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39,554 results
  • Case 261. [Journal Article]
  • RRadiology 2018; 288(3):898-900
  • Priola AM, Gned D, … Priola SM
  • History A 29-year-old woman presented with a 6-month history of progressive general fatigue, fluctuating limb weakness, and difficulty climbing stairs. She initially experienced occasional episodes o...
  • Preventing Postoperative Atypical Mycobacterial Infection. [Journal Article]
  • OPOphthalmic Plast Reconstr Surg 2018 Aug 17
  • Zhan S, Hoang A, … Oester AE
  • CONCLUSIONS: Atypical mycobacterium infection, although rare, should be considered as a possible diagnosis in a blepharoplasty patient with delayed development of nodular lesions. Long-term clarithromycin therapy and debridement have shown good outcomes for these patients; however, the best treatment for any infection is prevention. This study provides the first evidence based approach within the ophthalmic literature for reducing the mycobacterium infection rate in blepharoplasty patients.
  • The Relationship Between Eyebrow and Eyelid Position in Patients With Ptosis, Dermatochalasis and Controls. [Journal Article]
  • OPOphthalmic Plast Reconstr Surg 2018 Aug 17
  • Sinha KR, Al Shaker S, … Rootman DB
  • CONCLUSIONS: In eyelids with ptosis, mechanical brow elevation does not change eyelid position; however, voluntary brow elevation raises eyelid position to a similar position as maximal eyelid opening. These results argue against the contention that the brow is elevated to mechanically lift the eyelid in ptosis and instead suggest that the brow elevation is driven by efforts to raise the eyelid, possibly via co-innervation.
  • Perioperative interventions in pelvic organ prolapse surgery. [Review]
  • CDCochrane Database Syst Rev 2018 Aug 19; 8:CD013105
  • Haya N, Feiner B, … Maher C
  • CONCLUSIONS: There was a paucity of data about perioperative interventions in pelvic organ prolapse surgery. A structured programme of pelvic floor muscle training before and after prolapse surgery did not consistently demonstrate any benefit for the intervention; however, this finding is based on the results of two small studies. With regard to other interventions (preoperative bowel preparation and injection of vasoconstrictor agent, ureteral stent placement during uterosacral ligament suspension, postoperative vaginal pack insertion, use of vaginal dilators, prophylactic antibiotics for postoperative catheter care), we found no evidence regarding rates of recurrent prolapse and no clear evidence that these interventions were associated with clinically meaningful reductions in adverse effects, such as intraoperative or postoperative blood transfusion, intraoperative ureteral injury, or postoperative urinary tract infection.
  • Surgery for women with pelvic organ prolapse with or without stress urinary incontinence. [Review]
  • CDCochrane Database Syst Rev 2018 Aug 19; 8:CD013108
  • Baessler K, Christmann-Schmid C, … Brown J
  • CONCLUSIONS: In women with POP and SUI (symptomatic or occult), a concurrent MUS probably reduces postoperative SUI and should be discussed in counselling. It might be feasible to postpone the MUS and perform a delayed (two-stage) continence procedure, if required.Although an abdominal continence procedure (Burch colposuspension) during abdominal POP surgery in continent women reduced de novo SUI rates in one underpowered trial, another RCT reported conflicting results. Adding an MUS during vaginal POP repair might reduce postoperative development of SUI.An anterior native tissue repair might be better than use of transobturator mesh for preventing postoperative SUI; however, prolapse recurrence is more common with native tissue repair.
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