441 results match your criteria abdominal bulge

Retrorectal cystic hamartoma: A case report.

Ann Med Surg (Lond) 2021 Jun 28;66:102362. Epub 2021 Apr 28.

Surgical Department of Cancerology and Liver Transplantation Universitary Hospital Center Casablanca morocco, Morocco.

Introduction: and importance: Retrorectal cystic hamartoma (RCH) is a rare congenital lesion of the presacral space, which is part of the vestigial cystic tumors often benign and predominantly in women. Generally asymptomatic, the appearance of symptoms such as pain or neurological disorders should raise suspicion of degeneration.

Case Presentation: We report an unusual observation of a 62-year-old patient admitted for perineal pain evolving for 2 months associated with tenesma and chronic constipation. Read More

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Role of Ultrasound and MRI in Diagnosis of Severe Placenta Accreta Spectrum Disorder: An Intraindividual Assessment With Emphasis on Placental Bulge.

AJR Am J Roentgenol 2021 May 26. Epub 2021 May 26.

Department of Radiology, University of Washington School of Medicine, Seattle, WA, USA.

The placental bulge sign (focal area of myometrial-placental bulging beyond the normal uterine contour) on ultrasound (US) or MRI is postulated to represent deeper venous invasion in placental accreta spectrum (PAS) disorder and may represent severe PAS. To evaluate the diagnostic performance and interobserver agreement of US and MRI features for diagnosis of severe PAS, with an emphasis on the placental bulge sign. This retrospective study included 62 pregnant women (mean age 33. Read More

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A rare case of retroperitoneal teratoma with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome.

BMJ Case Rep 2021 May 19;14(5). Epub 2021 May 19.

Department of Pediatrics, Osaka Red Cross Hospital, Osaka, Japan.

A 9-month-old girl presented with progressive abdominal distension. Imaging revealed a huge cystic mass in the left retroperitoneum with solid components. The right kidney was absent and hydrometrocolpos was found. Read More

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Segmental Zoster Paresis of Lower Thoracic Segment Presenting as Pseudohernia-A Report of Three Cases.

Indian Dermatol Online J 2021 Mar-Apr;12(2):324-326. Epub 2021 Feb 22.

Department of Dermatology, Venereology and Leprosy, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.

Segmental zoster paresis is characterized by focal motor weakness affecting the myotome corresponding to the dermatomal distribution of the rash. Clinically, it presents as pseudohernia when it involves abdominal wall muscles. We report three cases of segmental zoster paresis presenting as pseudohernia of abdominal wall. Read More

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February 2021

Is Pregnancy Following a TRAM or DIEP Flap Safe? A Critical Systematic Review and Meta-analysis.

Ao Fu Chunjun Liu

Aesthetic Plast Surg 2021 Apr 23. Epub 2021 Apr 23.

Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Background: Previous data were not conclusive on the safety of gestation in patients whose abdominal flaps were earlier harvested. We performed a meta-analysis to evaluate the abdominal wall complications and birth mode of pregnancy in post-TRAM or post-DIEP harvested individuals.

Methods: A literature search was performed using the PubMed, Embase, Scopus, and Google scholar database. Read More

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Efficacy of Closed Incision Negative Pressure Wound Therapy on Abdominal Donor Site After Free Flap Breast Reconstruction.

Wounds 2021 Apr;33(4):81-85

Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, Houston, Texas.

Introduction: Negative pressure wound therapy (NPWT) has been used to treat acute and chronic wounds in a variety of scenarios. Specifically, in autologous breast reconstruction, studies investigating the use of closed incision NPWT (ciNPWT) in breast surgery are lacking.

Objective: The aim of this study was to analyze the use of ciNPWT at the abdominal donor site following deep inferior epigastric perforator (DIEP) flap breast reconstruction. Read More

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A case of Spigelian hernia after laparoscopic incisional hernia repair.

Asian J Endosc Surg 2021 Apr 13. Epub 2021 Apr 13.

Department of Surgery, Hyogo Prefectural Kakogawa Medical Center, Kakogawa, Japan.

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh reinforcement is often performed in clinical practice. We herein describe a patient who developed a Spigelian hernia at the edge of the mesh due to rupture of the muscular layer in the abdominal wall. A 69-year-old woman developed a left-sided abdominal bulge 15 months after laparoscopic ventral hernia repair. Read More

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Patient-reported outcome measures of abdominal wall morbidity after flank incision for open partial nephrectomy.

BJU Int 2021 Apr 7. Epub 2021 Apr 7.

Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.

Objective: To compare patient-reported outcome measures in patients with and without abdominal wall complications after open partial nephrectomy (OPN) via flank incision.

Patients And Methods: Patient-reported outcome measures were collected in 2017 from all patients operated on with OPN via flank incision between 2004 and 2016 in Västerbotten County, Sweden. Patients were mailed the ventral hernia pain questionnaire (VHPQ) and an abdominal wall asymmetry (AWA) questionnaire to evaluate postoperative AWA, attributed to bulge or incisional hernia. Read More

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The Association Between Curvature and Rupture in a Murine Model of Abdominal Aortic Aneurysm and Dissection.

Exp Mech 2021 Jan 15;61(1):203-216. Epub 2020 Sep 15.

Biomedical Engineering Program, University of South Carolina, Columbia, SC, USA.

Background: Mouse models of abdominal aortic aneurysm (AAA) and dissection have proven to be invaluable in the advancement of diagnostics and therapeutics by providing a platform to decipher response variables that are elusive in human populations. One such model involves systemic Angiotensin II (Ang-II) infusion into low density-lipoprotein receptor-deficient (LDLr-/-) mice leading to intramural thrombus formation, inflammation, matrix degradation, dilation, and dissection. Despite its effectiveness, considerable experimental variability has been observed in AAAs taken from our Ang-II infused LDLr-/- mice (n=12) with obvious dissection occurring in 3 samples, outer bulge radii ranging from 0. Read More

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January 2021

Postoperative Abdominal Bulge and Hernia Rates in Patients Undergoing Abdominally Based Autologous Breast Reconstruction: Systematic Review and Meta-Analysis.

Ann Plast Surg 2021 04;86(4):476-484

From the Division of Plastic Surgery, Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Mexico.

Abstract: Bulge and hernia may occur after abdominally based breast reconstruction. The purpose of this study is to provide an estimate of the effects that the type of flap used for breast reconstruction (ie, transverse rectus abdominis muscle [TRAM] vs muscle-sparing [MS]-2 TRAM vs DIEP) has on the postoperative development of both abdominal bulge and abdominal hernia, taking into consideration the method of donor site closure (ie, with mesh vs without mesh), based on the available literature. Twenty-eight studies met the inclusion criteria and were included in the systematic review. Read More

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Complex abdominal wall reconstruction after oncologic resection in a sequalae of giant omphalocele: A case report.

Int J Surg Case Rep 2021 Apr 2;81:105707. Epub 2021 Mar 2.

Digestiv Surgery and Hepatic Transplantation Service, CHU-Nice, France.

Introduction: Trauma injuries and oncologic resection are common aetiologies of complex abdominal wall defect. Reconstruction of abdominal wall is an everlasting question for general, paediatric and reconstructive surgeons. The plethora of techniques, bioprosthetic and engineered tissues offer countless possibilities. Read More

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The Impact of Prior Abdominal Surgery on Complications of Abdominally Based Autologous Breast Reconstruction: A Systematic Review and Meta-Analysis.

J Reconstr Microsurg 2021 Mar 1. Epub 2021 Mar 1.

Department of Surgery, Division of Plastic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Background:  Approximately half of all patients presenting for autologous breast reconstruction have abdominal scars from prior surgery, the presence of which is considered by some a relative contraindication for abdominally based reconstruction. This meta-analysis examines the impact of prior abdominal surgery on the complication profile of breast reconstruction with abdominally based free tissue transfer.

Methods:  Literature search was conducted using PubMed, Scopus, and Web of Science. Read More

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Prevalence of urinary, prolapse, and bowel symptoms in Mayer-Rokitansky-Küster-Hauser syndrome.

Am J Obstet Gynecol 2021 Feb 20. Epub 2021 Feb 20.

Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.

Background: Müllerian agenesis, or Mayer-Rokitansky-Küster-Hauser syndrome, occurs in 1 in 4500 to 5000 individuals assigned female sex at birth. Pelvic floor symptoms among individuals with Mayer-Rokitansky-Küster-Hauser syndrome have not been well studied, and it is unknown how vaginal lengthening treatments affect these symptoms.

Objective: This study aimed to assess urinary, prolapse, and bowel symptoms in individuals with Mayer-Rokitansky-Küster-Hauser syndrome and to determine whether symptoms vary by vaginal lengthening treatment. Read More

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February 2021

Polypropylene Mesh Complications in the Sublay Position After Abdominally Based Breast Reconstruction: Les complications des treillis de polypropylène en sous-couche après une reconstruction mammaire par voie abdominale.

Plast Surg (Oakv) 2021 Feb 20;29(1):16-20. Epub 2020 Jul 20.

Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, OH, USA.

Introduction: Abdominal wall morbidity after microsurgical breast reconstruction is an important consideration for patients and surgeons. Previous studies are limited by multiple mesh locations or types. In this study, we evaluate specifically subfascial polypropylene mesh placement to determine a more definitive complication rate and basis for objective comparison. Read More

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February 2021

Cervical lymph node enlargement as the initial manifestation of rectal cancer.

BMC Gastroenterol 2021 Feb 9;21(1):57. Epub 2021 Feb 9.

Department of Pathology, Qilu Hospital of Shandong University, 107 West Wen Hua Road, Jinan, 250012, Shandong, China.

Background: Colorectal cancer is a very common malignant tumor worldwide. The clinical manifestations of advanced colorectal cancer include the changes in bowel habits, hematochezia, diarrhea, local abdominal pain and other symptoms. However, the colorectal cancer with an initial symptom of cervical lymph node enlargement is extremely rare. Read More

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February 2021

Guideline No. 413: Surgical Management of Apical Pelvic Organ Prolapse in Women.

J Obstet Gynaecol Can 2021 04 3;43(4):511-523.e1. Epub 2021 Feb 3.

Montréal, QC. Electronic address:

Objective: To compare success and complication rates of apical suspension procedures for the surgical management of symptomatic uterine or vaginal vault prolapse.

Target Population: Women with symptomatic uterine or vaginal vault prolapse seeking surgical correction.

Options: Interventions included abdominal apical reconstructive repairs (sacrocolpopexy, sacrohysteropexy, or uterosacral hysteropexy) via open, laparoscopic, or robotic approaches; vaginal apical reconstructive repairs (vault suspensions or hysteropexy, sacrospinous, uterosacral, iliococcygeus, McCall's, or Manchester types); and vaginal obliterative procedures (with or without uterus in situ). Read More

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Surgical techniques for repair of abdominal rectus diastasis: a scoping review.

J Plast Surg Hand Surg 2021 Jan 27:1-7. Epub 2021 Jan 27.

Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev, Denmark.

Rectus diastasis is characterized by widening and laxity of the linea alba, causing the abdominal content to bulge. Rectus diastasis is treated either conservatively with physiotherapy, or surgically, surgical treatment showing especially convincing results. The primary aim of this study was to describe surgical techniques used to correct abdominal rectus diastasis. Read More

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January 2021

Abdominal weakness, bulge, or hernia after DIEP flaps: An algorithm of management, prevention, and surgical repair with classification.

J Plast Reconstr Aesthet Surg 2020 Dec 26. Epub 2020 Dec 26.

Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, 4th Floor, Dallas, TX, United States. Electronic address:

Background: This study analyzes abdominal weakness, hernia, and bulge following deep inferior epigastric perforator (DIEP) flap breast reconstruction. Abdominal wall morbidities are categorized, and an algorithm for management is provided.

Methods: A retrospective review of 644 patients who underwent abdominal based flap breast reconstruction between 2009 and 2018 and met selection criteria was performed. Read More

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December 2020

Coupled Hemodynamics and Oxygen Diffusion in Abdominal Aortic Aneurysm: A Computational Sensitivity Study.

Cardiovasc Eng Technol 2021 Apr 19;12(2):166-182. Epub 2021 Jan 19.

Department of Engineering, Rangos School of Health Sciences, Duquesne University, 413 Libermann Hall, 600 Forbes Avenue, Pittsburgh, PA, 15282, USA.

Purpose: Abdominal Aortic Aneurysms (AAA) have extreme medical prevalence as an asymptomatic cause of death in developed countries. The probability of AAA rupture is promoted by the localized oxygen loss in the AAA wall which occurs in part because many AAAs contain a layer called intraluminal thrombus (ILT). Considering this strong clinical association, the purpose of this study is to investigate the key features that constitute to the oxygen diffusion, and therefore hypoxia in AAA. Read More

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Pedicled Myocutaneous Flap Breast Reconstruction in the Community Hospital Setting: An Analysis of Cost and Complications.

Cureus 2020 Nov 30;12(11):e11806. Epub 2020 Nov 30.

Plastic and Reconstructive Surgery, Washington University, St. Louis, USA.

Background Free tissue transfer breast reconstruction is an option for breast cancer patients that is precluded by a number of factors. The authors' objective was to assess the use of pedicled myocutaneous breast reconstruction in the community hospital setting, with more limited resources, as a viable option with comparable rates of complications, cost, and outcomes. Methods The authors performed a retrospective cohort review of pedicled myocutaneous breast reconstructions of a single surgeon at a community-based institution from 2015 to 2019. Read More

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November 2020

Advantages of robotic surgery in the treatment of complex pelvic organs prolapse.

Updates Surg 2021 Jun 2;73(3):1115-1124. Epub 2021 Jan 2.

Department of Gynecology and Obstetrics, Santa Chiara University Hospital, Pisa, Italy.

Robot-assisted surgery is safe and effective to treat the complex pelvic organs prolapse (C-POP). The present study analyzes all the robotic procedures and their advantages in the treatment of C-POP performed in a Proctologic and Pelvic Floor Clinical Centre. All the patients affected by C-POP who had robot-assisted surgery were retrospective analyzed. Read More

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Incisional hernia after extreme lateral interbody fusion on the lumbar spine: A case report.

Int J Surg Case Rep 2021 Jan 9;78:130-132. Epub 2020 Dec 9.

Department of Surgery, Sagamihara Kyodo Hospital, Japan.

Introduction: Extreme lateral interbody fusion is a minimally invasive lateral transpsoas approach for spine surgery. We herein report a case of an incisional hernia after an extreme lateral interbody fusion on the lumbar spine that was successfully treated by laparoscopic surgery with intraperitoneal onlay mesh repair.

Presentation Of Case: A 78-year-old woman was referred to our hospital with a complaint of left abdominal bulge and pain. Read More

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January 2021

Subphrenic splenic implantation after splenectomy: A case report.

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2020 Oct;45(10):1266-1268

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

Subphrenic splenic implantation is a rare disease, usually occurred followed the splenic trauma and splenectomy. Surgeries are often necessary for diagnosing and treating it. A 46-year-old male post-splenectomy patient, tolerating abdominal bloating and pain for more than 1 year, was admitted to the Second Xiangya Hospital, Central South University. Read More

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October 2020

Laparoscopy allows the harvest of the DIEP flap with shorter fascial incisions as compared to endoscopic harvest: A single surgeon retrospective cohort study.

J Plast Reconstr Aesthet Surg 2021 Jun 9;74(6):1203-1212. Epub 2020 Nov 9.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA.

Background: We present a comparative series to utilize minimally invasive endoscopic, total extraperitoneal laparoscopic (TEP-lap), and transabdominal preperitoneal robotic perforator (TAP-RAP) harvest of the deep inferior epigastric (DIE) vessels for autologous breast reconstruction (ABR) to mitigate donor site morbidity. We hypothesized that TEP-lap and TAP-RAP harvests of abdominal-based free flaps are safe techniques associated with decreased fascial incision when compared with the endoscopic harvest.

Methods: We designed a retrospective cohort series of subjects with newly diagnosed breast cancer who presented for ABR using endoscopic (control), laparoscopic, or robotic assistance between September 2017 and April 2019. Read More

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Complications and Patient-reported Outcomes after TRAM and DIEP Flaps: A Systematic Review and Meta-analysis.

Plast Reconstr Surg Glob Open 2020 Oct 29;8(10):e3120. Epub 2020 Oct 29.

Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, Md.

Introduction: Transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric artery perforator (DIEP) flaps are the most common abdominally based breast reconstruction procedures. Each technique has its advantages and disadvantages; however, how morbidity relates to satisfaction is not well-understood. Our aim was to compare complications and patient-reported outcomes following pedicled TRAM (pTRAM), free TRAM (fTRAM), and DIEP flaps to guide flap selection. Read More

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October 2020

HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia.

Pilot Feasibility Stud 2020 24;6:142. Epub 2020 Sep 24.

Research Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT UK.

Background: Parastomal hernia (PSH) can be repaired surgically, but results to date have been disappointing, with reported recurrence rates of 30 to 76%. Other types of intervention are therefore needed to improve the quality of life of people with PSH. One potential intervention is physical activity. Read More

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September 2020

Ipsilateral Abdominal Bulge Caused by Postherpetic Pseudohernia.

Am J Gastroenterol 2021 Jun;116(6):1116

Department of Primary Care and Community Health, Aichi Medical University, Nagakute, Japan.

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A comparative study for the rate of adverse outcomes in unilateral and bilateral abdominal flap breast reconstruction: A meta-analysis.

Medicine (Baltimore) 2020 Sep;99(37):e22096

Department of Orthopedics, Xiangya Hospital of Central South University.

Background: Adverse outcomes after unilateral vs bilateral breast reconstruction involve an unknown level of risk that warrants thorough investigation.

Methods: To address this research need, PubMed, Ovid, Medline, EMBASE, and Scopus databases were searched through systematically from January 1, 1990, to January 1, 2019 to retrieve the relevant studies on the risk of postoperative complications after unilateral vs bilateral abdominal flap breast reconstruction. According to the pre-designed inclusion criteria, available data were extracted from the relevant studies, and then analyzed comparatively in order to identify the relative risk (RR) and 95% confidence intervals (CI) applying either a random or a fixed effects model. Read More

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September 2020

Pleuroperitoneal true diaphragmatic hernia of the liver in a cat.

Tierarztl Prax Ausg K Kleintiere Heimtiere 2020 Aug 21;48(4):292-296. Epub 2020 Aug 21.

Department of Internal Medicine, Faculty of Veterinary Medicine, Near East University Nicosia, TRNC.

A 2-year old female domestic shorthair cat was referred with intermittent vomiting. Laboratory analyses revealed only an elevated alanine aminotransferase activity. Plain thoracic radiographs showed a right-sided transdiaphragm protrusion of a liver lobe into the thoracic cavity. Read More

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A New Surgical Technique of Combination Retroperitoneal with Transperitoneal Laparoscopic Nephroureterectomy in a Single Position and Comparative Outcomes.

Cancer Manag Res 2020 13;12:5721-5728. Epub 2020 Jul 13.

Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, People's Republic of China.

Background: The traditional surgical treatment for upper urinary tract urothelial carcinoma (UTUC) is time-consuming owing to changing the surgical position and larger surgical trauma because of open surgery in handling the distal ureter. Therefore, we created a new surgical technique of combination retroperitoneal with transperitoneal (CRT) laparoscopic nephroureterectomy (LNU) in a single position and here report our early outcomes.

Methods: From January 2017 to December 2019, a total of 106 patients underwent LNU by a single surgeon at our department, of whom 50 patients underwent standard technique and 56 patients underwent CRT technique. Read More

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