Minimal incision technique to treat Dercum's disease (adiposis dolorosa)

2020 ◽  
Vol 33 (6) ◽  
Author(s):  
Adrian Cuellar‐Barboza ◽  
José Alberto García‐Lozano ◽  
Jorge Ocampo‐Candiani ◽  
Verónica Garza‐Rodríguez ◽  
Osvaldo Vázquez‐Martínez
1952 ◽  
Vol 247 (11) ◽  
pp. 393-396 ◽  
Author(s):  
William A. Steiger ◽  
Henry Litvin ◽  
E. M. Lasché ◽  
Thomas M. Durant

2005 ◽  
Vol 87 (4) ◽  
pp. 701-710 ◽  
Author(s):  
LUKE OGONDA ◽  
ROGER WILSON ◽  
POOLER ARCHBOLD ◽  
MARIE LAWLOR ◽  
PATRICIA HUMPHREYS ◽  
...  

2018 ◽  
Vol 1 (2) ◽  
pp. 7-20
Author(s):  
Rajiv Maharjan ◽  
S.R. Paneru ◽  
R. Rijal ◽  
P. Chaudhary ◽  
G.P. Khanal

Background: Inter-trochanteric fracture of femur causes significant morbidity and mortality in elderly. Dynamic Hip Screw (DHS) fixation is the most effective and safe method of treatment. Conventional open technique (CDHS) is the popular and familiar one; however, minimal incision technique (MIDHS) has many advantages like: smaller incision, lesser dissection/blood loss, less requirement of transfusion, less painful, faster recovery etc. Objectives: To Compare CDHS and MIDHS technique of DHS fixation for inter-trochanteric fracture femur in terms of functional outcome, safety and associated complications (if any). Methods: Eligible patients presenting within study period were randomized into CDHS group (n= 33) and MIDHS group (n= 32). Success of randomization was tested by analyzing demographics, injury characteristics and pre-op. clinical data (p> 0.05). They were followed up at 2, 6, 12, 24 and 52 weeks post-op. for clinico-radiological and functional assessment. Results: The duration of surgery, lag screw positioning, post-operative hospital stay and surgical site infection were not significantly different between the groups. However, need for blood transfusion, length of incision and post-operative VAS score for pain were significantly lesser for MIDHS group than CDHS group (p< 0.05). Patients in MIDHS group started walking with aids significantly earlier in post-operative recovery period. The Harris Hip Score at final follow-up and grading of the results and surgical complications were not significantly different between the groups. Conclusion: The minimal incision technique had various immediate / short term advantages over conventional technique; like: minimal scar, minimal soft tissue dissection / less blood loss requiring less transfusion, lesser pain in post-operative period and ability to ambulate early.


1999 ◽  
Vol 113 (2) ◽  
pp. 174-176 ◽  
Author(s):  
P. H. Reece ◽  
M. Wyatt ◽  
P. O'Flynn

AbstractDercum's disease (adiposis dolorosa) is a rare condition characterized by progressively painful fatty deposits, usually, in menopausal women with obesity, asthenia and mental phenomena. We report a case of a 48-year-old woman with recurrent neck swelling and pain in the neck and parotid region, and a review of management of this uncommon problem.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
İsmail Gülşen ◽  
Hakan Ak ◽  
Gökhan Evcılı ◽  
Özlem Balbaloglu ◽  
Enver Sösüncü

Background. In this retrospective study, we aimed to compare the results of two surgical techniques, conventional and transverse mini-incision. Materials and Methods. 95 patients were operated between 2011 and 2012 in Bitlis State Hospital. 50 patients were operated with conventional technique and 45 of them were operated with minimal transverse incision. Postoperative complications, incision site problems, and the time of starting to use their hands in daily activities were noted. Results. 95 patients were included in the study. The mean age was 48. 87 of them were female and 8 were male. There was no problem of incision site in both of the two surgical techniques. Only in one patient, anesthesia developed in minimal incision technique. The time of starting to use their hands in daily activities was 22,2 days and 17 days in conventional and minimal incision technique, respectively. Conclusion. Two surgical techniques did not show superiority to each other in terms of postoperative complications and incision site problems except the time of starting to use their hands in daily activities.


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