1,271 results match your criteria low groin

Historical analysis of the diagnosis and management of femoroacetabular impingement prior to the year 2000: a systematic review.

J Hip Preserv Surg 2020 Aug 14;7(3):378-389. Epub 2020 Dec 14.

Division of Orthopaedic Surgery, Department of Surgery, Evidence, and Impact, McMaster University Medical Centre, 1200 Main Street West, 4E15, Hamilton, ON L8N 3Z5, Canada.

: This systematic review aims to assess the diagnosis, indications and treatment of femoroacetabular impingement (FAI) prior to the year 2000 and to determine if historical concepts remain applicable today. PUBMED, MEDLINE and EMBASE were searched for literature evaluating the diagnosis/treatment of FAI prior to 2000. Cadaver/non-human, non-English and review studies were excluded. Read More

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Diagnostic accuracy of patient history in the diagnosis of hip-related pain: a systematic review.

Arch Phys Med Rehabil 2021 Apr 27. Epub 2021 Apr 27.

Doctor of Physical Therapy Program, Department of Public Health & Community Medicine, Tufts University School of Medicine.

Objective: To investigate the diagnostic accuracy of patient history associated with hip pain.

Data Sources: A systematic, computerized search of electronic databases (PubMed, MEDLINE, CINAHL, and Web of Science), a search of the grey literature, and review of the primary authors personal library was performed. Hip specific search terms were combined with diagnostic accuracy and subjective/self-report history-based search terms using the Boolean operator AND. Read More

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Scrub eschar.

IDCases 2021 26;24:e01086. Epub 2021 Mar 26.

Department of Internal Medicine, Post Graduate Institute of Medical Education and Medical Research, Chandigarh, India.

A 60-year-old female presented to the emergency room with fever and myalgias for four days and shortness of breath for two days. On clinical examination, she was tachypneic and blood oxygen saturation of 86 % on room air. There was an eschar of size 1 × 1 cm on the left infraclavicular area (Fig. Read More

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Intra-Operative Vascular Injury and Control During Laparoscopic and Robotic Mesh Explantation for Chronic Post Herniorrhaphy Inguinal Pain (CPIP).

Surg Technol Int 2021 04 20;38. Epub 2021 Apr 20.

Department of Surgery, David Geffen School of Medicine, Lichtenstein Amid Hernia Institute at UCLA Santa Monica, CA, USA.

Introduction: Chronic postherniorrhaphy inguinal pain (CPIP) is common following inguinal hernia repair. As even primary minimally-invasive inguinal hernia repairs carry a risk of significant intra-operative bleeding, it is unsurprising that reoperative groin exploration and mesh explantation for chronic post-inguinal herniorrhaphy pain confers an even higher risk of arteriotomy or venotomy due to a distorted anatomy and the presence of adhesions. In this report, we present a single institution's experience with the management of intra-operative vascular injury encountered during minimally invasive groin exploration and mesh explantation for CPIP. Read More

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Unusual Clinical Presentation of Giant Extragenital Condyloma.

Acta Dermatovenerol Croat 2020 Dec;28(7):240-241

Andrija Jovic, MD, Clinical Center of Nis, Clinic of Dermatovenereology , Bulevar Zorana Djindjica 48, Nis, Serbia;

Dear editor, Condylomata accuminatum (CA) is a human papillomavirus (HPV) related sexually transmitted infection (STI), clinically characterized by solitary or even clustered dark red or pink lesions solely affecting the anogenital area (1). CA involving the extragenital, non-mucosal skin has been sporadically reported (2-4). Diagnosis of CA is usually straightforward when the lesions are located on the anogenital area. Read More

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December 2020

Robotic-assisted laparoscopic inguinal hernia repair after previous transabdominal prostatectomy.

Surg Endosc 2021 Apr 1. Epub 2021 Apr 1.

Department of Surgery, Maria Middelares, Ghent, Belgium.

Background: Transabdominal prostatectomy results in scarring of the retropubic space and this might complicate subsequent preperitoneal dissection and mesh placement during minimally invasive inguinal hernia repair. Therefore, it suggested that an open anterior technique should be used rather than a minimally invasive posterior technique in these patients.

Methods: In this single-center study, a retrospective analysis of a prospectively maintained database was performed. Read More

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The conservative treatment of longstanding adductor-related groin pain syndrome: a critical and systematic review.

Biol Sport 2021 Mar 5;38(1):45-63. Epub 2020 Aug 5.

FC Internazionale Medical Staff, Milan, Italy.

Longstanding (chronic) adductor-related groin pain syndrome is a widely common problem for athletes in many sports activities which often drastically reduces player activity and performance. The first choice in therapeutic treatment is conservative therapy. The objective of this study is to provide a systematic review regarding conservative treatment for longstanding adductor-related groin pain syndrome present in literature today. Read More

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Thrombocytopenia: Effect in Ischemic and Hemorrhagic Stroke.

Dimens Crit Care Nurs 2021 May-Jun 01;40(3):139-148

Background: There are 2 classification of strokes: ischemic, if caused by an arterial occlusion from a clot or obstruction by atherosclerosis, and hemorrhagic, if caused by the rupture of a vessel and subsequent bleeding. Each type of stroke is influenced by platelet counts and platelet function. The intention of this article is to discuss the role of the platelet in the pathophysiology of acute stroke processes. Read More

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High-resolution ultrasound of spigelian and groin hernias: a closer look at fascial architecture and aponeurotic passageways.

J Ultrason 2021 8;21(84):53-62. Epub 2021 Mar 8.

Department of Health Science (DISSAL), Università di Genova, Genova, Italy.

From the clinical point of view, a proper diagnosis of spigelian, inguinal and femoral hernias may be relevant for orienting the patient's management, as these conditions carry a different risk of complications and require specific approaches and treatments. Imaging may play a significant role in the diagnostic work-up of patients with suspected abdominal hernias, as the identification and categorization of these conditions is often unfeasible on clinical ground. Ultrasound imaging is particularly suited for this purpose, owing to its dynamic capabilities, high accuracy, low cost and wide availability. Read More

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Effect of COVID-19 pandemic on stroke admissions and quality of stroke interventional treatment in Masovian Voivodeship.

Neurol Neurochir Pol 2021 30;55(2):223-226. Epub 2021 Mar 30.

Clinic of Neurology, Military Institute of Medicine, Szaserów 128, 04-141 Warsaw, Poland.

Aim Of Study: To assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on the pathway of stroke interventional services and major quality indicators of stroke reperfusion therapies in Masovian Voivodeship.

Materials And Methods: An exploratory retrospective analysis was performed at two comprehensive stroke centres to assess changes in stroke care between the early phase of the COVID-19 pandemic (weeks 10-18 of 2020) and the same period in 2019.

Results: Of the 419 included stroke patients, 186 (44. Read More

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Outcomes of Vascularized Lymph Node Transplantation for Treatment of Lymphedema.

J Am Coll Surg 2021 Mar 22. Epub 2021 Mar 22.

Department of Plastic Surgery, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX.

Background: A growing body of evidence supports the efficacy of surgical treatments for lymphedema. This study reports the outcomes of vascularized lymph node transplantation (VLNT) for the treatment of patients with lymphedema compared with maximal conservative treatment alone.

Study Design: Consecutive patients undergoing VLNT to treat primary and secondary lymphedema affecting the upper or lower extremities were included. Read More

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Ultrasound-guided cannulation of the superficial femoral vein for central venous access.

J Vasc Access 2021 Mar 21:11297298211003745. Epub 2021 Mar 21.

Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.

Background: In some clinical conditions, central venous access is preferably or necessarily achieved by threading the catheter into the inferior vena cava. This can be obtained not only by puncture of the common femoral vein at the groin, but also-as suggested by few recent studies-by puncture of the superficial femoral vein at mid-thigh.

Methods: We have retrospectively reviewed our experience with central catheters inserted by ultrasound-guided puncture and cannulation of the superficial femoral vein, focusing mainly on indications, technique of venipuncture, and incidence of immediate/early complications. Read More

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The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines.

BMC Surg 2021 Mar 21;21(1):152. Epub 2021 Mar 21.

General Surgery Department, R. A. Calderón Guardia Hospital, San José, Costa Rica.

Background: Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the management and technique are not uniform. The International Guideline for Groin Hernia management was published in 2018 to standardize the inguinal hernia surgery, but the diffusion of the guidelines and its adherence have been extremely varied.

Purpose: Collect and analyze the current reality regarding groin hernia management in Costa Rica. Read More

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Patterns of recurrence and survival in vulvar cancer: A nationwide population-based study.

Gynecol Oncol 2021 Mar 15. Epub 2021 Mar 15.

Dept of Hereditary Cancer, Karolinska University Hospital, Dept of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.

Objective: To examine the patterns of recurrence and how these patterns are associated with survival in vulvar squamous cell carcinoma. We also explored the survival impact of surgical groin staging (SGS).

Methods: Nationwide population-based study including women diagnosed with vulvar squamous cell carcinoma between 2012 and 2015 and registered in the Swedish Quality Registry for Gynecologic Cancer. Read More

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Intramuscular abdominal hibernoma: case report of a rare tumour and a review of the literature.

J Surg Case Rep 2021 Feb 28;2021(2):rjaa304. Epub 2021 Feb 28.

School of Medicine, Griffith University, Southport, Queensland, Australia.

Hibernoma is a rare benign tumour that was first described by Merkel in 1906. It arises from remnants of brown fat and has a differential diagnosis of lipoma and liposarcoma. This is a case report of a 31-year-old male with a slow-growing mass in the left flank that produced constant pain radiating to the groin. Read More

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February 2021

Abdominal Wall Hernias: An Epidemiological Profile and Surgical Experience from a Rural Medical College in Central India.

Surg J (N Y) 2021 Jan 11;7(1):e41-e46. Epub 2021 Mar 11.

Department of Surgery, Mahatma Gandhi Institute of Medical Sciences, Wardha, India.

 Abdominal wall hernia is a common surgical entity worldwide with groin hernias having the most common presentation among them. They are a cause of morbidity and mortality if not addressed in time. A variety of surgical methods are available for the repair of hernias. Read More

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January 2021

The value of MRI STIR signal intensity on return to play prognosis and reinjury risk estimation in athletes with acute hamstring injuries.

J Sci Med Sport 2021 Feb 17. Epub 2021 Feb 17.

Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam University Medical Centers, The Netherlands; Academic Center of Evidence Based Sports Medicine (ACES), Amsterdam University Medical Centers, The Netherlands; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), Amsterdam University Medical Centers, The Netherlands; Department of Sports Medicine, OLVG, The Netherlands.

Objectives: Previous studies have shown low to moderate evidence for a variety of magnetic resonance imaging (MRI) features as prognostic factors in athletes with hamstring injuries. Short-tau inversion recovery (STIR) signal intensity has not yet been investigated for assessing the prognosis of acute muscle injuries. Our aim was to explore the relationship between MRI STIR signal intensity and time to return to play (RTP) and to investigate the association between MRI STIR and reinjury risk in athletes with acute hamstring injuries. Read More

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February 2021

Diagnostic performance of preoperative [F]FDG-PET/CT for lymph node staging in vulvar cancer: a large single-centre study.

Eur J Nucl Med Mol Imaging 2021 Feb 23. Epub 2021 Feb 23.

Unit of Nuclear Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Purpose: This retrospective study aimed to assess the diagnostic performance of preoperative [F]FDG-PET/CT in predicting the groin and pelvic lymph node (LN) status in a large single-centre series of vulvar cancer patients.

Methods: Between January 2013 and October 2018, among all consecutive women with proven vulvar cancer submitted to [F]FDG-PET/CT, 160 patients were included. LNs were analysed by two qualitative methods assessing PET information (defined as visual assessment) and a combination of PET and low-dose CT information (defined as overall assessment), respectively, as well as semi-quantitative analysis (LN-SUV). Read More

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February 2021

Accuracy of computerized tomography in the preoperative evaluation of metastases in primary vulvar cancer - A population-based study.

Gynecol Oncol 2021 May 20;161(2):449-453. Epub 2021 Feb 20.

Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden. Electronic address:

Objective: To investigate the impact of a preoperative CT on surgical decision making in primary vulvar squamous cell carcinoma (VSCC) and the accuracy of detecting inguinal lymph node metastases (LNM). Secondly to assess prevalence and consequences of incidental findings and comorbidity using a CT.

Methods: This population-based study comprised of surgically treated patients with primary VSCC, at a regional tertiary center, using the Swedish Quality Registry for Gynecological Cancer for identification, and medical records were reviewed. Read More

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Safety and efficacy of Angio-Seal device for transfemoral neuroendovascular procedures: A systematic review and meta-analysis.

Interv Neuroradiol 2021 Feb 18:1591019921996100. Epub 2021 Feb 18.

Department of Neurosurgery, Mayo Clinic, Rochester, MN, USA.

Introduction: Angio-Seal is a commonly used device for femoral hemostasis in neuroendovascular procedures. This meta-analysis investigates of the safety and efficacy of Angio-Seal in patients undergoing endovascular neurointerventional procedures.

Methods: A systematic review and meta-analysis on all studies evaluating the Angio-Seal device in neurointerventional procedures from inception through 2020 were performed. Read More

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February 2021

Prevalence of low back pain and related disability in patients with femoroacetabular impingement syndrome.

PM R 2021 Feb 14. Epub 2021 Feb 14.

Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Background: Low back pain (LBP) has been associated with worse hip function for persons with femoroacetabular impingement syndrome (FAIS). Reports are limited to surgical populations and based on the presence or absence of LBP, regardless of pain severity.

Objectives: To report the prevalence of clinically significant LBP for persons with FAIS; compare demographics, pain, and function between those with and without clinically significant LBP; and evaluate relationships between hip function and both LBP-related disability and LBP severity. Read More

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February 2021

Integrated Stroke System Model Expands Availability of Endovascular Therapy While Maintaining Quality Outcomes.

Stroke 2021 Mar 4;52(3):1022-1029. Epub 2021 Feb 4.

Department of Neurology (V.L.-R., S.S.-M., R.A., S.I.S., A.L.C., Y.J.A., G.S., T.-C.W., L.D.M., S.A.S.), UTHealth McGovern Medical School, Houston, TX.

Background And Purpose: The optimal endovascular stroke therapy (EVT) care delivery structure is unknown. Here, we present our experience in creating an integrated stroke system (ISS) to expand EVT availability throughout our region while maintaining hospital and physician quality standards.

Methods: We identified all consecutive patients with large vessel occlusion acute ischemic stroke treated with EVT from January 2014 to February 2019 in our health care system. Read More

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The AdVance™ male sling: does it stand the test of time?

Scand J Urol 2021 Apr 1;55(2):155-160. Epub 2021 Feb 1.

Department of Urology, Queen Elizabeth Hospital, Birmingham, UK.

Introduction: There is minimal data published on the longevity of the transobturator retrobulbar male sling (AdVance™). We aimed to determine the efficacy, the complication rate and need for salvage SUI surgery in the medium to long term for male sling insertion.

Materials And Methods: We performed a retrospective review of all patients undergoing male sling insertion at a single centre between 2009 and 2018. Read More

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Iliopsoas pathology after total hip arthroplasty: a young person's complication.

Bone Joint J 2021 Feb;103-B(2):305-308

Crosshouse Hospital, NHS Ayrshire & Arran, Kilmarnock, UK.

Aims: Iliopsoas pathology is a relatively uncommon cause of pain following total hip arthroplasty (THA), typically presenting with symptoms of groin pain on active flexion and/or extension of the hip. A variety of conservative and surgical treatment options have been reported. In this retrospective cohort study, we report the incidence of iliopsoas pathology and treatment outcomes. Read More

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February 2021

Dorsal Root Ganglion Stimulation for the Treatment of Non-Complex Regional Pain Syndrome Related Chronic Pain Syndromes: A Systematic Review.

Neuromodulation 2021 Jan 26. Epub 2021 Jan 26.

Department of Anesthesia, Division of Pain Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Background: While the majority of indications and approvals for dorsal root ganglion stimulation (DRGS) are for the refractory management of complex regional pain syndrome (CRPS), emerging evidence has suggested that DRGS may be favorably used for a plethora of other chronic pain phenomena. Consequently, we aimed to characterize the use and efficacy of DRGS for these non-CRPS-related chronic pain syndromes.

Materials And Methods: A systematic review of clinical studies demonstrating the use of DRGS for non-CRPS-related chronic pain syndromes. Read More

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January 2021

Lower lumbar back pain occurring with transient hip osteoporosis: complication of prolonged suffering and neck of femur fracture in a 24-year-old pregnant patient.

BMJ Case Rep 2021 Jan 20;14(1). Epub 2021 Jan 20.

Orthopaedic and Trauma Surgery Department, EHC (Ensemble Hospitalier de la Côte), Morges, Vaud, Switzerland.

Six days after a normal delivery, a 24-year-old woman with atraumatic lumbosacral pain radiating to the left groin was referred to the orthopaedic surgeon due to worsening pain and impossible load bearing on the left lower limb. Standard pelvic radiographs revealed an unstable displaced left neck of femur (NOF) fracture. A CT scanner and MRI showed diffuse osteopaenia of the left proximal femur and the corresponding acetabulum. Read More

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January 2021

Editor's Choice - Systematic Review and Meta-Analysis of Wound Adjuncts for the Prevention of Groin Wound Surgical Site Infection in Arterial Surgery.

Eur J Vasc Endovasc Surg 2021 Apr 7;61(4):636-646. Epub 2021 Jan 7.

South East Wales Vascular Network, Royal Gwent Hospital, Newport, UK.

Objective: Groin incision surgical site infections (SSIs) following arterial surgery are common and are a source of considerable morbidity. This review evaluates interventions and adjuncts delivered immediately before, during, or after skin closure, to prevent SSIs in patients undergoing arterial interventions involving a groin incision.

Data Sources: MEDLINE, EMBASE, and CENTRAL databases were searched. Read More

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A proposed Clino-radio-pathological Risk Scoring System (CRiSS) for prediction and management of inguinal lymph-nodes metastasis in squamous cell carcinoma of the penis.

Surg Oncol 2021 Mar 30;36:147-152. Epub 2020 Dec 30.

Department of Surgical Oncology, The Gujarat Cancer Research Institute, Ahmedabad, Gujarat, India. Electronic address:

Objective: To develop a risk scoring system for prediction of inguinal lymph-node involvement and to suggest a management strategy according to the risk groups based on clinical, radiological and pathological parameters in squamous cell carcinoma (SCC) of penis.

Materials And Methods: A retrospective analysis of all patients of SCC penis from 2014 to 2020 at our institute was done. The patients were divided into derivation cohort (2014 to 2019) and validation cohort (2019 to 2020). Read More

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Osteoporosis treatment rate following hip fracture in a community hospital.

Arch Osteoporos 2021 01 6;16(1). Epub 2021 Jan 6.

Halton Healthcare Services, Oakville, Ontario, Canada.

Treatment rates for osteoporosis after a major osteoporotic fracture are unacceptably low. We evaluate the effectiveness of an ortho-geriatric team (OGT) in initiating pharmacologic therapy for osteoporosis post-hip fracture. The OGT was able to achieve a higher treatment rate for patients post-hip fracture in comparison to usual care provided by the primary care hospitalist. Read More

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January 2021

Lower recurrence rate after groin and primary ventral hernia repair performed by high-volume surgeons: a systematic review.

Hernia 2021 Jan 6. Epub 2021 Jan 6.

Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark.

Purpose: Hernia repair is a common procedure; however, an overview is lacking regarding the impact of annual surgeon volume and total surgical experience on the outcome of hernia repair. We aimed to explore the impact of annual surgeon volume and total surgical experience on outcomes of groin and primary ventral hernia repair.

Methods: This systematic review followed the Prefered Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Read More

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January 2021