Eur J Paediatr Neurol 2017 Jun 3. Epub 2017 Jun 3.

Pediatric Emergency Department, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Background: Acute diplopia (AD) is an uncommon and distressing symptom of numerous ocular and neurological conditions, with potentially serious sequelaes. No data are present in pediatrics on the presentation and management of AD.

Aim: This study investigated characteristics, etiology and health care utilization of the pediatric population with AD accessed to pediatric Emergency Departments (ED), trying to identify "red flags" associated with potentially life-threatening (LT) conditions. Read More

Can Urol Assoc J 2017 Jun;11(6Suppl2):S125-S130

Section of Urology, Department of Surgery, University of Calgary, Calgary, AB, Canada.

Pelvic organ prolapse (POP) results from weakness or injury of the pelvic floor supports with resulting descent of one or more vaginal compartments (anterior, apical and/or posterior). Women typically become symptomatic from the bulging vaginal wall or related organ dysfunction once this descent reaches the introitus. POP is a common condition, affecting more than half of adult women. Read More

Arch Esp Urol 2017 May;70(4):379-384

Servicio de Urología. Hospital Universitario La Paz. Madrid. España.

Introduction: In the last 15 years, the role of laparoscopic surgery has progressively increased to include reconstructive procedures such as pyeloplasty and management of ureteral stricture, in addition to being a field in continuous development, this refers to the improvement of ergonomics, new instruments and new techniques. We present a review on basic features of laparoscopic reconstructive surgery in urology.

Acquisition Of Evidence: For this review, an exhaustive literature search was performed in PUBMED, MEDILNE, BioMed central and others, with the keywords: reconstructive surgery, urology, laparoscopy. Read More

Radiol Case Rep 2017 Jun 4;12(2):427-430. Epub 2017 Feb 4.

Department of Radiology, Deenanath Mangeshkar Hospital, Erandwane, Pune 411004, India.

We present a case of a 15-year-old male with history of back pain and bilateral lower limb radiculopathy due to fall. The magnetic resonance imaging scan showed disc bulge at L2-L3 level causing compression on contained nerve roots. In this case, computed tomography scan was indispensable for diagnosis and classification of the vertebral apophyseal fracture and to guide appropriate further management. Read More

J Urol 2017 May 4. Epub 2017 May 4.

Department of Surgery, Division of Urology, Cedars-Sinai Medical Center, Beverly Hills, California 90211. Electronic address:

Purpose: We sought to determine if there was a potential link between synthetic polypropylene mesh implantation for transvaginal pelvic organ prolapse (POP) and stress urinary incontinence (SUI) and carcinogenesis using statewide administrative data.

Materials And Methods: Adult women undergoing transvaginal surgery for POP or SUI) with mesh between January 2008 and December 2009 in New York State were identified using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes and Current Procedural Terminology Coding System, Fourth Edition (CPT-4) codes. Patients in the mesh cohort were individually matched to two control cohorts based on comorbidities and procedure date. Read More

J Exp Ther Oncol 2016 Jul;11(3):221-223

Department of Perinatology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

Uterine leiomyomas are the most common benign tumor of the female reproductive tract. Their incidence during pregnancy is approximately 2 percent and they are associated with some complications such as preterm labor, placental abruption, fetal malpresentation, obstructed labor, cesarean delivery, and postpartum hemorrhage. They may develop anywhere within the muscular wall of the uterus, including submucosal, intramural, or subserosal areas. Read More

J Neuroophthalmol 2017 Apr 25. Epub 2017 Apr 25.

Department of Ophthalmology (AS, SS, KCG), University of Cincinnati College of Medicine, Cincinnati, Ohio Department of Ophthalmology (KCG), Cincinnati Eye Institute, Cincinnati, Ohio.

Background: To identify the etiologies of adult Horner syndrome (HS) in the MRI era using a targeted evaluation approach and to assess the value and yield of targeted imaging.

Methods: A retrospective chart review was performed of 200 adult outpatients with HS, confirmed with cocaine eyedrop testing. Patients were divided into subgroups based on the presence or absence of symptoms and those who did or did not receive additional testing with hydroxyamphetamine drops. Read More

BMC Neurol 2017 Apr 19;17(1):77. Epub 2017 Apr 19.

Department of Neurology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China.

Background: Clinical predictors for myasthenia gravis relapse and ocular myasthenia gravis secondary generalization during the first two years after disease onset remain incompletely identified. This study attempts to investigate the clinical predictors for the prognosis of Myasthenia Gravis.

Methods: Eighty three patients with myasthenia gravis were concluded in this study. Read More

JSLS 2017 Jan-Mar;21(1)

University of Nevada School of Medicine, Reno, Nevada, USA.

Background And Objectives: Rectal prolapse is often repaired laparoscopically, frequently with the use of reinforcement material. Both synthetic and biologically derived materials reduce recurrence rate compared to primary suture repair. Synthetic mesh introduces potential complications such as mesh erosion, fibrosis, and infection. Read More

Dis Colon Rectum 2017 May;60(5):508-513

Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Patients with Crohn's disease have a higher failure rate after ileal pouch surgery compared with their counterparts with ulcerative colitis.

Objective: We hypothesized that risk of continent ileostomy failure can be stratified based on the timing of Crohn's disease diagnosis and aimed to assess long-term outcomes.

Design: This was a retrospective cohort study. Read More

Maturitas 2017 May 24;99:86-91. Epub 2017 Feb 24.

University of Groningen, University Medical Center Groningen, Department of General Practice, Groningen, The Netherlands. Electronic address:

Objectives: The primary objective was to evaluate the ability of different anatomic cut-off points, as established in specialist urogynecology populations, to identify clinically relevant prolapse in a population of postmenopausal women with pelvic floor symptoms recruited from primary care.

Study Design: Cross-sectional study among 890 women (≥55 years) screened for pelvic floor symptoms.

Main Outcome Measures: The Pelvic Floor Distress Inventory 20 was used to measure symptoms, and the Pelvic Organ Prolapse Quantification (POP-Q) system was used to assess prolapse. Read More

Maturitas 2017 May 24;99:73-78. Epub 2017 Feb 24.

Department of Obstetrics, Gynaecology and Paediatrics, Azienda Policlinico of Modena, Modena, Italy.

Objective: To evaluate whether climacteric symptoms are related to pelvic organ prolapse (POP) in postmenopausal women.

Study Design: A cross-sectional investigation was performed on 1382 postmenopausal women attending an outpatient service for menopause at a university hospital.

Main Outcome Measures: Data regarding climacteric symptoms, as captured by the Greene Climacteric Scale, and objective POP were retrieved from an electronic database. Read More

Plast Reconstr Surg 2017 Apr;139(4):829-837

Nice, France From the Plastic and Reconstructive Surgery Unit, the Public Health Service and Medical Information, and the Radiology and Medical Imaging Unit, University Hospital of Nice; and the Plastic and Reconstructive Surgery Unit, Polyclinic Santa Maria.

Background: Age-related changes in fat compartments have yet to be fully characterized. Uncertainty remains in terms of volume gains/losses or shape fluctuations over time. The authors' aim was to determine the evolution of subcutaneous fat in the aging upper face, focusing on shifts in volume and dimension. Read More

Eye (Lond) 2017 Jun 24;31(6):940-946. Epub 2017 Mar 24.

Department of Ophthalmology, Seoul St. Mary's Hospital, Catholic University College of Medicine, Seoul, Korea.

PurposeThis study aimed to evaluate the prevalence and associated factors of involutional blepharoptosis in a nationwide representative sample in Korea.MethodsCross-sectional study 20 941 Korean men and women 40 years of age and older who participated in last 2 years (2008 and 2009) of the 4th wave of the Korean National Health and Nutrition Examination Survey (KNHANES) IV and the first 2 years (2010 and 2011) of KNHANES V. Ocular examinations were performed by ophthalmologists trained in procedure and grading methods, and blepharoptosis was defined as a marginal reflex distance <2 mm on either eye. Read More

Br J Nurs 2017 Mar;26(5):S30-S31

Following on from a study carried out with his colleagues in 2010, Anthony McGrath, Head of Department Adult Nursing and Midwifery, London South Bank University, considers the ongoing problems faced by patients with stomas and the importance of support from stoma care nurses. Read More

Chin Med J (Engl) 2017 Mar;130(6):678-683

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

Background: Some patients with pelvic organ prolapse may suffer from lower urinary tract symptoms (LUTS), especially stress urinary incontinence (SUI) named de novo SUI after pelvic floor reconstruction. This study aimed to investigate the incidence and risk factors of de novo SUI.

Methods: This is a nested case-control study of 533 patients who underwent pelvic floor reconstruction due to pelvic organ prolapse (POP) at the Department of Gynecology in Peking University People's Hospital from January 2011 to March 2013. Read More

Pan Afr Med J 2016 26;25:117. Epub 2016 Oct 26.

Université Libre de Bruxelles. 808 Route de Lennik 1070 Bruxelles, Belgium.

Introduction: In spite of free caesarean section applied in Benin since 2009, high rates of stillborn babies continue to be recorded. This study aimed to determine the factors associated with post-caesarean stillborn in Benin.

Methods: Cross-sectional study that covered all women who have delivered by caesarean from December 2013 to February 2014 in twelve hospitals chosen by simple random selection in each of the twelve departments of Benin. Read More

Pan Afr Med J 2016 17;25:79. Epub 2016 Oct 17.

Service de Gynécologie Obstétrique, CHU de Brazzaville, BP 32, Brazzaville, Congo.

Any illness is viewed as inherently evil, so it must be eradicated because it often significantly affect the quality of life. Vaginal hysterectomy is indicated in patients with some severe gynecological conditions; it is beneficial but can also have a detrimental impact on women's quality of life. The aim of our study was to explore subjective experience of the disease and vaginal hysterectomy (VH) among women before and after surgery. Read More

Female Pelvic Med Reconstr Surg 2017 Mar 9. Epub 2017 Mar 9.

From the *The Johns Hopkins University School of Medicine, James Buchanan Brady Urological Institute, Division of Pediatric Urology, Charlotte Bloomberg Children's Hospital; and †Johns Hopkins Bayview Medical Center, JHBMC, Urology, Baltimore, MD.

Objective: This study aimed to characterize long-term urogynecologic issues of women with a history of bladder exstrophy and pelvic organ prolapse (POP) and to assess the impact of POP repair on continence and sexual function.

Design: Patient demographics and surgical history related to exstrophy and POP were collected through chart review. Patient perceptions regarding sexual function, urinary continence, and quality of life were assessed through Web-based administration of validated questionnaires: International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and POP-Urinary Incontinence Sexual Questionnaire. Read More

Obstet Gynecol 2017 Apr;129(4):689-692

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Southern California, Los Angeles, California.

Background: Bladder exstrophy is a rare congenital anomaly affecting the lower abdominal wall, pelvis, and genitourinary structures. Pregnant women with bladder exstrophy present a unique challenge to the obstetrician.

Case: The patient is a 35-year old pregnant woman with bladder exstrophy, an extensive surgical history, and uterine prolapse with an abnormal, rubbery consistency to her cervix. Read More

Obstet Gynecol 2017 Apr;129(4):608-614

Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics & Gynecology and Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, John Hopkins University School of Medicine, Baltimore, Maryland.

Objective: To assess the relationship between prescribed postoperative activity recommendations (liberal compared with restricted) after reconstructive prolapse surgery and patient satisfaction and pelvic floor symptoms.

Methods: In our multicenter, randomized, double-blind clinical trial, women undergoing reconstructive prolapse surgery were randomized to liberal compared with restricted postoperative activity recommendations. Liberal recommendations instructed women to resume postoperative activity at the woman's own pace with no restrictions on lifting or high-impact activities. Read More

J Med Case Rep 2017 Mar 7;11(1):61. Epub 2017 Mar 7.

Department of Surgery, Weiss Memorial Hospital, Chicago, IL, USA.

Background: Myxofibrosarcoma is an aggressive soft tissue neoplasm, classified as a variant of malignant fibrous histiocytoma. Most often, it occurs in middle to late adult life peaking in the seventh decade and involving the lower extremities (77%), trunk (12%), and retroperitoneum or mediastinum (8%). We report the first case of thoracic myxofibrosarcoma presenting as a Pancoast tumor. Read More

Oxid Med Cell Longev 2017 2;2017:6838921. Epub 2017 Feb 2.

Centro Cardiologico Monzino IRCCS, Milan, Italy.

Background. Mitral valve prolapse (MVP) is the most common cause of severe mitral regurgitation. Besides echocardiography, up to now there are no reliable biomarkers available for the identification of this pathology. Read More

J Plast Reconstr Aesthet Surg 2017 May 17;70(5):686-691. Epub 2017 Feb 17.

Department of Plastic Surgery, Kyorin University School of Medicine, Tokyo, Japan.

Background: Patients with involutional blepharoptosis sometimes require reoperation because of functional or esthetic reasons after the primary operation. Few studies have analyzed the risk factors for reoperation in such cases.

Methods: We retrospectively analyzed the cases of 274 patients who underwent levator aponeurosis surgery for bilateral involutional blepharoptosis. Read More

Br J Radiol 2017 Apr 3;90(1072):20170062. Epub 2017 Mar 3.

3 Department of Health Sciences (DISSAL), Radiology Section, University of Genoa, Genova, Italy.

Objective: To investigate the role of MRI in the evaluation of both the new female anatomy and complications in male-to-female sex reassignment surgery (MtF-SRS).

Methods: 71 consecutive patients with MtF-SRS had 74 MRI [age range, 21-63 years; mean (±standard deviation) age, 36 ± 10 years; median age, 37 years]. In 47 patients, MRI was performed to rule out early post-operative complications after gender conversion (n = 40), vaginoplasty (n = 6) or remodelling of the labia majora (n = 1). Read More

J Plast Reconstr Aesthet Surg 2017 May 16;70(5):692-698. Epub 2016 Nov 16.

Head & Neck Cosmetic Surgery Center of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Chinese Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing 100144, PR China. Electronic address:

Background: Blepharoptosis is defined as an abnormally low-lying upper eyelid margin in the primary gaze, causing vertical narrowing of the palpebral fissure. It is difficult to achieve consistently satisfactory results in moderate or severe cases despite many surgical methods being available to correct them.

Methods: Between January 2001 and December 2014, a retrospective cohort study was conducted using medical records and perioperative photographs of 235 patients. Read More

Aust N Z J Obstet Gynaecol 2017 Feb;57(1):81-86

Department of Women's and Children's Health, Tauranga Hospital, Bay of Plenty District Health Board, Tauranga, New Zealand.

Background: Total laparoscopic hysterectomy (TLH) is established as a safe method of hysterectomy, with a satisfactory patient experience. However, most published data derive from high-volume centres with experienced teams. It is not clear whether these data translate to smaller centres?

Aims: To evaluate the implementation of a minimally invasive option for hysterectomy at a regional public hospital in New Zealand. Read More

Pan Afr Med J 2016 3;25:60. Epub 2016 Oct 3.

Université de Tunis El Manar, Faculté de Médecine de Tunis, 1007, Tunis, Tunisie; Service de Chirurgie Viscérale CHU Mongi Slim, Sidi Daoued La Marsa, Tunisie.

Rectal prolapse is a rectal static disorder which involves rectal wall intussusception inducing its externalization through the anus. It usually affects children and the elderly. Its occurrence in young adults is rare. Read More

Am J Rhinol Allergy 2017 Jan;31(1):48-50

Objective: We proposed a novel technique for the quantitative examination of tip recoil. The technique measures nasal tip strain as an objective measure of tip recoil. We used the term tip recoilometry to refer to this measurement technique. Read More

Arq Neuropsiquiatr 2017 Feb;75(2):87-91

Universidade Federal do Paraná, Hospital de Clínicas, Unidade de Distúrbios do Movimento, Departamento de Medicina Interna, Serviço de Neurologia, Curitiba PR, Brasil.

Objective: To evaluate the long-term effect of botulinum toxin type A (BTX-A) in the treatment of HFS.

Methods: A retrospective analysis of patients treated at the Movement Disorders Outpatient Clinic in the Neurology Service, Hospital de Clínicas, Federal University of Paraná, Curitiba, from 2009 to 2013 was carried out. A total of 550 BTX-A injections were administered to 100 HFS patients. Read More

Hormones (Athens) 2016 Oct;15(4):548-550

Department of Endocrinology and Diabetes, Hellenic Red Cross Hospital, Athens, Greece.

Background And Importance: This case highlights the fact that acute pituitary apoplexy may be misdiagnosed due to being confused with other entities exhibiting similar symptoms, such as meningitis or subarachnoid hemorrhage.

Clinical Presentation: A patient in his late 30s presented with sudden and severe frontal headache, fever, blurred vision, nausea, confusion, as well as oculomotor palsy (CN III) with partial ptosis of the left eyelid, dilated left pupil and left eye globe deviation inferiorly and laterally. The final diagnosis was acute pituitary apoplexy complicating a pituitary macroadenoma. Read More

BMJ Case Rep 2017 Feb 15;2017. Epub 2017 Feb 15.

Department of General Medicine, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.

We describe a case report of a man aged 56 years with a 4-month history of right-sided sciatica-type pain with subclinical disc prolapse evident on MRI. Worsening pain together with the appearance of a tender mass in his right buttock prompted further imaging, which demonstrated an infiltrative mass engulfing the lumbosacral plexus. This was later shown to be a granulocytic sarcoma on biopsy. Read More

Multimed Man Cardiothorac Surg 2016 Dec 6;2016. Epub 2016 Dec 6.

The adjustable slipknot technique is a novel procedure for implanting neochordae. The neochorda acts like a lasso. The procedure facilitates accurate assessment of the length of the neochordae. Read More

Int J Surg 2017 Mar 10;39:249-254. Epub 2017 Feb 10.

Department of Gynecology, Marienhospital Bottrop, Germany. Electronic address:

Introduction: Optimized biocompatibility of new materials is a major requirement for transvaginal meshes for pelvic organ prolapse (POP) repair. Polyvinylidene fluoride (PVDF) presented good characteristics in prior animal experiments and clinical use in humans.

Methods: Between 01/2012 and 04/2016 37 women underwent transvaginal repair of symptomatic prolapse of the anterior vaginal wall (cystocele) with PVDF-mesh in a single institution. Read More

BMJ Case Rep 2017 Feb 8;2017. Epub 2017 Feb 8.

L V Prasad Eye Institute, Centre for Ocular Regeneration, Hyderabad, Telangana, India.

An 11-year-old girl presented to our tertiary eye care centre with a 9-month-old history of lime injury in the left eye in 1999 with vision of counting fingers close to the face. She initially underwent superficial keratectomy with amniotic membrane graft in 1999. Subsequently, cultivated limbal epithelial transplantation was performed in 2001 which improved her vision to 20/400. Read More

EuroIntervention 2017 Feb;12(15):e1858

Department of Cardiac, Thoracic and Vascular Sciences, University Hospital of Padua, Padua, Italy.

Asia Pac J Ophthalmol (Phila) 2017 Jan-Feb;6(1):54-58

Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong.

Purpose: The aim of this study was to review the epidemiology and clinical outcomes of open-globe injuries (OGIs) in Hong Kong over a 10-year period.

Design: Retrospective case-review.

Methods: This study included patients with OGI who presented to Hong Kong Eye Hospital and Queen Elizabeth Hospital from 1999 to 2008. Read More

Hu Li Za Zhi 2017 Feb;64(1):41-50

College of Nursing, and Vice President, National Taipei University of Nursing and Health Sciences, Taiwan, ROC.

Background: The decision whether or not to undergo pelvic reconstructive surgery is difficult for women suffering from pelvic organ prolapse. However, little research has examined the symptom distress and life impacts that these women face prior to this surgery. Thus, it is crucial that gynecology nurses learn about these life impacts and symptom distresses in order to help these women make the best decisions with regard to surgery. Read More

Med Sci Monit 2017 Feb 1;23:598-605. Epub 2017 Feb 1.

Department of Colorectal Surgery, Tianjin Union Medicine Center, Tianjin, China (mainland).

BACKGROUND The aim of this study was to evaluate the curative effect of transvaginal mesh repair (TVMR) and stapled transanal rectal resection (STARR) in treating outlet obstruction constipation caused by rectocele. MATERIAL AND METHODS Patients who had outlet obstruction constipation caused by rectocele were retrospectively analyzed and 39 patients were enrolled the study. Patients were assigned to either the TVMR or STARR group. Read More

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

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

Plast Reconstr Surg 2017 Feb;139(2):335e-347e

Rome, Italy From the Departments of Plastic and Reconstructive Surgery and General Surgery "A", IFO "Regina Elena" National Cancer Institute.

Background: Although quadrantectomy and lumpectomy help diminish the psychological and physical devastation inflicted, mastectomy is still elected in 20 to 30 percent of breast cancers. Although initially inciting controversy over heightened risk of local recurrences, recent studies maintain that nipple-sparing mastectomy can be used in any patient qualifying for total mastectomy and also improves aesthetic and psychologic outcomes. The manner in which mastectomy influences reconstructive implant outcomes has been documented by several groups. Read More

Low Urin Tract Symptoms 2017 Jan 2;9(1):33-37. Epub 2015 Jul 2.

Department of Urogynecology and Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.

Objective: This single-center retrospective study aimed to compare the outcomes of vaginal hysterectomy with utero-sacral suspension (VH/USS) versus sacro-spinous hysteropexy (SSHP) in the management of uterine prolapse at a tertiary care center specializing in Urogynecology.

Methods: The medical records of 50 women with stage 2 or more uterine prolapse treated with VH/USS (n = 26) or SSHP (n = 24) were assessed between January 2006 and December 2012.

Results: There were no significant differences between the two groups in terms of body mass index (BMI) and parity P = 0. Read More

Acta Obstet Gynecol Scand 2017 Apr 10;96(4):426-431. Epub 2017 Mar 10.

Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Penrith, New South Wales, Australia.

Introduction: Damage to the pelvic floor during vaginal childbirth is common, and may take the form of levator avulsion or irreversible overdistension of the levator hiatus (microtrauma). Such trauma is a major risk factor for pelvic organ prolapse later in life. In this study we aimed to identify intrapartum risk factors for levator trauma. Read More

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

BMJ Case Rep 2017 Jan 20;2017. Epub 2017 Jan 20.

Department of Critical Care Medicine, Japanese Red Cross Society Wakayama Medical Center, Wakayama, Japan.

Cephalic tetanus is defined as a combination of trismus and paralysis of one or more cranial nerves. Since it is a rare cause of facial nerve palsy, it is often overlooked as a differential diagnosis. We present the case of a 75-year-old man admitted to our emergency department with left facial nerve palsy, left ptosis and dysphagia 2 weeks after a head laceration. Read More

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

Int J Gynaecol Obstet 2017 Mar 9;136(3):325-330. Epub 2016 Dec 9.

Rural Health and Education Service Trust, Kathmandu, Nepal.

Objective: To evaluate the acceptability, feasibility, and outcomes of pessary fitting in rural Nepali communities.

Methods: A 1-year prospective cohort study was conducted in the Ramechhap district of Nepal in January 2013-January 2014 among women attending a free gynecology health camp. All women with symptomatic pelvic organ prolapse (POP) were offered ring pessaries. Read More

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