32 results match your criteria torsion de-torsion

[Testicular torsion: Legal aspects to keep in mind. Concepts and tricks.]

Arch Esp Urol 2021 Mar;74(2):185-186

Servicio de Responsabilidad Profesional del Colegio de Médicos de Barcelona. (CoMB). Barcelona. España.

 OBJETIVOS 1. Saber que ha sido de los requerimientos judiciales por presunta mala praxis, en relación a casos de torsión testicular (TT). 2. Read More

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Torsion of Functional Adnexal Cysts in Pregnancy: Aspiration and Drainage are Important in Preventing Recurrence.

Isr Med Assoc J 2021 Jan;23(1):48-51

Department of Obstetrics and Gynecology, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel.

Background: Adnexal torsion in pregnancy is often associated with functional adnexal cysts, especially in pregnancies conceived by ovulation induction (OI) or in-vitro fertilization (IVF). During laparoscopy for adnexal de-torsion, drainage of the functional cysts can be attempted, although this procedure may cause bleeding.

Objectives: To investigate the characteristics of ovarian torsion in pregnancy associated with functional cysts and to compare the rate of torsion recurrence following de-torsion alone versus cyst drainage. Read More

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January 2021

[Radial nerve entrapment in the spiral groove. Nerve block as a diagnostic and therapeutic tool].

Rehabilitacion (Madr) 2021 Apr-Jun;55(2):153-156. Epub 2020 Oct 14.

Servicio de Rehabilitación, Complexo Hospitalario Universitario A Coruña, A Coruña, España.

The radial nerve has a long and sinuous course in the upper limb from the axilla to the hand and fingers. There are several possible areas of compression along this trajectory, the most frequent being on the Arcade of Frohse, with entrapment of its terminal nerve, the posterior interosseous nerve. We report the case of a patient with radial nerve entrapment in the spiral groove and describe how ultrasound and nerve blocks could be useful in diagnosis and treatment. Read More

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October 2020

Case of intermittent testicular torsion and de-torsion captured on scrotal ultrasound.

ANZ J Surg 2021 03 6;91(3):E135-E136. Epub 2020 Aug 6.

Nepean Urology Research Group, Nepean Hospital, Sydney, New South Wales, Australia.

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Initial Computed Tomography Findings of Long and Distended Colon Are Risk Factors for the Recurrence of Sigmoid Volvulus.

Dig Dis Sci 2021 Apr 14;66(4):1162-1167. Epub 2020 May 14.

Department of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Japan.

Background: Sigmoid volvulus is a common condition in elderly patients with elongated colons. Although endoscopic de-torsion is effective as the primary treatment of sigmoid volvulus, elective surgery is recommended because of the high risk of recurrence and high mortality rate.

Aim: The aim of this study was to determine the risk factors for the recurrence of sigmoid volvulus. Read More

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Intra-Testicular Papaverine Injection for Testicular Salvage after Blunt Testicular Trauma: A Case Report.

Curr Urol 2019 Oct 1;13(2):110-112. Epub 2019 Oct 1.

Department of Urology, Hahnemann University Hospital/Drexel University College of Medicine, Philadelphia, PA, USA.

Blunt trauma is the most common mechanism of injury to the scrotum and testicle. Surgical exploration with primary repair, hematoma evacuation, and de-torsion are common surgical interventions. A 20-year-old male with no previous medical history presented after a high-speed motor vehicle collision. Read More

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October 2019

[Intussusception Due to Inflammatory Polyp in the Ileum after ESD for Rectal LST].

Gan To Kagaku Ryoho 2019 Oct;46(10):1629-1631

Dept. of Surgery, Kansai Medical University.

A 69-year-woman was admitted to the clinic in August 2018 because of general fatigue and low appetite.She had occult blood-positive and was referred to our hospital for further investigations.There was LST in the rectum for which colonoscopy and ESD were performed. Read More

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October 2019

Torsion of wandering spleen treated by laparoscopic splenopexy: A case report.

Int J Surg Case Rep 2019 26;62:58-61. Epub 2019 Jun 26.

Department of Accident & Emergency, Mediclinic City Hospital, Dubai Healthcare City, Dubai, United Arab Emirates. Electronic address:

Introduction: A wandering spleen is a mobile spleen as a result of deficient splenic peritoneal ligaments and elongation of its vascular pedicle. It is a rare entity affecting mainly young adults commonly females and children, presenting as an asymptomatic abdominal mass or abdominal discomfort due to torsion and de-torsion of the pedicle.

Presentation Of Case: We report a 35-year-old female presented with intermittent colicky abdominal pain that worsened in severity over three weeks. Read More

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Long-Term Ultrasound Follow-Up After Pediatric Adnexal Torsion.

Ultraschall Med 2020 Aug 25;41(4):404-409. Epub 2019 Jun 25.

Obstetrics & Gynecology department affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Asaf Harofe medical center, Zerifin, Israel.

Purpose:  Conservative surgical management of adnexal torsion in pre- and post-menarchal girls by de-torsion and adnexal conservation is the current standard of care. The aim of this study is to investigate the long-term outcome of adnexal torsion in this population in terms of ultrasound appearance and ovarian volume.

Methods:  Patients who were surgically treated for adnexal torsion and were < 18 years old at time of surgery were prospectively invited for ultrasound follow-up. Read More

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Isolated fallopian tube torsion in pediatric age: An Italian multicenter retrospective study.

J Pediatr Surg 2020 Apr 11;55(4):711-714. Epub 2019 May 11.

Pediatric Surgery Unit, Department of Medical Science, Surgery and Neuroscience, University of Siena -, Siena, - Italy.

Purpose: The purpose of this study was to quantify the experience of five Italian centers on the diagnosis and management of isolated fallopian tube torsion (IFTT) in children.

Methods: We retrospectively reviewed the data of 20 patients aged 1-16 years of age with surgically diagnosed IFTT between 1991 and 2017 from five Italian centers of pediatric surgery. We analyzed common presenting signs, symptoms, and radiographic findings, as well as surgical interventions to describe management offering further insight into the diagnosis and treatment of this rare entity. Read More

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Tadalafil attenuates ischemic damage as well as reperfusion injury in the rat ovary

J Turk Ger Gynecol Assoc 2020 03 15;21(1):35-40. Epub 2019 May 15.

Department of Physiology, Demiroğlu Bilim University Faculty of Medicine, İstanbul, Turkey

Objective: Tadalafil is a selective phosphodiesterase type-5 inhibitor with a long half-life. It has a dual function in ischaemic and re-perfused tissues, i.e. Read More

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The protective effect of Gingko biloba in a rat model of ovarian ischemia/reperfusion injury: Improvement in histological and biochemical parameters.

Adv Clin Exp Med 2018 May;27(5):591-597

Department of Physiology, Bilim University, Istanbul, Turkey.

Background: Ovarian torsion is one of the most common gynecological emergencies, which especially affects women of reproductive age.

Objectives: We aimed to evaluate the effect of Ginkgo biloba (GB) supplementation in ovarian ischemia/ reperfusion injury in an experimental torsion/de-torsion rat model.

Material And Methods: This study was carried out in the Ege University Faculty of Medicine in Izmir, Turkey. Read More

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Wandering spleen with horseshoe kidney a rare occurrence.

Int J Surg Case Rep 2018 22;45:96-100. Epub 2018 Mar 22.

Department of General Surgery, Tawau Hospital, Sabah, Malaysia.

Introduction: Wandering spleen is a rare clinical entity in itself, with only 2 cases reported thus far when correlated with congenital under-development of the kidney, it usually happens due to under development of its surrounding ligaments. Herein we present a case of wandering spleen with underlying congenital deformity of horseshoe kidney which requires splenectomy due to late presentation.

Presentation Of Case: A 21 year old lady presented with worsening of chronic abdominal pain for 3 years, associated with nausea and vomiting. Read More

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Degradation of Extracellular DNA by DNase1 Significantly Reduces Testicular Damage After Testicular Torsion in Rats.

Urology 2017 Nov 31;109:223.e1-223.e7. Epub 2017 Jul 31.

Institute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Objective: To examine the effects of DNase1 treatment on testicular damage after testicular torsion (TT). It has been demonstrated that TT induces thrombus formation and that anticoagulation significantly reduces testicular damage after TT. It was hypothesized that these thrombi are dependent on neutrophil extracellular traps (NETs) and thus NETs disintegration would reduce testicular cell damage. Read More

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November 2017

N° 341-Diagnostic et prise en charge de la torsion annexielle chez les filles, les adolescentes et les femmes adultes.

J Obstet Gynaecol Can 2017 Feb;39(2):91-100

Halifax (N.-É.).

Objectif: Passer en revue les connaissances scientifiques actuelles et formuler des recommandations relatives au diagnostic et à la prise en charge de la torsion annexielle chez les filles, les adolescentes et les femmes adultes.

Issues: L'étude porte sur les facteurs de risque, la précision diagnostique, les options de prise en charge et les issues de la torsion annexielle. RéSULTATS: Nous avons examiné les études publiées en faisant des recherches dans MEDLINE, Embase, CINAHL et la Bibliothèque Cochrane à l'aide d'une terminologie contrôlée et de mots-clés appropriés (« adnexal torsion », « ovarian torsion »). Read More

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February 2017

A novel approach for manual de-torsion of an atypical (outward) testicular torsion with bedside Doppler ultrasonography guidance.

Can Urol Assoc J 2015 Sep-Oct;9(9-10):E676-8. Epub 2015 Sep 9.

Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey;

A 17-year-old boy presented with right testicular torsion to the lateral side. Torsion was diagnosed by physical examination; the colour Doppler ultrasonography (CDU) confirmed right testicular torsion with minimal peripheral hydrocele. Transverse and longitudinal examination of the spermatic cord with ultrasound and CDU revealed a counter-clockwise testicular torsion. Read More

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October 2015

Is ursodeoxycholic acid crucial for ischemia/reperfusion-induced ovarian injury in rat ovary?

Arch Gynecol Obstet 2015 Aug 7;292(2):445-50. Epub 2015 Feb 7.

Department of Obstetrics and Gynecology, Medicine Faculty, Ege University, 35040, Izmir, Turkey.

Purpose: Ursodeoxycholic acid is frequently used in cholestatic liver diseases. Also, it protects hepatocytes against oxidative stress induced by hydrophobic bile acids. We investigated the anti-oxidative effect of ursodeoxycholic acid on ischemia/reperfusion injury after ovarian de-torsion in rats. Read More

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Re-torsion of the ovaries.

Acta Obstet Gynecol Scand 2015 Mar 11;94(3):236-44. Epub 2014 Dec 11.

Department of Anesthesiology, Vendsyssel Hospital, Hjørring, Denmark.

The increasing use of de-torsion of the ovaries may result in re-torsion. This review addresses risk of re-torsion and describes preventive strategies to avoid re-torsion in pre-menarcheal girls, and fertile and pregnant women. We clinically reviewed PubMed, Embase, Trip and Cochrane databases. Read More

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[The geometry of the keel determines the behaviour of the tibial tray against torsional forces in total knee replacement].

Rev Esp Cir Ortop Traumatol 2014 Nov-Dec;58(6):329-35. Epub 2014 Jul 16.

Servicio de COT, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.

The keel design of the tibial tray is essential for the transmission of the majority of the forces to the peripheral bone structures, which have better mechanical proprieties, thus reducing the risk of loosening. The aim of the present study was to compare the behaviour of different tibial tray designs submitted to torsional forces. Four different tibial components were modelled. Read More

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October 2016

Protective effect of oxytocin on ovarian ischemia-reperfusion injury in rats.

Peptides 2014 May 11;55:126-30. Epub 2014 Mar 11.

Department of Physiology, Ege University School of Medicine, Izmir, Turkey.

Oxytocin (OT), a neurohypophysial nonapeptide, plays dual role as a neurotransmitter/neuromodulator and a hormone. It has also well known protective properties against ischemia/reperfusion organ damage. This study investigated the effect of OT on experimentally induced ovarian torsion/de-torsion ischemia/reperfusion (I/R) injury in rats. Read More

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Acute gastric volvulus: Late-onset ischemic consequences and their management.

J Indian Assoc Pediatr Surg 2011 Oct;16(4):148-51

Department of Paediatric Surgery, Christian Medical College, Vellore, Tamilnadu, India.

We report three infants who presented with acute gastric volvulus and recovered initially after de-torsion, but later presented with sequelae due to ischemia of gastroesophageal junction, stomach and gastroduodenal junction. The first two infants could not be fed orally or by gastrostomy tube because of microgastria and stricture of the lower esophagus and gastroduodenal junction, and were managed on jejunostomy feeds, while the third child was managed on gastrostomy feeds till the gastric substitution surgery. The first case was treated nonsurgically with repeated dilatations, but ultimately succumbed to sepsis and malnutrition. Read More

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October 2011

Laparoscopic Management of a Rare Case of Spontaneous Adnexal Torsion in an Adolescent.

J Gynecol Endosc Surg 2011 Jul-Dec;2(2):109-11

Department of Pediatric Surgery, Sevashetra Hospital, Bangalore, India.

The occurrence of spontaneous torsion of normal ovary and fallopian tube in an adolescent is very rare. We report a case of a 14-year-old post-menarche teenager who presented as acute abdomen. Here, we discuss the differential diagnosis of acute pain abdomen, importance of immediate diagnostic laparoscopy and prompt decision for de torsion of the ovarian pedicle and mesoalphinx to salvage the fallopian tube and ovary, which has a bearing on future reproduction. Read More

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Diagnosis and management of ovarian cyst accidents.

Best Pract Res Clin Obstet Gynaecol 2009 Oct 18;23(5):711-24. Epub 2009 Mar 18.

St George's University of London, Cranmer Terrrace, London SW17 ORE, UK.

Ovarian cyst accidents include cyst rupture, haemorrhage and torsion. Torsion commonly occurs to the whole adnexa and is not necessarily associated with an ovarian cyst. Suspected adnexal torsion should always be managed with early laparoscopy and de-torsion of the twisted tube or ovary. Read More

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October 2009

Brief ischaemia reduces testicular lipid peroxidation following subsequent ischaemia: an evidence for ischaemic preconditioning.

Nig Q J Hosp Med 2008 Jul-Sep;18(3):149-52

Department Of Anatomy, College Of Medicine, University Of Lagos.

Background: Brief periods of ischaemia followed by reperfusion protect tissues like the brain and heart from subsequent ischaemic episodes. Similar effects in the testis has not been adequately studied despite the fact that the testis is subject to ischaemia-reperfusion phenomena of clinical importance during testicular torsion.

Objective: The present study was designed to investigate whether the testis exhibits ischaemic pre-conditioning. Read More

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February 2009

Effects of torsion, detorsion and melatonin on testicular malondialdehyde level.

West Afr J Med 2007 Oct-Dec;26(4):312-5

Department of Anatomy, College of Medicine, University of Lagos.

Background: Unilateral testicular torsion is a cause of bilateral testicular damage, which has ischaemic and reperfusion components. The damage may involve lipid peroxidation leading to production of lipid peroxides in the testes, including malondialdehyde (MDA).

Objective: To investigate the MDA variations in the ipsilateral and contralateral testes following ischaemia-reperfusion and the effect of melatonin. Read More

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September 2008

Laparoscopic plication of partially twisted ovary with massive ovarian edema.

J Chin Med Assoc 2006 May;69(5):236-9

Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Massive ovarian edema (MOE) is a rare entity characterized by an accumulation of stromal edema fluid and occurs primarily in young women. The etiology is not clear, but is suspected to be the result of partial torsion of the ovary. After the establishment of a correct diagnosis, organ-sparing surgical treatment is the standard treatment. Read More

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Does color Doppler sonography improve the clinical assessment of patients with acute scrotum?

Eur J Radiol 2006 Oct 30;60(1):120-4. Epub 2006 May 30.

Urology Unit, Cannizzaro Hospital, Catania, Italy.

Introduction And Objectives: Our experience concerning the use of color Doppler sonography (CDS) in the differential diagnosis of acute scrotum is reported.

Material And Methods: From July 2000 to July 2005, 155 patients (median 17.2 years) were admitted with a diagnosis of acute scrotum (unilateral in 150 cases, bilateral in 5). Read More

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October 2006

Intra-operative pulse oximetry can help determine intestinal viability.

E R La Hei A Shun

Pediatr Surg Int 2001 Mar;17(2-3):120-1

Department of Surgery, Royal Alexandra Hospital for Children, Hawkesbury Rd, Westmead 2145, Sydney, Australia.

The intra-operative assessment of intestinal viability when dealing with ischaemic bowel remains a challenge. Reliable healing of small-bowel anastomoses, using pulse oximetry to exclude critical ischaemia, has been shown in the canine model. In this study, intra-operative pulse oximetry (PO) was used to help determine intestinal viability 48 h after de-torsion of a volvulus. Read More

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Hepatic torsion and dislocation with hypotension and colonic obstruction.

P S Tate

Am Surg 1993 Jul;59(7):455-8

Department of Surgery, Central Baptist Hospital, Lexington, Kentucky.

A case of hepatic torsion is presented with the following clinical features: 1) complete dislocation of the liver into the left upper quadrant, 2) 180 degrees clockwise torsion of the liver with severe ischemia, 3) hypotension secondary to vena caval obstruction, 4) ascites, 5) congenital absence of falciform and triangular ligaments, 6) obstruction of the descending colon by the round ligament, 7) intestinal malrotation and massive colonic dilation. The patient was treated by de-torsion of the liver, hepatopexy (by suturing the round ligament to the right abdominal wall), and colon resection. The pathophysiology of this unique condition is discussed. Read More

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[Results of the treatment of patients with torsion of the sigmoid].

I T Vasil'ev

Khirurgiia (Mosk) 1990 Sep(9):102-8

The results of treatment of 204 patients with torsion of the sigmoid colon are analysed. Total postoperative mortality was 14.2%. Read More

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September 1990