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Indian J Surg Oncol 2018 Dec 30;9(4):565-567. Epub 2018 May 30.

Department of Obstetrics and Gynecology, El-Shatby Maternity University Hospital, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Free-floating intraperitoneal mass is rare and mostly is  related to the ovary. Asymptomatic auto amputation of the ovary is extremely rare that may be due to torsion or inflammation and usually is diagnosed incidentally . We report an interesting case of this rare pathology. Read More

Chem Biol Drug Des 2018 Dec 10. Epub 2018 Dec 10.

Center for Biocumputing and Drug Development, Adekunle Ajasin University, Akungba-Akoko, Ondo State, Nigeria.

Lassa virus infection is clinically characterized by multi-organ failure in humans. Without an FDA-approved vaccine, ribavirin is the frontline drug for treatment but with attendant toxicities. 6-fluoro-3-hydroxy-2-pyrazinecarboxamide (T-705) is an emerging alternative drug with proven anti-Lassa virus activity in experimental model. Read More

Curr Med Sci 2018 Dec 7;38(6):1032-1037. Epub 2018 Dec 7.

Reproductive Medicine Center, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

The risk factors associated with strangulated ovarian hernia (SOH) in female patients (<1 year old) were identified. A retrospective analysis was conducted regarding the data from 2006 to 2017. The patients were divided into 2 groups: SOH group (n=9) and non-SOH group (n=23). Read More

PeerJ 2018 4;6:e5995. Epub 2018 Dec 4.

Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan, Taiwan.

Background: Adnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km, 330,000 residents).

Methods: This retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. Read More

Endocrinol Diabetes Metab Case Rep 2018 Dec 11;2018. Epub 2018 Dec 11.

Southmead Hospital, North Bristol NHS Trust, Westbury-on-Trym, Bristol, UK.

Pituitary adenomas can be classified as functioning or non-functioning adenomas. Approximately 64% of clinically non-functioning pituitary adenomas are found to be gonadotroph adenomas on immunohistochemistry. There are reported cases of gonadotroph adenomas causing clinical symptoms, but this is unusual. Read More

Eur J Radiol 2018 Dec 27;109:196-202. Epub 2018 Aug 27.

Department of Ultrasound, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. Electronic address:

Objectives: The whirlpool sign (WS) and plasma d-dimer are used as a sonographic marker and laboratory index for adnexal torsion (AT), respectively. The aim of this study was to evaluate whether their combination improved diagnostic efficiency of AT in patients presenting with a benign ovarian mass and abdominal pain and clinically suspected AT.

Materials And Methods: Fifty-four patients with clinically suspected AT with benign ovarian mass and abdominal pain were analyzed and divided into an AT group (n = 28) and control group (n = 26). Read More

Ultrasonics 2018 Nov 22;93:139-144. Epub 2018 Nov 22.

University of Freiburg, Walter and Ingeborg Herrmann Professorship for Engineering of Functional Materials (EFM), Department for Sustainable Systems Engineering (INATECH), Faculty of Engineering, 79110 Freiburg, Germany.

Ultrasonic metal welding is a promising process for joining light metals with fiber-reinforced thermoplastics. The technique is characterized by high reproducibility, short process times, low energy input, no additional filler materials and finally the possibility of extensive process data logging. With this process, dissimilar aerospace materials are ultrasonically welded and the applied process parameters are optimized by statistical methods. Read More

Saudi Med J 2018 Dec;39(12):1232-1237

Division of Pediatric Surgery, Department of Surgery, College of Medicine, Taibah University, Almadinah Al-munawarah, Kingdom of Saudi Arabia. E-mail.

Objectives: To review and compare clinical practice and experience among pediatric surgeons (PS) and pediatric urologists (PU) for the management of testicular torsion (TT) in the Kingdom of Saudi Arabia (KSA).

Methods: This was a cross-sectional study conducted between August 2016 and November 2017, among all PU and PS involved in the management of suspected TT in KSA. A questionnaire was distributed to participants through the Survs. Read More

Ultrasound Obstet Gynecol 2018 Dec 6. Epub 2018 Dec 6.

Molecular & Clinical Sciences Research Institute, St George's University of London.

Objective: To evaluate the effect of gestational diabetes mellitus (GDM) on fetal and neonatal cardiac geometry and function around the time of birth.

Methods: A prospective study of 75 pregnant women delivering at term, comprising of 54 normal pregnancies and 21 with a diagnosis GDM. Fetal and neonatal conventional cardiac indices, spectral tissue Doppler and 2D speckle tracking imaging were performed a few days before and within hours of birth. Read More

Radiologe 2018 Dec 5. Epub 2018 Dec 5.

Universitätsinstitut für Radiologie, Universitätsklinikum der Paracelsus Medizinischen Privatuniversität, Müllner Hauptstraße 48, 5020, Salzburg, Österreich.

Background: Acute pelvic pain in women may be due to gynecological, gastrointestinal, and urinary tract disorders. Ectopic pregnancy (EP), pelvic inflammatory disease (PID), and ruptured ovarian cysts are the most common gynecological causes for acute pelvic pain and their diagnosis can be challenging.

Methods: Patient history, clinical examination, and blood tests as well as patient age and potential pregnancy status help to establish the correct diagnosis. Read More

J Comput Aided Mol Des 2018 Nov 30. Epub 2018 Nov 30.

Department of Chemistry, University of Massachusetts, Amherst, MA, 01003, USA.

In the previous paper, we reviewed the origins of energy based calculations, and the early science of FF development. The initial efforts spanning the period from roughly the early 1970s to the mid to late 1990s saw the development of methodologies and philosophies of the derivation of FFs. The use of Cartesian coordinates, derivation of the H-bond potential, different functional forms including diagonal quadratic expressions, coupled valence FFs, functional form of combination rules, and out of plane angles, were all investigated in this period. Read More

J Comput Aided Mol Des 2018 Nov 30. Epub 2018 Nov 30.

Department of Chemistry, University of Massachusetts, Amherst, MA, 01003, USA.

In this perspective, we review the theory and methodology of the derivation of force fields (FFs), and their validity, for molecular simulations, from their inception in the second half of the twentieth century to the improved representations at the end of the century. We examine the representations of the physics embodied in various force fields, their accuracy and deficiencies. The early days in the 1950s and 60s saw FFs first introduced to analyze vibrational spectra. Read More

Clin Orthop Surg 2018 Dec 21;10(4):420-426. Epub 2018 Nov 21.

Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.

Background: The tibial tuberosity-trochlear groove (TT-TG) distance is used to determine the necessity of tibial tubercle osteotomy. We conducted this study to determine the extent to which each of the tibial tuberosity lateralization, trochlear groove medialization, and knee rotation angle affects the TT-TG distance in both normal and patella dislocated patients and thereby scrutinize the rationale for tuberosity transfer based on the TT-TG distance.

Methods: Retrospective analysis of rotational profile computed tomography was done for patella dislocated and control group patients. Read More

J Pediatr Urol 2018 Sep 24. Epub 2018 Sep 24.

Division of Urology, Beirut, Lebanon. Electronic address:

Background: Testicular torsion is a surgical emergency mainly affecting adolescent boys, with a relatively high rate of missed torsion and testicular loss secondary to delay in prompt diagnosis and surgical intervention. With ischemic reperfusion injury as its underlying culprit, testicular torsion may respond favorably to remote ischemic conditioning (RIC) where a non-privileged site (e.g. Read More

J Shoulder Elbow Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Science, Nagoya, Japan; Department of Sports and Fitness, Faculty of Wellness, Shigakkan University, Obu, Japan. Electronic address:

Background: The differences between young right-handed and left-handed baseball players are not well known. This study compared the range of the shoulder motion and humeral torsion angle (HTA) between right-handed and left-handed young baseball pitchers.

Methods: A total of 65 young baseball pitchers (age, 9-12 years; 46 right-handed throwers, R group; and 19 left-handed throwers, L group) were analyzed. Read More

J Plast Reconstr Aesthet Surg 2018 Nov 2. Epub 2018 Nov 2.

Department of Hand and Plastic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 West Xue Yuan Road, Lu Cheng District, Wenzhou 325000 China. Electronic address:

Background: Necrosis of propeller flaps is a problem in clinical practice. This study was performed to investigate the effects of pedicle torsion on dynamic perforasome survival using a multiterritory perforator flap model in rats.

Methods: Intercostal artery perforator flaps (IC flaps) containing two adjacent dynamic perforasomes were applied to both sides of the dorsum in 15 rats. Read More

Rev Sci Instrum 2018 Nov;89(11):114502

MOE Key Laboratory of Fundamental Physical Quantities Measurements, Hubei Key Laboratory of Gravitation and Quantum Physics, School of Physics, Huazhong University of Science and Technology, Wuhan 430074, People's Republic of China.

The ultra-sensitive space electrostatic accelerometers have been successfully employed in the Earth's gravity field recovery missions and the space gravitational experiments. Since the accelerometer output in the measurement bandwidth can be influenced by the orbital high-frequency disturbances due to the second-order nonlinearity effects, the relevant quadratic term must be accurately compensated to guarantee the accuracy of the electrostatic accelerometer. In this paper, three sources of the quadratic term are studied and formulated. Read More

Int J Gynecol Pathol 2018 Dec 3. Epub 2018 Dec 3.

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.

Primary extrarenal Wilms tumor of the gynecologic tract is extremely rare with scattered case reports occurring in the ovary, uterine corpus and cervix. Only 9 cases of primary ovarian Wilms tumor have been reported to date. Here, we provide an extensive literature review and describe 2 patients with ovarian Wilms tumor: a 36-yr-old female (patient 1) and a 16-yr-old female (patient 2), both presenting with abdominal pain and suspected ovarian torsion. Read More

J Biomech Eng 2018 Dec 5. Epub 2018 Dec 5.

ASME Fellow, Mechanical and Aerospace Engineering Department, Biomedical Engineering Department, University of California, Davis, 2132 Bainer Drive, Davis, CA 95616-5294.

Mathematical models of the human spine can be used to investigate spinal biomechanics without the difficulties, limitations and ethical concerns associated with physical experimentation. Validation of such models is necessary to ensure the modeled system behavior accurately represents the physics of the actual system. The goal of this work was to validate a medical image-based nonlinear lumbosacral spine finite element model of a healthy 20-year-old female subject under physiological moments. Read More

Pediatr Med Chir 2018 Dec 4;40(2). Epub 2018 Dec 4.

Pediatric Surgery Unit, Salesi Children Hospital, Ancona.

Isolated tubal torsion (ITT) is a rare cause of acute abdominal pain. Preoperative diagnosis is difficult because of a lack of specific signs. Surgery is recommended to preserve the integrity of the tube. Read More

Materials (Basel) 2018 Nov 30;11(12). Epub 2018 Nov 30.

Laboratory of Bulk Nanostructured Materials, Belgorod State University, Belgorod 308015, Russia.

The microstructure and microhardness evolution of a Ti-15(wt.%)Mo/TiB metal-matrix composite (MMC) during high-pressure torsion (HPT) at 400 °C was studied. The composite was fabricated by spark plasma sintering of a Ti, Mo and TiB₂ powders mixture at 1200 °C. Read More

J Musculoskelet Neuronal Interact 2018 Dec;18(4):407-418

German Aerospace Center, Institute for Aerospace Medicine, Germany.

Objectives: There is ample agreement that the specific shape of a bone is related to the loads it has to carry. It is also believed that bones mechano-adapt in order to 'find' this shape. The open question is which signals constitute the determinants of this adapation. Read More

World J Cardiol 2018 Nov;10(11):210-221

NorthWest Cardiac Imaging Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester M23 9LT, United Kingdom.

Cardiovascular diseases represent the leading cause of mortality and morbidity in the western world. Assessment of cardiac function is pivotal for early diagnosis of primitive myocardial disorders, identification of cardiac involvement in systemic diseases, detection of drug-related cardiac toxicity as well as risk stratification and monitor of treatment effects in patients with heart failure of various etiology. Determination of ejection fraction with different imaging modalities currently represents the gold standard for evaluation of cardiac function. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13446

Department of General and Gastroenterological Surgery, Osaka Medical College, Daigaku-machi, Takatsuki.

Rationale: Liposarcoma (LPS) is a rare malignant soft-tissue tumor. Management of LPS is relatively difficult, because there are no characteristic symptoms, or biomarkers, nor any established effective treatment. Hence, the report of the accumulation of each LPS case is necessary. Read More

Ned Tijdschr Geneeskd 2018 11 27;163. Epub 2018 Nov 27.

Rode Kruis Ziekenhuis, afd. Gynaecologie, Beverwijk.

A 23-year-old pregnant woman presented with acute right-sided abdominal pain and vomiting in the 21st week of gestation. An MRI scan showed an ovarian torsion and a dermoid cyst. On the same day, laproscopy was performed. Read More

Reprod Sci 2018 Nov 29:1933719118816839. Epub 2018 Nov 29.

2 Department of Physiology, Istanbul Bilim University School of Medicine, Istanbul, Turkey.

Granulocyte colony-stimulating factor (G-CSF) is a glycoprotein commonly used in the field of medicine to treat neutropenia. Granulocyte colony-stimulating factor has also crucial roles in ameliorating the ischemia/reperfusion (I/R) injury in particular tissues. In this study, we aimed to investigate the protective effect of G-CSF on ovarian damage in experimental ovarian I/R injury. Read More

J Neurosurg Spine 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEProximal junctional kyphosis (PJK) and failure (PJF) are potentially catastrophic complications that result from abrupt changes in stress across rigid instrumented and mobile non-fused segments of the spine (transition zone) after adult spinal deformity surgery. Recently, data have indicated that extension (widening) of the transitional zone via use of proximal junctional (PJ) semi-rigid fixation can mitigate this complication. To assess the biomechanical effectiveness of 3 semi-rigid fixation constructs (compared to pedicle screw fixation alone), the authors performed cadaveric studies that measured the extent of PJ motion and intradiscal pressure changes (ΔIDP). Read More

ANZ J Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of General Surgery, Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, India.

J Biomol Struct Dyn 2018 Nov 29:1-23. Epub 2018 Nov 29.

a Department of Crystallography and Biophysics , University of Madras , Chennai , India.

Spectral characteristics of Fluorescent Proteins (FP) are well studied and through protein engineering, several FP variants constituting entire visible spectrum have been created. One of the most common mechanisms attributed to spectral shifts in FP are excited state proton transfer (ESPT), hydroxyl moiety protonation and deprotonation, along with chromophore Cis-Trans isomerism. Most widely studied FPs are those derived from avGFP (Aequorea victoria GFP) and Dsred (Discosoma coral). Read More

Ann Biomed Eng 2018 Nov 28. Epub 2018 Nov 28.

PolitoBIOMed Lab, Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Corso Duca degli Abruzzi, 24, 10129, Turin, Italy.

Arterial hemodynamics is markedly characterized by the presence of helical flow patterns. Previous observations suggest that arterial helical blood flow is of physiological significance, and that its quantitative analysis holds promise for clinical applications. In particular, it has been reported that distinguishable helical flow patterns are potentially atheroprotective in the carotid bifurcation as they suppress flow disturbances. Read More

Handb Clin Neurol 2018 ;159:323-336

Physiotherapy Department, Melbourne School of Health Sciences, University of Melbourne, Parkville, VIC, Australia.

Cerebral palsy (CP) is a lifespan motor disorder arising from damage to the developing brain before or shortly after birth. People with CP may experience problems with muscle coordination and difficulties with the organization and processing of sensory information. Functional mobility is impaired and commonly influenced by spasticity and musculoskeletal system problems such as contractures or bony torsion. Read More

Soft Robot 2018 Nov 28. Epub 2018 Nov 28.

2 PRISMA Lab, Department of Electrical Engineering and Information Technology, University of Naples Federico II and CREATE Consortium , Napoli, Italy .

Mathematical modeling of soft robots is complicated by the description of the continuously deformable three-dimensional shape that they assume when subjected to external loads. In this article we present the deformation space formulation for soft robots dynamics, developed using a finite element approach. Starting from the Cosserat rod theory formulated on a Lie group, we derive a discrete model using a helicoidal shape function for the spatial discretization and a geometric scheme for the time integration of the robot shape configuration. Read More

Rev Int Androl 2018 Nov 23. Epub 2018 Nov 23.

Department of Pharmacology, Faculty of Medicine, Erzincan University Erzincan, Turkey. Electronic address:

Introduction And Objectives: Testicular ischemia/reperfusion (I/R) injury develops after torsion and following detorsion of the testis. Reactive oxygen species were produced and oxidative damage begins to occur due to I/R process. Nimesulide, which is a specific cyclooxygenase-2 inhibitor drug, have antioxidant, antiinflammatory, analgesics and antipyretic effects. Read More

J Biomech 2018 Nov 20. Epub 2018 Nov 20.

Department of Mechanical Engineering and Mechanics, Lehigh University, Bethlehem, PA, USA.

Quantitative assessment of bone fracture healing remains a significant challenge in orthopaedic trauma research. Accordingly, we developed a new technique for assessing bone healing using virtual mechano-structural analysis of computed tomography (CT) scans. CT scans from 19 fractured human tibiae at 12 weeks after surgery were segmented and prepared for finite element analysis (FEA). Read More

Sensors (Basel) 2018 Nov 24;18(12). Epub 2018 Nov 24.

Univ. Grenoble Alpes, CNRS, Grenoble INP, G2ELab, 38000 Grenoble, France.

In this paper, the torsional stress effect on Giant Magneto-Impedance (GMI) was studied in Co-rich amorphous wires. The study, which was conducted in the context of the development of a current clamp based on GMI, considered torsion as a parameter of the influence of this sensor. Both diagonal, Z, and off-diagonal, Z, components of the impedance tensor were investigated. Read More

Knee 2018 Nov 22. Epub 2018 Nov 22.

3D-Surgery, Department of General, Trauma- and Reconstructive Surgery, University Hospital Munich LMU, Germany.

Introduction: Three-dimensional (3D) surgical planning and patient-specific implants are becoming increasingly popular in orthopedics and trauma surgery. In contrast to the established and standardized alignment assessment on two-dimensional (2D) long standing radiographs (LSRs) there is neither a standardized nor a validated protocol for the analysis of 3D bone models of the lower limb. This study aimed to create a prerequisite for pre-operative planning. Read More

Best Pract Res Clin Endocrinol Metab 2018 Nov 3. Epub 2018 Nov 3.

Centre for Reproductive Medicine, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels 1090, Belgium; Department of Obstetrics and Gynaecology, School of Medicine, University of Zagreb, Šalata 3, Zagreb 10000, Croatia. Electronic address:

Assisted reproductive technology (ART) has vastly improved over the last 40 years, from a frequently unsuccessful and complicated procedure requiring hospital admission and routine laparoscopy to a fairly simple outpatient technique with relatively high success rates. However, it is important to stress that ART is not without risk and medical complications may still occur. The incidence of most of these ART-related complications is associated with how women undergo ovarian stimulation. Read More

J Obstet Gynaecol Can 2018 Nov;40(11):e788-e836

Calgary, Alb.

Objectif: Améliorer La compréhension de la douleur pelvienne chronique (DPC) et fournir des directives cliniques factuelles qui bénéficieront aux fournisseurs de soins de santé primaires, aux obstétriciens-gynécologues et aux spécialistes de la douleur chronique.

Fardeau De La Souffrance: La DPC est une pathologie débilitante courante qui affecte les femmes. Elle est à l'origine d'importantes souffrances personnelles et de dépenses de santé considérables associées aux interventions, dont de multiples consultations et un grand nombre de traitements médicaux et chirurgicaux. Read More

J Obstet Gynaecol Can 2018 Nov;40(11):e747-e787

Calgary, AB.

Objective: To improve the understanding of chronic pelvic pain (CPP) and to provide evidence-based guidelines of value to primary care health professionals, general obstetricians and gynaecologists, and those who specialize in chronic pain.

Burden Of Suffering: CPP is a common, debilitating condition affecting women. It accounts for substantial personal suffering and health care expenditure for interventions, including multiple consultations and medical and surgical therapies. Read More

Int J Surg Case Rep 2018 Nov 13;53:345-347. Epub 2018 Nov 13.

Urology Department, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia.

Introduction: Polyorchidism, defined as the presence of more than two testicles, is a rare congenital abnormality of the male genital tract. There is no consensus regarding the management of supranumerary testis (SNT) due to its rareness. To the best of our knowledge, this is the first report of leiomyoma in SNT. Read More

Nat Commun 2018 11 23;9(1):4961. Epub 2018 Nov 23.

MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, 310027, Hangzhou, China.

The aggregation of molecules plays an important role in determining their function. Electron microscopy and other methods can only characterize the variation of microstructure, but are not capable of monitoring conformational changes. These techniques are also complicated, expensive and time-consuming. Read More

Molecules 2018 Nov 21;23(11). Epub 2018 Nov 21.

Institute of Chemistry, Slovak Academy of Sciences, 84538 Bratislava, Slovakia.

Density functional theory (DFT) has provided detailed information on the molecular structure and spin⁻spin coupling constants of heparin tetrasaccharide (GlcNS,6S-IdoA2S-GlcNS,6S-IdoA2S-OMe) representing the predominant heparin repeating-sequence. The fully optimised molecular structures of two tetrasaccharide conformations (differing from each other in the conformational form of the sulphated iduronic acid residue⁻one ¹₄ and the other ²₀) were obtained using the B3LYP/6-311+G(d,p) level of theory and applying explicit water molecules to simulate the presence of a solvent. The theoretical data provided insight into variations of the bond lengths, bond angles and torsion angles, formations of intra- and intermolecular hydrogen bonds and ionic interactions. Read More

J Nanosci Nanotechnol 2019 Mar;19(3):1772-1776

Department of Materials Science and Engineering, Inha University, Incheon, 22212, Republic of Korea.

Optimum processing conditions were obtained by evaluating the hot working behavior of commercially pure Ti using hot torsion tests. Hot torsion tests were conducted at temperatures ranging from 800 °C-1000 °C and strain rates ranging from 0.1-10 s. Read More

J Nanosci Nanotechnol 2019 Mar;19(3):1724-1728

Department of Materials Science and Engineering, Inha University, Incheon 22212, Republic of Korea.

Hot torsion tests were performed on an Al-Zn-Mg alloy modified with CaO-added Mg to investigate the effects of the Mg additive on the high temperature deformation characteristics. Effective stress- strain curves and processing maps were established from the experimental results under a range of deformation conditions. The fracture strain of the CaO-added Al-Zn-Mg alloy was higher than that of the Al-Zn-Mg alloy. Read More

J Med Imaging Radiat Oncol 2018 Nov 23. Epub 2018 Nov 23.

Department of Medical Imaging, The Townsville Hospital, Townsville, Queensland, Australia.

We describe a rare case of middle lobe lung torsion in a patient with a tension hydrothorax secondary to multicentric Castleman disease. The case demonstrates the difficulty of diagnosing torsion prospectively, and the possible sequelae of delayed detection. Although imaging features can be confusing, an awareness of this condition and careful image interpretation by radiologists could facilitate early recognition and management of a torted lobe. Read More

Lakartidningen 2018 Nov 20;115. Epub 2018 Nov 20.

Sunderby sjukhus - Allmänkirurgi Luleå, Sweden Sunderby sjukhus, Allmänkirurgi - Lulea, Sweden.

Wandering spleen is a rare reason for acute abdominal pain in pediatric patients caused by laxity of the splenic ligaments. It can be complicated by torsion of the pedicle, leading to ischemia, a situation that in most cases results in acute abdominal surgery. To prevent ischemia of a mobile spleen caused by a total occlusion of the pedicle, splenopexy can be considered. Read More

J Clin Neurosci 2018 Dec 24;58:42-48. Epub 2018 Oct 24.

Department of Skull Base Surgery Center, Department of Neurosurgery, XuanWu Hospital, Capital Medical University, Beijing, China.

The objective of the current study is to summarize the experiences of 360-degree circumferential arachnoid dissection for TN in patients without NVC. Clinical data from 19 TN patients without NVC who underwent 360-degree circumferential arachnoid dissection were retrospectively analyzed. All patients underwent preoperative examinations of three-dimensional time-of-flight magnetic resonance angiography (3D-TOF-MRA) and three-dimensional nuclear magnetic resonance of constructive interference in steady state (3D-CISS) to identify the neurovascular structures around the trigeminal nerve. Read More

J Int Med Res 2018 Nov 19:300060518809778. Epub 2018 Nov 19.

Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey.

Objective: To investigate the use of hematological parameters in the differential diagnosis of testis torsion and epididymo-orchitis, and to determine the predictive value of these parameters in the diagnosis of testis torsion.

Methods: This study retrospectively reviewed the medical data of patients who presented to our institute with the complaint of acute scrotal pain. Eighty-five patients who had undergone orchiectomy or surgical detorsion due to testis torsion and 72 patients with epididymo-orchitis were included in the study. Read More

Int J Surg Case Rep 2018 Oct 29;53:309-311. Epub 2018 Oct 29.

Sky Ridge Medical Center, Office of Graduate Medical Education, 10101 RidgeGate Pkwy, Lone Tree, CO, 80124, United States. Electronic address:

Introduction: Anterior retroperitoneal spinal exposures are widely used today for spinal surgeries. Incisional hernias are a documented complication of anterior spine exposures; however, there are no documented cases of hernias into the dissected retroperitoneal space. We presented this exceptionally rare patient's complication to underscores the critical importance of preserving the peritoneum as a biologic barrier during retroperitoneal spine exposures. Read More

J Pediatr Orthop 2018 Nov 16. Epub 2018 Nov 16.

Texas Scottish Rite Hospital for Children, Dallas, TX.

Background: It has been shown that retrograde titanium flexible intramedullary nails (Ti FIN) provide superior resistance to bending compared to antegrade Ti FIN in distal femur fractures. The purpose of this study was to compare resistance to torsional and bending forces of stainless steel (SS) FIN, with or without a locking screw, and Ti FIN in distal third femoral shaft fractures. We hypothesize that locked retrograde SS FIN will demonstrate greater resistance to both bending and torsional forces. Read More