2,188 results match your criteria pelvis post-operative


Management of postoperative complications during laparoscopic anterior rectal resection.

Minerva Surg 2021 May 4. Epub 2021 May 4.

Departament of Surgery, IRCAD Latin America, Barretos, São Paulo, Brazil.

Laparoscopic anterior resection (LAR) is currently a routine practice in specialized high-volume centers, with equivalent oncological outcomes in historical, open surgery. Appropriate pelvic dissection can be measured by the adequacy of circumferential margin (CRM) and distal margin, both are risk factors of local recurrence. Among the various operative procedures for colorectal cancer, low anterior resection (LAR) for rectal cancer is one of the most demanding procedures because it requires resection of cancer with surrounding mesorectal tissue and reconstruction with anastomosis in the narrow pelvis while preserving the autonomic nerves of the urogenital organs particularly in the male pelvis. Read More

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Vertical shear pelvic ring injuries: do transsacral screws prevent fixation failure?

OTA Int 2020 Sep 10;3(3):e084. Epub 2020 Jul 10.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Objectives: To determine the frequency of fixation failure after transsacral-transiliac (TS) screw fixation of vertical shear (VS) pelvic ring injuries (OTA/AO 61C1) and to describe the mechanism of failure of TS screws.

Design: Retrospective cohort study.

Setting: Level 1 academic trauma center. Read More

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September 2020

Radiological Outcomes and Complications of Vertical Expandable Titanium Rib Instrumentation in Congenital Scoliosis With or Without Rib Fusion: A Retrospective Study.

Cureus 2021 Mar 29;13(3):e14167. Epub 2021 Mar 29.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, CAN.

Introduction: In congenital anomalies of the thoracic spine, fusion in situ and hemi-epiphysiodesis are unsuitable surgical options, because three-dimensional thoracic deformity and insufficiency are uncorrectable. We aimed to evaluate the radiological outcome of vertical expandable titanium rib (VEPTR) application after follow-up in children with congenital scoliosis with or without rib fusion.

Methods: In our study, we included 58 patients with congenital scoliosis with or without fused ribs; all treated with VEPTR from 2005 to 2015 at our institute. Read More

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Relative pelvic version displays persistent compensatory measures with normalised sagittal vertical axis after deformity correction.

Spine Deform 2021 Apr 29. Epub 2021 Apr 29.

Institut de la Colonne Vertébrale, Spine Unit 1, Bordeaux University Hospital, Bordeaux, France.

Purpose: A normal sagittal vertical axis (SVA) after spinal deformity correction can yield mechanical complications of up to 30%. Post-operative compensatory pelvic orientation can produce a normal SVA. We assess relative pelvic version (RPV), an individualised measure, for persistent post-operative compensatory measures. Read More

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Laparoscopic transposition for crossing vessels (vascular hitch) in pure extrinsic pelvic-ureteric junction obstruction: a successful case report of a 2-year-old infant with horseshoe kidney.

Surg Case Rep 2021 Apr 23;7(1):103. Epub 2021 Apr 23.

Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Background: Pediatric hydronephrosis induced by pelvic-ureteric junction obstruction (PUJO) is treated by dismembered pyeloplasty (DP) via open and laparoscopic surgery. The etiology of PUJO involves both intrinsic stenosis and extrinsic compression of crossing vessels (CVs). PUJO owing to CVs is also treated by DP, as there is no consensus concerning this vascular condition. Read More

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Gluteus maximus transfer and mass graft (Capsulorraphy) in recurrent hip dislocation with the history of total hip replacement: A case series.

Int J Surg Case Rep 2021 Apr 14;82:105890. Epub 2021 Apr 14.

Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia.

Introduction: Post THR dislocation has been a significant complication that interferes with the patient's life. Detection of risk factors, careful planning, proper operative procedures, and patient education is essential to prevent the incidence of dislocation. Several operative measures have been studied to achieve this, including the use of mesh for soft tissue procedures and capsulorraphy. Read More

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Incidence and Risk Factors for Venous Thromboembolism Following 2462 Major Abdomino-Pelvic Surgeries in Tertiary Hospital.

Vasc Health Risk Manag 2021 8;17:135-143. Epub 2021 Apr 8.

Department of Obstetrics and Gynecology, Chulabhorn Hospital, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.

Purpose: To determine the incidence and risk factor of postoperative venous thromboembolism (VTE) in Thai populations and to evaluate morbidity, mortality, bleeding complications and the benefit of thromboprophylaxis in real-world practice.

Patients And Methods: We performed a retrospective, single-center, cohort study of patients from all age groups who underwent elective open or laparoscopic major abdomino-pelvic surgery between January 2008 and December 2018 at Chulabhorn Hospital, Bangkok, Thailand. We collected general medical information and specific data based on items from the Caprini risk scoring system. Read More

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Retrograde intrarenal surgery for renal stones in children <5 years of age.

Indian J Urol 2021 Jan-Mar;37(1):48-53. Epub 2021 Jan 1.

Department of Urology, Preeti Urology and Kidney Hospital, Hyderabad, Telangana, India.

Introduction: There are very few studies in the literature describing retrograde intrarenal surgery (RIRS) in preschool children. We have evaluated the feasibility, stone-free rate, and complications of RIRS in children <5 years of age.

Methods: All children <5 years of age and stone size <2 cm (renal/proximal ureteric), who underwent RIRS at our hospital from February 2010 to May 2020 were included in this retrospective study. Read More

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January 2021

Pelvic exenteration: Pre-, intra-, and post-operative considerations.

Surg Oncol 2021 Mar 19;37:101546. Epub 2021 Mar 19.

Royal Prince Alfred Hospital, Department of Colorectal Surgery, Sydney, Australia; Surgical Outcomes Research Centre, Royal Prince Alfred Hospital, Sydney, Australia. Electronic address:

This review outlines the role of pelvic exenteration (PE) in the management of certain locally-advanced primary and recurrent rectal cancers. PE has undergone significant evolution over the past decades. Advances in pre-, intra-, and post-operative care have been directed towards achieving the 'holy grail' of an R0 resection, which remains the most important predictor of survival, quality of life, morbidity, and cost effectiveness following PE. Read More

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Utility of a Simplified Iliac Artery Calcium Scoring System to Guide Perioperative Management for Renal Transplantation.

Front Med (Lausanne) 2021 16;8:606835. Epub 2021 Mar 16.

Department of Surgery, University of California, San Francisco, San Francisco, CA, United States.

Non-contrast computed tomography scans of the abdomen and pelvis (CTAP) are often obtained prior to renal transplant to evaluate the iliac arteries and help guide surgical implantation. The purpose of this study was to describe the association of iliac calcification scores with operative and clinical outcomes using a simplified scoring system. A retrospective review of 204 patients who underwent renal transplant from 1/2013 to 11/2014 and who had a CTAP within 3 years prior to transplant was performed. Read More

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A novel integrated global coronal aligner helps prevent post-operative standing coronal imbalance in adult spinal deformity patients fused to pelvis: technical notes and preliminary results.

BMC Musculoskelet Disord 2021 Mar 26;22(1):307. Epub 2021 Mar 26.

Department of spine surgery, The Chinese PLA General Hospital, 28 Fuxing Rd, Beijing, 100853, China.

Background: Chieving postoperative coronal balance in adult spinal deformity correction surgeries can be challenging. Even with T square rod technique, there were still some cases with good intraoperative coronal alignment but unsatisfactory post-operative standing coronal imbalance. Thus, the novel techniques to obtain global coronal balance are still in great needs. Read More

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Novel Irrigation Protocol for Renal Pelvis Sterilization during PCNL: A Pilot Study.

J Endourol 2021 Mar 23. Epub 2021 Mar 23.

The Smith Institute for Urology, 536758, The Smith Institute for Urology, Lake Success, New York, United States;

While percutaneous nephrolithotomy (PCNL) remains the treatment modality of choice for kidney stones larger than 2 cm, infectious complications are the most common, ranging from 5 to 32%. We present here a novel technique for potentially improving collecting system sterility during PCNL and our initial post-operative outcomes. Retrospective chart analysis of our irrigation protocol was collected from our first 56 patients between February to July 2019. Read More

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Global sagittal alignment after surgery of right thoracic idiopathic scoliosis in adolescents and adults with and without thoracic hypokyphosis.

Sci Rep 2021 Mar 18;11(1):6294. Epub 2021 Mar 18.

Department of Imaging and Interventional Radiology, Faculty of Medicine, The Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.

This study aimed to characterize global sagittal alignment in adolescent idiopathic scoliosis (AIS) with normal kyphosis (NTK, kyphosis > 10°) and with thoracic hypokyphosis (THK, kyphosis < 10°), before and after posterior spinal fusion, and compare them with asymptomatic controls. 27 AIS girls and young adults with right thoracic curves were included (seventeen with age ≤ 18 years, then age > 21). Biplanar radiographies were acquired at baseline, immediate post-operatively, 1-year and 2-year follow-up, and 3D reconstruction of the spine and pelvis was performed. Read More

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Diagnosis and resection of a giant ovarian cyst presenting in a young patient with contralateral back pain and lower limb deep vein thrombosis.

BMJ Case Rep 2021 Mar 16;14(3). Epub 2021 Mar 16.

Obstetrics and Gynaecology, Southend University Hospital NHS Foundation trust, Westcliff On Sea, UK.

We present a case of a giant ovarian cyst in a 20-year-old woman who presented atypically at our Emergency Department with left-sided back pain followed by acute left leg swelling. Blood tests showed significantly raised C-Reactive Protein and D-Dimer. CT-Abdomen-Pelvis demonstrated a large mass in the region of the right ovary with suspicious heterogeneous filling defects in the left external iliac vein, confirmed as a left-sided deep-vein thrombosis on ultrasound Doppler. Read More

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Colo-colic intussusception secondary to colon lipoma: A case report.

Int J Surg Case Rep 2021 Apr 5;81:105695. Epub 2021 Mar 5.

Department of General Surgery, Hammoud Hospital University Medical Center, Saida, Lebanon. Electronic address:

Introduction And Importance: Intestinal intussusception is rare in adults and it is associated with lead points affecting the colon in around 17% of patients. Lipomas are very rare benign tumors which may act as lead points for intestinal intussusception. Indeed, the incidence of intestinal intussusception is much rare when caused by lipomas. Read More

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Robotic versus laparoscopic ventral mesh rectopexy: a systematic review and meta-analysis.

Int J Colorectal Dis 2021 Mar 15. Epub 2021 Mar 15.

Division of Cancer Surgery, University of Melbourne, Sir Peter MacCallum Cancer Centre, Melbourne, Australia.

Introduction: Ventral mesh rectopexy is frequently performed as a means of improving the quality of life for sufferers of rectal prolapse. The minimally invasive approach is highly desirable but can be technically difficult to achieve in the narrow confines of the pelvis. The robotic platform is becoming a more common means of overcoming these difficulties, but evidence of an objective benefit over standard laparoscopy is scarce. Read More

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Chemoprotection with botulinum toxin following proximal hamstring-Ischial tuberosity avulsion fracture repair: Running title: Chemoprotection for hamstring avulsion fractures.

J Clin Orthop Trauma 2021 Jan 23;12(1):172-176. Epub 2020 Jun 23.

Department of Orthopedic Surgery, Texas Children's Hospital, 17580 Interstate 45 South, The Woodlands, TX, 77384, USA.

Introduction: Surgical treatment for avulsion injuries of the proximal hamstrings has gained increasing popularity over the past decade. Despite good outcomes, early failures have been noted and have been attributed to slipping and falling, postoperative muscle spasm, or early mobilization. In a recent review of hamstring repair rehabilitation protocols, it was shown that there is marked variability in post-operative management. Read More

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January 2021

Appendicitis mimicking the CT appearance of an appendiceal mucinous neoplasm.

J Radiol Case Rep 2020 Nov 30;14(11):26-38. Epub 2020 Nov 30.

Department of Diagnostic Radiology, Sengkang General Hospital Singapore, Singapore.

Occasionally, radiologically diagnosed acute appendicitis is found to harbour underlying appendiceal neoplasm on post-surgical histopathology. Conversely, a situation in which radiologically, the appendix demonstrates features consistent with an underlying tumour but post-operative pathology finds no evidence of neoplastic change is rare. We describe a case of a 50-year-old man who presented with a markedly dilated "mass-like" appendix with minimal inflammatory changes on a computed tomography scan. Read More

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November 2020

Plate fixation of the anterior pelvic ring in patients with fragility fractures of the pelvis.

Eur J Trauma Emerg Surg 2021 Mar 11. Epub 2021 Mar 11.

Department of Orthopaedics and Traumatology, University Medical Center Mainz, Mainz, Germany.

Introduction: In fragility fractures of the pelvis (FFP), fractures of the posterior pelvic ring are nearly always combined with fractures of the anterior pelvic ring. When a surgical stabilization of the posterior pelvis is performed, a stabilization of the anterior pelvis is recommended as well. In this study, we aim at finding out whether conventional plate osteosynthesis is a valid option in patients with osteoporotic bone. Read More

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Conventional computed tomography software can be used for accurate pre-operative templating in bipolar hip arthroplasty: A preliminary report.

J Clin Orthop Trauma 2021 Feb 6;13:1-8. Epub 2020 Sep 6.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, 650-0017, Japan.

Background: The aim of this study was to investigate the use of pre-operative templating for bipolar hip arthroplasty (BHA) for displaced femoral neck fracture using multiplanar reconstruction (MPR) of computed tomography (CT) images.

Methods: Nineteen patients who underwent BHA were enrolled in this study. For pre- and post-operative evaluation, a CT scan was performed from the pelvis to the knee joints. Read More

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February 2021

Chylous retroperitoneum following 720 degree anteroposterior-combined corrective surgery for adult spinal deformity with split vertebral fracture subluxation: a case report.

Spine Deform 2021 Mar 2. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1, Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Study Design: Clinical case report.

Purpose: To report the rare case with post-operative chylous retroperitoneum after corrective surgery for adult spinal deformity.

Methods: We present a case of a 73-year-old woman with Parkinson's disease. Read More

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Transanal total mesorectal excision: short- and long-term results of the first hundred cases of a certified colorectal cancer center in Germany.

Surg Endosc 2021 Mar 1. Epub 2021 Mar 1.

Caritas Krankenhaus St. Josef Regensburg, Klinik für Allgemein-, Viszeral, Thoraxchirurgie und Adipositasmedizin, Landshuter Str. 65, 93053, Regensburg, Germany.

Background: Since 2010, laparoscopic transanal total mesorectal excision (TaTME) has been increasingly used for low and very low rectal cancer. It is supposed to improve visibility and access to the dissection planes in the pelvis. This study reports on short- and long-term outcomes of the first 100 consecutive patients treated with TaTME in a certified German colorectal cancer center. Read More

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Effect of Cisplatin Arterial Infusion (CAI) on Primary Nonmetastatic Pelvic Osteosarcoma: A Preliminary Study.

Cancer Manag Res 2021 15;13:1491-1503. Epub 2021 Feb 15.

Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People's Republic of China.

Purpose: The critical role of arterial infusion chemotherapy in the multimodal treatment of extremity bone cancer has been investigated extensively, but few studies have focused on pelvic osteosarcoma. Therefore, we attempted to evaluate the clinical significance of arterial infusion chemotherapy in the treatment of pelvic osteosarcoma.

Patients And Methods: We combined a cisplatin arterial infusion regimen with multidrug systematic chemotherapy as a neoadjuvant protocol for the treatment of pelvic osteosarcoma. Read More

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February 2021

Patient-specific desktop 3D-printed guides for pelvic tumour resection surgery: a precision study on cadavers.

Int J Comput Assist Radiol Surg 2021 Mar 22;16(3):397-406. Epub 2021 Feb 22.

Departamento de Bioingeniería E Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Avenida de La Universidad, 30, 28911, Leganés, Madrid, Spain.

Purpose: 3D-printed patient-specific instruments have become a useful tool to improve accuracy in pelvic tumour resections. However, their correct placement can be challenging in some regions due to the morphology of the bone, so it is essential to be aware of the possible placement errors in each region. In this study, we characterize these errors in common pelvic osteotomies. Read More

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Reconstruction of full-length ureter defects by laparoscopic bladder flap forming.

Sci Rep 2021 Feb 17;11(1):3970. Epub 2021 Feb 17.

Department of Urology, Zhejiang Provincial People's Hospital, Hangzhou, 310014, Zhejiang, China.

To evaluate the safety and efficacy of laparoscopic bladder muscle flap reconstruction in the treatment of extensive ureteral avulsion. Patients with full-length (re length > 20 cm) and upper ureteral (avulsion length > 10 cm) defects were eligible. All patients were treated with laparoscopic bladder muscle flap reconstruction. Read More

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February 2021

Calyx to Parenchymal Ratio (CPR): An unexplored tool and its utility in the follow-up of pyeloplasty.

J Pediatr Urol 2021 04 11;17(2):234.e1-234.e7. Epub 2021 Jan 11.

Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Pondicherry, India. Electronic address:

Introduction: Antero-posterior trans pelvic diameter (APD) and renal scintigraphy play a significant role in the diagnosis of pelvi-ureteric junction (PUJ) obstruction and postoperative follow-up following pyeloplasty. However, the APD varies irrespective of improvement, deterioration, or preserved function in a hydronephrotic kidney and is not a reliable parameter due to various factors (hydration status, compliance, and reduction pyeloplasty). Calyx to Parenchymal Ratio (CPR) is the ratio of the depth of the calyx and parenchymal thickness measured on ultrasound (USG) in coronal image. Read More

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A novel combined enteroscopy and laparoscopy approach to prevent urethral complications in management of rectourethral fistula.

Surg Endosc 2021 Apr 1;35(4):1921-1926. Epub 2021 Feb 1.

Department of Paediatric Surgery, Monash Children's, Monash Medical Center, Southern Health, Clayton, Australia.

Background: For the last 20 years, laparoscopy management of anorectal malformations (ARM) has been challenged due to the development of postoperative urethral diverticulum or injury caused by the imprecise transection of rectourethral fistulae, particularly rectobulbar fistulae situated deep in the pelvis. We have developed a combined approach of enteroscopy and laparoscopy for intraluminal incision of a rectourethral fistula.

Methods: We retrospectively reviewed 47 ARM patients who underwent surgical corrections using the combined approach between January 2019 and June 2020. Read More

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Navigated percutaneous screw fixation of the pelvis with O-arm 2: two years' experience.

Med Glas (Zenica) 2021 02;18(1):309-315

Department of Orthopaedics, A. Gemelli University Hospital Foundation IRCCS, Catholic University, Rome, Italy.

Aim To evaluate the case series of the patients operated with percutaneous fixation by the navigation system based on 3D fluoroscopic images, to assess the precision of a surgical implant and functional outcome of patients. Methods A retrospective study of pelvic ring fractures in a 2-year period included those treated with the use of the O-Arm 2 in combination with the Stealth Station 8. Pelvic fractures were classified according to the Tile and the Young-Burgess classification. Read More

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February 2021

[OUTCOMES OF CHRONIC UNILATERAL HEMATURIA TREATED USING DIGITAL FLEXIBLE URETEROSCOPE].

Nihon Hinyokika Gakkai Zasshi 2020 ;111(1):16-21

Department of Urology, Jinyukai Hospital.

(Objectives) We examined the treatment outcomes in cases of chronic unilateral hematuria treated using flexible ureteroscope for observation and hemostasis. (Methods) The study included 14 patients (7 men and 7 women) with a median age of 56.5 years who underwent ureteroscopy using a digital flexible ureteroscope for chronic unilateral hematuria between March 2014 and August 2019. Read More

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February 2021

Heparin-induced thrombocytopenia presenting as splenic hemorrhage following cardiac surgery: a case report.

Thromb J 2021 Jan 19;19(1). Epub 2021 Jan 19.

Swedish Center for Blood Disorders and Stem Cell Transplantation, Seattle, WA, USA.

Background: Heparin-induced thrombocytopenia with thrombosis (HITT) is a paradoxical prothrombotic complication of anticoagulant therapy. As many as 3% of patients undergoing cardiac surgery develop clinical HIT presenting as thrombocytopenia with or without thrombosis within 5-10 days of heparin exposure. Thrombotic complications associated with HIT carry a mortality rate of 5-10%. Read More

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January 2021