21,787 results match your criteria posterior wall

Is a periacetabular osteotomy as efficacious in retroversion as it is in dysplasia? : The role of femoral anteversion on outcome.

Bone Jt Open 2021 Sep;2(9):757-764

Orthopaedics, University College Hospital, London, UK.

Aims: Periacetabular osteotomy (PAO) is an established treatment for acetabular dysplasia. It has also been proposed as a treatment for patients with acetabular retroversion. By reviewing a large cohort, we aimed to test whether outcome is equivalent for both types of morphology and identify factors that influenced outcome. Read More

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September 2021

Comparison of laparoscopic transabdominal preperitoneal hernioplasty and laparoscopic iliopubic tract repair for Nyhus type II hernia in women.

Surg Endosc 2021 Sep 20. Epub 2021 Sep 20.

Department of Surgery, Damsoyu Hospital, 234 Hakdong-ro, Gangnam-gu, Seoul, Republic of Korea.

Background: Indirect inguinal hernia with a dilated internal ring but an intact posterior inguinal wall is classified as Nyhus type II. Females have a higher incidence of indirect hernia than direct hernia. The purpose of this study was to evaluate the efficacy of laparoscopic iliopubic tract repair (IPTR) compared with laparoscopic transabdominal preperitoneal (TAPP) hernioplasty in treating women with Nyhus type II hernia. Read More

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September 2021

Immediate changes in chest mobility and trunk muscle activity during pelvic tilt following different trunk muscle exercises.

J Back Musculoskelet Rehabil 2021 Sep 17. Epub 2021 Sep 17.

Jindo Osteopathic Council Athlete, Saitama, Japan.

Background: Given the characteristics of the superficial trunk muscles that cross the chest and pelvis, their excessive contraction might limit chest mobility.

Objective: To examine the immediate effects of two types of trunk muscle exercises on chest mobility and trunk muscle activities.

Methods: Fourteen healthy men (age: 21. Read More

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September 2021

Biomechanical Effects of Lateral Inclination C and C Pedicle Screws on Atlantoaxial Fixation.

Lei Zhang Huan Wang

Orthop Surg 2021 Sep 20. Epub 2021 Sep 20.

Department of Spine Surgery, Shengjing Hospital of China Medical University, Shenyang, China.

Objective: To assess the biomechanical effect of lateral inclination C and C pedicle screws on the atlantoaxial fixation through vitro human cadaveric study.

Methods: From January 2016 to December 2017, fresh-frozen cadaveric cervical spines with intact ligaments from eight donated cadavers at an average age of 71.5 ± 10. Read More

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September 2021

Individual nursing promotes rehabilitation of patients with acute myocardial infarction complicated with arrhythmia.

Xin Huang

Am J Transl Res 2021 15;13(8):9306-9314. Epub 2021 Aug 15.

Department of Cardiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University Chengdu 610000, Sichuan Province, China.

Objective: This research is aimed at exploring the application effect of individual nursing on patients with acute myocardial infarction (AMI) complicated with arrhythmia.

Methods: One hundred AMI patients complicated with arrhythmia admitted to the West China Hospital, Sichuan University from April 2018 to June 2020 were observed and researched. Among them, 47 (control group, CG) were given conventional nursing, and on this basis, 53 (experimental group, EG) were given individual nursing. Read More

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"Cannot intubate, cannot oxygenate": A novel 2-Operator technique for cannula tracheotomy in an infant animal model - a feasibility study.

Paediatr Anaesth 2021 Sep 19. Epub 2021 Sep 19.

Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, Australia.

Background: Evidence regarding optimal management of the 'Cannot Intubate, Cannot Oxygenate' (CICO) scenario in infants is scarce. When inserting a transtracheal cannula for front of neck access direct aspiration to confirm intratracheal location is standard practice. This post-mortem "infant airway" animal model study describes a novel technique for cannula tracheotomy. Read More

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September 2021

Comparison of degree of medial rectus muscle misalignment after medial orbital wall decompression with or without periosteal flap.

Graefes Arch Clin Exp Ophthalmol 2021 Sep 18. Epub 2021 Sep 18.

Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, 1-1 Yazako-Karimata, Nagakute, Aichi, 480-1195, Japan.

Purpose: To compare the degree of postoperative medial rectus (MR) muscle misalignment in patients who underwent medial orbital wall decompression with or without a periosteal flap along the MR muscle.

Methods: This retrospective, observational study included 40 sides from 26 patients. The following parameters were measured on axial computed tomographic images taken post- and/or preoperatively: the distance of the anteroposterior line between the posterior lacrimal crest and the junction of the ethmoid and sphenoid sinuses from the most medial point of the medial margin of the MR muscle; the angle created at the point of the MR globe insertion, the most medial point of the MR muscle, and the junction of the ethmoid and sphenoid sinuses; and the MR muscle cross-sectional area. Read More

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September 2021

An anatomical study of the pharyngeal plexus: Application to avoiding postoperative dysphagia following anterior approaches to the cervical spine.

Clin Anat 2021 Sep 18. Epub 2021 Sep 18.

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.

Objective: We aimed to localize the pharyngeal branches of the pharyngeal plexus to preclude postoperative complications such as dysphagia resulting from injury to those branches.

Patients And Methods: Cranial nerves IX and X and the sympathetic trunk were dissected on ten sides in the necks of enbalmed adult cadavers of European descent to identify the pharyngeal branches so that anatomical landmarks could be identified and injury thereby avoided.

Results: In all sides, the pharyngeal branches originated from the glossopharyngeal and vagus nerves and the superior cervical ganglion and entered the posterior pharyngeal wall at the C2 to C4 levels within 10 mm medial to the greater horn of the hyoid bone. Read More

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September 2021

Using pneumovaginoscopy to perform the removal of a vaginal fibroid.

Fertil Steril 2021 Sep 14. Epub 2021 Sep 14.

Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, 13005 Marseille, Aix Marseille University, France; Institut Méditerranéen de Biodiversité et d'Écologie marine et continentale (IMBE), Aix Marseille University, CNRS, IRD, Avignon University, Marseille, France. Electronic address:

Objective: To describe and assess the feasibility of a novel surgical technique (pneumovaginoscopy) for performing vaginal surgery.

Design: Video of a single surgical procedure.

Setting: A university hospital. Read More

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September 2021

Morphology of the Papillary Muscles and the Chordae Tendinae of the Ventricles of Adult Human Hearts.

Cardiovasc Pathol 2021 Sep 14:107383. Epub 2021 Sep 14.

Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, India. Electronic address:

Introduction: The papillary muscles (PM) play a vital role in atrioventricular (AV) valve function. The PM and their chordae tendinae (CT) regulate the closure of the AV valve during systole. The present study was undertaken to categorize the PM based on their shapes and variant patterns and CT based on their types and the branching pattern. Read More

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September 2021

Recurrent complex incisional hernia repair by enhanced-view totally extraperitoneal (eTEP) technique.

Eur Rev Med Pharmacol Sci 2021 Sep;25(17):5452-5457

Division of Visceral Surgery, University Hospitals of Geneva, Geneva, Switzerland.

Objective: Treatment of large recurrent abdominal wall hernias remains a surgical challenge. The enhanced-view totally extraperitoneal (eTEP) approach is an emerging technique used to treat hernias with minimally invasive procedure. This article illustrates a step-by-step eTEP approach, used in a complex recurrent hernia repair. Read More

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September 2021

Traditional Chinese Medicine Intervenes Ventricular Remodeling Following Acute Myocardial Infarction: Evidence From 40 Random Controlled Trials With 3,659 Subjects.

Front Pharmacol 2021 31;12:707394. Epub 2021 Aug 31.

Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China.

We intend to conduct a meta-analysis on the systematic evaluation of traditional Chinese medicine (TCM) in the treatment of ventricular remodeling following acute myocardial infarction (AMI). Our findings may provide certain references for the clinical treatment of ventricular remodeling. A systematic literature search was conducted in PubMed, Web of Science, Cochrane Library, Embase, CNKI, Wanfang Data, CQVIP, and CBM before 20 July 2020. Read More

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Tracheoesophageal fistula and pharyngoesophageal stenosis repair by double skin paddle radial forearm flap.

Eur Ann Otorhinolaryngol Head Neck Dis 2021 Sep 13. Epub 2021 Sep 13.

Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Université Côte d'Azur, 31, avenue de Valombrose, 06103 Nice Cedex 2, France. Electronic address:

Tracheoesophageal fistula (TEF) constitutes a rare, but serious complication in laryngectomized patients, usually occurring after radiotherapy. TEF may occur spontaneously or may be due to enlargement of the TEF created for placement of a voice prosthesis. Surgical treatment of TEF can be complex, especially in the presence of a concomitant pharyngoesophageal stenosis (PES), and is associated with a high failure rate. Read More

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September 2021

Radiological comparison of penetrating endplate trajectory versus anterior bicortical trajectory for sacral pedicle screw insertion in posterior lumbosacral interbody fusion.

J Orthop Sci 2021 Sep 13. Epub 2021 Sep 13.

Department of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Musashimurayama, Tokyo, Japan.

Background: The bicortical or tricortical fixation technique with purchase into the anterior sacral wall or promontory has been recommended to achieve rigid sacral pedicle screw fixation, which carries the potential risk of neurovascular injuries. The penetrating endplate screw (PES) technique was proposed as an alternative screw trajectory to facilitate both strong fixation and safety. However, there has been no report on the practical significance of using the PES technique. Read More

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September 2021

[Reoperation and perioperative management of residual cyst wall with perineal intractable sinus after resection of presacral cyst tumors].

Zhonghua Zhong Liu Za Zhi 2021 Sep;43(9):973-978

Department of General Surgery, Affiliated Cancer Hospital of Zhengzhou University, Henan Provincial Cancer Hospital, Zhengzhou 450000, China.

To investigate the reoperation and perioperative management of residual cyst wall with perineal intractable sinus after resection of presacral cyst tumors. The clinical data of 29 patients with residual cyst wall and perineal intractable sinus after resection of presacral cyst tumors in Affiliated Cancer Hospital of Zhengzhou University from January 2014 to August 2019 were reviewed, including the characteristics of the residual cyst wall with perineal intractable sinus after resection of presacral cyst tumors, surgical method, and perioperative management. Twenty-nine patients with residual cyst wall and perineal intractable sinus after resection of presacral cyst tumors, including 9 cases of epidermoid cysts, 7 cases of dermoid cysts, 10 cases of mature teratomas and 3 cases of malignant cysts (including malignant transformation of caudate cyst and teratoma); The 29 patients underwent posterior approaches for cyst resection in other hospital before, of whom 1 patient underwent posterior combined with transabdominal approach. Read More

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September 2021

Influence of remaining axial walls on relative and catastrophic structural failure and prevalence of post-treatment endodontic disease of root filled teeth restored with a single crown and adhesively bonded fibre post: a systematic review and meta-analysis.

J Dent 2021 Sep 13:103813. Epub 2021 Sep 13.

School of Dentistry, College of Biomedical and Lifesciences, Cardiff University, Cardiff CF14 4XY, United Kingdom. Electronic address:

Objectives: To synthesise evidence on structural failures and prevalence of post-treatment endodontic disease (PTD) in anterior and posterior root filled teeth with a single crown and adhesively bonded fibre post with regards to the number of axial walls.

Data: An electronic search was performed, no language constraints or restriction on the year of publication were applied.

Sources: PubMed, Medline, Cochrane and Scopus on 13 of July 2021. Read More

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September 2021

The role of local impedance drop in the acute lesion efficacy during pulmonary vein isolation performed with a new contact force sensing catheter-A pilot study.

PLoS One 2021 16;16(9):e0257050. Epub 2021 Sep 16.

Heart and Vascular Center, Semmelweis University, Budapest, Hungary.

Introduction: Our pilot study aimed to evaluate the role of local impedance drop in lesion formation during pulmonary vein isolation with a novel contact force sensing ablation catheter that records local impedance as well and to find a local impedance cut-off value that predicts successful lesion formation.

Materials And Methods: After completing point-by-point radiofrequency pulmonary vein isolation, the success of the applications was evaluated by pacing along the ablation line at 10 mA, 2 ms pulse width. Lesions were considered successful if loss of local capture was achieved. Read More

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September 2021

Occult periprosthetic fractures of the acetabulum in THA using an elliptic cup design have no adverse impact on outcome.

Acta Orthop Belg 2021 Jun;87(2):299-304

Occult periprosthetic fractures have been defined as a fracture only visible on postoperative CT scans but not on postoperative plain radiography after an uneventful surgery without intraoperative fracture. The fracture rate for hemispherical and peripheral self-locking cups has been described as 8.4%. Read More

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Managing complications of percutaneous tracheostomy and gastrostomy.

J Thorac Dis 2021 Aug;13(8):5314-5330

Division of Pulmonary, Allergy, and Critical Care Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA.

Percutaneous tracheostomy and gastrostomy are some of the most commonly performed procedures at bedside in the intensive care unit. While they are generally considered safe, they can be associated with numerous short and long-term complications, many of which can occur long after their placement and cause significant morbidity. Performers of these procedures should possess a comprehensive understanding of procedural indications and contraindications, and know how to recognize and manage complications that may arise. Read More

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State of the art: percutaneous tracheostomy in the intensive care unit.

J Thorac Dis 2021 Aug;13(8):5261-5276

Division of Pulmonary & Critical Care Medicine, Section of Interventional Pulmonology, University of Maryland School of Medicine, Baltimore, MD, USA.

Percutaneous tracheostomy is a commonly performed procedure for patients in the intensive care unit (ICU) and offers many benefits, including decreasing ICU length of stay and need for sedation while improving patient comfort, effective communication, and airway clearance. However, there is no consensus on the optimal timing of tracheostomy in ICU patients. Ultrasound (US) and bronchoscopy are useful adjunct tools to optimize procedural performance. Read More

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Correlation between serum miR-122 and myocardial damage and ventricular function in patients with essential hypertension.

J Thorac Dis 2021 Aug;13(8):4999-5006

Department of Radiology, Second Clinical School of Medicine, Changjiang University, Jingzhou, China.

Background: Myocardial damage and decreased ventricular function are risk factors leading to a bad prognosis in patients with essential hypertension (EH). MicroRNAs play important roles in myocardial function impairment in patients with hypertension. The purpose of our research was to investigate the correlation between serum miR-122 and myocardial damage and ventricular functions in EH patients. Read More

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Wall shear stress mapping for human femoral artery based on ultrafast ultrasound vector Doppler estimations.

Med Phys 2021 Sep 15. Epub 2021 Sep 15.

Department of Biomedical Engineering, National Cheng Kung University, Taiwan.

Purpose: Wall shear stress (WSS), a type of friction exerted on the artery wall by flowing blood, is considered a crucial factor in atherosclerotic plaque development. Currently, achieving a reliable WSS mapping of an artery noninvasively by using existing imaging modalities is still challenging. In this study, a WSS mapping based on vector Doppler flow velocity estimation was proposed to measure the dynamic WSS on the human femoral artery. Read More

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September 2021

Finite element study on whether posterior upper wall fracture is a risk factor for the failure of short-segment pedicle screw fixation in the treatment of L1 burst fracture.

Injury 2021 Aug 19. Epub 2021 Aug 19.

Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, 6 Jiefang Street, Dalian, Liaoning 116001, China. Electronic address:

Purpose: To establish the finite element model of T12 and L2 (T12-L2) pedicle screw fixation for severe L1 burst fracture, and quantitatively simulate and analyze the screw stress and vertebral displacement in different degrees of L1 posterior upper wall fracture (PUWF), and evaluate whether PUWF degree is a risk factor for fixation failure.

Methods: The data of 6 healthy volunteers were used to establish a finite element model of T12-L2 pedicle screw fixation for type A severe burst fractures. The stress and displacement of the conventional and Schanz pedicle screws for the different degrees of PUWF (including the anterior upper wall of the vertebral canal and the bipedicle) were evaluated. Read More

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An endovaginal MRI array with a forward-looking coil for advanced gynecological cancer brachytherapy procedures: design and initial results.

Med Phys 2021 Sep 14. Epub 2021 Sep 14.

Medicine, Johns Hopkins University, Baltimore, MD, 21287, USA.

Purpose: Develop an endovaginal MRI array that provides signal enhancement forward into the posterior parametrium and sideways into the vaginal wall, accelerating multiple-contrast detection of residual tumors that survive external-beam radiation. The array's enclosure should form an obturator for cervical-cancer brachytherapy, allowing integration with MRI-guided catheter placement, CT and interstitial radiation-dose delivery.

Methods: The endovaginal array consisted of forward-looking and sideways-looking components. Read More

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September 2021

An approach to giant neonatal hydrocolpos with normally sited anus - Diagnosis and management including a novel one stage operation.

J Pediatr Urol 2021 Aug 8. Epub 2021 Aug 8.

Department of Paediatric Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamilnadu, India.

Introduction: Giant non cloacal neonatal hydrocolpos is a rare entity where early recognition of the underlying cause and drainage of the distended vagina is paramount. Conventionally, immediate management has been by abdominal tube vaginostomy or, in urogenital sinus by vaginal clean intermittent catheterisation (CIC). Though effective in providing temporary relief, the abdominal tube vaginostomy is replete with complications, making it imperative to search for alternatives. Read More

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Mitral Annular Disjunction of Degenerative Mitral Regurgitation: 3D Evaluation and Implications for Mitral Repair.

J Am Soc Echocardiogr 2021 Sep 10. Epub 2021 Sep 10.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address:

Background: Mitral annular disjunction (MAD) dynamic consequences on the mitral apparatus and the left ventricle (LV) remain unclear and are crucial in the context of mitral surgery. Thus, we aimed to assess mitral valvular/annular/ventricular dynamics in mitral valve prolapse (MVP) stratified by MAD presence.

Methods: In 61 patients (62±11 years; 25% women) with MVP and severe mitral-regurgitation undergoing mitral-surgery between 2009 and 2016, valvular/annular dimensions/dynamics by 2D transthoracic and 3D-transesophageal-echocardiography, and LV dimensions/dynamics were analyzed stratified by MAD presence, pre and post-surgery. Read More

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September 2021

The correlation between myocardial resilience after high-intensity exercise and markers of myocardial injury in swimmers.

Medicine (Baltimore) 2021 Sep;100(36):e27046

Medical Supervision Center, Internist of Sport Medicine Research Institute, General Administration of Sport of China, Beijing, China.

Abstract: To investigate how high-intensity exercise influences an athlete's myocardial resilience and the correlation between myocardial resilience and markers of myocardial ischemic injury.Fifteen swimmers participated in high-intensity exercises. Cardiac ultrasound was performed before and after exercise on each subject. Read More

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September 2021

Classification of Pituitary Adenomas Invading the Cavernous Sinus Assisted by Three-Dimensional Multimodal Imaging and Its Clinical Application.

J Neurol Surg B Skull Base 2021 Oct 20;82(5):567-575. Epub 2020 Aug 20.

Department of Neurosurgery, Capital Medical University, Beijing Tiantan Hospital, Beijing, China.

 To help diagnose and evaluate the prognosis of pituitary adenoma with cavernous sinus (CS) invasion and guide endonasal endoscopic surgery (EES) assisted by intraoperative navigation (ION) with three-dimensional multimodal imaging (3D-MMI). We propose a classification of CS invasion based on 3D-MMI.  We picked some appropriate cases and reconstructed the 3D-MMI and then classified them into 3 grades according to the stereo relationship among ICA, tumor and CS in 3D-MMI. Read More

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October 2021

Multidisciplinary management of a penetrating cerebellar injury by a fishing speargun: A case study and literature review.

Surg Neurol Int 2021 3;12:391. Epub 2021 Aug 3.

Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songklanagarind Hospital, Hat Yai, Songkhla, Thailand.

Background: Fishing spearguns are a rare cause of nonmissile penetrating brain injuries (PBIs). Discussion of their injury patterns and treatments has been published only sporadically. Here, we report a case of a self-inflicted PBI caused by this type of weapon and present an extensive review of previous case reports to help ascertain the appropriate surgical approach. Read More

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Delayed Collet-Sicard syndrome after internal carotid dissection and Jefferson fracture. Case report and Review of Literature.

Surg Neurol Int 2021 27;12:374. Epub 2021 Jul 27.

Department of Neurosurgery, Hôpitaux Universitaires de Marseille Nord, Aix Marseille University, Marseille, France.

Background: Lower cranial nerve palsies, or Collet-Sicard syndrome, can be caused by many different etiologies including head trauma, basilar occipital fractures, tumors, and interventions. Few reports describe different presentations of this condition, and we present here a case study to increase awareness of and add to the variable spectrum.

Case Description: A 56-year-old who had been hit while diving was admitted to our department. Read More

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