Search Our Scientific Publications & Authors

Acta Cir Bras 2020 5;35(4):e202000407. Epub 2020 Jun 5.

Full Professor and Chairman, Division of Plastic Surgery, UNICAMP, Campinas-SP, Brazil. Scientific, intellectual, conception and design of the study; analysis and interpretation of data; technical procedures; manuscript preparation; critical revision; final approval.

Purpose: To evaluate whether silicone foam implants have a different evolution pattern compared to conventional texture implants.

Methods: Fifty-eight female patients underwent surgery. They were divided into two groups (silicone foam - Lifesil® - and microtexturized silicone - Lifesil®). Read More

Endocrinol Diabetes Metab Case Rep 2020 Jun 4;2020. Epub 2020 Jun 4.

Department of Endocrinology, Hospital de Braga, Braga, Portugal.

Summary: Gonadotropin-releasing hormone (GnRH) agonists, currently used in the treatment of advanced prostate cancer, have been described as a rare cause of pituitary apoplexy, a potentially life-threatening clinical condition. We report the case of a 69-year-old man with a known pituitary macroadenoma who was diagnosed with prostate cancer and started treatment with GnRH agonist leuprorelin (other hormones were not tested before treatment). Few minutes after drug administration, the patient presented with acute-onset severe headache, followed by left eye ptosis, diplopia and vomiting. Read More

Vasc Endovascular Surg 2020 Jun 19:1538574420934620. Epub 2020 Jun 19.

Division of Vascular & Endovascular Surgery, Department of Surgery, American University of Beirut Medical Centre, Beirut, Lebanon.

Transcatheter treatment is becoming the mainstay treatment for structural heart diseases (SHD) in prohibitive surgical risk patients. Recently with the encouraging results, it is being offered to regular risk patients. Peripheral vascular complications (VCs) are still inherent to these procedures due to the nature of this atherosclerotic high-risk group and the profile of the devices. Read More

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Prolapse of the tumor is an extremely rare clinical presentation in patients with rectal gastrointestinal stromal tumor (GIST). A 79-year-old male patient was consulted in the in-patient ward of internal medicine clinic of our hospital due to his incarcerated hemorrhagic mass protruding from the anal canal. Anal inspection revealed an incarcerated prolapsed hemorrhagic mass larger than 10 cm in diameter that looked like a cauliflower. Read More

JFMS Open Rep 2020 Jan-Jun;6(1):2055116920916956. Epub 2020 May 27.

Atlantia Veterinary Hospital Centre, Nantes, France.

Case Summary: A 3-year and 8-month-old male entire European domestic shorthair cat was presented with a history of recurrent rectal prolapse, straining and pain when defaecating. Previous non-surgical and surgical treatments had not provided a satisfactory result. Rectal prolapse had recurred within 2 weeks of treatment. Read More

Eur Neurol 2020 Jun 11:1-7. Epub 2020 Jun 11.

Department of Neurology, Huashan Hospital Fudan University, Shanghai, China,

Introduction: The conversion rate from ocular myasthenia gravis (OMG) to generalized myasthenia gravis (GMG) was reported to be much lower in Asian population since most OMG patients are juvenile onset. However, the exact conversion rate for adult-onset OMG to GMG is still unknown.

Objective: We aimed to delineate the conversion rate and risk factors for adult patients with ocular onset to GMG. Read More

Zhongguo Gu Shang 2019 Oct;32(10):928-932

Department of Orthopaedics, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China;

Objective: To observe the early clinical effect of perfusion bone cement screw for lumbar degenerative diseases with osteoporosis.

Methods: The clinical data of 28 patients with lumbar degenerative diseases combined with moderate to severe osteoporosis treated by posterior lateral graft fusion with perfusion of bone cement screws from June 2015 to June 2017 were retrospectively analyzed. There were 9 males and 19 females, aged from 55 to 86 years old with an average of 76 years. Read More

Zhongguo Gu Shang 2019 Oct;32(10):904-909

The First Department of Spinal Surgery, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China.

Objective: To analyze the clinical efficacy, indications and operative points of transforaminal approach and interlaminar approach in the treatment of L₄,₅ lumbar disc herniation.

Methods: A retrospective analysis was performed on 48 patients with L₄,₅ lumbar disc herniation treated by percutaneous endoscopic lumbar discectomy from November 2016 to June 2018. Among them, 32 patients underwent percutaneous endoscopic transforaminal discectomy(PETD), including 17 males and 15 females, with an average age of (60. Read More

Ann Saudi Med 2020 May-Jun;40(3):227-233. Epub 2020 Jun 4.

From the Department of Neuroscience, School of Medicine and Surgery, University of Naples Federico II, Napoli, Campania, Italy.

Background: Solitary fibrous tumors (SFT), formerly called hemangiopericytoma, are rare tumors derived from mesenchymal cells originally described in the pleura, but these tumors may affect extraserosal tissues including the lacrimal gland and orbit.

Objective: Conduct a multi-centered clinical, radiological and histopathological analysis of 17 orbital SFT cases.

Design: A retrospective case series. Read More

Int Urogynecol J 2020 May 30. Epub 2020 May 30.

Gothenburg Continence Research Centre, Institute of Clinical Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.

Introduction And Hypothesis: A systematic survey on the association between childhood nocturnal enuresis (CNE) and adult pelvic floor disorders (PFDs) has not been presented previously. The aim was to describe the prevalence of PFDs and lower urinary tract symptoms in nulliparous women, with or without a history of CNE, at the age of ≥ 5 years.

Methods: This national survey of urinary (UI) and fecal incontinence (FI) and symptoms of pelvic organ prolapse (sPOP) was a random sample of 20,000 nulliparous women aged 25-64 years conducted in 2014. Read More

Ann Emerg Med 2020 06;75(6):e35-e36

Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan.

Ophthalmic Plast Reconstr Surg 2020 May 15. Epub 2020 May 15.

Division of Orbital and Ophthalmic Plastic Surgery, Stein Eye Institute.

Purpose: To investigate the associations between systemic medical conditions and types of ocular surgery and the development of aponeurotic ptosis.

Methods: In this case-control observational cohort study, the relative prevalence of involutional ptosis in a large population of adult patients was assessed. Deidentified patient data from a 10-year time period was obtained from the electronic medical records of 5 large academic medical centers. Read More

Fortschr Neurol Psychiatr 2020 May 18;88(5):331-336. Epub 2020 May 18.

Klinik für Neurologie, HELIOS Klinikum Erfurt.

A 72-year-old woman presented to our emergency centre with acute horizontal diplopia. Neurological examination revealed an isolated abducens nerve paresis on the left. Hilar enlargement seen on the chest x-ray and an elevated serum ACE level led us to suspect sarcoidosis, but the patient declined further evaluation. Read More

Am J Hum Genet 2020 Jun 14;106(6):793-804. Epub 2020 May 14.

Department of Neurology, Peking University First Hospital, Beijing 100034, China. Electronic address:

Oculopharyngodistal myopathy (OPDM) is an adult-onset inherited neuromuscular disorder characterized by progressive ptosis, external ophthalmoplegia, and weakness of the masseter, facial, pharyngeal, and distal limb muscles. The myopathological features are presence of rimmed vacuoles (RVs) in the muscle fibers and myopathic changes of differing severity. Inheritance is variable, with either putative autosomal-dominant or autosomal-recessive pattern. Read More

Colorectal Dis 2020 Apr 29. Epub 2020 Apr 29.

Blizard Institute, Barts and London SMD, Queen Mary University of London, London, UK.

Aim: To analyse trends in admission and surgery for rectal prolapse in adults in England between 2001 and 2012 as well as prolapse reoperation rates.

Method: Analysis of data derived from a comparative longitudinal population-based cohort study using Hospital Episode Statistics (HES).

Results: During the study period, a total of 25 238 adults, of median age 73 [interquartile range (IQR: 58-83] years, underwent a total of 29 379 operations for rectal prolapse (mean: 2662 per annum). Read More

Orbit 2020 Apr 27:1-5. Epub 2020 Apr 27.

Department of Pathology, Albany Medical College, Albany, New York, USA.

: Due to improved survival durations and enhanced surveillance modalities, metastases of systemic malignancies to the orbit are increasing. This review is intended to discuss the epidemiologic, clinical, and management features of orbital metastases.: A literature search for relevant publications on the topic was performed via PubMed, and the appropriate data were extracted from these manuscripts. Read More

Comp Immunol Microbiol Infect Dis 2020 Apr 19;71:101487. Epub 2020 Apr 19.

Department of Clinical Science, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran.

Canine herpesvirus-1 (CHV-1) is recognized to be enzootic in the dog population with a widespread distribution. This pathogen leads to a lethal generalized illness in newborn puppies and is associated with reproductive disorders. CHV-1 should be considered as an important pathogen of neonatal death and infertility; so, it appears to pose a threat for breeding kennels. Read More

BJOG 2020 Apr 25. Epub 2020 Apr 25.

Cluster Urogenital and Abdominal Surgery, Department of Development and Regeneration, KU Leuven, Leuven, Belgium.

Background: Laser therapy is now being proposed for the treatment of pelvic organ prolapse (POP) and urinary incontinence (UI).

Objectives: To systematically review the available literature on laser therapy for POP and UI.

Search Strategy: PubMed, Web Of Science and Embase were searched for relevant articles, using a three-concept (POP, UI, laser therapy) search engine composed as (concept 1 OR concept 2) AND concept 3. Read More

Medicine (Baltimore) 2020 Apr;99(17):e19827

Department of Echocardiography.

Background And Aim: Aortic valve (AV) cusp prolapse and subsequent aortic insufficiency (AI) are 2 of factors leading to left ventricular (LV) enlargement and decreased LV function. Aortic valve replacement (AVR) has been the standard surgical procedure for AI. However, few data is available on the prognosis of these patients undergoing AVR procedure, especially in Chinese population. Read More

Int J Cardiovasc Imaging 2020 Apr 23. Epub 2020 Apr 23.

Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Guangzhou, 510100, China.

To review the imaging characteristics of adult-type anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) and evaluate the post-operative echocardiographic features. The transthoracic echocardiography (TTE) records and invasive coronary angiography (ICA), coronary computed tomography angiography (CTA) or operative findings of thirty adult patients with final diagnosis of ALCAPA were reviewed at our center. The diagnostic reliability of TTE was determined by comparing its results with that of ICA/CTA, and the echocardiographic features of the patients during early visit and post-operative follow-up were summarized. Read More

BMJ 2020 Apr 16;369:m1147. Epub 2020 Apr 16.

Milton Keynes University Hospital, Milton Keynes, UK.

Niger Postgrad Med J 2020 Apr-Jun;27(2):132-135

Department of Surgery; Department of Paediatrics, College of Medicine, Lagos State University, Ikeja, Lagos State, Nigeria.

Introduction: Paediatric urology is one of the subspecialities of urology, and in most climes, it is practised by the urologists and paediatric surgeons, and likewise in the Lagos State University Teaching Hospital (LASUTH). The urologists see and manage most of these cases in LASUTH. There has been no formal training in this subspeciality. Read More

Am J Otolaryngol 2020 Jul - Aug;41(4):102469. Epub 2020 Apr 2.

Department of Otolaryngology - Head and Neck Surgery, Boston Medical Center, Boston University School of Medicine, 830 Harrison Ave, Boston, MA 02118, United States of America. Electronic address:

Objective: Adult-onset laryngomalacia is a rare clinical entity that has been infrequently reported. This study aims to evaluate the clinical presentation, diagnosis, and management of adult-onset laryngomalacia through literature review and report of a case.

Methods: PubMed and Google Scholar databases were queried for articles published from 1960 to 2019 including only patients aged 18 years and older. Read More

Surg Case Rep 2020 Apr 8;6(1):67. Epub 2020 Apr 8.

Department of Pediatric Surgery, Kanazawa Medical University, Ishikawa, Japan.

Background: Various terms have been used to describe vascular lesions in the intestine, including angiodysplasia, arteriovenous malformation, and telangiectasia. Such lesions are common in adults and are typified by angiodysplasia, a type of arteriovenous malformation. In contrast, these lesions are rarely seen in the pediatric population. Read More

J Obstet Gynaecol India 2020 Apr 31;70(2):158-162. Epub 2019 Oct 31.

Outpatient Micturition Disorders Clinic, Urology Department, Santa Casa de Misericórdia de Porto Alegre, Rua General Vitorino, 330/1101, Porto Alegre, RS 90020-170 Brazil.

Introduction And Hypothesis: Urethral mucosal prolapse is most frequently seen in children and postmenopausal women, and extremely rare in young adult patients. In this context, we aim to describe our experience with this condition and compare our findings with the literature.

Methods: We reviewed the medical records of our outpatient micturition disorders clinic (between August 2014 and April 2017) for patients with a diagnosis of urethral mucosal prolapse, seeking to evaluate their demographic characteristics, presenting complaints, treatment, and outcomes. Read More

Ophthalmic Plast Reconstr Surg 2020 Apr 3. Epub 2020 Apr 3.

Department of Ophthalmology, Chengdu First People's Hospital, Chengdu, Sichuan Province.

Purpose: An anatomical and histological study of the conjoint fascial sheath of the levator and superior rectus (CFS) was carried out by using the cadavers for teaching.

Methods: Three adult Asian cadaver heads fixed in formalin were used. The CFS was exposed by the same surgeon in each case. Read More

Neurourol Urodyn 2020 Jun 6;39(5):1371-1377. Epub 2020 Apr 6.

Department of Female, Functional and Restorative Urology, University College London Hospitals NHS Foundation Trust, London, UK.

Aim: Bladder outflow in women (bladder outlet obstruction [BOO]) has no well-accepted defining diagnostic criteria. Various nomograms exist based on flow rates, pressure-flow data, and fluoroscopy. We have prospectively evaluated the Solomon-Greenwell bladder outflow obstruction nomogram (SG BOO nomogram) as a measurement of BOO resolution following targeted surgical intervention. Read More

J Low Genit Tract Dis 2020 Apr;24(2):184-191

Division of Cancer Epidemiology & Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.

Objectives: Obese women are at increased risk of cervical cancer, partly due to missed detection of cervical precancers during routine cervical cancer screening. We administered a clinician survey to better understand specific challenges and identify potential solutions to performing cervical cancer screening and management in obese women.

Materials And Methods: We administered a web-based survey to 2,319 members of the American Society of Colposcopy and Cervical Pathology including questions related to challenges associated with cervical sampling and visualization in obese compared with normal weight women and potential strategies for improvement. Read More

Endocrinol Diabetes Metab Case Rep 2020 Mar 25;2020. Epub 2020 Mar 25.

Endocrinology, Diabetes and Metabolism Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.

Summary: Pituitary infections, particularly with fungus, are rare disorders that usually occur in immunocompromised patients. Cushing's syndrome predisposes patients to infectious diseases due to their immunosuppression status. We report the case of a 55-year-old woman, working as a poultry farmer, who developed intense headache, palpebral ptosis, anisocoria, prostration and psychomotor agitation 9 months after initial diabetes mellitus diagnosis. Read More

Medicine (Baltimore) 2020 Mar;99(12):e19038

Department of Aesthetic Plastic Surgery, Guangzhou Eye-Nose-Face Aesthetic Plastic Surgery Hospital, Guangzhou, Guangdong Province.

Conventional levator aponeurosis plication is a widely accepted technique for correction of mild to moderate ptosis. However, this method is associated with a high recurrence rate. The objective of this study was to investigate the clinical efficacy of levator aponeurosis posterior layer plication technique for correction of mild to moderate ptosis. Read More

Mol Genet Metab 2020 05 6;130(1):58-64. Epub 2020 Mar 6.

Department of Pediatrics, Section of Genetics and Metabolism, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address:

Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is a fatal disorder characterized by progressive gastrointestinal dysmotility, peripheral neuropathy, leukoencephalopathy, skeletal myopathy, ophthalmoparesis, and ptosis. MNGIE stems from deficient thymidine phosphorylase activity (TP) leading to toxic elevations of plasma thymidine. Hematopoietic stem cell transplant (HSCT) restores TP activity and halts disease progression but has high transplant-related morbidity and mortality. Read More

Endocrinol Diabetes Metab Case Rep 2020 Mar 13;2020. Epub 2020 Mar 13.

Departments of Endocrinology, Diabetology and Internal Medicine.

Summary: Papillary thyroid gland carcinoma is the most common type of malignancy of the endocrine system. Metastases to the pituitary gland have been described as a complication of papillary thyroid cancer in few reported cases since 1965. We report the case of a 68-year-old female patient with a well-differentiated form of thyroid gland cancer. Read More

Chirurgia (Bucur) 2020 Jan-Feb;115(1):95-101

Diverting ostomy is a commonly perfomed procedure but may be associated to its own morbidity (early or late complications). Colostomy-related evisceration is a rare but potentially life threatening condition (requiring emergency surgery), relatively undocumented for its mechanisms. Case report: A male aged 84 was admited for chronic low digestive occlusion due to a locally advanced, stenosing, rectal adenocarcinoma. Read More

Rinsho Ketsueki 2020 ;61(2):116-121

Department of Diagnostic Pathology, Asahi General Hospital.

An 85-year-old man presented with right eye ptosis and visual abnormalities. Due to a lack of abnormal findings on plain magnetic resonance imaging (MRI) and laboratory examination, prednisolone therapy was initiated, and ocular myasthenia gravis and ocular symptoms subjectively improved. However, anorexia and conscious disorder appeared during the same period, and he was hospitalized for scrutiny. Read More

Curr Med Res Opin 2020 May 23;36(5):827-834. Epub 2020 Mar 23.

Tokushima University Hospital, Tokushima, Japan.

The safety and tolerability of incobotulinumtoxinA 400 U for upper- and lower-limb post-stroke spasticity was assessed in a small cohort of Japanese patients during the open-label lead-in tolerability periods (LITP) of two phase 3 studies (CTI-153029 and CTI-153030; Japan Pharmaceutical Information Centre). Adult patients received a single incobotulinumtoxinA injection session (total dose of 400 U) in the upper (J-PURE) or lower limb (J-PLUS). Adverse events (AEs) were assessed at 1, 4, 8 and 12 weeks post-injection during the 12 week follow-up. Read More

BJOG 2020 07 6;127(8):1002-1013. Epub 2020 Apr 6.

St Mary's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.

Objective: To compare standard (native tissue) repair with synthetic mesh inlays or mesh kits.

Design: Randomised controlled trial.

Setting: Thirty-three UK hospitals. Read More

J Assoc Physicians India 2020 Mar;68(3):28-32

Assistant Professor.

Background: Clinico-epidemiological profile of snake envenomation varies in different regions; however, data from India is inadequate. This study was planned to obtain such data from Goa, to help in quick identification of envenomation, prompt treatment and help in building a national database.

Methods: In this prospective observational study,all patients presenting to emergency department between April 2016 to August 2017 with history of snakebite and meeting inclusion and exclusion criteria were enrolled and analysed. Read More

Endocrinol Diabetes Metab Case Rep 2020 Feb 26;2020. Epub 2020 Feb 26.

Departments of Diabetes and EndocrinologyConnolly Hospital Blanchardstown, Royal College of Surgeons in Ireland, Dublin, Ireland.

Summary: We present three cases of acute diabetic neuropathy and highlight a potentially underappreciated link between tightening of glycaemic control and acute neuropathies in patients with diabetes. Case 1: A 56-year-old male with poorly controlled type 2 diabetes (T2DM) was commenced on basal-bolus insulin. He presented 6 weeks later with a diffuse painful sensory neuropathy and postural hypotension. Read More

Hautarzt 2020 Apr;71(4):269-274

EDZ Mannheim, Bismarckplatz 1, 68165, Mannheim, Deutschland.

Hemorrhoidal disease is one of the most common illnesses in industrialized nations. Up to 70% of adults suffer from the disease once in their lifetime. This underlines the necessity and importance of knowing about the differential diagnosis of hemorrhoids. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Feb;55(2):94-97

Department of Otorhinolaryngology Head and Neck Surgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China.

To assess the outcomes of partial cricotracheal resection (CTR) and extended cricotracheal resection (ECTR) for severe laryngotracheal stenosis. From November 2009 to September 2017, 18 patients underwent CTR and ECTR at the Department of Otorhinolaryngology Head and Neck Surgery, Tangdu Hospital, Air Force Medical University for severe laryngotracheal stenosis were reviewed retrospectively. There were 12-male and 6-female patients, with the age ranged from 4 to 56 years (median 25 years). Read More

Cardiol Young 2020 Mar 17;30(3):409-412. Epub 2020 Feb 17.

Department of Cardiovascular Surgery, Faculty of Medicine, Başkent University, Ankara, Turkey.

Objective: Double-chambered right ventricle is characterised by division of the outlet portion of the right ventricle by hypertrophy of the septoparietal trabeculations into two parts. We aim to report our experiences regarding the presenting symptoms of double-chambered right ventricle, long-term prognosis, including the recurrence rate and incidence of arrhythmias after surgery.

Methods: We retrospectively investigated 89 consecutive patients who were diagnosed to have double-chambered right ventricle and underwent a surgical intervention from 1995 to 2016. Read More

Ideggyogy Sz 2020 Jan;73(1-2):60-64

Department of Neurology, University of Pamukkale, Denizli, Turkey.

Myasthenia gravis (MG) and Guillain-Barré syndrome (GBS) are autoimmune disorders that may cause weakness in the extremities. The coexistence of MG and GBS in the same patient has rarely been reported previously. A 52-year-old male presenting with ptosis of the left eye that worsened with fatigue, especially toward evening, was evaluated in our outpatient department. Read More

PLoS One 2020 10;15(2):e0228566. Epub 2020 Feb 10.

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

Objective: Although sacrocolpopexy (SCP) can provide durable apical support, the use of mesh may give rise to various complications, including vaginal mesh erosion. The aim of this study was to identify the risk factors for vaginal mesh erosion after SCP in Korean women.

Methods: This retrospective cohort study included 363 women who underwent SCP with type 1 polypropylene mesh. Read More

J Surg Oncol 2020 May 4;121(6):967-974. Epub 2020 Feb 4.

Breast Program, Department of Gynaecology and Obstetrics, Federal University of Goiás, Goiânia, Goiás, Brazil.

Background And Objectives: To report on the outcomes and evolution of an oncoplastic mammaplasty referred to as geometric compensation mammaplasty.

Methods: Seventy-three patients with malignant tumours were operated on and followed up in five centres in two countries. Preoperative markings were performed using a Wise pattern. Read More

Urologiia 2019 12(6):12-20

Department of Urology and Nephrology of FGBOU VO Ryazan State Medical University of the Ministry of Health of Russia, Ryazan, Russia.

Aim: to study a correlation between clinical stage of pelvic organ prolapse (POP), a histological structure and results of immunohistochemical study of the vaginal wall were evaluated.

Materials And Methods: A total of 60 peri- and postmenopausal women (average age 61.9+/-8. Read More

Medicine (Baltimore) 2020 Jan;99(5):e18987

Department of Internal Medicine, HANSUNG Union Internal Medicine Clinic and Dialysis Center, Daegu, Republic of Korea.

Rationale: Pituitary apoplexy (PA) and posterior reversible encephalopathy syndrome (PRES) are rare neurologic diseases that show acute neuro-ophthalmologic symptoms such as headache, decreased visual acuity, and altered consciousness. These diseases are rarely found in patients with end-stage renal disease (ESRD) on hemodialysis, and simultaneous occurrence of these 2 diseases has not been reported.

Patient Concerns: The patient was a 75-year-old man with a history of hypertension, diabetes mellitus, and non-functioning pituitary macroadenoma. Read More

Medicine (Baltimore) 2020 Jan;99(5):e18862

Department of Anesthesiology and Critical Care Medicine, CH Lens, Lens, France.

Introduction: Horner's syndrome is an unusual side effect of epidural analgesia. We report an unusual symptom after epineural axis analgesia for labor, which happened three times in the same patient. Horner's syndrome occurrence following epidural catheterization should lead the anesthetic team to search for a subdural position of the catheter because of its potentially threatening complications. Read More

Dis Colon Rectum 2020 04;63(4):527-537

Colorectal Surgery Unit, Department of General Surgery, Mansoura University Hospitals, Mansoura University, Egypt.

Background: Methods of treatment of rectocele include transperineal, transvaginal, and transanal approaches and ventral rectopexy.

Objective: The present randomized study aimed to compare the outcome of transperineal repair and transvaginal repair of anterior rectocele.

Design: This is a randomized, single-blinded clinical trial. Read More

BMC Neurol 2020 Jan 29;20(1):38. Epub 2020 Jan 29.

Department of diagnostic and interventional Neuroradiology, University Medical Center Göttingen, Robert Koch Str. 40, 37075, Göttingen, Germany.

Background: Due to uniform stiffness of standard platinum coils, dense packing of intracranial aneurysms can be difficult to achieve, since stiffer coils can cause microcatheter prolapse or coil migration. SMART coils have a varying softness along the length of the coils to improve deliverability. We report our initial 2 year experience with the SMART coil system, including direct and follow-up results. Read More

Multimed Man Cardiothorac Surg 2019 Dec 19;2019. Epub 2019 Dec 19.

Hospital Italiano de Buenos Aires, Argentina. Juan D. Perón 4190 (C1199ABD) Buenos Aires, Argentina.

A 72-year-old woman with a 6-month history of severe mitral valve regurgitation presented at our institution with dyspnea (NYHA II-III) and left ventricular impairment (LVEF 50%). Echocardiography showed P2-P3 prolapse with chordal rupture. A posterior mitral valve repair was performed using the loop technique through a minimally invasive approach. Read More