- Endoscopic submucosal dissection for the diagnosis and therapy of pedunculated gastric cancer with prolapse into the duodenal bulb: A case report. [Journal Article]
- IJInt J Surg Case Rep 2018 Feb 09; 43:49-55
- CONCLUSIONS: It was reported that ESD for early gastric cancers that met the expanded criteria was acceptable and should be the standard treatment instead of gastrectomy. The expanded criteria included cancer confined to the mucosa (cT1a), a single primary intestinal-type gastric adenocarcinoma, an ulcer-negative lesion of any size. We reported a case of pedunculated gastric cancer with prolapse into the duodenal bulb that could be treated by ESD. The present case is a good example of diagnostic ESD being used to minimize the damage of gastric cancer treatment.
- Re: Repair of Damaged Ligaments with Tissue Fixation System Minisling Is Sufficient to Cure Major Prolapse in All Three Compartments: 5-yr Data. [Journal Article]
- EUEur Urol 2018 Feb 12
- Laparoscopic Sacrohysteropexy in A 12 Weeks Pregnant Woman. [Journal Article]
- JMJ Minim Invasive Gynecol 2018 Feb 12
- CONCLUSIONS: Laparoscopic sacrohysteropexy may be an alternative and safe approach, if conservative treatment fails, for pelvic organ prolapse during pregnancy.
- Ileoanal J pouch prolapse: a rare complication after restorative coloproctectomy. [Journal Article]
- TMTunis Med 2017; 95(3):221
- Palatal prolapse as a signature of expiratory flow limitation and inspiratory palatal collapse in patients with obstructive sleep apnoea. [Journal Article]
- EREur Respir J 2018; 51(2)
- In some individuals with obstructive sleep apnoea (OSA), the palate prolapses into the velopharynx during expiration, limiting airflow through the nose or shunting it out of the mouth. We hypothesise...
In some individuals with obstructive sleep apnoea (OSA), the palate prolapses into the velopharynx during expiration, limiting airflow through the nose or shunting it out of the mouth. We hypothesised that this phenomenon causes expiratory flow limitation (EFL) and is associated with inspiratory "isolated" palatal collapse. We also wanted to provide a robust noninvasive means to identify this mechanism of obstruction.Using natural sleep endoscopy, 1211 breaths from 22 OSA patients were scored as having or not having palatal prolapse. The patient-level site of collapse (tongue-related, isolated palate, pharyngeal lateral walls and epiglottis) was also characterised. EFL was quantified using expiratory resistance at maximal epiglottic pressure. A noninvasive EFL index (EFLI) was developed to detect the presence of palatal prolapse and EFL using the flow signal alone. In addition, the validity of using nasal pressure was assessed.A cut-off value of EFLI >0.8 detected the presence of palatal prolapse and EFL with an accuracy of >95% and 82%, respectively. The proportion of breaths with palatal prolapse predicted isolated inspiratory palatal collapse with 90% accuracy.This study demonstrates that expiratory palatal prolapse can be quantified noninvasively, is associated with EFL and predicts the presence of inspiratory isolated palatal collapse.
- Salvage from cervical dystocia in third degree uterovaginal prolapse: Duhrssen's incision. [Journal Article]
- BCBMJ Case Rep 2018 Feb 14; 2018
- We present a case of a 28-year-old woman second gravida with a full-term pregnancy who presented to us in active phase of labour with third degree uterovaginal prolapse complicated by entrapment of f...
We present a case of a 28-year-old woman second gravida with a full-term pregnancy who presented to us in active phase of labour with third degree uterovaginal prolapse complicated by entrapment of fetal head by dystocia of cervix and fetal distress. Patient was immediately shifted to the operation theatre and prompt delivery was conducted by giving Duhrssen's incision on the highly vascular, oedematous prolapsed cervix. The outcome was an alive and healthy male baby. Duhrssen's incision was stitched with minimal blood loss. Postnatal management included antibiotics and daily intravaginal packing. Patient was discharged along with the baby in satisfactory condition.
- Current management of pelvic organ prolapse in aging women. [Journal Article]
- MMaturitas 2018 Feb 06
- Management of pelvic organ prolapse (POP) is a common and challenging task. Nowadays older women are more active than they were in the past, and the development of POP disrupts quality of life and im...
Management of pelvic organ prolapse (POP) is a common and challenging task. Nowadays older women are more active than they were in the past, and the development of POP disrupts quality of life and impairs social and personal activities. The menopausal transition is a time of vulnerability, during which many women start experiencing symptoms and signs of POP. The role of hormonal changes or of hormonal therapies in influencing the development or progression of POP has been explored extensively. The management of POP requires considerable clinical skills. Correct diagnosis and characterization of the prolapse and an identification of the individual woman's most bothersome symptoms are the hallmark of appropriate initial management. Therapy is multimodal and often multidisciplinary, and requires a competence in pelvic medicine and surgery. The integration of hormonal, non-hormonal and surgical strategies is important and needs to be adjusted to changing circumstances on an individualized basis. When surgery is required, optimal management requires clinicians who are familiar with the advantages and disadvantages of all the available strategies and who are able to use these strategies in a tailored manner. Complex cases should be sent to specialist referral centers. Management of POP should be integrated into the practice of healthcare professionals dealing in menopause.
- Sheets Glide-Assisted Intraocular Placement of the Argus II Retinal Prosthesis. [Journal Article]
- OSOphthalmic Surg Lasers Imaging Retina 2018 Feb 01; 49(2):132-133
- CONCLUSIONS: The Sheets glide may be a useful tool in aiding the retinal surgeon to successfully and easily place the electrode array of the Argus II retinal prosthesis. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:132-133.].
- The Ophthalmology Surgical Competency Assessment Rubric (OSCAR) for anterior approach ptosis surgery. [Journal Article]
- OOrbit 2018 Feb 14; :1-4
- CONCLUSIONS: The OSCAR for anterior approach ptosis is skill and behaviour-based, has ICO agreed standards for assessment and provides learners with specific targets for improvement. Although the OSCAR ptosis tool has face and content validity, further development could better elucidate its precise role.
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- A new surgical technique for excision of orbital cavernous hemangioma: a 15-year experience. [Journal Article]
- OOrbit 2018 Feb 14; :1-9
- CONCLUSIONS: The "index finger dissection" technique without grasping the tumor for excision of orbital CH, via any external approach to the tumor, is a safe technique with minimal complications.