The mean Q value observed in this study agrees with the average values of a white population and contributes to slightly reduce the positive spherical aberration of the eye. For the large majority of this population, the asphericity did not show significant changes within a period of 5 to 10 years, but significant changes can be observed in some patients.
The objective of this study is to determine the efficacy and safety of vaginal approach to repair paravaginal defects in patients with symptomatic cystocele. This was a retrospective study of 66 women with a diagnosis of symptomatic cystocele grade 2 to 4, referred to our unit between January 2002 and March 2005. A clinical evaluation was carried out using the Baden-Walker classification before and after the surgery. The same surgical team performed every surgery. The repair of paravaginal fascial defects was carried out through a vaginal approach, exposing the arcus tendineus. The paravaginal fascial defects were corrected through suspension of vesicovaginal fascia to the arcus tendineus with nonreabsorbable Ethibond 0 sutures. Women were seen for follow-up at 3, 6, and 12 months. The presence of well-demarcated vaginal lateral sulci at grade 0, firmly apposed to the lateral pelvic sidewalls and no anterior relaxation with Valsalva maneuver, were used as criteria for cure. Grade 2 cystocele was diagnosed preoperatively in most women. The mean duration of complaints due to prolapse was 64.6 months. There were no major intraoperative complications. Mean time of inpatient stay was of 4.9 days. The cure rate at 12 months was 91.6%. There were five cases of recurrence of cystocele 6 months after surgery. Surgical repair of symptomatic cystocele through a paravaginal approach is a safe and efficacious technique. Vaginal approach to repair paravaginal fascia defects had a low postoperative morbidity and high cure rate at 12 months (91.6%).
Resumo O objetivo do presente estudo foi investigar como áreas corticais comprometidas por um acidente vascular encefálico (AVE) estão relacionadas com os diferentes tipos de afasia, visto que há controvérsias com relação à localização da lesão no cérebro e as características dos quadros de alteração da linguagem. Foram avaliados 26 indivíduos destros, portadores de lesão cérebro-vascular esquerda e de sintomas afásicos, através do protocolo de Montreal-Toulose, módulo standard inicial-versão alpha, que inclui provas de nomeação, repetição, compreensão oral, compreensão escrita e leitura, e de uma entrevista, que possibilitou a avaliação da fluência do discurso. Os sujeitos foram divididos em quatro subgrupos, de acordo com o sítio de lesão: frontal, temporal, têmporo-parietal e parietal/ parieto-occipital. Os dados foram submetidos a uma análise multidimensional (Similarity Structure Analysis [SSA]) e o método das variáveis externas como pontos. Os resultados revelaram uma correlação positiva alta entre lesão na área frontal e o acometimento da fluência no discurso, assim como correlações positivas altas entre lesão no lobo temporal e prejuízos em todas as habilidades avaliadas no teste: nomeação, repetição, compreensão oral, compreensão escrita e leitura, o que, até certo ponto, corrobora as idéias de estudos localizacionistas, na medida em que estabelece o papel preponderante do lobo temporal para a linguagem e a importância do lobo frontal para as praxias da fala. No entanto, nos demais subgrupos, têmporo-parietal e parietal/ parietooccipital, se observou correlações positivas apenas com a compreensão oral e com a repetição, essa última somente no segundo grupo e com índice baixo, e correlações negativas altas com a fluência no discurso, o que sugere que esta habilidade se manteve preservada nestes grupos e fragiliza o argumento localizacionista.
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