876 results match your criteria wedge bilateral


Restrictive cardiomyopathy caused by diffuse calcification of the left ventricle after 20 years of haemodialysis.

Cardiovasc J Afr 2021 Jul 5;32:1-3. Epub 2021 Jul 5.

Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Centre, Taipei, Taiwan. Email:

Valvular and vascular calcifications are common among patients with end-stage renal disease, but diffuse calcification of the left ventricle is rarely reported. We report on a rare case of restrictive cardiomyopathy resulting from severe myocardial calcification and review the literature. A 77-year-old man was diagnosed with end-stage renal disease after having received regular haemodialysis for 20 years. Read More

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Laparoscopic gonad-sparing procedure in Ovotesticular disorder of sex development - Case video technique.

J Pediatr Urol 2021 Jul 7. Epub 2021 Jul 7.

Pediatric Surgery Service, Hospital de Clínicas, Porto Alegre, Brazil; Coordinator of the Disorders of Sexual Development (DSD) Multidisciplinary Team, Hospital de Clínicas, Porto Alegre, Brazil. Electronic address:

Introduction: Ovotesticular disorder of sex development (OTD) is a rare condition. There's a lack of literature addressing gonad-sparing surgery for OTD.

Objective: Report the laparoscopic partial gonadectomy technique - gonad-sparing surgery - in an 11-year-old child, 46, XX karyotype with OTD with atypical genitalia. Read More

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A community-based service enhancement model of training and employing Ear Health Facilitators to address the crisis in ear and hearing health of Aboriginal children in the Northern Territory, the Hearing for Learning Initiative (the HfLI): study protocol for a stepped-wedge cluster randomised trial.

Trials 2021 Jun 16;22(1):403. Epub 2021 Jun 16.

Menzies School of Health Research, Charles Darwin University, 58 Rocklands Drive, Darwin, NT, 0810, Australia.

Background: Almost all Aboriginal children in remote communities have persistent bilateral otitis media affecting hearing and learning throughout early childhood and school years, with consequences for social and educational outcomes, and later employment opportunities. Current primary health care and specialist services do not have the resources to meet the complex needs of these children.

Method/design: This stepped-wedge cluster randomised trial will allocate 18 communities to one of five 6-monthly intervention start dates. Read More

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Characteristics of chest high resolution computed tomography images of COVID-19: A retrospective study of 46 patients.

Pak J Med Sci 2021 May-Jun;37(3):840-845

Ke Ding, Doctor of Medicine, Department of Radiology, Third Affiliated Hospital of Guangxi Medical University, Nanning 530031, China.

Objective: To analyze the characteristics of chest high resolution computed tomography (CT) images of coronavirus disease 2019 (COVID-19).

Methods: This is a retrospective study analyzing the clinical records and chest high-resolution CT images of 46 consecutive patients who were diagnosed with COVID-19 by nucleic acid tests and treated at our hospitals between January 2020 and February 2020.

Results: Abnormalities in the CT images were found in 44 patients (95. Read More

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Maturation process of regenerated tissues after single-stage simultaneous autologous particulated cartilage implantation and open wedge high tibial osteotomy for articular cartilage defects with medial osteoarthritis of bilateral knees: a case report.

BMC Musculoskelet Disord 2021 May 31;22(1):502. Epub 2021 May 31.

Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.

Background: Open wedge high tibial osteotomy (OWHTO) is an effective treatment option for young and middle-aged active patients with medial unicompartmental knee osteoarthritis (OA). In addition, particulated cartilage implantation has been developed as a simple procedure for cartilage regeneration. Thus, to improve the OWHTO outcomes, a single-stage, simultaneous bilateral knee arthroscopic particulated cartilage implantation with OWHTO was performed. Read More

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Pagetoid involvement of bronchioles by metastatic breast carcinoma.

Pathologica 2021 Apr;113(2):121-125

Department of Pathology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.

We report a case of a 36-year-old female with endobronchiolar spread of breast carcinoma in the lung. The patient had recently been diagnosed with invasive ductal breast carcinoma and imaging of the lungs revealed bilateral lung nodules. She then underwent a wedge resection of a lung nodule. Read More

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Simultaneous bilateral opening-wedge high tibial osteotomy with structural allograft impaction results in excellent early recovery and pain reduction similar unilateral osteotomy.

Knee 2021 Jun 11;30:283-290. Epub 2021 May 11.

Department of Orthopaedic Surgery, AZ Herentals, Herentals, Belgium. Electronic address:

Background: Patients suffering from bilateral combined medial osteoarthritis and varus alignment of the knee are eligible for bilateral high tibial osteotomy (HTO) in two-staged surgery. The impact of bilateral HTO surgery on rehabilitation and early outcomes have not yet been reported in the literature, even though these features are decisive in establishing whether a patient is preferably treated in one or two stages.

Methods: A total of 29 patients were followed after simultaneous bilateral HTO surgery. Read More

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[Application of wedge-shaped heel pad in the treatment of extremely severe burn patients with foot drop deformity].

Zhonghua Shao Shang Za Zhi 2021 Apr 25;37:1-7. Epub 2021 Apr 25.

Department of General Surgery, Traditional Chinese Medicine Hospital of Kunshan, Suzhou 215300, China.

To explore the clinical application effects of wedge-shaped heel pad in the treatment of foot drop deformity in extremely severe burn patients. A retrospective cohort study was conducted. From March 2015 to July 2016, 33 patients with foot drop deformity caused by extremely severe burn who met the selection criteria were admitted to Department of Burn Rehabilitation of Kunshan Rehabilitation Hospital, including 18 males and 15 females, aged (38±9) years. Read More

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Pulmonary amyloidosis complicated with pulmonary hemosiderosis, diagnosed with bronchoscopy.

Respir Med Case Rep 2021 19;33:101400. Epub 2021 Mar 19.

Department of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, 810-8539, Japan.

We describe a case of an 82-year-old Japanese woman with pulmonary amyloidosis and hemosiderosis associated with multiple myeloma. She had a background of end-stage renal failure of unknown etiology and had been on maintenance dialysis for 2 years. She complained of exertional dyspnea for four months. Read More

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Severe and progressive platythorax disproportionate to lung fibrosis: A rare variant of idiopathic pleuroparenchymal fibroelastosis.

Respir Med Case Rep 2021 19;33:101395. Epub 2021 Mar 19.

Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.

A 57-year-old man was referred to our department because of progressive shortness of breath and emaciation. He had experienced pneumothorax three times in the past five years. The patient radiologically showed mild upper-lobe predominant airspace consolidation and severe platythorax and was clinically diagnosed with idiopathic pleuroparenchymal fibroelastosis (PPFE). Read More

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Good Validity and High Internal Consistency of the Forgotten Joint Score-12 in Patients After Medial Opening Wedge High Tibial Osteotomy.

J Arthroplasty 2021 Aug 13;36(8):2691-2697. Epub 2021 Mar 13.

Department of Orthopedic Surgery, Tokyo Women's Medical University, Tokyo, Japan.

Background: The Forgotten Joint Score-12 (FJS-12) was originally developed to assess awareness of an artificial joint. Medial opening wedge high tibial osteotomy (MOWHTO), an alternative surgical method of knee replacement, is a joint-preservation surgery; therefore, joint awareness should be used to evaluate its clinical results. However, FJS-12 has not been validated as a tool to evaluate the postoperative results of MOWHTO. Read More

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Use of postoperative neurophysiological testing to help guide management in a case of delayed neurological injury.

Childs Nerv Syst 2021 Mar 29. Epub 2021 Mar 29.

Shriners Hospitals for Children-Philadelphia, 3551 N Broad St, Philadelphia, PA, 19140, USA.

Bimodal intraoperative neuromonitoring (IONM), combining transcranial motor-evoked potentials (tcMEP) and somatosensory-evoked potentials (SSEP), enables real-time detection and prevention of spinal cord injury during pediatric spinal deformity correction. Although rare, false-positive and false-negative signal alerts have been reported. However, no previously published accounts have described the use of postoperative neurophysiological testing to both identify new-onset neurological injury and guide reintervention. Read More

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A Natural History of Silent Brain Syndrome over 36 Years: A case report.

Orbit 2021 Mar 16:1-9. Epub 2021 Mar 16.

Dr. Nasser Ibrahim Al-Rashid Orbital Vision Research Center. Bascom Palmer Eye Institute, Oculofacial Plastic and Reconstructive Surgery Service, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida, USA.

A 34-year-old Caucasian male who underwent a ventricular shunt at age 21 presented with bilateral enophthalmos, poor eyelid-globe apposition and exposure keratopathy characteristic of silent brain syndrome. Progressive enophthalmos and corneal decompensation were documented in serial photographs and radiographic studies over 36 years. Over this period, no sequelae of shunt over-drainage were observed. Read More

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A New Modified Labiaplasty Combined with Wedge De-Epithelialization on the Medial Side and Edge Resection.

Aesthetic Plast Surg 2021 Mar 8. Epub 2021 Mar 8.

Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Science, 33 Badachu road, Shijingshan District, Beijing, 100144, China.

Background: Labiaplasty (labia minora reduction) has been increasingly requested in recent years. The surgical procedures previously reported in the literature may have some complications that affect patient satisfaction.

Methods: Patients who underwent a new bilateral labiaplasty procedure that combined wedge de-epithelialization on the medial side with edge resection on the lateral side were retrospectively reviewed. Read More

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[Surgical Treatment to Bilateral Multiple Primary Lung Cancer Patients].

Kyobu Geka 2021 Jan;74(1):49-53

Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.

Objectives: Multiple primary lung cancer( MPLC) has increased due to the extensive detection survey and patient's life-prolonging, but the treatment strategy remains disputable. There is no consensus on the surgical treatment strategy, especially for bilateral multiple primary lung cancer (BMPLC) among MPLC. This paper aimed to discuss the surgical strategy in patients with bilateral multiple lung cancer by our experiences of surgical outcomes. Read More

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January 2021

Tailing effect of PD-1 antibody results in the eradication of unresectable multiple primary lung cancer presenting as ground-glass opacities: a case report.

Ann Palliat Med 2021 Jan;10(1):778-784

Department of Medical Imaging, Lihuili Hospital, Ningbo Medical Center, Ningbo, China. Email:

There is currently no standard treatment for multiple primary lung cancer (MPLC). We report a case of synchronous MPLC presenting as one ground-glass opacity (GGO) with predominant consolidation accompanied by at least parietal pleura involvement, and another with >30 GGOs distributed across bilateral lungs, which was ineligible for complete resection. CT-guided percutaneous biopsy of the nearly pure-solid mass showed invasive lung adenocarcinoma mainly composed of acinar type. Read More

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January 2021

Resection of clustered arteriovenous malformations to avoid lung transplantation.

Ann Thorac Surg 2021 Feb 1. Epub 2021 Feb 1.

Department of Thoracic Surgery, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan.

A 54-year-old man with hereditary hemorrhagic telangiectasia and severe hypoxemia was referred for lung transplantation. Embolization had not been performed because of numerous bilateral small pulmonary arteriovenous malformations. Although he appeared to be qualified for lung transplantation, we instead performed bilateral thoracoscopic multiple wide wedge resections because of his age, lifestyle as a farmer, and relatively clustered distribution of arteriovenous malformations. Read More

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February 2021

Pott's disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case.

Malawi Med J 2020 09;32(3):168-172

Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.

Bilateral psoas abscesses are uncommon in Pott's disease. We describe a 28-year-old Nigerian woman with a 2-year history of constitutional symptoms and a 1-year history of bilateral paravertebral masses. She had received anti-tuberculosis (TB) treatment in an interrupted manner. Read More

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September 2020

[Clinical characteristics analysis of patients with pneumonia infected by Chlamydia psittaci].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Nov;32(11):1388-1390

Department of Intensive Care Unit, People's Hospital of Tongling City, Tongling 244000, Anhui, China. Corresponding author: Lu Houqing, Email:

Objective: To explore the clinical characteristics of pneumonia infected by Chlamydophila psittaci (C. psittaci).

Methods: A retrospective analysis was performed on 3 cases of C. Read More

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November 2020

Camptocormia and Other Orthopedic Compromise Dominating Mitochondrial Disorder: A Case Report.

Cureus 2020 Dec 3;12(12):e11888. Epub 2020 Dec 3.

Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, IND.

Objectives: Camptocormia and other orthopedic abnormalities have been only rarely reported as a phenotypic manifestation of a mitochondrial disorder (MID). Here we present an MID patient with multiple orthopedic abnormalities dominating the phenotype.

Case Report: The patient is a 55-year-old male in whom MID was diagnosed at age 34 upon clinical presentation, muscle biopsy, and biochemical investigations. Read More

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December 2020

Recurrence of Ectopic Cushing's Syndrome 10 Years After Bilateral Adrenalectomy.

Cureus 2020 Nov 25;12(11):e11704. Epub 2020 Nov 25.

Endocrinology, Arnot Ogden Medical Center, New York, USA.

Ectopic Cushing's syndrome is a severe form of Cushing disease. Treatment usually involves the resection of the adrenocorticotropic hormone producing tumor. In certain cases, bilateral adrenalectomy is carried out as a final resort in treatment. Read More

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November 2020

A rare diagnostic challenge in a female patient with a rapid recurrent pleural effusion: Autopsy revealed cardiac angiosarcoma with bilateral pleural and pulmonary metastases. A case report.

Int J Surg Case Rep 2021 Jan 17;78:278-283. Epub 2020 Dec 17.

Department of Thoracic Surgery, Lungenklinik Hemer, Hemer, Germany. Electronic address:

Introduction: We present a very rare case with diffuse cardiac angiosarcoma. Because all symptoms are often non-specific, this diagnosis is difficult to establish. To our knowledge this is the first clinical description of this rare disease. Read More

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January 2021

Acute macular neuroretinopathy in a patient with acute coronary syndrome.

BMJ Case Rep 2020 Dec 22;13(12). Epub 2020 Dec 22.

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India.

A young man presented with bilateral diminution of vision after acute coronary syndrome. Fundus showed dark wedge-shaped perifoveal lesions in both eyes. Fundus fluorescein angiography and indocyanine angiography were normal. Read More

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December 2020

Simultaneous bilateral pulmonary resection via single-utility port VATS for multiple pulmonary nodules: A single-center experience of 16 cases.

Thorac Cancer 2021 02 22;12(4):525-533. Epub 2020 Dec 22.

Department of Thoracic Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.

Background: The detection rate of bilateral multiple pulmonary nodules (BMPNs) is increasing due to widespread use of chest computed tomography (CT) screening. However, there is no consensus on the treatment options for BMPNs and whether simultaneous bilateral pulmonary resection is safe remains controversial. The purpose of this study was to evaluate the feasibility and safety of simultaneous bilateral pulmonary resection for BMPNs. Read More

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February 2021

Four-dimensional CT excretory urography is an accurate technique for diagnosis of canine ureteral ectopia.

Vet Radiol Ultrasound 2021 Mar 22;62(2):190-198. Epub 2020 Dec 22.

Royal (Dick) School of Veterinary Studies and Roslin Institute, The University of Edinburgh, Roslin, UK.

Computed tomographic (CT) excretory urography is commonly used to investigate canine ureteral ectopia (UE). Modern technology allows time-resolved CT imaging (four-dimensional CT excretory urography [4D-CTEU]) over a distance exceeding the detector collimation. Objectives of this prospective, observational, diagnostic accuracy study were to evaluate the diagnostic accuracy of CT excretory urography (CTEU) and 4D-CTEU for UE in dogs with lower urinary tract signs, assess the influence of pelvis positioning, and to determine the significance of the ureterovesical junction (UVJ) angle for UE diagnosis. Read More

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Malignant pleural neoplasm with both differentiation of epithelioid mesothelioma and squamous-cell carcinoma, a rare phenomena.

Diagn Cytopathol 2021 Jun 21;49(6):E234-E237. Epub 2020 Dec 21.

Department of Pathology and Laboratory Medicine, Cooper University Hospital, Camden, New Jersey, USA.

Malignant mesothelioma, a neoplasm arising within the serosal surfaces, has been linked closely to asbestos exposure. We present a case of 72-year-old male with a 27 year work-related history of asbestos exposure who presented with dyspnea. Chest computed tomography scan showed a large, right pleural effusion with compressive right lung atelectasis. Read More

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Clinical course and outcomes of simultaneous-versus staged-bilateral medial opening wedge high tibial osteotomy.

Asia Pac J Sports Med Arthrosc Rehabil Technol 2021 Jan 7;23:13-17. Epub 2020 Dec 7.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine. Yanagido 1-1, Gifu, 501-1194, Japan.

Background: Difference in the clinical course and outcomes between simultaneous- and staged-bilateral medial opening wedge high tibial osteotomies (OWHTOs) over time was unknown. The study hypothesis was that patients who underwent simultaneous-bilateral OWHTO (SMBO) have a more rapid improvement in knee function than those who underwent staged-bilateral OWHTO (STBO) due to difference in the change of lower limb alignment between SMBO and STBO.

Methods: The records of 56 knees in 28 patients who underwent either SMBO (n = 28) or STBO (n = 28) were retrospectively analysed. Read More

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January 2021

[Application of dorsal foot hexagonal flap for reconstruction of web space in fourth and fifth toe syndactyly combined with polydactyly].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Dec;34(12):1590-1593

The 1st Department of Orthopedics, Hebei Province Children's Hospital, Shijiazhuang Hebei, 050031, P.R.China.

Objective: To explore the application of the dorsal foot hexagonal flap for reconstruction of the web space in the fourth and fifth toe syndactyly combined with polydactyly.

Methods: Between May 2016 and October 2019, 27 patients (34 feet) with the fourth and fifth toe syndactyly combined with polydactyly were treated, including 12 males and 15 females with an average age of 22.8 months (range, 10 months to 8 years). Read More

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December 2020

[Pulmonary Benign Metastasizing Leiomyoma Found as Multiple Bilateral Lung Nodules 11 Years after Hysterectomy;Report of a Case].

Kyobu Geka 2020 Dec;73(13):1128-1131

Department of Thoracic Surgery, Kansai Medical University, Hirakata, Japan.

Pulmonary benign metastasizing leiomyoma (PBML) is a rare entity. We herein report a case of PBML found as multiple bilateral lung nodules 11 years after total hysterectomy. The patient was a 53-year-old woman with past surgical history of abdominal total hysterectomy for a uterine leiomyoma at the age of 42. Read More

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December 2020

Genu Recurvatum After Prolonged Bracing for Drop-Foot in a Patient With History of Guillain-Barre Syndrome.

Cureus 2020 Sep 22;12(9):e10587. Epub 2020 Sep 22.

1st Orthopaedic Department, Children's General Hospital Panagiotis & Aglaia Kyriakou, Athens, GRC.

A case of unilateral genu recurvatum (GR) in a 15-year-old boy with a history of Guillain-Barre syndrome (GBS) and subsequent bilateral drop-foot is presented. Muscle imbalance of the lower limb and repetitive pressure from prolonged usage of an orthosis to deal with drop-foot may be the causative factors for early partial physeal arrest of his right proximal tibia. The result was a right GR and a shorter right lower limb. Read More

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September 2020