Ventral hernia mesh repair is considered a standard procedure in most countries and widely accepted as superior to primary suture repair. We conducted a 5 years retrospective observational study on large and giant incizional hernia repair in our Clinics. 176 consecutive patients who had a ventral hernia repair with mesh implant in 2012-2016 were evaluated in terms of demographic characteristics, comorbidities, surgical conditions (defect size, mesh type, positioning of the mesh, length of hospital) and surgical outcomes by means of EuraHS-QoL score pre- and 30 days postoperative to assess quality of life (Qol). Alloplastic substitution with polypropylene, polyester and Dacron mesh has been used in all cases. Polypropylene mesh has been used in most of cases (91%). Most preferred mesh position was intraperitoneal (78%), then retromuscular (15%) and preperitoneal (7%). Immediate postoperative complications appeared in 41 cases (23.3%). Mean hospital length was 14,3 days. We could notice a double pre- and postoperative difference for the pain, with statistical significance (2.71�1.70; p=0.23) and the same pattern of distribution for restriction of activities and for cosmetic discomfort.
The present research was made by following three directions: dissection and plastination, clinical ankle joint ligament injuries and MRI and CT examination of the cases.191 cases of ankle joint ligament injuries have been studied during two years. They were examined clinically and radiologically, using CT and MRI testing. The classification of ankle sprain was based on the number of injured ligaments. Out of the 191 cases diagnosed with ligament injuries, 92 involved the anterior talofibular ligament, 54 in the calcaneofibular ligament, 40 involved the posterior talofibular ligament and 5 involved the deltoid ligament. First degree sprain involves the injury of the anterior talofibular ligament, the second degree sprain involves the injury of the anterior talofibular ligament and of the calcaneofibular ligament, and the third degree sprain involves the damaging of anterior and posterior talofibular ligaments, as well as the calcaneofibular ligament. In this paper we have diagnosed a number of 39 first degree springs, 12 of second degree springs and 41 of third degree springs. The standard X- ray examinations have a low diagnostic rate of the ankle ligament injuries. Conventional MRI has a higher accuracy in diagnosing ankle joint collateral ligaments lesions.
Palpebral ptosis is a condition caused by different congenital and acquired pathologies. Seeing difficulty due to the visual field obstruction, prefrontal headaches due to chronic use of the frontalis muscle in an attempt to lift the eyelids and cosmetic deformity are the main complaints of the patients. The surgical correction of the ptosis can be challenging. According to the preoperative evaluation, the most appropriate technique should be used to maximize the postoperator result. We describe a new surgical approach for severe upper eyelids acquired ptosis consisting in reanimation of both eyelids by using the neighboring active muscle. We considered the patient a good candidate for the new surgical approach we introduce as one time operative procedure. The result was a normal palpebral fissure for both eyes. The advantage of this approach consists in performing one time surgery followed by immediate postoperative mobilization of the upper eyelids which determine the recovery of the upper lids motility by further self-control.
The special clinical aspect of Dupuytren's disease is characterized by thickening and contracture of the fibrous pretendinous bands on the palmar surface of the hand and fingers. There are also presented firm nodules and atrophic grooves or pits in the pits in the skin of the palm of the hand. We analyzed the frequency of location of the contracture of the fibrous pretendinous bands, on one consecutive series of 200 cases. Only 2.5% of the cases were female. The bilaterality of Dupuytren's disease was evident in 53% of the cases. 26.5% of single affected hands were right and 20.5% were left. A percent of 73.5% of cases showed only one fibrous pretendinous band; 26.5% of cases showed association of two or three fibrous pretendinous band. The whole study material revealed the location of the fibrous pretendinous band as follows: 0.5% thumb; 1% index finger;15% middle finger; 87% ring finger and 25.5% little finger. The most common combination of affected fingers are in: 16.5% ring finger and little finger; 75% middle finger and ring finger; 2.5% middle finger, ring finger and little finger; 0.5% thumb and index finger. These data are important for the hand surgery. (Supported by CNMP 62054/2008).
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.