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    [Principles of urinary tract reconstructive surgery.]
    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

    Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent.
    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

    Challenging the myth: Transvaginal mesh is not associated with carcinogenesis.
    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

    Evaluation of Horner Syndrome in the MRI Era.
    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

    Clinical predictors for the prognosis of myasthenia gravis.
    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

    Laparoscopic Rectopexy with Urinary Bladder Xenograft Reinforcement.
    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

    Long-term Outcomes After Continent Ileostomy Creation in Patients With Crohn's Disease.
    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

    Prevalence and associated factors of blepharoptosis in Korean adult population: The Korea National Health and Nutrition Examination Survey 2008-2011.
    Eye (Lond) 2017 Mar 24. 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

    Incidence and Risk Factors of De novo Stress Urinary Incontinence after Pelvic Floor Reconstruction: A Nested Case-control Study.
    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

    Factors associated with post-cesarean stillbirth in 12 hospitals in Benin: a cross-sectional.
    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

    [Evaluation of quality of life and subjective experience of the disease before and after vaginal hysterectomy among women admitted to the University Hospital in Brazzaville].
    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

    Patient-Reported Impact of Pelvic Organ Prolapse on Continence and Sexual Function in Women With Exstrophy-Epispadias Complex.
    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

    A rare presentation of myxofibrosarcoma as a Pancoast tumor: a case report.
    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

    Identification of Patients Affected by Mitral Valve Prolapse with Severe Regurgitation: A Multivariable Regression Model.
    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

    Preoperative asymmetry is a risk factor for reoperation in involutional blepharoptosis.
    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

    MR imaging in patients with male-to-female sex reassignment surgery: postoperative anatomy and complications.
    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

    Evaluation of moderate and severe blepharoptosis correction using the interdigitated part of the frontalis muscle and orbicularis oculi muscle suspension technique: A cohort study of 235 cases.
    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

    Perioperative outcomes of total laparoscopic hysterectomy at a regional hospital in New Zealand.
    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

    [Strangled rectal prolapse in young adults: about a case and review of the literature].
    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

    A novel technique for the quantitative examination of nasal tip support.
    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

    Young adult patient with headache, fever and blurred vision.
    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

    Granulocytic sarcoma: a rare cause of sciatica.
    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

    Transvaginal PVDF-mesh for cystocele repair: A cohort study.
    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

    Cultivated limbal epithelial transplantation and penetrating keratoplasty postchemical injury: a 14-year follow-up.
    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

    Epidemiology of Open-Globe Injuries in Hong Kong.
    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

    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

    Intrapartum predictors of maternal levator ani injury.
    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

    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

    Cephalic tetanus as a differential diagnosis of facial nerve palsy.
    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

    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

    Feasibility of using pessaries for treatment of pelvic organ prolapse in rural Nepal.
    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

    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

    Herniated gyrus rectus causing idiopathic compression of the optic chiasm.
    Clin Neurol Neurosurg 2017 Feb 3;153:79-81. Epub 2017 Jan 3.
    University of Kansas Medical Center, Department of Neurosurgery, Mailstop 3021, 3901 Rainbow Blvd, Kansas City, KS 66160, United States.
    Anomalies in the frontal lobe can interfere with visual function by compression of the optic chiasm and nerve. The gyrus rectus is located at the anterior cranial fossa floor superior to the intracranial optic nerves and chiasm. Compression of these structures by the gyrus rectus is often caused by neoplastic or dysplastic growth in the area. Read More

    Evaluation of Long-term Outcomes of Correction of Severe Blepharoptosis with Advancement of External Levator Muscle Complex: Descriptive Statistical Analysis of the Results.
    In Vivo 2017 01;31(1):111-115
    Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.
    Aim: Evaluation of long-term results after aponeurotic blepharoptosis correction with external levator muscle complex advancement.

    Patients And Methods: We carried out a retrospective study with medical record review of 20 patients (40 eyes) affected by bilateral aponeurotic moderate and severe ptosis who underwent primary surgery between January 2010 and December 2013. Criteria for outcome evaluations included 3-year postoperative follow-up of upper margin reflex index (uMRD) and symmetry. Read More

    Bio-Thiersch as an Adjunct to Perineal Proctectomy Reduces Rates of Recurrent Rectal Prolapse.
    Dis Colon Rectum 2017 Feb;60(2):187-193
    1 Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois 2 Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois.
    Background: The rates of recurrent prolapse after perineal proctectomy vary widely in the literature, with incidences ranging between 0% and 50%. The Thiersch procedure, first described in 1891 for the treatment of rectal prolapse, involves encircling the anus with a foreign material with the goal of confining the prolapsing rectum above the anus. The Bio-Thiersch procedure uses biological mesh for anal encirclement and can be used as an adjunct to perineal proctectomy for rectal prolapse to reduce recurrence. Read More

    Risk Factors for Recurrence After Laparoscopic Ventral Rectopexy.
    Dis Colon Rectum 2017 Feb;60(2):178-186
    1 Department of Colorectal Surgery, Singapore General Hospital, Singapore 2 Department of Colorectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia 3 Faculty of Medicine and Biomedical Sciences, University of Queensland, Brisbane, Queensland, Australia.
    Background: Laparoscopic ventral rectopexy effectively treats posterior compartment prolapse. However, recurrence after laparoscopic ventral rectopexy is poorly understood.

    Objective: This study aimed to evaluate factors contributing to recurrence after laparoscopic ventral rectopexy. Read More

    Breast reduction: personal technique.
    Clin Ter 2016 Nov-Dec;167(6):e167-e170
    Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Roma, Italia.
    Introduction: Macromastia is a health problem that requires the coordination of surgical and medical specialists. Goals of reduction mammaplasty are to alleviate physical, emotional and psychosocial discomforts and to restore a conical-shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with superior pedicle. Read More

    Factors Associated With Surgical Outcomes in Congenital Ptosis: A 10-Year Study of 319 Cases.
    Am J Ophthalmol 2017 Mar 28;175:173-182. Epub 2016 Dec 28.
    Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, and the College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:
    Purpose: To evaluate the 10-year results of surgery for congenital ptosis and identify factors associated with excellent outcomes and recurrence.

    Design: Retrospective, interventional case series.

    Methods: A retrospective analysis was conducted of 319 patients who underwent surgical correction at a tertiary medical center for congenital ptosis. Read More

    Is vaginal mesh a stimulus of autoimmune disease?
    Am J Obstet Gynecol 2017 May 26;216(5):495.e1-495.e7. Epub 2016 Dec 26.
    Department of Urology, University of Michigan, Ann Arbor, MI.
    Background: Polypropylene mesh has been used as a means of reinforcing weak tissues in women with pelvic organ prolapse and stress urinary incontinence.

    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. 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

    Off-Pump NeoChord Mitral Valve Repair to Simultaneously Treat Posterior Leaflet Prolapse and Systolic Anterior Motion.
    Ann Thorac Surg 2017 Jan;103(1):e29-e30
    Department of Surgical Sciences, Division of Cardiac Surgery, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy.
    This case represents the first report of complete elimination of systolic anterior motion by beating-heart implantation of artificial chordae tendineae on a prolapsing and redundant posterior leaflet. Read More

    A Standardized Loop Technique for Mitral Valve Repair.
    Ann Thorac Surg 2017 Jan;103(1):e105-e106
    Department of Cardiac Surgery, Lens Hospital and Ramsay Bois Bernard Private Hospital, Lens, France.
    The loop technique is widely used for mitral valve repair. However, estimation of the correct loops' length remains challenging. We describe a standardized technique with implantation of standardized 15- and 25-mm loops for posterior and anterior mitral prolapses. Read More

    Redundant plantar skin folds.
    Rom J Morphol Embryol 2016 ;57(3):1085-1088
    Department of Rheumatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania;
    A 46-year-old female patient presented with photosensitivity, symmetric arthritis, episodic plantar pain and strikingly redundant plantar skin folds, likely due to lipoatrophy after recurrent episodes of plantar panniculitis. In this context, leukopenia with lymphopenia, thrombocytopenia and positive antinuclear antibodies were revelatory for systemic lupus erythematosus. However, a small cerebriform plantar collagenoma, along with discrete dysmorphic features with downslanting palpebral fissures and mild right ptosis, second and third syndactyly and a larger first right toe since childhood, and early-onset bilateral ovarian cystadenoma, suggested a minimal Proteus syndrome. Read More

    In Vivo Confocal Microscopic Architecture of Corneal Nerves in a Case of Multiple Endocrine Neoplasia Type 2b.
    Middle East Afr J Ophthalmol 2016 Oct-Dec;23(4):326-328
    Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
    A detailed ocular examination and in vivo confocal microscopy (IVCM) using the Heidelberg retinal tomograph 3 with Rostock cornea module were performed in a patient with multiple endocrine neoplasia (MEN) 2b syndrome. Ocular findings included ptosis secondary to thickening of the lid margins, subconjunctival and perilimbal neuromas, and prominent corneal nerves extending up to the pupillary area. IVCM demonstrated structural alterations of both the main nerve trunks and the smaller branches. Read More

    Characterization of PABPN1 expansion mutations in a large cohort of Mexican patients with oculopharyngeal muscular dystrophy (OPMD).
    J Investig Med 2017 Mar 15;65(3):705-708. 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

    Simbu Ptosis: An Outreach Approach to Myogenic Ptosis in Eastern Highlands of Papua New Guinea-Experience and Results From a High-Volume Oculoplastic Surgical Camp.
    Ophthal Plast Reconstr Surg 2017 Mar/Apr;33(2):139-143
    *Edward J. Hines VA Medical Center, Chicago, Illinois; †Department of Ophthalmology, Loyola University School of Medicine, Maywood, Illinois; ‡Department of Ophthalmology, University of Utah, Moran Eye Center, Salt Lake City, Utah; §Tilganga Institute of Ophthalmology, Kathmandu, Nepal; ‖Department of Radiology, University of Utah, Salt Lake City, Utah; and ¶Great Lakes Eye Care, Saint Joseph, Michigan, U.S.A.
    Purpose: To present the results of a high-volume oculoplastic surgical outreach in a remote region of Simbu Province in the Eastern Highlands of Papua New Guinea. The authors describe the clinical features and evaluation and treatment of a novel ptosis syndrome found in this area.

    Design: A team of 4 international ophthalmologists and 3 local doctors and 3 local nurses involved in a high-volume field intervention for all patients presenting with a bilateral ptosis to Mingende Rural Hospital. Read More

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