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Malawi Med J 2018 06;30(2):94-98

Sub-Department of Paediatric Surgery, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, Nigeria.

Background: Patterns of and indications for nephrectomy vary in different age groups, geographical locations and time periods. In some series nephrectomies were mainly for malignant conditions while in others they were predominantly for non-malignant conditions. Such data on patterns, indications, and outcomes of nephrectomy in children is limited in our environment. Read More

BMJ Case Rep 2018 Aug 17;2018. Epub 2018 Aug 17.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Accidental placement of Foley catheter in ureter is a rare phenomenon. It is more common in females with neurogenic bladder who have hypocontractile bladder or there can be iatrogenic placement during surgical procedures. We describe a case of a female suffering from upper motor neuronal lesion due to trauma at T8 level (American Spinal Injury grade A) following which she developed neurogenic bladder. Read More

Medicine (Baltimore) 2018 Jun;97(23):e11022

Advanced Emergency and Critical Care Medical Center, Okayama University Hospital.

Rationale: Hydronephrosis caused by retroperitoneal hematoma after a seatbelt injury is a unique clinical entity.

Patient Concerns: A 21-year-old man, who had been wearing a seatbelt, was brought to our hospital after a motor vehicle collision, complaining of abdominal pain. Computed tomography (CT) revealed retroperitoneal hematoma in the upper pelvic region. Read More

BMJ Open 2018 01 10;8(1):e018059. Epub 2018 Jan 10.

Department of Gynaecology, Imelda Hospital, Bonheiden, Belgium.

Introduction: Natural orifice transluminal endoscopic surgery (NOTES) uses natural orifices to access the cavities of the human body to perform surgical interventions. NOTES limits the magnitude of surgical trauma and potentially reduces postoperative pain. Our group published a protocol on a randomised study comparing transvaginal NOTES (vNOTES) versus laparoscopy for hysterectomy (HALON). Read More

Am J Case Rep 2017 Dec 23;18:1377-1381. Epub 2017 Dec 23.

Department of General Surgery, Sultan Qaboos University Hospital, Muscat, Oman.

BACKGROUND Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the literature. Read More

Stem Cell Res Ther 2017 Nov 21;8(1):267. Epub 2017 Nov 21.

Department of Obstetrics and Gynecology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, China.

Background: Intrauterine adhesion (IUA) is a common uterine cavity disease which can be caused by mechanical damage that may eventually lead to infertility and pregnancy abnormalities. Since the effect of therapeutic drugs appears disappointing, cell therapy has emerged as an alternative choice for endometrium regeneration. The aim of this study is to investigate whether the combination of hydrogel Pluronic F-127 (PF-127), Vitamin C (Vc), and a bone marrow stromal cell (BMSC) mixture could be a feasible strategy to improve the endometrial regeneration in a mechanical damage model of IUA in rats. Read More

Environ Pollut 2017 Dec 20;231(Pt 2):1284-1290. Epub 2017 Sep 20.

Research Center for Environmental Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan; Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung City, Taiwan; Department of Community Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan. Electronic address:

Environmental low-dose melamine exposure has been associated with urolithiasis risk in adults, but it is unclear if this exposure can cause early renal damage. This cross-sectional study investigated the association of this exposure and early renal damage in patients with calcium urolithiasis. We recruited patients diagnosed with upper urinary tract calcium urolithiasis from three hospitals in southwestern Taiwan between November 2010 and January 2015. Read More

Braz J Med Biol Res 2017 Aug 17;50(10):e6638. Epub 2017 Aug 17.

Shenzhen Hospital, Southern Medical University, Shenzhen, China.

This study proposed a decision tree model to screen upper urinary tract damage (UUTD) for patients with neurogenic bladder (NGB). Thirty-four NGB patients with UUTD were recruited in the case group, while 78 without UUTD were included in the control group. A decision tree method, classification and regression tree (CART), was then applied to develop the model in which UUTD was used as a dependent variable and history of urinary tract infections, bladder management, conservative treatment, and urodynamic findings were used as independent variables. Read More

Indian J Radiol Imaging 2017 Apr-Jun;27(2):133-140

Department of Body Imaging, University of Texas Health Science Center, San Antonio, Texas, USA.

Horseshoe kidney is the most common congenital renal fusion anomaly with an incidence of 1 in 400-600 individuals. The most common type is fusion at the lower poles seen in greater than 90% of the cases, with the rest depicting fusion at the upper poles, resulting in an inverted horseshoe kidney. Embryologically, there are two theories hypothesizing the genesis of horseshoe kidney - mechanical fusion theory and teratogenic event theory. Read More

World Neurosurg 2017 Aug 19;104:674-678. Epub 2017 May 19.

Seattle Science Foundation, Seattle, Washington, USA; Department of Anatomical Sciences, St. George's University, St. George, Grenada, West Indies.

Background: Complications from lateral lumbar interbody fusion procedures range from neurologic deficits to organ and blood vessel injuries. Injury to the ureter has been reported though uncommon. The present study was performed to elucidate the anatomic relationship of the ureter to this surgical approach. Read More

World Neurosurg 2017 Jun 17;102:693.e7-693.e14. Epub 2017 Apr 17.

Department of Neurosurgery, Wiltse Memorial Hospital, Suwon, Korea.

Background: Oblique lumbar interbody fusion is a commonly used surgical method of achieving lumbar interbody fusion. There have been some reports about complications of oblique lumbar interbody fusion at the L2-L3 level. However, to our knowledge, there have been no reports about ureter injury during oblique lumbar interbody fusion. Read More

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2017 Jan;42(1):72-77

Department of Dermatology, Second Xiangya Hospital, Central South University, Changsha 410011, China.

Objective: To determine differences in incidence, causes, clinical manifestation,prognosis between children and adults in patients with Henoch-Schönlein purpura (HSP).
 Methods: We retrospectively analyzed clinical data of 337 patients who hospitalized in the Department of Dermatology, Peace Hospital affiliated to Changzhi Medical College from Feb. 2013 to Jan. Read More

Urology 2017 06 14;104:220-224. Epub 2017 Feb 14.

Department of Pediatric and Adolescent Urology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Objective: To assess the urologic and obstetric outcomes during and after pregnancy following urinary diversion (UD) performed during childhood or adolescence.

Materials And Methods: From our UD database, we identified 25 women who became pregnant between 1981 and 2013. Reasons for UD were neurogenic bladder, exstrophy, trauma, sinus urogenitalis, and interstitial cystitis. Read More

J Spinal Cord Med 2016 11;39(6):679-685

a Department of Orthopedics , The First Affiliated Hospital of Nanjing Medical University , Nanjing , Jiangsu , China.

Objective: Intradural nerve anastomosis for bladder innervation has been demonstrated to be useful. However, its clinical application remains limited because of the complex surgery, its complications and extensive bony destruction. The purpose of the current study was to demonstrate the feasibility of extradural spinal root anastomosis for bladder innervation in canines. Read More

J Trauma Acute Care Surg 2016 Nov;81(5 Suppl 2 Proceedings of the 2015 Military Health System Research Symposium):S95-S99

From the US Army Institute of Surgical Research (N.S.N., J.C.J., J.C.R.), JBSA Fort Sam Houston, Texas; Urology Service, Department of Surgery (S.J.H.), and Department of Orthopaedics (J.C.R.), San Antonio Military Medical Center, JBSA Fort Sam Houston, Texas; Technology Office (E.A.L.), Defence Equipment and Support, Ministry of Defence, Bristol, United Kingdom; Surgical Services (D.W.S.), San Antonio Military Medical Center, JBSA Fort Sam Houston, Texas; Joint Trauma System (J.A.O.), US Army Institute of Surgical Research, JBSA Fort Sam Houston, Texas; Department of Epidemiology and Biostatistics (J.A.O.), University of Texas Health Science Center at San Antonio, San Antonio, Texas.

Background: In Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF), genitourinary (GU) wounds have occurred in unprecedented numbers. Severe concomitant injuries, including extremity amputations, are common. The epidemiology of GU injury and extremity amputation in OEF/OIF has not been described. Read More

Urology 2017 Mar 17;101:158-160. Epub 2016 Oct 17.

University of Virginia, Charlottesville, VA.

Delayed sequelae following conservative management of renal trauma in the pediatric population are uncommon. Reports of delayed operations to manage these sequelae are even less common. Here we present the case of a 16-year-old male patient who had delayed development of upper urinary tract obstruction with recurrent infections following high-grade renal trauma managed conservatively. Read More

Drug Res (Stuttg) 2016 Sep 17;66(9):464-469. Epub 2016 Oct 17.

Drug Discovery & Development II, Taiho Pharmaceutical Co., Ltd., Tsukuba, Japan.

Patients with spinal cord injury (SCI) usually develop lower urinary tract dysfunctions, including detrusor overactivity which is also known to be a risk factor for upper urinary tract dysfunction. Antimuscarinic agents, such as propiverine, have been used clinically for the treatment of detrusor overactivity. Also, propiverine has been known to possess antagonistic activity against L-type Ca channels and transient receptor potential vanilloid subtype 1 (TRPV1), in addition to activity against muscarinic receptors. Read More

Surg Laparosc Endosc Percutan Tech 2016 Oct;26(5):e100-e102

Department of Surgery, Gastrointestinal Surgery Unit, Noble's Hospital, Strang, Douglas, Isle of Man, UK.

Ureteral injury is one of the possible complications of distal colectomies. It may be caused by misidentification of the anatomic landmarks during the left lateral dissection, due to factor pertaining to the patient, the disease, and the surgeon. The only way to reduce the risk of this avoidable complication is the perfect knowledge and identification of the anatomy of the left ureter. Read More

Tunis Med 2016 Mar;94(3):198-202

Objective: Pre-existing renal lesions (PERL) may interfere with the patho-physiology of trauma, alter the radiographic imaging and influence the therapeutic approach. The aims of this study were to record the PERL found incidentally during blunt renal trauma, to specify the place for effective conservative management and to determin the estimated partial permanent disability (PPD).

Patients And Methods: The medical records of 14 patients with PERL and blunt renal trauma were reviewed. Read More

Neurourol Urodyn 2017 04 26;36(4):1219. Epub 2016 Aug 26.

Cerrahpasa Medical Faculty, Department of Urology, Istanbul University, Istanbul, Turkey.

J Rehabil Med 2016 Oct;48(8):683-687

Department of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital and Jinan University, Guangzhou, China.

Objective: To evaluate the safety and effect of botulinum toxin A injection in the detrusor and external urethral sphincter in male patients with detrusor overactivity (DO) and detrusor external sphincter dyssynergia (DESD) secondary to spinal cord injury.

Methods: A multicentre trial was conducted from June 2012 to August 2015. A total of 65 spinal cord injury patients with DO and DESD participated in the study. Read More

J Pak Med Assoc 2016 Jul;66(7):903-4

Department of Urology, the Indus Hospital, Karachi.

Primary renal aspergillosis, though a rare entity, is still seen in immune compromised individuals. Renal aspergillosis may lead to formation of focal abscesses, fungal bezoars and may cause ureteric obstruction. Treatment involves stabilization of patient and removal of fungal bezoars along with administration of anti-fungal agents. Read More

Radiother Oncol 2016 07 29;120(1):145-9. Epub 2016 Jun 29.

Department of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan.

Purpose: The kidney is a dose-limiting organ for upper abdominal radiotherapy. In this study, radiation-induced kidney injury represented by changes of creatinine clearance (Ccr) and renal parenchymal volume measured by computed tomography (CT) were evaluated by analysing dose-volume histograms (DVHs) in patients with primary gastric diffuse large B-cell lymphoma (PGDLBCL) treated with chemoradiotherapy.

Materials And Methods: Thirty-eight PGDLBCL patients (seventy-six kidneys) treated with chemoradiotherapy were included in this study. Read More

Radiother Oncol 2016 09 3;120(3):480-485. Epub 2016 Jun 3.

Institute of Clinical Medicine, Aarhus University, Denmark.

Purpose: Vaginal stenosis is a major problem following radiotherapy in cervical cancer. We investigated a new dose planning strategy for vaginal dose de-escalation (VDD).

Materials And Methods: Fifty consecutive locally advanced cervical cancer patients without lower or middle vaginal involvement at diagnosis from 3 institutions were analysed. Read More

Surg Clin North Am 2016 Jun;96(3):425-39

Department of Urology, Lahey Hospital and Medical Center, Tufts University School of Medicine, 41 Mall Road, Burlington, MA 01805, USA. Electronic address:

Genitourinary trauma usually occurs in the setting of multisystem trauma, accounting for approximately 10% of all emergency department admissions. Timely evaluation and management of the trauma patient have the potential to minimize urologic morbidity and mortality. New imaging modalities and a growing emphasis on nonoperative expectant management of both upper and lower urinary tract injuries have changed the field of urologic trauma. Read More

Brachytherapy 2016 Jul-Aug;15(4):399-405. Epub 2016 May 12.

Department of Radiation Oncology, University of Toronto, Toronto, Canada; Department of Radiation Oncology, Odette Cancer Centre, Toronto, Canada.

Purpose: Ultrasound (US)-based planning for high-dose-rate brachytherapy allows prostate patients to be implanted, imaged, planned, and treated without changing position. This is advantageous with respect to accuracy and efficiency of treatment but is only valuable if plan quality relative to CT is maintained. This study evaluates any dosimetric impact of changing from CT- to US-based planning. Read More

J Pediatr Urol 2016 Oct 22;12(5):294.e1-294.e6. Epub 2016 Apr 22.

Baylor College of Medicine, Division of Pediatric Urology and Texas Children's Hospital, Clinical Care Center, 6701 Fannin Street, 6th Floor, Houston, TX 77030, USA.

Introduction: Some children who sustain high-grade blunt renal injury may require operative intervention. In the present study, it was hypothesized that there are computed tomography (CT) characteristics that can identify which of these children are most likely to need operative intervention.

Materials And Methods: A retrospective review was performed of all pediatric blunt renal trauma patients at a single level-I trauma center from 1990 to 2015. Read More

Curr Probl Diagn Radiol 2017 Jan - Feb;46(1):74-83. Epub 2016 Feb 11.

Mallinckrodt Institute of Radiology, St. Louis, MO.

This article provides pictorial review of complicated upper and lower genitourinary infections and their mimics. Imaging features of upper urinary tract infections including uncomplicated acute pyelonephritis, xanthogranulomatous pyelonephritis (XGPN), emphysematous pyelonephritis, perirenal abscess, and pyonephrosis are first reviewed and then followed by pictorial review of their mimics including contrast-associated nephrotoxicity, renal infarcts, malakoplakia, renal cell cancer, leukemia or lymphoma and Castleman's disease. Next, imaging features of lower urinary tract infections including cystitis, emphysematous cystitis, enterovesical, colovesical and vesicovaginal fistulas, Fournier gangrene, prostatitis, epididymitis, and orchitis are reviewed and then followed by pictorial review of their mimics including gas in the bladder and perineum related to instrumentation, radiation cystitis, bladder cancer, testicular torsion, testicular trauma, and testicular cancer and lymphoma. Read More

Am J Physiol Renal Physiol 2016 06 16;310(11):F1258-68. Epub 2016 Mar 16.

Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky; Frazier Rehab Institute, University of Louisville, Louisville, Kentucky; and Department of Neurological Surgery, University of Louisville, Louisville, Kentucky.

Spinal cord injury (SCI) causes dramatic changes in the quality of life, including coping with bladder dysfunction which requires repeated daily and nightly catheterizations. Our laboratory has recently demonstrated in a rat SCI model that repetitive sensory information generated through task-specific stepping and/or loading can improve nonlocomotor functions, including bladder function (Ward PJ, Herrity AN, Smith RR, Willhite A, Harrison BJ, Petruska JC, Harkema SJ, Hubscher CH. J Neurotrauma 31: 819-833, 2014). Read More

Neurourol Urodyn 2017 03 2;36(3):821. Epub 2016 Mar 2.

ICS Neuro-Urology Promotion Committee, SBU Board of Education, Moinhos de Vento Hospital, Porto Alegre, Brazil.

Prog Urol 2016 Mar 10;26(3):152-8. Epub 2016 Feb 10.

Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address:

Objectives: Ureteral stents and ureteral catheters externalized through the urethra are not ideal solutions to manage complicated upper urinary tract fistulae. We sought an effective method of drainage, minimally invasive, reproducible allowing a rapid patient's discharge.

Patients And Methods: Between November 2013 and February 2015, an ureteral stent was exteriorized in trans-vesico-parietal by an endoscopic and percutaneous access in patients with complicated upper urinary tract fistulae. Read More

J Spinal Cord Med 2016 11;39(2):240-2. Epub 2016 Feb 11.

a Salisbury District Hospital, NHS Foundation Trust , Salisbury , UK.

Context: Keratinizing desquamative squamous metaplasia (KDSM) of the upper urinary tract was previously thought, but never proven, to represent a premalignant condition. However, no clear guidelines exist regarding the long-term management and follow up once this rare diagnosis has been made.

Findings: Patients with spinal cord injury often develop a range of risk factors for malignancy of the urinary tract. Read More

Urol Case Rep 2015 Nov 1;3(6):226-9. Epub 2015 Oct 1.

Medstar Washington Hospital Center, 110 Irving Street, NW, Suite 3B-19, Washington, DC 20010, USA.

This is a unique case of bladder injury from a penetrating upper leg wound. The patient's initial presentation did not suggest genitourinary injury, however the patient had a relatively late episode of gross hematuria that prompted further investigation. Based on findings of bladder laceration, the patient was managed conservatively and did well. Read More

J Nanosci Nanotechnol 2015 Dec;15(12):9899-904

A degradable polycaprolactone(PCL)/poly(lactic-co-glycolic acid, LA:GA = 80:20) (PLGA) ureter tubular stent was fabricated by electrospinning. The structure and properties of the stents were investigated by the mechanical property testing, scanning electron microscopy (SEM), degradability test in vitro and MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. The stent was transplanted to the dorsal muscle of rabbit to evaluate its tissue compatibility. Read More

Pharmacotherapy 2015 Nov;35(11):e169-74

School of Pharmacy and Pharmaceutical Sciences, Department of Pharmacy Practice, State University of New York at Buffalo, Buffalo, New York.

Acute interstitial nephritis (AIN) is a form of acute kidney injury (AKI) characterized by a rapid deterioration of renal function, inflammatory infiltration of interstitial tissues, and renal edema. Drug-induced AIN is the most common etiology of AIN, but AIN can also have infectious, autoimmune, or idiopathic causes. β-Lactam antibacterials, nonsteroidal antiinflammatory drugs, and proton pump inhibitors are recognized as leading causes of AIN; however, many other drugs have been identified as causes. Read More

J Coll Physicians Surg Pak 2015 Nov;25(11):802-6

Department of Oncology, Section of Radiation Oncology, The Aga Khan University Hospital, Karachi.

Objective: To determine the frequency and severity of acute toxicity of pelvic radiotherapy for gynecological cancer.

Study Design: A case series.

Place And Duration Of Study: Department of Oncology, The Aga Khan University Hospital, Karachi, from March 2011 to June 2012. Read More

Curr Opin Urol 2016 Jan;26(1):70-5

aDepartment of Urology, Fundaciò Puigvert, University Autonoma of Barcelona, Barcelona, Spain bDepartment of Urology, University of Modena and Reggio Emilia, Italy.

Purpose Of Review: Ureteral access sheath (UAS) became increasingly popular worldwide. However, the safety of its routine use remains controversial. The aim of the current revision is to provide a systematic review on the benefits and disadvantages of the UAS. Read More

BMJ Case Rep 2015 Nov 5;2015. Epub 2015 Nov 5.

Department of surgery, Pediatric surgery section, KAMC-JD, National Guard Health Affairs, Jeddah, Saudi Arabia.

A 4-year-old boy, not known to have any medical illness, presented to several medical facilities reporting right upper quadrant and right flank pain, intermittent fever and chills for 3 months. A CT of the abdomen showed that a swallowed 'bobby pin' had pierced through the right kidney. This finding explained the boy's symptoms. Read More

Int Urogynecol J 2016 Mar 31;27(3):495-7. Epub 2015 Oct 31.

Università Milano Bicocca, Azienda Ospedaliera San Gerardo, Via Pergolesi, 33-20900, Monza, MB, Italy.

Introduction And Hypothesis: Unsuccessful primary repair of fourth-degree obstetric trauma can lead to permanent communication between the rectum and the vagina, which, in association with full-thickness anal sphincter defects, is characterized by complete fecal incontinence and severe impairment of quality of life. The aim of this video is to serve as a tutorial for repair.

Methods: A 27-year-old woman who developed a full-thickness recto-vaginal defect extended from the perineum to the upper third of the vagina has been managed through layered surgical repair without flaps. Read More

J Endourol 2016 Mar 23;30(3):257-61. Epub 2015 Nov 23.

Department of Urology, Thomas Jefferson University Hospital , Philadelphia, Pennsylvania .

Background: Flexible and semirigid ureteroscopy (URS) are widely performed for the treatment of upper tract calculi and tumors. Ureteral avulsion is a rare, but devastating complication of endoscopic stone removal having multiple possible etiologies. Awareness and avoidance of this rare complication depend on identifying responsible mechanisms. Read More

Neurourol Urodyn 2017 01 23;36(1):136-141. Epub 2015 Sep 23.

Department of Rehabilitation Medicine, National Rehabilitation Center, Ministry of Health and Welfare, Gangbuk-gu, Seoul, Korea.

Aims: Few studies have depicted urological disturbances among patients with chronic brainstem stroke, and little is known about the exact location of the micturition center or its role in humans. The aim of the present study was to retrospectively investigate urological disturbances and their neuroanatomical correlates among consecutively admitted patients with chronic brainstem stroke.

Methods: Urodynamic studies, brain images, and urological symptoms questionnaires were reviewed from consecutive patients suffering from brainstem stroke, who had been admitted to a stroke unit at a rehabilitation hospital between June 1, 2013 and January 31, 2015. Read More

Urologiia 2015 May-Jun(3):14-8

The aim of the study was to analyze the causes of ureteral ruptures and the types surgical procedures used for their management. Over the period from 2006 to 2014, 7 patients with ureteral ruptures underwent surgical treatment in the Mechnikov N-WSMU clinic. All of them were males aged 50 to 71 years. Read More

J Laparoendosc Adv Surg Tech A 2015 Oct 21;25(10):864-9. Epub 2015 Sep 21.

6 Department of Pediatric Surgery, CHU Lenval , Nice, France .

Purpose: Retroperitoneoscopic partial nephrectomy (RPN) in children is considered a complex technique with limited diffusion among pediatric surgeons and urologists. We aimed to report the outcome of this technique in infants and children with duplex kidney in a 5-year retrospective multicentric international survey.

Materials And Methods: Data on 50 children who underwent RPN (41 upper-pole nephrectomies and 9 lower-pole nephrectomies) were retrospectively collected in this six-institution survey. Read More

J Gastrointest Surg 2015 Dec 20;19(12):2283-5. Epub 2015 Aug 20.

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, University of Sydney, St. Leonards, NSW, Australia, 2065.

Inguinoscrotal gastric herniation is a rare occurrence and generally presents with obstruction when encountered. We present a case of acute spontaneous gastric rupture in a giant inguinoscrotal hernia which was managed surgically in a one-stage procedure with primary gastric and hernia repair. A subtotal colectomy was performed due to risk of volvulus as well as allowing for primary closure of the abdominal wall. Read More

Injury 2016 Jan 9;47(1):89-93. Epub 2015 Jul 9.

Department of Surgery, Santa Casa de Sao Paulo School of Medical Sciences, Emergency Service, Irmandade da Santa Casa de São Paulo, São Paulo, Brazil.

Background: to assess the severity and treatment of "occult" intra-abdominal injuries in blunt trauma victims.

Method: Retrospective analysis of charts and trauma register data of adult blunt trauma victims, admitted without abdominal pain or alterations in the abdominal physical examination, but were subsequently diagnosed with intra-abdominal injuries, in a period of 2 years. The severity was stratified according to RTS, AIS, OIS and ISS. Read More

Burns 2015 Dec 15;41(8):1764-1774. Epub 2015 Jul 15.

Department of Chemistry, Chemical Biology and Biomedical Engineering, Stevens Institute of Technology, Hoboken, NJ 07030, USA. Electronic address:

Creation of functional skin substitutes within a clinically acceptable time window is essential for timely repair and management of large wounds such as extensive burns. The aim of this study was to investigate the possibility of fabricating skin substitutes via a bottom-up nanofiber-enabled cell assembly approach and using such substitutes for full-thickness wound repair in nude mice. Following a layer-by-layer (L-b-L) manner, human primary skin cells (fibroblasts and keratinocytes) were rapidly assembled together with electrospun polycaprolactone (PCL)/collagen (3:1, w/w; 8%, w/v) nanofibers into 3D constructs, in which fibroblasts and keratinocytes were located in the bottom and upper portion respectively. Read More

Neurol Sci 2015 Nov 3;36(11):2061-5. Epub 2015 Jul 3.

Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.

There have been previous reports of both demographic and clinical features with urodynamic evaluation results of patients with traumatic spinal cord injury (SCI). These studies were conducted on patients with cervical and thoracal SCI, but there has been no comparative study evaluating the urodynamic outcomes of patients with lumbosacral SCI. Therefore, it was aimed to investigate the bladder features and treatment options in patients with lumbosacral SCI to be able to take appropriate therapeutic decisions. Read More

Lancet Neurol 2015 Jul;14(7):720-32

Neuro-Urology, Spinal Cord Injury Center, University of Zürich, Balgrist University Hospital, Zürich, Switzerland.

Lower urinary tract (LUT) dysfunction is a common sequela of neurological disease, resulting in symptoms that have a pronounced effect on quality of life. The site and nature of the neurological lesion affect the pattern of dysfunction. The risk of developing upper urinary tract damage and renal failure is much lower in patients with slowly progressive non-traumatic neurological disorders than in those with spinal cord injury or spina bifida; this difference in morbidity is taken into account in the development of appropriate management algorithms. Read More

Biol Trace Elem Res 2015 Dec 5;168(2):335-9. Epub 2015 Jun 5.

National Key Disciplines, Department of Forensic and Pathology, Shantou University Medical College, 515041, Shantou, Guangdong Province, People's Republic of China.

Proper trace element level is crucial for the organs in maintaining normal physiological functions. Multiple organ failure (MOF) might be added to critically ill patients due to a lack of trace elements. Alterations of trace element levels in brain, heart, liver, and kidney after severe trauma, however, have been little studied so far. Read More

Cancer Radiother 2015 Apr 11;19(2):120-6. Epub 2015 Mar 11.

Département de radiothérapie, institut de cancérologie de l'Ouest, site Paul-Papin, 2, rue Moll, 49000 Angers, France.

Urothelial carcinomas of the upper urinary tract are rare entities. Surgery remains the mainstay of the management. The use of others therapeutic modalities is not clearly defined yet. Read More