4,179 results match your criteria pelvic field

Surgical management of urinary diversion and stomas in adults: multidisciplinary Italian panel guidelines.

Minerva Urol Nephrol 2021 Jun 11. Epub 2021 Jun 11.

General Surgery Unit, Santa Maria della Misericordia Hospital, Rovigo, Italy.

Background: Urinary stomas represent a worldwide medical and social problem. Data from literature about stoma management are extensive, but inhomogeneous. No guidelines exist about this topic. Read More

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Choosing the Most Appropriate Treatment Option for Pelvic Venous Disease: Stenting versus Embolization.

Semin Intervent Radiol 2021 Jun 3;38(2):182-188. Epub 2021 Jun 3.

Division of Interventional Radiology, Massachusetts General Hospital, Boston, Massachusetts.

Pelvic venous disease (PeVD) in women encompasses a wide variety of entities all resulting in pelvic pain and varices. Successful treatment with percutaneous interventions is dependent on identifying underlying factors contributing to the disease and addressing them with either embolization of incompetent veins or stenting for venous stenoses. There are a multitude of embolization methods with marked practice heterogeneity. Read More

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[A Case of Pelvic Unicentric Castleman Disease Treated by Preoperative Transcatheter Arterial Embolization and Tumor Complete Resection with Combined Lower Abdominal and Posterior Approach].

Hinyokika Kiyo 2021 Apr;67(4):157-162

The Department of Urology, Kyoto University Hospital.

A 22-year-old woman was referred to our hospital for further examination of an incidentally discovered hypervascular pelvic tumor with a maximum diameter of 10 cm. Although Castleman disease was suspected based on the imaging findings and pathologic findings of the needle biopsy, a definitive diagnosis was not made. Preoperative transcatheter arterial embolization was performed to decrease intraoperative bleeding, and tumor resection was performed on the following day. Read More

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Pulsed electromagnetic field (PEMF) as an adjunct therapy for pain management in interstitial cystitis/bladder pain syndrome.

Int Urogynecol J 2021 Jun 8. Epub 2021 Jun 8.

Wake Forest Institute for Regenerative Medicine, Wake Forest Baptist Medical Center, 391 Technology Way, Winston Salem, NC, 27101, USA.

Introduction And Hypothesis: Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) often experience chronic pelvic and even systemic pain that can be difficult to clinically manage. Pulsed electromagnetic field (PEMF) therapy, a non-invasive strategy that has shown significant efficacy for pain reduction in other chronic pain conditions, may provide benefit for pain management in patients with IC/BPS.

Methods: PEMF delivery to patients occurs via a bio-electromagnetic-energy device which consists of a flexible mat (180 × 50 cm) that the patient lies on for systemic, full-body delivery and/or a flexible pad (50 × 15 cm) for targeted delivery to a specific body region (e. Read More

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Current advances and novel research on minimal invasive techniques for musculoskeletal disorders.

Dis Mon 2021 Jun 4:101210. Epub 2021 Jun 4.

Frailty and Cognitive Impairment Research Group (FROG), University of Valencia, 46010 Valencia, Spain. Electronic address:

The present review summarized the current advances and novel research on minimal invasive techniques for musculoskeletal disorders. Different invasive approaches were proposed in the physical therapy field for the management of musculoskeletal disorders, such as ultrasound-guided percutaneous needle electrolysis, dry needling, acupuncture and other invasive therapy techniques, discussing about their worldwide status, safety and interventional ultrasound imaging. Indeed, dry needling may be one of the most useful and studies invasive physical therapy applications in musculoskeletal disorders of different body regions, such as back, upper limb, shoulder, arm, hand, pelvis, lower limb, neck, head, or temporomandibular joint, and multiple soreness location disorders, such as fibromyalgia. Read More

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Spotted bones in an osteopoikilosis-related disease (Buschke Ollendorff Syndrome): Identifying this rare condition from the lab to the field.

Int J Paleopathol 2021 Jun 4;34:20-28. Epub 2021 Jun 4.

Department of Genetics, Instituto de Investigación Sanitaria, Hospital Universitario Fundación Jiménez Diaz, Avenida de los Reyes Católicos 2, 28040, Madrid, Spain. Electronic address:

Objective: To improve the differential diagnosis of osteopoikilosis in past populations using a clinical case as an example of this rare condition.

Materials: A patient referred to our Genetic Service with suspected Buschke Ollendorff Syndrome after finding a connective nevus.

Methods: Radiological images from different body regions were accompanied by a genetic study using next-generation sequencing. Read More

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Reliable Kidney Size Determination by Magnetic Resonance Imaging in Pathophysiological Settings.

Acta Physiol (Oxf) 2021 Jun 5:e13701. Epub 2021 Jun 5.

Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine, Helmholtz Association, Berlin, Germany.

Aim: Kidney diseases constitute a major health challenge, which requires non-invasive imaging to complement conventional approaches to diagnosis and monitoring. Several renal pathologies are associated with changes in kidney size, offering an opportunity for magnetic resonance imaging (MRI) biomarkers of disease. This work uses dynamic MRI and an automated bean-shaped model (ABSM) for longitudinal quantification of pathophysiologically relevant changes in kidney size. Read More

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History of whole pelvis plus para-aortic radiation is a risk factor associated with febrile neutropenia during chemotherapy for recurrent cervical cancer.

Int J Clin Oncol 2021 Jun 4. Epub 2021 Jun 4.

Department of Pharmacy, The University of Tokyo Hospital, Tokyo, Japan.

Background: Radiation-based therapy is widely used for advanced cervical cancer. Prior radiation-based therapy is a potential risk factor for febrile neutropenia (FN). However, the effect of irradiation field size on the incidence of FN during recurrent cervical cancer treatment is unclear. Read More

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Acting on the potentially reversible causes of traumatic cardiac arrest: Possible but not sufficient.

Resuscitation 2021 Jun 1;165:8-13. Epub 2021 Jun 1.

UNIV Angers, CHU Angers, Univ Rennes, Inserm, EHESP, IRSET (Institut de Recherche en Santé, Environnement et Travail) - UMR_S1085, Angers, France; CHU Angers, Poison Control Centre, Clinical Data Centre, Angers, France.

Introduction: Traumatic cardiac arrest (TCA) guidelines emphasize specific actions that aim to treat the potential reversible causes of the arrest. The aim of this study was to measure the impact of these recommendations on specific rescue measures carried out in the field, and their influence on short-term outcomes in the resuscitation of TCA patients.

Methods: We conducted a retrospective study of all TCA patients treated in two emergency medical units, which are part of the Northern Alps Emergency Network, from January 2004 to December 2017. Read More

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The CT scout view: complementary value added to abdominal CT interpretation.

Abdom Radiol (NY) 2021 Jun 1. Epub 2021 Jun 1.

Department of Radiology, University of Wisconsin School of Medicine & Public Health, 600 Highland Ave, Madison, WI, 53792, USA.

Computed tomography (CT) scout images, also known as CT localizer radiographs, topograms, or scanograms, are an important, albeit often overlooked part of the CT examination. Scout images may contain important findings outside of the scanned field of view on CT examinations of the abdomen and pelvis, such as unsuspected lung cancer at the lung bases. Alternatively, scout images can provide complementary information to findings within the scanned field of view, such as characterization of retained surgical foreign bodies. Read More

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Therapeutic effects and prognostic factors of I brachytherapy for pelvic recurrence after early cervical cancer surgery.

Sci Rep 2021 May 31;11(1):11356. Epub 2021 May 31.

Department of Oncology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, Guangdong, China.

To investigate the efficacy of I seed implantation in the treatment regimen of pelvic recurrence after early cervical cancer surgery and to analyse prognostic factors. To evaluate efficacy and analyse prognostic factors of I seed implantation for pelvic recurrence after early cervical cancer surgery. A prospective study was conducted on 62 patients who experienced pelvic recurrence after early cervical cancer surgery between August 2005 and September 2015. Read More

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Trocar insertion in enhanced-view totally extra-peritoneal (eTEP) repair of inguinal hernias.

J Minim Access Surg 2021 May 6. Epub 2021 May 6.

Department of General Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.

Background: The enhanced view totally extra-peritoneal (eTEP) repair is a useful modification of the classic TEP operation which offers a more panoramic view of the operative field with greater flexibility in port positioning. It can offer greater ease of surgery in large, irreducible or bilateral inguinal hernias due to its improved ergonomics. Misunderstanding the myo-fascial anatomy, incorrect positioning or sequence of trocar insertion can lead to inadvertent peritoneal injury with pneumoperitoneum, impeding the operating surgeon. Read More

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Strains induced in the vagina by smooth muscle contractions.

Acta Biomater 2021 May 24. Epub 2021 May 24.

STRETCH Lab, Department of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA, 24061, USA. Electronic address:

The ability of the vagina to contract gives rise to a set of active mechanical properties that contribute to the complex function of this organ in-vivo. Regional differences in the morphology of the vagina have been long recognized, but the large heterogeneous deformations that the vagina experiences during contractions have never been quantified. Furthermore, there is no consensus regarding differences in contractility along the two primary anatomical directions of the vagina: the longitudinal direction (LD) and the circumferential direction (CD). Read More

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Intraabdominal Schwannomas Single-center experience.

Ann Ital Chir 2021 ;92:172-179

Objective: Intraabdominal schwannomas are rare benign tumors. In this study, we aimed to present our clinical experience in patients with intrabdominally located Schwannoma.

Material-method: Patients who received the diagnosis of intrabdominal schwannoma between 2011-2019 were retrospectively examined. Read More

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January 2021

Risk for second bladder and rectal malignancies from cervical cancer irradiation.

J Appl Clin Med Phys 2021 May 21. Epub 2021 May 21.

Department of Medical Physics, Faculty of Medicine, University of Crete, Crete, Greece.

The objective of this study was to estimate the risk of developing second malignancies to partially in-field organs from volumetric modulated arc therapy (VMAT) of cervical cancer and to compare the above risks with those from the conventional three-dimensional conformal radiotherapy (3D-CRT). Seventeen consecutive patients with uterine cervix carcinoma were selected. VMAT and 3D-CRT plans were generated with 6 and 10 MV photons, respectively. Read More

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Quality metrics in minimally invasive gynecologic surgery.

Curr Opin Obstet Gynecol 2021 May 19. Epub 2021 May 19.

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital New York Icahn School of Medicine, Mount Sinai Division of Minimally Invasive Gynecologic Surgery, Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics & Gynecology, Mount Sinai Hospital, New York, New York.

Purpose Of Review: Quality improvement and patient safety are relevant to the advancement of clinical care, particularly in the field of minimally invasive gynecologic surgery (MIGS). Although safety and feasibility of MIGS have been established, identification of quality metrics in this field is also necessary.

Recent Findings: Surgical quality improvement has focused on national overarching measures to reduce mortality, surgical site infections (SSIs), and complications. Read More

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Adjuvant Radiation Field Extent and Sites of Failure in Node Positive Endometrioid Endometrial Cancer.

Pract Radiat Oncol 2021 May 17. Epub 2021 May 17.

Department of Radiation Oncology, Dana-Farber Cancer Institute/Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Objectives: In patients with node-positive endometrial cancer, adjuvant radiotherapy with chemotherapy decreases local-regional recurrence compared to chemotherapy alone. However, optimal radiation field borders and extent of nodal coverage have not been well studied. In a multi-institutional cohort, survival outcomes and sites of failure were analyzed for patients with FIGO IIIC endometrioid endometrial cancer treated with pelvic (PRT) versus extended-field radiotherapy (EFRT), which encompassed high para-aortic lymph nodes. Read More

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Impact of prostatic radiation therapy on bladder contractility and innervation.

Neurourol Urodyn 2021 May 20. Epub 2021 May 20.

Department of Physiology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.

Aims: To determine the effect of prostatic radiation therapy (RT) on bladder contractility and morphology, and axon, or neuron profiles within the detrusor and major pelvic ganglia (MPG) in male rats.

Methods: Male Sprague-Dawley rats (8 weeks) received a single dose of prostatic RT (0 or 22 Gy). Bladders and MPG were collected 2- and 10-weeks post-RT. Read More

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The obstetrical dilemma hypothesis: there's life in the old dog yet.

Biol Rev Camb Philos Soc 2021 May 19. Epub 2021 May 19.

Institute of Evolutionary Medicine, University of Zurich, Winterthurerstrasse 190, Zürich, 8057, Switzerland.

The term 'obstetrical dilemma' was coined by Washburn in 1960 to describe the trade-off between selection for a larger birth canal, permitting successful passage of a big-brained human neonate, and the smaller pelvic dimensions required for bipedal locomotion. His suggested solution to these antagonistic pressures was to give birth prematurely, explaining the unusual degree of neurological and physical immaturity, or secondary altriciality, observed in human infants. This proposed trade-off has traditionally been offered as the predominant evolutionary explanation for why human childbirth is so challenging, and inherently risky, compared to that of other primates. Read More

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Para-Aortic Nodal Radiation in the Definitive Management of Node-Positive Cervical Cancer.

Front Oncol 2021 29;11:664714. Epub 2021 Apr 29.

Department of Radiation Oncology, University of Virginia School of Medicine, Charlottesville, VA, United States.

Objectives: To investigate the safety and outcomes of elective para-aortic (PA) nodal irradiation utilizing modern treatment techniques for patients with node positive cervical cancer.

Methods: Patients with pelvic lymph node positive cervical cancer who received radiation were included. All patients received radiation therapy (RT) to either a traditional pelvic field or an extended field to electively cover the PA nodes. Read More

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Secondary cancer risk from modern external-beam radiotherapy of prostate cancer patients: Impact of fractionation and dose distribution.

J Radiat Res 2021 May 17. Epub 2021 May 17.

Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

Modern radiotherapy (RT) uses altered fractionation, long beam-on time and image-guided procedure. This study aimed to compare secondary cancer risk (SCR) associated with primary field, scatter/leakage radiations and image-guided procedure in prostate treatment using intensity-modulated RT (IMRT), CyberKnife stereotactic body RT (CK-SBRT) in relative to 3-dimensional conformal RT (3D-CRT). Prostate plans were generated for 3D-CRT, IMRT (39 fractions of 2 Gy), and CK-SBRT (five fractions of 7. Read More

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Racial and ethnic differences in reconstructive surgery for apical vaginal prolapse.

Am J Obstet Gynecol 2021 May 10. Epub 2021 May 10.

Department of Obstetrics, Gynecology, and Reproductive Science, University of California, San Francisco, CA.

Background: There is limited literature identifying racial and ethnic health disparities among surgical modalities and outcomes in the field of urogynecology and specifically pelvic organ prolapse surgery.

Objective: This study aimed to evaluate the differences in surgical approach for apical vaginal prolapse and postoperative complications by race and ethnicity.

Study Design: This is a retrospective cohort study of women undergoing surgical repair for apical vaginal prolapse between 2014 and 2017 using data from the American College of Surgeons National Surgical Quality Improvement Program. Read More

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Robotic Natural Orifice Transluminal Endoscopic Surgery Hysterectomy and Salpingo-Oophorectomy in a Porcine Model.

Surg Innov 2021 May 13:15533506211018433. Epub 2021 May 13.

Li Ka Shing Faculty of Medicine, Department of Obstetrics & Gynaecology, 25809The University of Hong Kong, Hong Kong, Hong Kong.

. The emergence of robotic-assisted surgical techniques has gained significant indications in terms of reduced trauma, shortened recovery, and higher patients' satisfaction. However, limitations by present surgical robotic systems used in natural orifice transluminal endoscopic surgery (NOTES) gynecology still exists, such as arm collisions, countertraction, instrument dexterity, and, in particular, space confinement due to the narrow pelvic anatomy. Read More

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Variability in image quality and radiation dose within and across 97 medical facilities.

J Med Imaging (Bellingham) 2021 Sep 8;8(5):052105. Epub 2021 May 8.

Duke University, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Durham, North Carolina, United States.

To characterize variability in image quality and radiation dose across a large cohort of computed tomography (CT) examinations and identify the scan factors with the highest influence on the observed variabilities. This retrospective institutional-review-board-exempt investigation was performed on 87,629 chest and abdomen-pelvis CT scans acquired for 97 facilities from 2018 to 2019. Images were assessed in terms of noise, resolution, and dose metrics (global noise, frequency in which modulation transfer function is at 0. Read More

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September 2021

Selective oestrogen receptor modulators (SERMs) for endometriosis.

Cochrane Database Syst Rev 2021 May 11;5:CD011169. Epub 2021 May 11.

Isala Hospitals Zwolle, Zwolle, Netherlands.

Background: Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. This chronic and recurring condition occurs in women of reproductive age. It is a common cause of pain or infertility and can cause non-specific symptoms such as lower back pain, dyspareunia (pain during or after intercourse), and dysmenorrhoea (menstrual pain). Read More

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Multiparametric Magnetic Resonance Imaging-Based Peritumoral Radiomics for Preoperative Prediction of the Presence of Extracapsular Extension With Prostate Cancer.

J Magn Reson Imaging 2021 May 10. Epub 2021 May 10.

Department of Medical Imaging, Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, 215163, China.

Background: Preoperative prediction of extracapsular extension (ECE) of prostate cancer (PCa) is important to guide clinical decision-making and improve patient prognosis.

Purpose: To investigate the value of multiparametric magnetic resonance imaging (mpMRI)-based peritumoral radiomics for preoperative prediction of the presence of ECE.

Study Type: Retrospective. Read More

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Artificial intelligence in ultrasound.

Eur J Radiol 2021 Jun 12;139:109717. Epub 2021 Apr 12.

Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Ultrasound Research and Education Institute, Tongji University School of Medicine, Tongji University Cancer Center, Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clnical Research Center of Interventional Medicine, Shanghai, 200072, PR China. Electronic address:

Ultrasound (US), a flexible green imaging modality, is expanding globally as a first-line imaging technique in various clinical fields following with the continual emergence of advanced ultrasonic technologies and the well-established US-based digital health system. Actually, in US practice, qualified physicians should manually collect and visually evaluate images for the detection, identification and monitoring of diseases. The diagnostic performance is inevitably reduced due to the intrinsic property of high operator-dependence from US. Read More

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Magnetic resonance imaging characteristics of chronic prostatitis in patients under the age of 50: is it more than the eye can see?

Acta Radiol 2021 May 3:2841851211010397. Epub 2021 May 3.

Radiology, Surgical Specialties Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Background: The magnetic resonance (MRI) diagnosis of chronic prostatitis (CP) is insufficiently evaluated.

Purpose: To evaluate the MRI appearance of CP in young patients by comparing it to individuals with non-prostatic related pathology.

Material And Methods: The study included 47 patients with prostatitis-like symptoms evaluated by urologists and referred to pelvic MRI examination (mean age=40. Read More

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Application of ultrasound elastography in obstetrics and gynecology

Orv Hetil 2021 05 2;162(18):690-695. Epub 2021 May 2.

3 Eastern Virginia Medical School, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Norfolk, VA, United States of America.

Összefoglaló. Az ultrahang-elasztográfia az elmúlt évek során egyre növekvő figyelmet kapott a lágyszövetek elaszticitásának vizsgálatában. A módszer használatát az teszi szükségessé, hogy egyes, a mechanikai tulajdonságaikban különböző szövetek hasonló echogenitásúak lehetnek, valamint hogy egy adott szövet megváltozott struktúrája vagy mechanikai tulajdonsága nem minden esetben jár együtt a szövet hagyományos ultrahangképének megváltozásával. Read More

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Phase 1 trial of nelfinavir added to standard cisplatin chemotherapy with concurrent pelvic radiation for locally advanced cervical cancer.

Cancer 2021 Jul 1;127(13):2279-2293. Epub 2021 May 1.

Division of Gynecology Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.

Background: Nelfinavir (NFV), an HIV-1 protease inhibitor, has been shown to sensitize cancer cells to chemoradiation (CRT). The objectives of this phase 1 trial were to evaluate safety and identify the recommended phase 2 dose of NFV added to concurrent CRT for locally advanced cervical cancer.

Methods: Two dose levels of NFV were evaluated: 875 mg orally twice daily (dose level 1 [DL1]) and 1250 mg twice daily (DL2). Read More

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