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    Ovarian Leydig cells (OLC): A histomorphological and immunohistochemical study.
    Histol Histopathol 2017 Jan 27:11876. Epub 2017 Jan 27.
    Department of Basic Medical Sciences, Faculty of Health Sciences, Medicine Section, University of La Laguna, Tenerife, Spain.
    Testicular Leydig cells (LC) regulate the proper development of male individuals, both during fetal life (fetal LC) and puberty (adult LC). In the ovaries of adult women, there are cells that are very similar to Leydig cells, the ovarian hilus cells (OHC), which also produce testosterone. The origin of these cells, in both sexes, remains unknown and is still a matter of debate. Read More

    Coexistence of abnormal systolic motion of mitral valve in a consecutive group of 324 adult Tetralogy of Fallot patients assessed with echocardiography.
    Open Heart 2016 30;3(2):e000518. Epub 2016 Dec 30.
    University of California San Francisco (UCSF) , San Francisco, California , USA.
    Background: The presence of mitral valve prolapse (MVP) in congenital heart disease (CHD) patients is not well described. Tetralogy of Fallot (TOF) is the most common cyanotic CHD associated with overall good long-term survival after palliation. Since MVP is more often identified in adults and TOF patients are now surviving longer, we thus sought to perform this cohort study with a case-control design to (1) determine the prevalence of MVP and systolic displacement of mitral leaflets (SDML) in adult TOF patients, and (2) describe their clinical and imaging characteristics. Read More

    A rare case of pachydermoperiostosis associated with blepharoptosis and floppy eyelids.
    Indian J Ophthalmol 2016 Dec;64(12):938-940
    Department of Orbit Oculoplasty Reconstructive and Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.
    Pachydermoperiostosis (PDP) is a multisystem disorder of mesenchymal origin. It is a form of hypertrophic osteoarthropathy. The typical clinical features include pachydermia, cutis verticus gyrata, digital clubbing, and periostosis. Read More

    Lumbar Disc Herniation Causing Cauda Equina Syndrome in a Paediatric Patient. A Case Report.
    Ortop Traumatol Rehabil 2016 Aug;18(4):389-392
    Dept. of Orthopaedics, Govt Medical College Jammu, J&K, India.
    Lumbar disc disease occurs mainly in the adult population. A disc prolapse in the paediatric population is very rare. Cauda equine syndrome resulting from compression of the cauda equina is a rare syndrome and is one of the few spinal surgical emergencies. Read More

    Challenges of Longevity: Safety of Vaginal and Laparoscopic Urogynecological Procedures in Septuagenarians and Older Patients.
    Biomed Res Int 2016 13;2016:5184595. Epub 2016 Dec 13.
    Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany; Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
    Introduction. Pelvic organ prolapse (POP) and urinary incontinence (UI) have increasing prevalence in the elderly population. The aim of this study was to compare the comorbidities of these procedures between <70 y/o and ≥70 y/o patients. Read More

    Complete rectal prolapse in young Egyptian males: Is schistosomiasis really condemned?
    World J Gastrointest Surg 2016 Dec;8(12):779-783
    Ahmed A Abou-Zeid, Islam H ElAbbassy, Ahmed M Kamal, Dina A Somaie, Unit of Colorectal Surgery, Department of General Surgery, El Demerdash Hospital, Ain Shams University, Abbasiya 11566, Cairo, Egypt.
    Aim: To investigate the assumption that schistosomiasis is the main cause of rectal prolapse in young Egyptian males.

    Methods: Twenty-one male patients between ages of 18 and 50 years with complete rectal prolapse were included in the study out of a total 29 patients with rectal prolapse admitted for surgery at Colorectal Surgery Unit, Ain Shams University hospitals between the period of January 2011 and April 2014. Patients were asked to fill out a specifically designed questionnaire about duration of the prolapse, different bowel symptoms and any past or present history of schistosomiasis. Read More

    Is vaginal mesh a stimulus of autoimmune disease?
    Am J Obstet Gynecol 2016 Dec 26. Epub 2016 Dec 26.
    Department of Urology, University of Michigan, Ann Arbor, MI.
    Objective: We sought to investigate a potential link between the development of systemic/autoimmune disorders and synthetic polypropylene mesh repairs.

    Study Design: New York State Department of Health Statewide Planning and Research Cooperative System data were utilized to conduct this retrospective cohort study. Adult women undergoing surgery for pelvic organ prolapse with vaginally implanted mesh from January 2008 through December 2009 in inpatient and ambulatory surgery settings in New York State were identified. Read More

    Correlation between PABPN1 genotype and disease severity in oculopharyngeal muscular dystrophy.
    Neurology 2017 Jan 23;88(4):359-365. Epub 2016 Dec 23.
    From APHP (P.R., A.d.B.), Unité Fonctionnelle de Cardiogénétique et Myogénétique Moléculaire, Hôpitaux Universitaires Pitié Salpêtrière-Charles Foix, Paris Cedex 13, INSERM UMRS1166, UPMC Paris 6; Sorbonne Universités (C.T.), UPMC Univ Paris 6, UM76, INSERM U974, Institut de Myologie, CNRS FRE3617; APHP (T.S., B.E.), Centre de Référence des Maladies Neuromusculaire, Institut de Myologie, Hôpitaux Universitaires Pitié Salpêtrière-Charles Foix, Paris; APHP (S.P.), Service d'ORL et Chirurgie Cervicofaciale, Hôpital Tenon, UPMC Paris 6; and APHM (J.P.), Aix Marseille Université, Centre de Référence des Maladies Neuromusculaires, Hôpital de La Timone, Marseille, France.
    Objective: Oculopharyngeal muscular dystrophy (OPMD) is an autosomal dominant adult-onset disease characterized by progressive ptosis, dysphagia, and proximal limb weakness. The genetic cause is an expanded (GCN)n mutation in the PABPN1 gene encoding for the polyadenylate-binding protein nuclear 1. We hypothesized a potential correlation between the size of the (GCN)n expansion and the severity of the phenotype. Read More

    Characterization of PABPN1 expansion mutations in a large cohort of Mexican patients with oculopharyngeal muscular dystrophy (OPMD).
    J Investig Med 2016 Dec 15. Epub 2016 Dec 15.
    Department of Genetics-Research Unit, Institute of Ophthalmology "Conde de Valenciana", Mexico City, Mexico.
    Oculopharyngeal muscular dystrophy (OPMD) is an autosomal-dominant, adult-onset disorder defined by blepharoptosis, dysphagia, and proximal muscle weakness. OPMD arises from heterozygous expansions of a trinucleotide (GCN) tract situated at the 5' region of the polyadenylate RNA binding protein 1 (PABPN1) gene. The frequency of a particular (GCN) expansion in a given population of patients with OPMD is largely influenced by the occurrence of founder mutations. Read More

    Self-reported psychological development in cosmetic breast surgery patients.
    Medicine (Baltimore) 2016 Dec;95(49):e5620
    aDepartment of Personality, Assessment, and Psychological Treatment, University of Seville, Spain bPrivate Practice of Plastic, Reconstructive and Aesthetic Surgery, Seville, Spain.
    Cosmetic breast surgery is the only therapeutic alternative for psychological and physical complications associated with micromasty, breast ptosis, and macromasty. We analyzed the effects of 2 variables, time, and type of cosmetic breast surgery, on anxiety symptomatology and quality of life.Following a mixed 3 × 4 design, 3 groups of women with breast augmentation (n = 63), mastopexy (n = 42), and breast reduction (n = 30) were selected and evaluated using the State-Trait Anxiety Inventory and the 12-Item Short-Form Health Survey at 4 different times, the preoperative stage, and at 1, 6, and 12 months postoperative. Read More

    Recent developments of imaging modalities of carotid artery stenting.
    J Cardiovasc Surg (Torino) 2017 Feb 6;58(1):25-34. Epub 2016 Dec 6.
    Department of Cardiovascular Medicine, Humanitas Clinical and Research Institute, Rozzano, Milan, Italy.
    Compared with conventional angiogram-guided procedure, intravascular imaging modalities give us a lot of useful information to make the procedure better. Intravascular imaging modalities give us the information about lesion characters, reference vessel diameter and the interaction between the stent strut and the plaque such as stent strut malapposition or plaque prolapse in real time during the procedure. We can change our strategy according to this information. Read More

    Reduction mammaplasty with the modified round block technique in Chinese patients and its anatomy study.
    J Plast Surg Hand Surg 2016 Dec 6:1-7. Epub 2016 Dec 6.
    a The Department of Plastic Surgery , Changzheng Hospital, The Second Military Medical University , Shanghai , PR China.
    Background: Although reduction mammaplasty is one of the most common procedures in plastic surgery, it is associated with some serious complications, especially in cases of severe hypertrophy or advanced ptosis, including necrosis of the nipple and areola, absence of normal sensation of the nipple-areolar complex, and loss of lactational function for future nursing. A thorough understanding of the breast anatomy is vital for successful reduction mammaplasty. This article describes the blood supply and innervation of the breasts, and introduces a modified round block technique for reduction mammaplasty based on this anatomy. Read More

    A study of long-term complications associated with enteral ostomy and their contributory factors.
    BMC Res Notes 2016 Dec 5;9(1):500. Epub 2016 Dec 5.
    Department of Surgery, Faculty of Medicine, University of Colombo, Kynsey Road, P.O. Box 271, Colombo 8, Sri Lanka.
    Background: Complications of ostomy significantly affect the quality of life of ostomates. There is little evidence on the rate of long-term complications in ostomates, especially from the developing countries which include Sri Lanka. This study was aimed to describe the long-term complications of enteral ostomies and their contributory factors. Read More

    Intranuclear Aggregates Precede Clinical Onset in Oculopharyngeal Muscular Dystrophy.
    J Neuromuscul Dis 2016 Mar;3(1):101-109
    Department of Neurology, Radboud University Medical Center, Nijmegen, The Netherlands.
    Background: Oculopharyngeal muscular dystrophy (OPMD) has long been characterized by a combination of bilateral ptosis and dysphagia and subsequent limb girdle weakness. The role of the typical intranuclear inclusion in the pathophysiology is unresolved.

    Objective: The aim of this study was to describe the clinical and histopathological features of oculopharyngeal muscular dystrophy (OPMD). Read More

    Posterior reversible encephalopathy as the first manifestation of Bickerstaff's brainstem encephalitis.
    BMC Neurol 2016 Nov 8;16(1):215. Epub 2016 Nov 8.
    Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, 112, Taiwan.
    Background: Posterior reversible encephalopathy syndrome (PRES) has been associated with Guillain-Barre syndrome in rare cases. Here we report a patient in whom PRES was the presenting manifestation of Bickerstaff's brainstem encephalitis.

    Case Presentation: A 75-year-old woman presented with acute onset of hypertension, headache, blurred vision, and left eyelid drooping. Read More

    18F-FDG Imaging of Chronic Inflammation Associated With Promontofixation of the Uterus.
    Clin Nucl Med 2017 Jan;42(1):42-43
    From the Nuclear Medicine Department, Pellegrin Hospital, CHU of Bordeaux, France.
    A high F-FDG uptake was found in a mesh of promontofixation in a 74-year-old woman who underwent a PET/CT scan for initial staging of cervical cancer. The patient underwent a laparoscopic treatment for a prolapsed uterus 7 years before. Promontofixation can be associated with complications due to chronic inflammation. Read More

    Laparoscopic-Assisted Altemeier's Procedure for Recurrent Strangulated Rectal Prolapse: A Case Report.
    Am J Case Rep 2016 Nov 4;17:827-829. Epub 2016 Nov 4.
    Department of General Surgery, Colorectal Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
    BACKGROUND Rectal prolapse is an uncommon disease that usually requires surgical intervention. Several techniques have been described with either an abdominal or perineal approach, the latter having a higher recurrence rate. In case of irreducible and strangulated full-thickness prolapse, a perineal approach is necessary, and efforts should be made to reduce recurrence rates. Read More

    Surgery for women with apical vaginal prolapse.
    Cochrane Database Syst Rev 2016 Oct 1;10:CD012376. Epub 2016 Oct 1.
    Royal Brisbane Women's Hospital, University Queensland, Brisbane, Queensland, Australia.
    Background: Apical vaginal prolapse is a descent of the uterus or vaginal vault (post-hysterectomy). Various surgical treatments are available and there are no guidelines to recommend which is the best.

    Objectives: To evaluate the safety and efficacy of any surgical intervention compared to another intervention for the management of apical vaginal prolapse. Read More

    Microarray gene expression analysis of uterosacral ligaments in uterine prolapse.
    Clin Biochem 2016 Nov 10;49(16-17):1238-1242. Epub 2016 Aug 10.
    Ege University School of Medicine, Department of Medical Biochemistry, Izmir, Turkey. Electronic address:
    Objectives: Pelvic organ prolapse (POP) is a major health problem that impairs the quality of life with a wide clinical spectrum. Since the uterosacral ligaments provide primary support for the uterus and the upper vagina, we hypothesize that the disruption of these ligaments may lead to a loss of support and eventually contribute to POP.

    Design And Methods: In this study, we therefore investigated whether there are any differences in the transcription profile of uterosacral ligaments in patients with POP when compared to those of the control samples. Read More

    Nontraumatic avulsion of aortic valve commissure as a cause of acute aortic valve regurgitation: A case report.
    Medicine (Baltimore) 2016 Oct;95(40):e5053
    aDivision of Cardiology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi bDepartment of Beauty and Health Care, Min-Hwei Junior College of Health Care Management, Tainan cDepartment of Nursing, Chung-Jen Junior College of Nursing, Health Sciences and Management dDivision of Cardiovascular Surgery, Department of Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi eDivision of Family Medicine, Cheng Ching General Hospital fDivision of Hematology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung gDepartment of Pathology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi hDepartment of Occupational and Environmental Medicine, National Cheng Kung University and Hospital, Tainan, Taiwan.
    Background: Avulsion of the aortic valve commissure as a cause of acute aortic valve regurgitation is mostly due to trauma, infective endocarditis, or ascending aortic dissection. Nontraumatic avulsion of the aortic valve commissure is very rare. We reviewed the literature and analyzed potential risk factors of nontraumatic avulsion. Read More

    Prevalence and impact of pelvic floor dysfunction in an adult cystic fibrosis population: a questionnaire survey.
    Int Urogynecol J 2016 Oct 13. Epub 2016 Oct 13.
    Physiotherapy Department, Mater Health Services, South Brisbane, QLD, Australia.
    Introduction And Hypothesis: Pelvic floor (PF) dysfunction in patients with cystic fibrosis (CF) is poorly understood due to lack of research. The aim of this study was to examine the prevalence, risk factors and bothersomeness of PF dysfunction and its implications for the clinical management of CF.

    Methods: Of 64 adults with CF approached at a tertiary hospital, 60 were surveyed. Read More

    Refractive error characteristics in patients with congenital blepharoptosis before and after ptosis repair surgery.
    BMC Ophthalmol 2016 Oct 8;16(1):177. Epub 2016 Oct 8.
    Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-Gu, Seoul, 137-701, Republic of Korea.
    Background: We examined the effect of surgical repair on the pattern of refractive errors in Korean patients with congenital blepharoptosis.

    Methods: We reviewed the clinical records of 54 patients with congenital blepharoptosis who attended our hospital from 2006 to 2012 and underwent a detailed refractive examination before and after ptosis repair surgery. Among them, 21 of the patients whose refractive data was available for both before and after the surgery were included in order to observe the effect of ptosis repair surgery on refractive error characteristics. Read More

    Systematic review on recent advances in the surgical management of rectal prolapse.
    Minerva Chir 2017 Feb 6;72(1):71-80. Epub 2016 Oct 6.
    Canadian Surgical Technologies and Advanced Robotics (CSTAR), London Health Sciences Centre and Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada -
    Introduction: Surgical management of external rectal prolapse (ERP) remains a challenge with the breadth of choices available and varies on the international, national, regional and locoregional level. Significant innovation has led to new techniques to manage ERP including changes to both abdominal and perineal approaches.

    Evidence Acquisition: A systematic, English-language search of major databases was conducted from 2006-2016. Read More

    Concomitant presentation of Anderson-Tawil syndrome and myasthenia gravis in an adult patient: A case report.
    Exp Ther Med 2016 Oct 6;12(4):2435-2438. Epub 2016 Sep 6.
    John Welsh Cardiovascular Diagnostic Laboratory, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX 77030, USA.
    Andersen-Tawil syndrome (ATS) is an autosomal dominant, multisystem channelopathy characterized by periodic paralysis, ventricular arrhythmias and distinctive dysmorphic facial or skeletal features. The disorder displays marked intrafamilial variability and incomplete penetrance. Myasthenia gravis (MG) is an autoimmune disorder that demonstrates progressive fatigability, in which the nicotinic acetylcholine receptor (AChR) at neuromuscular junctions is the primary autoantigen. Read More

    Age and cellular context influence rectal prolapse formation in mice with caecal wall colorectal cancer xenografts.
    Oncotarget 2016 Nov;7(46):75603-75615
    Laboratory of Experimental Cancer Research, Department of Radiation Oncology and Experimental Cancer Research, Ghent University, Ghent, Belgium.
    In patients with rectal prolapse is the prevalence of colorectal cancer increased, suggesting that a colorectal tumor may induce rectal prolapse. Establishment of tumor xenografts in immunodeficient mice after orthotopic inoculations of human colorectal cancer cells into the caecal wall is a widely used approach for the study of human colorectal cancer progression and preclinical evaluation of therapeutics. Remarkably, 70% of young mice carrying a COLO320DM caecal tumor showed symptoms of intussusception of the large bowel associated with intestinal lumen obstruction and rectal prolapse. Read More

    Italian-validated questionnaires for pelvic floor disorders: on behalf of the Italian Society of Urodynamics.
    Urologia 2016 Sep 13;83(3):139-144. Epub 2016 Sep 13.
     Department of Urology, Tor Vergata University Hospital, Rome - Italy.
    Introduction: Pelvic floor disorders (PFDs), which include urinary incontinence, pelvic organ prolapse, sexual dysfunction and gastrointestinal disorders, affect over 20% of adult population. The prevalence and demand for care of PFDs appear to be increasing more quickly than would be expected from simple population growth, creating substantial physical and emotional distress and a large financial burden. Suitable diagnostic tools are necessary to investigate these problems. Read More

    Laparoscopic ventral rectopexy in male patients with external rectal prolapse is associated with a high reoperation rate.
    Tech Coloproctol 2016 Oct 19;20(10):715-20. Epub 2016 Sep 19.
    Division of Gastroenterology, Department of Surgery, Oulu University Hospital, Oulu, Finland.
    Background: Laparoscopic ventral rectopexy has been used to treat male patients with external rectal prolapse, but evidence to support this approach is scarce. The aim of this study was to evaluate the results of this new abdominal rectopexy surgical technique in men.

    Methods: This was a retrospective multicenter study. Read More

    Levator ani trauma and pelvic organ prolapse - a comparison of three translabial ultrasound scoring systems.
    Acta Obstet Gynecol Scand 2016 Dec 15;95(12):1411-1417. Epub 2016 Oct 15.
    Department of Obstetrics and Gynecology, Sydney Medical School Nepean, University of Sydney, Sydney, NSW, Australia.
    Introduction: The study aimed to analyze the relation between the degree of puborectalis muscle trauma and subjective symptoms and objective findings of pelvic organ prolapse (POP), comparing two continuous scoring systems with a discrete scoring system for translabial ultrasound imaging.

    Material And Methods: In this retrospective observational study the records of patients attending a tertiary urogynecological unit between January 2012 and December 2014 were analyzed. POP assessment included a standardized interview, clinical examination using Pelvic Organ Prolapse Quantification and four-dimensional translabial ultrasound. Read More

    Marcus Gunn Jaw-Winking Syndrome: A Comprehensive Review and Report of Four Novel Cases.
    Ophthal Plast Reconstr Surg 2016 Sep 7. Epub 2016 Sep 7.
    *Orbital Plastic and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, †Centre for Eye Research Australia, Department of Ophthalmology, ‡Department of Surgery, Royal Melbourne Hospital, University of Melbourne, and §Department of Ophthalmology, Royal Children's Hospital, Melbourne, Australia.
    Purpose: To report 4 cases of Marcus Gunn jaw-winking synkinesis (MGJWS) in the absence of ptosis.

    Methods: A retrospective review of patients with MGJWS and congenital ptosis was compiled from the public and private subspecialty adult and pediatric oculoplastic practices of the 2 senior authors (AAM, TGH). Clinical data collected on patients with MGJWS included visual acuity, stereopsis, ocular motility, side of jaw-wink, presence or absence of ptosis, levator function, clinical photographs and videos, and any management undertaken. Read More

    Review on surgical management of ptosis and the use of phenylephrine: A national survey of British Oculoplastic Surgery Society (BOPSS) UK Consultants.
    Orbit 2016 Dec 6;35(6):339-342. Epub 2016 Sep 6.
    a Oxford Eye Hospital , John Radcliffe NHS Trust , Oxford , United Kingdom.
    We assess current practice using topical phenylephrine by British Oculoplastic Surgery Society (BOPSS) consultants in the surgical management of ptosis. All UK consultant BOPSS members were invited to participate in a web-based survey, consisting of 8 questions relating to the surgical management of adult primary involutional ptosis with normal levator function and the use of phenylephrine in the management of ptosis. 53 BOPSS consultants (43%) completed the survey, of which 76% perform anterior approach levator advancement as first-line surgery. Read More

    Early outcomes and perioperative complications of endovascular embolization in patients with aneurysmal SAH.
    Neurol Neurochir Pol 2016;50(5):342-8. Epub 2016 Jun 24.
    Department of Neurosurgery, Medical University of Bialystok, Bialystok, Poland.
    Background: We still lack reliable data on the outcomes of endovascular coiling for ruptured cerebral aneurysms. As this is still an evolving technique, the outcomes of the procedures performed in the past and more recently cannot be directly compared. We present the early outcomes of endovascular coiling in a relatively large group of patients with ruptured intracranial aneurysms. Read More

    The prevalence of ptosis in an Iranian adult population.
    J Curr Ophthalmol 2016 Sep 11;28(3):142-5. Epub 2016 Jun 11.
    Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
    Purpose: To determine upper eyelid ptosis prevalence and some related factors in 44- to 69-year-olds of Shahroud in the north of Iran.

    Methods: In 2009, using multi-stage cluster sampling, 300 clusters of 40-64-year-olds were selected in Shahroud city, and all 5190 participants were invited to be re-examined in 5 years (2014). The current report is the second phase of the study in which 4737 (91. Read More

    The effect of upper eyelid blepharoplasty on eyelid and brow position.
    Orbit 2016 Dec 25;35(6):324-327. Epub 2016 Aug 25.
    e Jules Stein Eye Institute and Department of Ophthalmology, Division of Orbital and Ophthalmic Plastic Surgery , David Geffen School of Medicine, University of California-Los Angeles , Los Angeles , California , USA.
    This article evaluates the effect of upper eyelid blepharoplasty on eyelid margin position and brow height. This study is a retrospective analysis of patients who underwent upper eyelid blepharoplasty without concurrent blepharoptosis repair or brow surgery. The medical records of the participants were retrospectively reviewed and an established image analysis software was used to quantify the upper margin reflex distance (MRD1) as well as brow height using high quality standardized clinical photographs. Read More

    The success rate of TED upper eyelid retraction reoperations.
    Orbit 2016 Dec 25;35(6):335-338. Epub 2016 Aug 25.
    a Department of Ophthalmology , University of California-Los Angeles , Los Angeles , California , USA.
    Although reoperation rates for upper lid retraction surgery for thyroid eye disease (TED) typically range between 8% and 23%, there is little literature describing the outcomes of these second operations. In this retrospective observational cohort study, all patients that underwent surgery for upper eyelid retraction over a 14-year period at a single institution were included. Cases were included if a second eyelid retraction surgery was performed during the study period. Read More

    An interatrial tunnel: a rare form of atrial septal defects.
    Echocardiography 2016 Nov 22;33(11):1781-1784. Epub 2016 Aug 22.
    Cardiac Surgery Department, Aswan Heart Centre, Magdi Yacoub Foundation, Aswan, Egypt.
    Atrial septal defects (ASDs) account for approximately 6%-10% of congenital heart defects. The well-known types of atrial septal communications are the ostium secundum, ostium primum, sinus venosus types, and coronary sinus defects. A 50-year-old female was referred for TEE for better assessment of MR severity and mechanism. Read More

    Bone metastasis of malignant thymomas associated with peripheral T-cell lymphocytosis.
    BMC Surg 2016 Aug 19;16(1):58. Epub 2016 Aug 19.
    Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Beijing, China.
    Background: Malignant thymomas are rarely associated with bone metastasis and T-cell lymphocytosis.

    Case Presentation: A 47-year-old female patient was admitted to our hospital for ptosis. A diagnosis of malignant thymoma was made based on the thymectomy and pathological result. Read More

    Correcting myogenic ptosis accompanying extraocular muscle weakness: The "Bobby Pin" procedure.
    Orbit 2016 Oct 10;35(5):267-70. Epub 2016 Aug 10.
    b Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center , University of Michigan , Ann Arbor , Michigan , USA.
    This article evaluates the "Bobby Pin" procedure in the correction of myogenic ptosis accompanying extraocular muscle weakness. We retrospectively reviewed 26 eyelids of 13 patients who underwent "Bobby Pin" procedure for myogenic ptosis accompanying extraocular muscle weakness. We evaluated the patients' clinical features such as age, etiology of ptosis, symptoms, standard ptosis measurements, associated systemic diseases, additional ophthalmic conditions, complications, and recurrence. Read More

    Post-septal upper eyelid loading for treatment of exposure keratopathy secondary to non-cicatricial lagophthalmos.
    Orbit 2016 Oct 10;35(5):239-44. Epub 2016 Aug 10.
    a Department of Ophthalmology , Guy's and St. Thomas' NHS Foundation Trust , London , England.
    Exposure keratopathy may result in ocular surface dryness, pain, corneal ulceration and loss of vision. Upper eyelid loading is an effective surgical treatment for paralytic lagophthalmos but has been criticised for complications of implant exposure and poor cosmesis. We therefore reviewed the safety and efficacy of our technique of upper eyelid post-septal loading for exposure keratopathy in this context. Read More

    Laparoscopic double sacrocolpopexy : a failure for the posterior compartment?
    Tunis Med 2016 Feb;94(2):128-34
    Aim: To evaluate the anatomical and functional outcomes of laparoscopic sacrocolpopexy using an anterior and a posterior prolen mesh, for the cure of genital prolapse.

    Study Methods: This is a consecutive five year prospective observational study in which 80 patients presented with at least a Stage 2 apical prolapsed (Baden and Walker), with an anterior or a posterior vaginal wall prolapse, who underwent a double sacrocolpopexy. Two prolen prosthesis (Pro-swing® - Textile Hi-Tec™, Fr) were used for this technique. Read More

    Akush Ginekol (Sofiia) 2016 ;55 Suppl 1 Pt 1:4-10
    Objective: To compare the efficacy of laparoscopic assisted vaginal hysterectomy (LAVH) and vaginal hysterectomy (VH) carried out on the occasion of non-malignant diseases and lesions of the female genital system, by assessing the: operative time, price, blood loss, hospital stay, intra and postoperative complications, satisfaction of the patient.

    Materials And Methods: The study included 187 women aged 38-71 years, with hysterectomy with or without salpingo-oophorectomy by LAVH-58 (31%) women or VH-129 (69%) women, on the occasion of non-malignant diseases and lesions of the female genital system. The patients are including in the study groups according to including and excluding criteria. Read More

    Applicability of Oncoplastic Breast Conserving Surgery in Asian Breast Cancer Patients.
    Asian Pac J Cancer Prev 2016 ;17(7):3325-8
    Department of Breast Surgery, KK Women's and Children's Hospital, Bukit Timah Road, Singapore Email :
    Background: There are limited studies on oncoplastic breast conserving surgery in Asian women. We aimed to determine the applicability and safety of oncoplastic surgery, highlighting the specific circumstances when it will be most useful and compare our preferred technique with the worldwide practice of oncoplastic approaches.

    Materials And Methods: Breast cancer patients who underwent oncoplastic breast conserving surgery at a single institution from 1st May 201431st March 2015 were included. Read More

    Modified MR defecography without rectal filling in obstructed defecation syndrome: Initial experience.
    Eur J Radiol 2016 Sep 24;85(9):1673-81. Epub 2016 Jun 24.
    Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Alexandria University, Egypt; Institute for Diagnostic and Interventional Radiology, Goethe University Hospital, Frankfurt am Main, Germany.
    Objective: To evaluate the role of dynamic MR defecography before rectal filling in detecting occult anterior compartment prolapse in patients with obstructed defecation.

    Methods: This prospective study was approved by the ethics committee. Seventy six females with obstructed defecation underwent dynamic MR defecography before and after rectal filling. Read More

    Aponeurosis of the levator palpebrae superioris in Chinese subjects: A live gross anatomy and cadaveric histological study.
    Medicine (Baltimore) 2016 Aug;95(31):e4469
    aSouthern Medical University bDepartment of Plastic Surgery, Guangzhou General Hospital of Guangzhou Military Command of PLA cAesthetic Plastic Surgery, Hospital of the San Yet-Sun Medical University, Guangzhou dLOMEYE Medical Beauty Clinic, Beijing, China.
    An accurate understanding of the anatomy of the levator palpebrae superioris aponeurosis (LPSA) is critical for successful blepharoplasty of aponeurotic ptosis. We investigated the macroscopic and microscopic anatomy of the LPSA.This prospective live gross anatomy study enrolled 200 adult Chinese patients with bilateral mild ptosis undergoing elective blepharoplasty. Read More

    Quality of life in women of non-reproductive age with transvaginal mesh repair for pelvic organ prolapse: A cohort study.
    Int J Surg 2016 Sep 25;33 Pt A:36-41. Epub 2016 Jul 25.
    Department of Urology and Pediatric Urology, University Hospital Mainz, Mainz, Germany.
    Background: Transvaginal mesh repair has been discredited due to high complications rates in the past years. Therefore, we evaluated the quality of life (QoL) and complication rates after transvaginal mesh (TVM) repair for pelvic organ prolapse (POP).

    Methods: A total of 148 women who underwent TVM repair for symptomatic POP were retrospectively enrolled. Read More

    Choroidal malignant melanoma with no extraocular extension presenting as orbital cellulitis.
    Orbit 2016 Oct 27;35(5):285-7. Epub 2016 Jul 27.
    a Department of Opthalmology , Ege Universitesi Tip Fakultesi , Izmir , Turkey.
    This report describes a patient with choroidal malignant melanoma presenting as orbital cellulitis without extraocular tumor extension. It is an interventional case report with histopathologic correlation. A 68-year-old male presented with a 3-day history of painful hyperemia and swelling in the right eye. Read More

    Revised Ghent Criteria is Comparable to Original Diagnostic Criteria for Marfan Syndrome with Increased Ability to Clinically Diagnose Related Disorders.
    J Med Assoc Thai 2016 Jan;99(1):34-9
    Background: Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder with major features in cardiovascular ocular and skeletal systems. Due to its genetic heterogeneity and variable expressivity, Ghent nosology was established for clinical diagnosis of MFS. In 2010, Ghent diagnostic criteria were revised to better diagnose MS and categorize its related disorders. Read More

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