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  • Compartment Syndrome

    The aim of this sudy was to determine the prevalence and factors associated with development of IAH/ACS among critically ill surgical patients.[] First of all, the release of the skin and subcutaneous tissues allows to decompress the compartments under direct control.[] Elevated compartment pressures were confirmed with a hand-held digital device which employs a rigid needle that is readily directed to specific compartments.[] Determining its presence, however, can be challenging in obtunded patients or those with an altered mental status.[] This worsening cycle can eventually lead to a lack of sufficient oxygen in the soft tissues (tissue ischemia) and tissue death (necrosis).[] Abstract A 64-year-old man who underwent percutaneous coronary intervention via right radial artery access reported right-hand pain and swelling 2 hours after the procedure[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition[] The last incision of the deep lamina of the deep anterior fascia had no noticeable impact.[] The treatment of the CS consisted in gluteal dermofasciotomy, surgical debridement of the buttock, and positioning of negative pressure medication, associated with infusive[]

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  • Necrotizing Fasciitis

    The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy.[] INTRODUCTION: Necrotizing fasciitis is an uncommon soft-tissue infection that involves the superficial fascia, subcutaneous fat, and deep fascia.[] […] shocks leading to multiple organ failure successfully treated with a combination of extracorporeal life support, continuous renal replacement therapy, and a hemoadsorption device[] Early IVIG ( 2 days) did not alter this effect (P .99).[] Free tissue transfer (FTT) is an option for reconstruction in difficult cases.[] After treating with percutaneous drainage and third cephalosporin intravenously, the patient recovered and discharged on the 50th day after admission.[] Necrotizing fasciitis, which literally translated means "inflammation of the fascia (connective tissue) causing cell death," is the proper medical term for what is colloquially[] The presence of gas within the necrotized fasciae is characteristic, but may be lacking.[] Liposuction was the most affected procedure, with buttocks and lower extremity the most involved anatomical regions.[] Preexisting conditions such as cancer, diabetes and AIDS and drugs that alter the immune response such as steroids increase an individual's risk.[]

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  • Lipedema

    Non Surgical Treatment Options Non-surgical medical treatment is largely ineffective.[] Abstract Background Lipedema is a common painful subcutaneous adipose tissue (SAT) disorder in women affecting the limbs.[] Magnesium silicate was delivered transcutaneously by means of the device at each session.[] The big veins remain untouched in the phlebograms and an alteration of the skin elasticity is demonstrated.[] Here we describe the histopathological features of the lipedema tissue and nonaffected adipose tissue obtained from a typical patient with severe lipedema.[] LE&RN seeks to accelerate the prevention, treatment, and cure of the disease while bringing patients and medical professionals together to address the unmet needs surrounding[] This information does not replace the advice of a qualified physician. Got a question or comment? Post in the 'Lymphedema and Other Conditions' forum.[] Pathophysiology 6. 6 7. 7  Elasticity of skin and fascia is decreased causing abnormal clumping of elastic fibers.  Skin loses its role causing increased compliance of SAT[] Abstract Lipedema is an underdiagnosed syndrome of unclear etiology, characterized by symmetric painful enlargement of the buttocks and lower extremities, which spares the[] Skin biopsies of the thickened scalp showed thickening of the subcutaneous tissue with proliferation of mature subcutaneous fat cells but no signs of inflammation or hair[]

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  • Pudendal Neuralgia

    METHODS: Retrospective analysis of a cohort of 34 patients undergoing surgical treatment.[] If the tissues are restricted there will be a decrease in blood flow, muscle atrophy, and thickening of the subcutaneous tissue.[] It is important to avoid overpacking to limit compression injury to the pudendal nerve using judiciously small pieces of hemostatic device and soft cottonoid with light pressure[] The employed techniques do not assess directly the pathophysiological mechanisms of pain but rather correlate to structural alterations of the pudendal nerve (demyelination[] PURPOSE: To evaluate the safety and efficacy of percutaneous CT-guided cryoablation of the pudendal nerve for the treatment of refractory pudendal neuralgia.[] Medical Disclaimer[] This information should not be used as a substitute for necessary consultations with a qualified health care professional to meet your individual needs.[] Five were ultimately explanted at (mean) 2.95 years: one had total symptom resolution, one had stopped using the device, and three lost efficacy.[] Surgeries and other treatments for pudendal neuralgia If pudendal neuralgia is the cause, it may be possible to alter the pudendal nerve.[] Symptoms include burning pain (often unilateral), tingling, or numbness in any of the following areas: buttocks, genitals, or perineum (area between the buttocks and genitals[]

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  • Rectocele

    Abstract This study reports on the surgical anatomy and technique of perineal repair in a selected group of parous women with faecal incontinence and/or difficulty in evacuation[] Tech Coloproctol 9:87 PubMed CrossRef Google Scholar Stolfi VM, Micossi C, Sileri P et al (2009) Retroperitoneal sepsis with mediastinal and subcutaneous emphysema complicating[] The aim of the this prospective multicenter study was to evaluate the efficacy and safety of stapler trans-anal rectal resection (STARR) performed by a new dedicated device[] […] stapler and TSTS in the rectopexy treatment of rectocele showed its short-term efficacy, producing an improvement of patient's clinical conditions, without inducing further alterations[] The rate of de novo dyspareunia after native-tissue repair was 33.1 % (30.4-35.8), comparable with that after mesh repair.[] Pioneering care for pelvic and abdominal health: More than a decade ago, Rush became the first academic medical center in Chicago to create a pelvic health program focused[] Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition[] BACKGROUND: This article presents the anatomic and functional outcome of site-specific fascia repair for rectocele performed under local anesthesia. Methods.[] These complications include: mesh exposure (10%), prolapse recurrence, rectal injury (1%), vascular injury, rectovaginal fistulas, buttock pain (5%) and dyspareunia.[] Abstract Authors operated on their Surgical departement 67 years old women with incomplete evacuation, and digital support during defecation, giant rectocele and massive vaginal[]

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  • Dupuytren Contracture

    The synthesis technique combines with success the best features of current methods for the surgical treatment of advanced Dupuytren's disease.[] Abstract Dupuytren disease is a proliferative fibroplasia of the subcutaneous palmar tissue, occurring in the form of nodular and cords.[] Using a special device, he or she will measure the amount of contracture in your fingers.[] […] microvessel ischemia in the hand and specific platelet-derived and fibroblast growth factors act at the cellular level to promote the dense myofibroblast population and altered[] It is used for mild cases of contracture, when the tissue is not so thick. Radiation therapy may stop or slow down thickening of the tissue.[] MATERIALS AND METHODS: A retrospective review was performed comparing patients treated with open fasciectomy (group 1) to patients treated with percutaneous NA (group 2) for[] Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition[] […] for normal fascia).[] The synthesis technique combines with success the best features of current methods for the surgical treatment of advanced Dupuytren’s disease.[] Subsequently, lipoaspirate is injected subcutaneously.[]

    Missing: @ Buttock No and
  • Plantar Fasciitis

    When nonoperative therapy fails, surgical intervention is warranted. Various surgical procedures are available for the treatment of recalcitrant plantar fasciitis.[] Introduction The plantar fascia is a strong, tendinous structure in the plantar subcutaneous tissue of the foot ( 1 – 3 ).[] The model of the shock wave source was based on the geometry of an actual radial shock wave device, in which pressure waves are generated through the collision of two metallic[] PF is painful, can alter daily activities and presents as a sharp pain localized to the plantar foot and medial heel.[] The patient history focused on determining which tissues were being excessively stressed, and the physical examination was used to apply controlled stresses to these tissues[] All patients with plantar fasciitis who had undergone percutaneous latticed plantar fasciotomy at 3 clinical sites from March 2008 to March 2009 were included in the present[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] Always seek the advice of a podiatrist, physician or other qualified health care professional for diagnosis and answers to your medical questions.[] OBJECTIVE: To investigate plantar fascia elasticity in patients with typical clinical manifestations of plantar fasciitis but normal plantar fascia morphology on B-mode sonography[] Lengthen the back of the leg between the buttock bone and heel. Try not to be overly enthusiastic about pulling your leg toward your chest.[]

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  • Lymphangioma Circumscriptum

    Modern Surgical Pathology, 2nd Edition presents today's most complete, current, and practical assistance in evaluating and signing out surgical specimens.[] Abstract Lymphangioma circumscriptum (LC) is a form of lymphangioma involving skin and subcutaneous tissue.[] The palliative modalities include sclerotherapy using hypertonic saline, electrocautery, electrofulguration, laser and light based device ablation.[] The lymphangioma previously identified by cutaneous examination manifested as an altered T2 signal, spreading to subcutaneous tissues and major and minor muscles and infiltrating[] It is considered to be a circumscribed developmental defect of lymphatic tissue in the dermis.[] Sonographically guided percutaneous sclerosis using 1% polidocanol in the treatment of vascular malformations.[] College, Tumkur - 572 107, India 2 Professor, Deptartment of Pathology, Sri Siddhartha Medical College, Tumkur - 572 107, India 3 Professor of Surgery, Sri Siddhartha Medical[] The masses were removed by superficial partial vulvectomy with a qualified margin and repaired without skin graft. Pathology report showed lymphangioma circumscriptum.[] Chance of recurrence is lowered by excising not only the affected skin but also all the subcutaneous tissue, down to the deep fascia.[] Lymphangioma circumscriptum of buttock mimicking lupus vulgaris and responding with anti-tubercular chemotherapy Abstract Lymphangioma circumscriptum (LC) is a form of lymphangioma[]

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  • Lipoma

    This report describes a minimally invasive surgical strategy that we have introduced for FTL sectioning.[] We report a case of an intramuscular lipoma occurring as a subcutaneous midline nasal mass in a 3-month-old infant.[] Treatment of lipomas usually is not required, but bothersome lipomas may be removed by surgery or by liposuction (removal of fat with a suction device).[] Approximately 60% of solitary cutaneous lipomas display clonal alterations. The most common alteration involves a breakpoint on bands 12q13-15.[] The VEGF expression of soft tissue lipoma can be understood in the same context.[] The use of percutaneous biopsies is controversial because, if it is a case of liposarcoma, they may cause local dissemination via the implanting of neoplastic cells along[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] Risk Factors Because the pathogenesis of lipomas is unclear, risk factors are difficult to qualify.[] General remarks Lipomas are often located in the neck, back, buttocks and the proximal part of the extremities Lipomas are nearly always benign tumors It can usually be correctly[] Favorite Table Print Neoplasms of Subcutaneous Fat at a Glance Adipocyte tumors are the most frequently encountered group of mesenchymal neoplasms.[]

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  • Fournier Gangrene

    METHODS: The National Surgical Quality Improvement Program is a risk-adjusted surgical database used by nearly 400 hospitals nationwide, which tracks preoperative, intraoperative[] In more advanced cases, US can demonstrate that this skin thickening and subcutaneous air extends posteriorly to include the perineum and buttocks.[] With introduction of newer devices like Flexi-Seal, fecal diversion can be done, avoiding colostomy.[] . & Alter, G. J.) 414–422 (WB Sounders,1999). 74. G. G., F. & S. B., B. in Textbook of Reconstructive Urologic Surgery (eds Mantague, D., Gill, I., Angermeier, K.[] When used in wound débridement after Fournier gangrene, XADM protects interecological organizations, promotes the growth of granulation tissues, and maximally retains function[] Percutaneous drainage of 250 abdominal abscesses and fluid collections. ‎[] […] does not give medical advice. This survey of medical eponyms and the persons behind them is meant as a general interest site only.[] Scarpa fascia forms another distinct layer deep to Camper fascia.[] After clinical stabilization, extensive debridement of the necrotic tissue was performed, and a surgical vacuum-assisted closure (V.A.C. ) device was applied.[] Liver diseases, Malignancy, Obesity, HIV, leukemia, are just one example of diseases, all with some degree of alteration of the immune system 5.[]

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