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84,212 results
  • [Infrapatellar nerve damage : A neglected cause of severe localized leg pain-German version]. [Review]
    Unfallchirurg 2019; 122(11):860-863van Dijk W, van Eerten P, Scheltinga M
  • A small portion of patients suffer from severe knee pain following previous knee surgery or a trauma. Awareness among traumatologists regarding a neuropathic origin of this persistent knee pain is poor. Ongoing pain close to the knee may be caused by damage of the infrapatellar nerve (IN). This branch of the saphenous nerve is purely sensory and is at risk for iatrogenic damage due to its superfi…
  • Identifying the problems of randomized controlled trials for the surgical management of endometriosis associated pelvic pain. [Review]
    J Minim Invasive Gynecol 2019Budden DA, Ravendran DK, Abbott PJ
  • CONCLUSIONS: Surgical RCTs have always been difficult to undertake, yet there are 16 RCTs in the area of endometriosis-associated pain. Ethical considerations, the equipoise of surgeons and participants and follow-up duration are all important parameters in establishing RCTs. We must also be willing to accept and adopt the evidence when it does demonstrate a particular outcome - such as the fact that surgical uterosacral nerve disruption does not improve pain, or that disc excision does not substantially reduce complications compared to segmental resection for bowel disease as prior non-randomized studies suggested. If we accept that the well-conducted RCT provides the best quality evidence, then we should at least be open to the possibility that our long-held views may be challenged and changed with new science in our practice.
  • Ablation of Neuroaxial in Patients with Ventricular Tachycardia. [Review]
    Card Electrophysiol Clin 2019; 11(4):625-634Wang Y, Yu L, Po SS
  • Ventricular tachycardia (VT) remains a common cause of sudden cardiac death. It is widely accepted that VTs are strongly associated with autonomic imbalance with reduced vagal and increased sympathetic activities. Pharmacologic therapy remains the first-line therapy, but antiarrhythmic agents may not be effective or carry significant side effects. Sympathetic denervation is an emerging therapy to…
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