologic pathologic conditions encountered at the extremes of age. Read More

Plast Reconstr Surg 2019 Apr;143(4):688e-697e

Washington, D.C. From the Department of Plastic Surgery and the Division of Breast Surgery, Department of Surgery, MedStar Georgetown University Hospital.

Background: Staged nipple-sparing mastectomy following mastopexy or reduction mammaplasty was first described in 2011 by Spear et al. to expand the indications for nipple-sparing mastectomy to women with large or ptotic breasts. Since that time, the authors have revised their treatment algorithm and technique to enhance oncologic safety and improve wound healing complications. Read More

Taiwan J Obstet Gynecol 2019 Mar;58(2):206-211

Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, South Korea. Electronic address:

Objective: The aim of this study was to evaluate the outcomes of women with advanced apical prolapse who were treated with the obliterative LeFort partial colpocleisis (LFC) procedure.

Materials And Methods: We reviewed the medical records of patients who underwent LFC for advanced apical prolapse. We collected data for baseline patient characteristics, co-morbidities, severity of prolapse, operating time, intraoperative injuries, and postoperative complications. Read More

Zhonghua Yi Xue Za Zhi 2019 Mar;99(11):857-861

Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100730, China.

This study aimed to assess the prevalence and factors associated with pelvic organ prolapse (POP) in a representative sample of Chinese urban women. A total of 29613 Chinese urban women were recruited to this cross-sectional study between February 2014 and March 2016. The prevalence of POP, defined as any stage Ⅱ or higher POP resulting in symptoms, was assessed using questionnaires and physical examinations. Read More

Nat Commun 2019 03 12;10(1):1180. Epub 2019 Mar 12.

Centre de Recherche en Génomique des Pathologies Humaines (GENOPATH), Faculté de Médecine et de Pharmacie, Mohammed V University of Rabat, 10100, Rabat, Morocco.

A failure in optic fissure fusion during development can lead to blinding malformations of the eye. Here, we report a syndrome characterized by facial dysmorphism, colobomatous microphthalmia, ptosis and syndactyly with or without nephropathy, associated with homozygous frameshift mutations in FAT1. We show that Fat1 knockout mice and zebrafish embryos homozygous for truncating fat1a mutations exhibit completely penetrant coloboma, recapitulating the most consistent developmental defect observed in affected individuals. Read More

Br J Hosp Med (Lond) 2019 Mar;80(3):ii

Consultant Surgeon, Department of Trauma and Orthopaedics, Brighton and Sussex University Hospitals NHS Trust, Brighton.

Semin Ophthalmol 2019 5;34(2):98-105. Epub 2019 Mar 5.

d Department of Biostatistics , The Catholic University of Korea , Seoul , Korea.

Purpose: To investigate possible correlations between blepharoptosis and pterygium in a nationally representative sample of the Korean population.

Methods: This population-based, cross-sectional study was comprised of 3,685 males and 4,792 females (≥ 19 years of age) participating in the fifth annual Korea National Health and Nutrition Examination Survey (KNHANES) from 2010 to 2012. The enrolled subjects underwent interviews, clinical examinations, and laboratory tests. Read More

Int J Surg Case Rep 2019 23;56:63-65. Epub 2019 Feb 23.

Department of Surgery, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China. Electronic address:

Introduction: Deloyers procedure has been reported in the literature as a viable alternative to the more commonly performed Swenson, Soave and Duhamel methods. As of yet, the long term sequelae of this procedure for patients with Hirschsprung's disease have not been studied in depth.

Presentation Of Case: We report the first case in the literatures of a 27-year-old man presenting with rectal prolapse due to colorectal anastomotic intussusception after Deloyers procedure for Hirschsprung's disease. Read More

Medicine (Baltimore) 2019 Feb;98(8):e14616

Institute of Medicine, Chung Shan Medical University, Taichung.

Hysterectomy is a potential risk factor for subsequent surgery for pelvic organ prolapse, especially when the prolapse exists before hysterectomy. Women without prolapse before hysterectomy may also experience prolapse after hysterectomy. This study aimed to describe a surgical modification of laparoscopic colposuspension with round ligaments after hysterectomy in women without preexisting genital prolapse and to evaluate the initial surgical results in these patients. Read More

Zhonghua Fu Chan Ke Za Zhi 2019 Feb;54(2):97-102

Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.

To investigate the influence of conventional preoperative intestinal preparation and unplanned preparation on the visual field of pelvic organ prolapse repair surgery. The patients who underwent transvaginal pelvic organ prolapse repair surgery in Peking University Peoples Hospital from September 2017 to July 2018 were selected as the research objects except those who had undergone colorectal surgery and chronic constipation. The surgery doctor was blinded by intestinal preparation. Read More

Ophthalmic Plast Reconstr Surg 2019 Jan 2. Epub 2019 Jan 2.

Section of Orbital and Ophthalmic Plastic Surgery (S.A.M.C., G.J.H.).

Purpose: Timing of surgery in children with congenital ptosis is a critical component of care, and anisometropia is frequently cited as an indication for early intervention. The purpose of this study is to evaluate the change in refractive error following surgery for congenital ptosis to better inform decisions regarding the timing of surgery.

Methods: A retrospective review of clinical records was performed on patients who underwent surgical correction of congenital ptosis in an academic oculoplastic surgery practice from 2002 to 2017. Read More

Korean J Ophthalmol 2019 Feb;33(1):91-94

Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea.

Purpose: Several studies have described age-associated brow drooping in Westerners. However, there are few studies that address brow drooping in the Asian population, and especially in the Korean population. Therefore, we studied brow position changes with age in Korean individuals. Read More

Korean J Ophthalmol 2019 Feb;33(1):1-7

Department of Ophthalmology, CHA Bundang Medical Center, Seongnam, Korea.

Purpose: To understand the ophthalmic clinical features and outcomes of facial nerve palsy patients who were referred to an ophthalmic clinic for various conditions like Bell's palsy, trauma, and brain tumor.

Methods: A retrospective study was conducted of 34 eyes from 31 facial nerve palsy patients who visited a clinic between August 2007 and July 2017. The clinical signs, management, and prognosis were analyzed. Read More

Medicine (Baltimore) 2019 Feb;98(6):e14472

Department of Ophthalmology, Taipei City Hospital, Renai Branch, Taipei, Taiwan.

Rationale: Isolated third nerve palsy with pupillary involvement caused by a posterior drainage carotid-cavernous sinus fistula (CCF) is relatively rare. Diagnosis of a posterior drainage CCF can often be delayed due to its unapparent congestive signs.

Patient Concerns: Here, we present the case of a young male patient with right-sided CCF, who presented with right-side headache and partial third nerve palsy with pupillary involvement. Read More

Zhonghua Bing Li Xue Za Zhi 2019 Feb;48(2):98-101

Department of Pathology, the Second Affiliated Hospital, Harbin Medical University, Harbin 150086, China.

To characterize clinicopathological characteristics of the non-neoplastic colorectal polyps for accurate diagnosis. 1 190 cases were collected from the Second Affiliated Hospital of Harbin Medical University from January 2012 to December 2016 and their clinicopathological characteristics were reviewed. There were 746 males and 444 females patients with male/female ratio of 1. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):1973-1975

Dept. of Surgery, Osaka Saiseikai Senri Hospital.

We observed a case of a large collection of mediastinal and retroperitoneal emphysema, which developed after a transanal local excision for an early lower rectal carcinoma and was treated conservatively. An 80's female patient presented with a chief complaint of bowel difficulty, which was diagnosed as mucosal prolapse syndrome with anal sphincter dysfunction. Endoscopic colonoscopy showed full circumferential proliferation of the mucosal membrane including a semicircular protruding lesion, on the upper side of the dentate line. Read More

Clin Nucl Med 2019 Apr;44(4):303-304

From the Nuclear Medicine Service, Department of Radiology, Walter Reed National Military Medical Center, Bethesda, MD.

Renal ptosis, otherwise known as nephroptosis or "floating kidney," is a condition of abnormal descent of the kidney, often asymptomatic with controversy over its clinical and therapeutic significance. The aberrant location of renal and renal collecting system activity associated with this condition may serve as a diagnostic pitfall in PET/CT interpretation. We report a case of dynamic renal ptosis demonstrated on F-FDG PET/CT, identified as right kidney migration from an ectopic location on attenuation correction CT images, obtained immediately after upright positioning, to the right renal fossa on subsequent PET images, obtained after approximately 10 min of supine positioning. Read More

BMC Ophthalmol 2019 Jan 24;19(1):29. Epub 2019 Jan 24.

Department of Ophthalmology, the 2nd Xiangya Hospital, Central South University, Changsha, 410011, Hunan Province, China.

Background: Bone wax is the most widely used hemostatic bone sealant because of its availability, ease of use, immediate action, and minimal adverse effects. Several complications have been reported to be associated with the use of bone wax, such as infection, osteohypertrophy, pain, granuloma formation, allergic reaction, and thrombosis. Here, we present a rare complication, namely, bone wax migration, which developed after a craniotomy on a patient who had a frontal sinus abnormality. Read More

J Plast Surg Hand Surg 2019 Feb 24;53(1):60-64. Epub 2019 Jan 24.

f Department of Plastic and Reconstructive Surgery , Yokohama City University Hospital , Yokohama-shi , Kanagawa , Japan.

Patients often develop eyebrow drooping after blepharoplasty or ptosis repair. After aponeurosis advancement was performed in 53 patients (100 eyelids) with blepharoptosis, the eyebrow heights at the medial canthus, center of the pupil, and lateral canthus were measured using scanned photographs obtained preoperatively and 3 months postoperatively. In the 100 eyelids subjected to aponeurosis advancement, the eyebrow position was lowered at the medial canthus in 81 eyelids (81%), at the center of the pupil in 84 eyelids (84%), and at the lateral canthus in 80 eyelids (80%). Read More

Mol Genet Metab 2019 Feb 23;126(2):106-116. Epub 2018 Aug 23.

Division of Medical Genetics, Department of Pediatrics, Duke University Medical Center, 905 S. LaSalle street, GSRB1, Durham, NC, USA. Electronic address:

Background: Individuals with late-onset Pompe disease (LOPD) and the common c.-32-13 T > G variant are widely thought to have milder, adult-onset disease. This belief, and the consequent low suspicion of clinical involvement in children, has led to delays in diagnosis and treatment initiation in patients with early onset of symptoms. Read More

J Urol 2019 04;201(4):642-643

Health Qual Life Outcomes 2019 Jan 14;17(1):12. Epub 2019 Jan 14.

Department of Obstetrics and Gynecology, School of Medicine, University of Gondar, Gondar, Ethiopia.

Background: The Prolapse Quality of Life (P-QoL) is a disease-specific instrument designed to measure the health-related quality of life in women with prolapse; however, there is no Amharic version of the instrument. The aim of this study were to translate the P-QoL into Amharic and evaluate its psychometric properties among adult women.

Methods: We followed an intercultural adaptation procedure to translate and adapt the P-QoL. Read More

Female Pelvic Med Reconstr Surg 2019 01 11. Epub 2019 Jan 11.

The Johns Hopkins University School of Medicine, Department of Urology, Baltimore, MD.

Objective: The objective of this study was to assess whether patients seeking bariatric surgery were at least as proficient in urinary incontinence (UI) and pelvic organ prolapse (POP) knowledge as the general population. Our secondary objective was to determine care-seeking and impact of embarrassment on knowledge of pelvic floor disorders (PFDs).

Methods: An anonymous survey was administered to adult women who attended a bariatric surgery information session from May 2015 to January 2016. Read More

Taiwan J Obstet Gynecol 2019 Jan;58(1):94-98

Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan. Electronic address:

Objective: The aim of this study was to assess the efficacy and clinical outcomes of pelvic floor reconstruction with transvaginal mesh of the Uphold™ Vaginal Support System (Boston Scientific Corporation).

Materials And Methods: This retrospective study reviewed the medical records of patients with pelvic organ prolapse stage 3 or 4 who underwent pelvic reconstructive surgery with transvaginal mesh of the Uphold™ Vaginal Support System from January 2015 to March 2017. Patients who were treated with laparoscopic sacrocolpopexy, transvaginal sacrospinous ligament suspension or other mesh kits were excluded. Read More

Taiwan J Obstet Gynecol 2019 Jan;58(1):68-71

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan; Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan. Electronic address:

Objective: To evaluate the effect of far-infrared radiation on postpartum perineal pain and sexual function in primiparous women undergoing an episiotomy and 2nd degree perineal laceration.

Materials And Methods: From May 2016 to May 2017, primiparous women with term pregnancies and vaginal deliveries with an episiotomy due to obstetric indications and 2nd degree perineal lacerations were invited to participate in this study. Women were randomly assigned into a far-infrared (FIR) group and a control group. Read More

Taiwan J Obstet Gynecol 2019 Jan;58(1):159-163

Department of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa 359-8513, Japan.

Objective: Recently, Bakri balloon (BBT) was effective for women with placenta previa to reduce hemorrhage. However, about 10% of women needed to receive an invasive strategy. Thus, the identification of risk factors and the development of additional measurements for BBT failure was needed. Read More

Pan Afr Med J 2018 7;30:258. Epub 2018 Aug 7.

Service de Chirurgie Viscérale, Département de Chirurgie Digestive et Endocrinienne, Centre Hospitalier Universitaire Hassan II de FES, Maroc.

Stoma prolapse is an exceptional and late complication of pseudocontinent perineal colostomy. Very rare cases have been described in the literature. We here report the case of a 75 year old patient with no particular past medical history as well as our therapeutic approach. Read More

BMC Surg 2019 Jan 10;19(1). Epub 2019 Jan 10.

Department of General and Hepato-pancreatic Surgery, University Hospital "Alexandrovska", 1 Georgi Sofiiski Str, 1431, Sofia, Bulgaria.

Background: A variety of effective methods for treatment of hemorrhoids has been proposed. In recent years, there has been an increasing number of studies comparing transanal hemorrhoidal dearterilization (THD) and conventional hemorrhoidectomy (CH), but the focus of most studies has been about the early postoperative results. The data about long-term outcomes is still limited. Read More

J Egypt Public Health Assoc 2017 Dec 1;92(4):228-234. Epub 2017 Dec 1.

Public Health and Community Medicine Department, Faculty of Medicine, Sohag University, Sohag, Egypt.

Background: Early marriage is associated with many social, physical, and health problems and it is common in many developing countries including Egypt. Many factors affect the decision of the timing of marriage. In this study, we aim to estimate the prevalence, social and health hazards and to identify the attitudes and factors that affect attitudes toward early marriage. Read More

Am J Case Rep 2019 Jan 5;20:21-25. Epub 2019 Jan 5.

Department of Anesthesiology, University Hospitals of Geneva, Geneva, Switzerland.

BACKGROUND Patients undergoing cardiac surgery are at risk of adverse perioperative neurological complications. Cerebral oximetry monitoring is increasingly used in these patients to detect intraoperative cerebral hypoxia or ischemic events. Near-infrared spectroscopy (NIRS) uses the near-infrared region of the electromagnetic spectrum for oximetry imaging. Read More

Medicine (Baltimore) 2019 Jan;98(1):e13491

Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

Rationale: Due to the anatomical and biological characteristics of nasopharyngeal carcinoma (NPC), radiotherapy is the standard treatment of choice. Recent advances in small molecule therapies targeting tumor angiogenesis also hold promise for the treatment of advanced NPC.

Patient Concerns: The patient's symptoms, including nasal obstruction, nasal bleeding, and headache, reappeared periodically and eventually became so severe that the patient's vision became impaired. Read More

BMC Surg 2019 Jan 3;19(1). Epub 2019 Jan 3.

Department of Colorectal Surgery. S Rita Clinic, Vercelli, Italy.

Background: The aim of this retrospective study was to evaluate morbidity, mortality, postoperative function and recurrences in patients treated by Altemeier's rectosigmoidectomy for complete rectal prolapse in a referral center for pelvic floor functional disorders.

Methods: Peri-operative data on 43 consecutive female patients were reviewed. At follow-up any change in pelvic floor function and recurrences were determined. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1255-1260

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China;Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Beijing, 100176, P.R.China;Key Laboratory of Rehabilitation Aids Technology and System of the Ministry of Civil Affairs, Beijing, 100176, P.R.China.

Objective: To summarize the main methods and comprehensive effects of limited surgery combined with external fixation for the treatment of flail foot with sensory disorder of spina bifida sequela in adult.

Method: The clinical data of 22 cases (30 feet) of the adult spina bifida sequela who suffered from flail foot with sensory disorder and treated by limited surgery combined with external fixation were retrospectively analysed between January 2005 and December 2015. There were 14 males and 8 females with an age of 8-38 years (mean, 21. Read More

Biomed Res Int 2018 26;2018:6934747. Epub 2018 Nov 26.

Department of Urology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.

Purpose: This study identified noninvasive factors that predict overactive bladder (OAB) after readjustable mid-urethral sling surgery (Remeex system) in women with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD).

Materials And Methods: We retrospectively reviewed the medical records of 130 women with SUI due to ISD [Valsalva leak-point pressure (VLPP) <60 cm HO] who underwent the Remeex procedure between February 2011 and March 2017. Patients were classified according to OAB symptoms before and 6 months after the Remeex procedure: Group 1, without preoperative and postoperative OAB (=46); Group 2, without preoperative OAB and with postoperative OAB (de novo OAB, =15); Group 3, with preoperative OAB and without postoperative OAB (=25); Group 4, with preoperative and postoperative OAB (=44). Read More

Int J Colorectal Dis 2019 Mar 28;34(3):551-554. Epub 2018 Dec 28.

Department of Pediatric Surgery, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.

Purpose: Persistent fecal incontinence beyond childhood is common in ARM patients. The aim of this study was to analyze a consecutive series of adult patients with persistent incontinence, establish the causes, and evaluate whether further treatment could be offered.

Methods: Forty-four adult ARM patients with reported incontinence were invited. Read More

BMC Neurol 2018 Dec 28;18(1):222. Epub 2018 Dec 28.

Department of Neurology, Chonbuk National University School of Medicine, Jeonju, 54896, Republic of Korea.

Background: Myasthenia gravis (MG), an autoimmune neuromuscular disorder, occurs owing to autoantibodies against acetylcholine receptors. MG symptoms can be triggered by various vaccines. Many studies have evaluated the safety and adverse events of the human papillomavirus (HPV) vaccine. Read More

Medicine (Baltimore) 2018 Dec;97(52):e13737

Department of Molecular and Biomedical Sciences, Jožef Stefan Institute, Ljubljana, Slovenia.

Rationale: Two clinical cases are reported of envenomation by the nose-horned viper (Vipera ammodytes ammodytes) venom of a 9-year-old boy and of an 84-year-old woman.

Patient Concerns: Both patients had been bitten on their extremities by such a snake in August near Split, a town in southern Croatia.

Diagnoses: Clinical manifestation of envenomation was severe in the case of the boy, being characterized by a severe coagulopathy. Read More

Clin Exp Rheumatol 2018 Nov-Dec;36(6 Suppl 115):103-109. Epub 2018 Dec 13.

Department of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, and Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, China.

Objectives: The aim of this study was to analyse the spectrum of echocardiographic findings in patients with cardiovascular involvement in Behçet's disease (BD) and followed up the post-operative complications.

Methods: We enrolled 26 BD patients who underwent first cardiac surgery in Anzhen Hospital, Beijing, China. Medical records and echocardiographic findings were retrospectively analysed. Read More

Indian Heart J 2018 Nov - Dec;70(6):836-842. Epub 2018 Jan 31.

Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Background: Percutaneous balloon mitral valvuloplasty (PBMV) can be complicated with significant mitral regurgitation (MR). We performed a pilot, prospective study to evaluate the role of three dimensional transesophageal echocardiography (3D-TEE) in the prediction of MR after PBMV through mitral valve quantification (MVQ).

Methods: Between October 2014 and October 2016, 37 patients with rheumatic, moderate-to-severe mitral stenosis, referred to the Cath lab of Bab Alshearia University hospitals for PBMV, were divided into two age and sex matched groups. Read More

Int J Gynaecol Obstet 2019 Mar 11;144(3):309-313. Epub 2019 Jan 11.

Gynaecology Department, Greenslopes Private Hospital, Greenslopes, Qld, Australia.

Objective: To assess the occurrence of intimate partner violence (IPV) among women seeking surgery for pelvic floor dysfunction (PFD) in a rural African community.

Methods: A prospective questionnaire-based study was conducted among women with obstetric fistula, unrepaired obstetric anal sphincter injuries (OASIS), or severe (stage 3 or 4) pelvic organ prolapse (POP) who attended surgical camps at Kagando Hospital in western Uganda between July 15, 2016, and September 14, 2017. The control group comprised women without PFD. Read More

Rev Assoc Med Bras (1992) 2018 Dec;64(12):1103-1107

Department of Gynecology & Obstetrics, Faculty of Medical Sciences, University of Campinas (Unicamp), Campinas (SP), Brasil.

Objective: The use of pessary is an option for the conservative treatment of pelvic organ prolapse (POP). However, here are few studies assess the quality of life (QoL) after inserting the pessary for POP. We have hypothesized that the use of pessary would modify QoL in women with POP. Read More

JAMA 2018 12;320(23):2438-2447

Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland.

Importance: Pelvic floor disorders (eg, urinary incontinence), which affect approximately 25% of women in the United States, are associated with childbirth. However, little is known about the course and progression of pelvic floor disorders over time.

Objective: To describe the incidence of pelvic floor disorders after childbirth and identify maternal and obstetrical characteristics associated with patterns of incidence 1 to 2 decades after delivery. Read More

Medicine (Baltimore) 2018 Dec;97(50):e13670

Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University.

Rationale: Vaginal cuff dehiscence and evisceration constitute a rare but potentially life-threatening event that usually occurs in postmenopausal patients who have undergone hysterectomy. This is a valuable case of spontaneous transvaginal evisceration without pelvic surgery history.

Patient Concerns: A 74-year-old postmenopausal woman with an obstetric history of 7 full term vaginal deliveries, experienced sudden evisceration when she attempted to defecate. Read More

Surg Today 2019 Apr 6;49(4):350-356. Epub 2018 Dec 6.

Department of Cardiovascular Surgery, Osaka Rosai Hospital, 1179-3, Nagasone-cho, Kita-ku, Sakai, Osaka, Japan.

Purpose: To define the outcomes of our original simple chordal replacement technique using ePTFE sutures for mitral regurgitation.

Methods: Between January, 2004 and March, 2014, 38 patients underwent mitral valve repair using our chordal replacement technique for anterior leaflet prolapse. The mitral regurgitation was caused by degenerative disease in 34 patients and infective endocarditis in 4 patients. Read More

Rev Med Chil 2018 Aug;146(8):857-863

Departamento Ciencias Neurológicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Background: Cerebral ptosis is understood as the bilateral paralysis of eyelid elevation linked to a stroke or hemorrhage of the middle cerebral artery (MCA). It is a transient condition, independent of the evolution of the lesion.

Aim: To analyze six patients with the condition. Read More

World Neurosurg 2019 Mar 7;123:81-85. Epub 2018 Dec 7.

Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Suwon, Korea.

Background: Percutaneous endoscopic lumbar discectomy (PELD) is regarded as an alternative treatment for lumbar disc herniation. Although the indication for PELD has expanded with remarkable evolution of the technique, sometimes unexpected complications have occurred during PELD. We report 3 cases of de novo disc prolapse during PELD. Read More

Biomed Res Int 2018 5;2018:1607425. Epub 2018 Nov 5.

2nd Department of Gynaecology, Medical University of Lublin, Lublin, Poland.

Aim: The aim of this observational study was to evaluate the effectiveness of a phytotherapic drug (Canephron N) in preventing urinary tract infection (UTI) in high-risk women undergoing urodynamic studies (UDS).

Methods: The study protocol was approved by the local institutional ethical committee. Adult women with at least one risk factor for acquiring UTI (defined as: age over 70, elevated postvoid residual urine>100 ml, recurrent UTI, pelvic organ prolapse (POP) ≥II in POP-Q scale, and neurogenic bladder) had received after UDS either a single oral dose of fosfomycin trometamol (FT) (3 grams) or a phytodrug containing centaury herb, lovage root, and rosemary leaves (5 ml taken orally three times daily for one week). Read More