scholarly journals Paravesical haematoma following placement of an isolated anterior mesh for cystocele repair

2013 ◽  
Vol 70 (7) ◽  
pp. 697-699 ◽  
Author(s):  
Radmila Sparic ◽  
Rajka Argirovic ◽  
Snezana Buzadzic ◽  
Milica Berisavac
Keyword(s):  
Minimally Invasive ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pelvic Organ ◽  
Effective Interventions ◽  
The World ◽  
Genitourinary Prolapse ◽  
Postoperative Haematoma ◽  
Vaginal Anatomy ◽  
And Function

Introduction. Pelvic organ prolapse is a substantial health problem for women around the world. Given the limitations of traditional surgery in the reconstruction of normal vaginal anatomy and function in genitourinary prolapse, various synthetic implants have been developed for surgical repair. Mesh procedures are gaining in popularity, encouraged by preliminary data. Although minimally invasive and relatively safe, serious complications following these procedures have been described. Case report. We presented a patient who had underwent an isolated anterior mesh procedure and developed postoperative haematoma which required surgical intervention. Conclusion. This report suggests that minimally invasive urogynecological procedures could result in significant complications. Thus, surgeons should be familiar with effective interventions in order to manage them.

The ‘Cruciform Test’: A diagnostic tool to detect pectoralis major rupture

2021 ◽  
pp. 175857322110584
Author(s):  
Timothy E Cobb ◽  
Susan Alexander ◽  
Andy P Reynolds ◽  
Andrew L Wallace
Keyword(s):  
Diagnostic Tool ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Current Treatment ◽  
Pectoralis Major ◽  
Return To Play ◽  
Previous Level ◽  
And Function ◽  
Method Of Assessment

Introduction Pectoralis major (PM) rupture is a severe injury that untreated can lead to a profound functional deficit. Early surgical repair can greatly improve outcomes and give a more predictable timetable for recovery, making this the goal of current treatment. Surgical intervention is also essential to return professional athletes to their previous level of competition. However, there is no single, reliable and easily reproducible test that can be used to establish the diagnosis. We describe ‘The Cruciform Test’; a method of identifying PM rupture that can be used for initial diagnosis either in clinic or a pitch-side environment, or to assess restoration of normal anatomy and function post-operatively. Methods We studied a series of 14 patients who underwent open PM repair in order to evaluate this method of assessment. Results All patients had a positive test pre-operatively. 5 were formally tested at post-operative follow-up and all had a negative result. Discussion The Cruciform Test is a simple and reproducible diagnostic tool that has potential as a clinical indicator of both PM rupture and successful repair. It can therefore contribute to earlier diagnosis, prompt surgical intervention and facilitate return to play at the earliest opportunity.

Late Presentation of Penetrating Ulcers at the Ascending Aorta Associated With Intra-Mural Haematoma

2020 ◽  
Vol 3 (2) ◽  
pp. 01-05
Author(s):  
Ayman Kenawy
Keyword(s):  
High Risk ◽  
Disease Progression ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Late Presentation ◽  
Ascending Aorta ◽  
Chronic Type ◽  
Penetrating Aortic Ulcer ◽  
Good Outcome ◽  
Pseudo Aneurysm

The combined pathology of intra-mural haematoma (IMH) and penetrating aortic ulcer (PAU) represents disease progression of the PAU with high risk for further progression to either rupture or pseudo-aneurysm formation, and hence surgical intervention should be offered once diagnosis is made regardless of the presentation. We present a 70-year-old fit lady with chronic type A IMH associated with multiple PAUs, diagnosed incidentally, the patient underwent urgent surgical repair with good outcome.

Youngistan-Discussion on Models for Working with Youth

2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Praveen Varghese Thomas ◽  
Sojin P. Varghese
Keyword(s):  
Essential Element ◽  
Youth Work ◽  
Effective Interventions ◽  
The World ◽  
Agents Of Change ◽  
Support Policy ◽  
Youth Bulge ◽  
Conducive Environment ◽  
Age Category

Youth is always considered as the dynamic section of society which stands inevitable both as age category and social status. There is a strong tendency among politicians, researchers to see youth bulge as a problem to be solved or as a threat which must be treated. However youth are underestimated as positive agents of change and key actors in development and harmony of the nation. But then more importantly, providing a conducive environment for youth is crucial and remains as the biggest challenge in India as the nation is going to be the youngest nation in the world demographically and will remain the same for next couple of decades. This paper explores the role of youth in development and various models and approaches by which the society and professionals working with youth can address those queries and anxieties associated with the youth bulge. Further the paper explores the scope of youth work in India as the nation is going to be the youngest nation in couple of years. Further research and debates on youth work as a profession in India is an essential element to develop specific guidance to support policy and commissioning processes in understanding how youth work contributes to effective interventions and improves the lives of young people.

scholarly journals Endovascular Bariatric Surgery as Novel Minimally Invasive Technique for Weight Management in the Morbidly Obese: Review of the Literature

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2541
Author(s):  
Giuseppe Massimo Sangiorgi ◽  
Alberto Cereda ◽  
Nicola Porchetta ◽  
Daniela Benedetto ◽  
Andrea Matteucci ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Minimally Invasive ◽  
Weight Management ◽  
World Health ◽  
Invasive Technique ◽  
Morbidly Obese ◽  
World Population ◽  
Obese Patients ◽  
The World ◽  
Open Bariatric Surgery

Nowadays, obesity represents one of the most unresolved global pandemics, posing a critical health issue in developed countries. According to the World Health Organization, its prevalence has tripled since 1975, reaching a prevalence of 13% of the world population in 2016. Indeed, as obesity increases worldwide, novel strategies to fight this condition are of the utmost importance to reduce obese-related morbidity and overall mortality related to its complications. Early experimental and initial clinical data have suggested that endovascular bariatric surgery (EBS) may be a promising technique to reduce weight and hormonal imbalance in the obese population. Compared to open bariatric surgery and minimally invasive surgery (MIS), EBS is much less invasive, well tolerated, with a shorter recovery time, and is probably cost-saving. However, there are still several technical aspects to investigate before EBS can be routinely offered to all obese patients. Further prospective studies and eventually a randomized trial comparing open bariatric surgery vs. EBS are needed, powered for clinically relevant outcomes, and with adequate follow-up. Yet, EBS may already appear as an appealing alternative treatment for weight management and cardiovascular prevention in morbidly obese patients at high surgical risk.

Assessing pelvic organ prolapse recurrence after minimally invasive sacrocolpopexy: does mesh weight matter?

2021 ◽  
Author(s):  
Lauren E. Giugale ◽  
Molly M. Hansbarger ◽  
Amy L. Askew ◽  
Anthony G. Visco ◽  
Jonathan P. Shepherd ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Minimally Invasive ◽  
Pelvic Organ ◽  
Prolapse Recurrence
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