scholarly journals Iatrogenic Penile Glans Amputation: Major Novel Reconstructive Procedure

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Rami Nasr ◽  
Samer L. Traboulsi ◽  
Rami R. Abou Ghaida ◽  
Joseph Bakhach
Keyword(s):  
Traditional Method ◽  
Simple Procedure ◽  
Major Complication ◽  
Sexual Life ◽  
Surgical Reconstruction ◽  
Reconstructive Procedure ◽  
Neonatal Circumcision

Circumcision is a very common urological practice. Even though it is relatively safe, it is not a complication-free procedure. We describe a patient that underwent a neonatal circumcision complicated by iatrogenic complete glans amputation. Reconstructive repair of a neoglans using a modified traditional method was used. Postoperative followup to 90 days is illustrated. Despite being a simple procedure, circumcision in unprofessional hands can have major complication impacting the emotional and sexual life of patients. Surgical reconstruction is possible with varying satisfactory results.

scholarly journals The impact of orthotopic reconstruction on female sexuality and quality of life after radical cystectomy for non-malignant bladder conditions

2021 ◽  
Vol 93 (3) ◽  
pp. 255-261
Author(s):  
Chiara Borghi ◽  
Margherita Manservigi ◽  
Elena Sofia Milandri ◽  
Carmelo Ippolito ◽  
Pantaleo Greco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Cystectomy ◽  
Sexual Life ◽  
Surgical Reconstruction ◽  
Female Population ◽  
Reconstructive Procedures ◽  
Female Quality ◽  
Pubmed Database ◽  
The Impact

Objective: To review the literature on the impact on female quality of life and sexual function of orthotopic reconstruction after radical cystectomy for non-malignant bladder conditions. Radical cystectomy is commonly required to treat malignant conditions but may also be considered for the treatment of non-malignant diseases. These heterogeneous group of disorders includes interstitial cystitis, painful bladder syndrome, neurogenic bladder, haemorrhagic/ radiation cystitis, endometriosis and refractory genitourinary fistula. Treatment begins with non-invasive medical therapies but, in non-responder cases, a surgical solution should be considered. Such invasive techniques include urinary diversion and reconstructive procedures that have an impact on healthrelated quality of life, physical, social, and mental status. Materials and methods: This narrative review research was done using the PubMed database up until 2020, July. All papers referring to cystectomy for benign indication were considered. Results: In comparison to other reconstructive options, orthotopic neobladder allows the restoration of a normal self-image and consequently it is the most suitable procedure when a surgical reconstruction is necessary for non-malignant conditions. However, women can face many disorders that impact on everyday life, such as voiding dysfunction or sexual activity problems. Conclusions: Scant data is available about quality of life, sexual life and self-perception in women treated by cystectomy for benign conditions and most literature is dedicated to those indicators in cancer patients. More research is needed to understand the tolerability and the quality of life results of the female population affected by benign conditions undergoing this kind of surgical approach.

scholarly journals A clinical study of management of Fournier’s gangrene in a rural hospital

2018 ◽  
Vol 5 (4) ◽  
pp. 1524
Author(s):  
Purushotham T. Shivaraju ◽  
Ponnappa B. Ganapathy ◽  
Naveen N. ◽  
Pruthvika N.
Keyword(s):  
Soft Tissue ◽  
Hospital Stay ◽  
External Genitalia ◽  
Fournier’S Gangrene ◽  
Surgical Reconstruction ◽  
Reconstructive Procedure ◽  
Soft Tissue Defects ◽  
Fournier's Gangrene ◽  
Wound Debridement ◽  
Tissue Defects

Background: Fournier’s gangrene is a potentially life threatening synergistic necrotising fascitis of external genitalia and perineal tissues. It commonly affects young men but can also affect women and children. The use of broad spectrum antibiotics and serial wound debridement is the main stay of treatment. The reconstruction of soft tissue defect following the debridement is a challenging task. The purpose of this study is to evaluate the surgical reconstruction methods of soft tissue defects due to Fournier's gangrene.Methods: This was a prospective study conducted in Adichunchanagiri Institute of Medical Sciences from January 2015 to December 2017. All patients with necrotizing fascitis of external genitalia and perineum, irrespective of age and gender, were included. Parameters such as age, gender, aetiology, predisposing factors, clinical features, defect location, type of bacterial flora, sort of reconstructive procedure used, and duration of hospital stay, post-operative pain, patient satisfaction and mortality, if any, were studied. The choice of reconstructive procedure was based on severity of defect, availability of local tissue and patient preference.Results: Out of 31 cases included in the study, 30 patients underwent reconstructive procedures. The age range was 4 to 74 years (mean 38.5). The commonest presentation was pain, scrotal swelling and fever. The most common aetiology was urogenital diseases. 10 patients were treated by split-thickness skin graft, 5 by secondary suturing, 2 by unilateral superomedial thigh flap, 4 by bilateral superomedial thigh flap, 5 by tensor fascia lata flap, 2 by medial thigh V-Y advancement flap, 2 with perineal artery flap and one case healed by secondary intention.Conclusions: This study suggests that earlier presentation, with early diagnosis and intervention with prompt debridement and appropriate, appropriate antibiotics are the main stays of treatment. The resulting soft tissue defects following wound debridement required surgical reconstruction, except in one case, thus decreasing morbidity, hospital stay and early return of patients to regular life.

scholarly journals Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system

2015 ◽  
Vol 11 (2) ◽  
pp. 20-22 ◽  
Author(s):  
Shrawan Kumar Thapa ◽  
Krishna Prasad Poudel ◽  
Rudra Prasad Marasini ◽  
Shankar Dhakal ◽  
Robin Shrestha
Keyword(s):  
Simple Procedure ◽  
Excellent Result ◽  
Major Complication ◽  
Cost Effective ◽  
Minimal Risk ◽  
Diaphyseal Fracture ◽  
Radiological Outcome ◽  
Titanium Elastic Nail ◽  
Elastic Nail ◽  
Set Up

noBackground & Objectives: Over the few years there has been a marked increase in the use of intramedullary fixation in the management of fracture of shaft of femur in children. The goals should be to stabilize the fracture, to control length and alignment, to promote bone healing and to minimize the morbidity and complications for the child. In this prospective study we intend to evaluate the functional and radiological outcome of diaphyseal fracture of shaft of femur treated with elastic intramedullary nail.Materials & Methods: All 56 patients with diaphyseal fracture shaft of femur were treated with titanium elastic nail and followed for period of 32 weeks.Results: The In this study, outcome was assessed by using Flynn’s criteria of titanium flexible nail outcome score and we found excellent result in 49 cases, satisfactory in six cases and poor in one case. We faced one major complication in form of implant failure and six minor complications inform of superficial wound infection.Conclusion: Elastic intramedullary nail used in treatment of diaphyseal fracture shaft of femur yield excellent functional and radiological outcome. It is easy and simple procedure has low rate of complication. It is physeal-protective, cost effective, does not involve heavy instrumentation and can be performed in small set up. It has minimal risk of infection and no risk of injury to the neurovascular structure.JCMS Nepal. 2015; 11(2):20-22

Unfolding the Mystery of Reliance on Traditional Methods of Birth Control in Assam, India

2015 ◽  
Vol 52 (6) ◽  
pp. 780-793 ◽  
Author(s):  
Pralip Kumar Narzary ◽  
Battala Madhusudana ◽  
A Sathiya Susuman
Keyword(s):  
Birth Control ◽  
Traditional Method ◽  
Unwanted Pregnancy ◽  
Family Health ◽  
Sexual Life ◽  
Age Group ◽  
Traditional Methods ◽  
Socioeconomic Characteristics ◽  
National Family ◽  
Spacing Method

Reliance on traditional methods of birth control causes psychological tension in couples because the fear of unwanted pregnancy bars them from experiencing a healthy sexual life. However, in Assam, half of all contraceptive users depend on traditional methods of birth control. The current study used National Family Health Survey 2005–2006 data. Out of 3840 sample women in the age group 15–49 years, 1286 women are filtered for the present study. Most of the demographic and socioeconomic characteristics of traditional method users fall between those of modern spacing method users and terminal method users. Thus, the burden of unwanted fertility is highest among the traditional method users.

scholarly journals Recent surgical advances in Peyronie’s Disease

2016 ◽  
Vol 29 (2) ◽  
pp. 131 ◽  
Author(s):  
Sandro Gaspar ◽  
José Santos Dias ◽  
Francisco Martins ◽  
Tomé Lopes
Keyword(s):  
Surgical Management ◽  
Tunica Albuginea ◽  
Surgical Techniques ◽  
Peyronie’S Disease ◽  
Sexual Life ◽  
Surgical Reconstruction ◽  
Management Technique ◽  
Disease Etiology ◽  
Peyronie's Disease ◽  
The Subject

<p><strong>Introduction:</strong> Peyronie’s disease, a fibrotic disorder of the tunica albuginea of the penis, has been associated with penile shortening and some degree of erectile dysfunction. It affects patient’s quality of life, leading to severe psychological, mental, and physical stress. Penile deformation hampers sexual life leading to depression, lack of sexual confidence, loss of sexual function and performance anxiety. Peyronie’s disease etiology is yet to be known. <br /><strong>Material and Methods:</strong> Literature search was conducted in Medline, Embase, and Cochrane databases in January 2015 in order to identify papers related to Peyronie’s disease, concerning evolving surgical management, technique, outcomes as well as ancillary treatments. Publications not concerning humans were not considered. We identified original articles, review articles, and editorials addressing the subject. All articles published in the English language were selected for screening. The eligibility criteria for inclusion were based on relevance concerning the subject. <br /><strong>Results:</strong> The variety of penile deformities associated with Peyronie’s disease still doesn’t have an effective and reliable non-surgical therapy. We summarize the updated surgical techniques and management algorithm described for Peyronie’s disease. <br /><strong>Discussion:</strong> Surgical management shares similar goals: correcting the curvature, preserving erectile function and penile length, and minimizing morbidity.<br /><strong>Conclusion:</strong> To date there is no high level of evidence-based data to determine the best surgical treatment of Peyronie’s disease. After proper diagnosis, surgical reconstruction should be based on giving a functional penis, that is, rectifying the penis with rigidity enough to enable sexual intercourse.</p><p> </p>

PHRENIC NERVE TRANSFER IN THE RESTORATION OF ELBOW FLEXION IN BRACHIAL PLEXUS AVULSION INJURIES

Neurosurgery ◽  
2009 ◽  
Vol 65 (suppl_4) ◽  
pp. A125-A131 ◽  
Author(s):  
Mario G. Siqueira ◽  
Roberto S. Martins
Keyword(s):  
Pulmonary Function ◽  
Brachial Plexus ◽  
Phrenic Nerve ◽  
Pulmonary Function Tests ◽  
Major Complication ◽  
Nerve Transfer ◽  
Elbow Flexion ◽  
Surgical Reconstruction ◽  
Small Series ◽  
The Mean

Abstract OBJECTIVE Phrenic nerve transfer has been used for treating lesions of the brachial plexus since 1970. Although, today, surgeons are more experienced with the technique, there are still widespread concerns about its effects on pulmonary function. This study was undertaken to evaluate the effectiveness and safety of this procedure. METHODS Fourteen patients with complete palsy of the upper limb were submitted to phrenic nerve transfer as part of a strategy for surgical reconstruction of their plexuses. Two patients were lost to follow-up, and 2 patients were followed for less than 2 years. Of the remaining 10 patients, 9 (90%) were male. The lesions affected both sides equally. The mean age of the patients was 24.8 years (range, 14–43 years), and the mean interval from injury to surgery was 6 months (range, 3–9 months). The phrenic nerve was always transferred to the musculocutaneous nerve, and a nerve graft (mean length, 8 cm; range, 4.5–12 cm) was necessary in all cases. RESULTS There was no major complication related to the surgery. Seven patients (70%) recovered functional level biceps strength (Medical Research Council grade ≥3). All of the patients exhibited a transient decrease in pulmonary function tests, but without clinical respiratory problems. CONCLUSION On the basis of our small series and data from the literature, we conclude that phrenic nerve transfer in well-selected patients is a safe and effective procedure for recovering biceps function.

Treatment of congenital clasped thumb in arthrogryposis

2017 ◽  
Vol 42 (8) ◽  
pp. 794-798 ◽  
Author(s):  
H. Abdel-Ghani ◽  
M. Mahmoud ◽  
A. Shaheen ◽  
M. Abdel-Wahed
Keyword(s):  
Simple Procedure ◽  
Donor Site ◽  
Metacarpophalangeal Joint ◽  
Donor Site Morbidity ◽  
Advancement Flap ◽  
Surgical Reconstruction ◽  
Level Of Evidence ◽  
Age At Surgery ◽  
The Mean ◽  
And Function

We report the result of treatment of 69 complex clasped thumbs in 39 patients with distal arthrogryposis. The mean age at surgery was 30 months. Surgical reconstruction included skin augmentation of the first web using modified dorsal rotation advancement flap (Abdel-Ghani flap), a la Carte release of tight structures of the first web, and chondrodesis of the thumb metacarpophalangeal joint. The mean follow-up was 4 years. We prefer chondrodesis because of the presence of global instability, abnormal joint structure, abnormal articular surfaces, and inefficient muscles for transfer. Also, chondrodesis shortens the thumb and may alleviate the need for release of deficient palmar skin and lengthening of a short flexor pollicis longus. The Abdel-Ghani flap provides ample skin that gives a wide rounded web. It is a simple procedure with minimal donor site morbidity. Surgical reconstruction significantly improved the cosmetic appearance and function of the thumb. Level of evidence: IV

An Efficient Statistic for Determining the Diameter of Thin Sectioned Uniform Spheres from Measurements of Biological Samples

1974 ◽  
Vol 32 ◽  
pp. 114-115
Author(s):  
W. R. Schucany ◽  
G. H. Kelsoe ◽  
V. F. Allison
Keyword(s):  
Biological Samples ◽  
Traditional Method ◽  
Cell Types ◽  
Accurate Estimation ◽  
Morphological Identification ◽  
Sectioned Material ◽  
Maximal Diameter ◽  
Similar Cell

Accurate estimation of the size of spheroid organelles from thin sectioned material is often necessary, as uniquely homogenous populations of organelles such as vessicles, granules, or nuclei often are critically important in the morphological identification of similar cell types. However, the difficulty in obtaining accurate diameter measurements of thin sectioned organelles is well known. This difficulty is due to the extreme tenuity of the sectioned material as compared to the size of the intact organelle. In populations where low variance is suspected the traditional method of diameter estimation has been to measure literally hundreds of profiles and to describe the “largest” as representative of the “approximate maximal diameter”.

Effects of compression during formation on the microstructure of composite hydroxylapatite/plaster implants for bone reconstruction

1988 ◽  
Vol 46 ◽  
pp. 750-751
Author(s):  
J. Hanker ◽  
K. Cowden ◽  
R. Noecker ◽  
P. Yates ◽  
N. Georgiade ◽  
...  
Keyword(s):  
Cosmetic Surgery ◽  
Glass Plate ◽  
Surgical Reconstruction ◽  
Equal Weight ◽  
Sintered Ceramic ◽  
Setting Times ◽  
Excess Water ◽  
Mixture Prior ◽  
Mechanical Strengths ◽  
Calcium Sulfate Hemihydrate

Composites of plaster of Paris (PP) and hydroxylapatite (HA) particles are being applied for the surgical reconstruction of craniofacial bone defects and for cosmetic surgery. Two types of HA particles are being employed, the dense sintered ceramic (DHA) and the porous, coralline hydroxylapatite (PHA) particles. Excess water is expressed out of the moistened HA/PP mixture prior to implantation and setting by pressing it in a non-tapered syringe against a glass plate. This results in implants with faster setting times and greater mechanical strengths. It was therefore of interest to compare samples of the compressed versus noncompressed mixtures to see whether or not any changes in their microstructure after setting could be related to these different properties.USG Medical Grade Calcium Sulfate Hemihydrate (which has the lowest mortar consistency of any known plaster) was mixed with an equal weight of Interpore 200 particles (a commercial form of PHA). After moistening with a minimum amount of water, disc-shaped noncompressed samples were made by filling small holes (0.339 in. diameter x 0.053 in. deep) in polypropylene molds with a microspatula.

Directional observation on lipid of male nectary of Lindera megaphylla hemsl. by the rapid embedding method with polyethylene glycol (PEG)

1990 ◽  
Vol 48 (3) ◽  
pp. 718-719
Author(s):  
Dai Dalin ◽  
Guo Jianmin
Keyword(s):  
Electron Microscope ◽  
Polyethylene Glycol ◽  
Chemical Reaction ◽  
Traditional Method ◽  
Osmium Tetroxide ◽  
Unsaturated Lipid ◽  
Embedding Method ◽  
Long Period ◽  
New Methods

Lipid cytochemistry has not yet advanced far at the EM level. A major problem has been the loss of lipid during dehydration and embedding. Although the adoption of glutaraldehyde and osmium tetroxide accelerate the chemical reaction of lipid and osmium tetroxide can react on the double bouds of unsaturated lipid to from the osmium black, osmium tetroxide can be reduced in saturated lipid and subsequently some of unsaturated lipid are lost during dehydration. In order to reduce the loss of lipid by traditional method, some researchers adopted a few new methods, such as the change of embedding procedure and the adoption of new embedding media, to solve the problem. In a sense, these new methods are effective. They, however, usually require a long period of preparation. In this paper, we do research on the fiora nectary strucure of lauraceae by the rapid-embedding method wwith PEG under electron microscope and attempt to find a better method to solve the problem mentioned above.

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