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Perineum (0):
Recent article
Perineum
Abstract
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Abstract
British Journal of Nursing (20)13 2011
Abstract
Incontinence-associated dermatitis (IAD) is a common skin disorder in patients with faecal and/or urinary incontinence. The past decade has seen a huge growth in publications focusing on the complexity and inconsistency of the clinical observation of IAD and the differentiation betwe...
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PMID: 21841685
PDF is available here.
PDF is available here.
Abstract
The aim of this study was to document a population-based rate of abdominoperineal resections for adenocarcinoma of the rectum in the state of Victoria, Australia. It also determined whether surgeon caseload or specialist colorectal training affects this rate.
All resections for adenocarcinoma of the...
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PMID: 21178859
PDF is available here.
PDF is available here.
Abstract
We hypothesized that fentanyl pretreatment could prevent the perineal symptoms associated with the dexamethasone....
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PMID: 21526664
PDF is available here.
PDF is available here.
Abstract
The purpose of this pictorial essay is to describe the main morpho- functional imaging features, physiological and pathological, of the recto-anal region and pelvic floor as depicted with conventional video defecography. Defecography has dramatically improved our knowledge of dysfunctions of evacuat...
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PMID: 20108205
PDF is available here.
PDF is available here.
Abstract
Abstract
We designed a pedicled gracilis myocutaneous flap with a bilobed cutaneous paddle to maximally incorporate both the transverse and longitudinal dimensions of the flap's nearly circular angiosome. The bilobed design allows harvest of a larger transverse skin flap (with a shorter arc of rotation) whil...
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PMID: 20606582
PDF is available here.
PDF is available here.
Abstract
We examined semiserial sections of 16 fetuses between 15 and 30 weeks of gestation (6 males and 10 females). The subcutaneous part of the EAS (EASsc) developed along the male perineal raphe and extended posteriorly. Thus, the male EAS was characterized by anterior protrusion of the subcutaneous musc...
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PMID: 20882767
PDF is available here.
PDF is available here.
Abstract
Epithelial/ectodermal plug formation in the developing nose, ear, and eye regions is followed by canalization/recanalization mediated by cell death. However, the mechanism is not well understood. Recently, substance P (SP)-mediated cell death, rather than cell apoptosis, has been reported in neurona...
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PMID: 20882765
PDF is available here.
PDF is available here.
Abstract
We report a case of prenatally diagnosed congenital perineal mass which was combined with anorectal malformation. The mass was successfully treated with posterior sagittal anorectoplasty postnatally. On ultrasound examination at a gestational age of 23 weeks the fetal perineal mass were found on the...
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PMID: 20592907
PDF is available here.
PDF is available here.
Abstract
A 55-year-old female equestrian presented with a 3.5 cm painful left perineal mass. Histologic examination of the excised mass showed a poorly circumscribed mesenchymal proliferation involving fibroadipose and fibrous tissue. The lesion consisted of a bland spindle cell proliferation with areas of f...
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PMID: 20567156
PDF is available here.
PDF is available here.
Obstetrics & Gynecology (116)1 2010
Abstract
To compare overlapping repair with end-to-end repair of obstetric tears and to investigate which procedure results in a higher rate of flatal incontinence.
One-hundred forty-nine primiparous women sustaining a complete third- or a fourth-degree tear of the perineum were assigned randomly to a primar...
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PMID: 20567163
PDF is available here.
PDF is available here.
Abstract
We report a case of a 42-year-old man who presented to the department of surgery with a two-year history of a perineal tumour. The mass was painless initially but had become painful more recently. After histopathological confirmation, the tumour was removed surgically, as it was resistant to medical...
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PMID: 20606229
PDF is available here.
PDF is available here.
Abstract
Abstract
We report a case of a 40-year-old man presenting with chronic pelvic pain due to pudendal nerve entrapment and successfully treated with palmitoylethanolamide (PEA).
PEA may induce relief of neuropathic pain through an action upon receptors located on the nociceptive pathway as well as a more direct...
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PMID: 20345619
PDF is available here.
PDF is available here.
Abstract
The anus was dilated during the second stage of labor in all women, and differences between primiparas and multiparas were not significant. The medians for both the anteroposterior and transverse diameters were 25 mm. No measured variable was statistically associated with anal sphincter dilation. CO...
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PMID: 20152974
PDF is available here.
PDF is available here.
Abstract
We present the technique of pudendal nerve neuromodulation with neurophysiology guidance as a treatment option for RCPPP. This technique is a two-step procedure that includes electrode implantation under neurophysiology guidance followed by the implantation of a permanent generator after a successfu...
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PMID: 20012596
PDF is available here.
PDF is available here.
Abstract
Among 1004 deliveries, 86.4% were performed by residents. No significant difference was found on incidence of severe perineal tears between the 872 extractions performed by residents and the 132 performed by an attending physician (6.9% versus 7.9% p=0.706; OR=0.86 IC95% [0.41-1.81]), but extraction...
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PMID: 20299162
PDF is available here.
PDF is available here.
World Journal of Surgery (34)5 2010
Abstract
In full-thickness rectal prolapse, elderly, sick patients are selected for a perineal operation. The morbidity, functional outcomes, and quality of life are acceptable. However, the high recurrence rates make the perineal operation a second-best choice for younger, healthy patients....
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PMID: 20127331
PDF is available here.
PDF is available here.
American Surgeon (76)5 2010
Abstract
Perineal hernia is the protrusion into the perineum of intraperitoneal or extraperitoneal contents through a congenital or acquired defect of the pelvic diaphragm. The first case was reported by de Garangeot in 1743. Perineal hernias may occur anteriorly or posteriorly to the superficial transverse...
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PMID: 20506875
PDF is available here.
PDF is available here.
Abstract
We conducted a prospective cohort study of non-critically ill patients admitted to a tertiary care center between December 2003 and September 2004 and obtained perirectal samples at hospital admission to determine the prevalence of Acinetobacter baumannii. A baumannii was isolated from 1 of 555 cult...
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PMID: 20189683
PDF is available here.
PDF is available here.
Abstract
We present a 62-yr-old man with NF-1 suffering from spontaneous hematoma of the perinea and scrotum. A digital substraction angiography disclosed a ruptured pseudoaneurysm of the right internal pudendal artery, which was successfully managed with transcatheter embolization....
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PMID: 20358012
PDF is available here.
PDF is available here.
Abstract
Abstract
CTA was able to demonstrate the size, course and penetration pattern of all perforators over 0.3 mm in diameter, with measurements for perforators over 0.8 mm diameter recorded for analysis. Of 171 such perforators, accurate identification of the size (mean diameter 1.91 mm), course (59.6% septocuta...
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PMID: 19756349
PDF is available here.
PDF is available here.
Journal of Endourology (24)4 2010
Abstract
We describe an endoscope-assisted radical perineal prostatectomy (RPP) technique that facilitates the dissection of the prostate-vesical junction. The technique was employed in four patients with a history of transurethral prostate resection. Before dissecting the prostate from the bladder neck duri...
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PMID: 20136372
PDF is available here.
PDF is available here.
Abstract
This small addition to the standard technique of RPP helps with complete dissection of the prostate and seminal vesicles. We recommend replacing the traditional Penrose traction with these sutures placed in the lateral lobes of the prostate....
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PMID: 20398451
PDF is available here.
PDF is available here.
Der Urologe (49)4 2010
Abstract
The basic structures and organs contributing to continence in men are far less well investigated than in women. This concerns anatomical and functional aspects as well. Especially the cooperation of single components and the dynamic anchoring in the pelvic floor require further investigation. An imp...
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PMID: 20376649
PDF is available here.
PDF is available here.
Abstract
Cirugía Española (87)4 2010
Abstract
Fournier's gangrene is a rapidly progressing necrotizing fascitis that affects the perineal and genital area. Mortality still remains high. The aim of this study was to evaluate the epidemiological progression and morbidity-mortality of Fournier's gangrene at our centre over the past 10 years.
Retro...
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PMID: 20152961
PDF is available here.
PDF is available here.
Abstract
Satisfactory vaginoperineal reconstruction was achieved in all our patients at 3 months. In addition, patients are able to resume sexual activity after tissue re-epithelialization. CONCLUSION: Uterine retroversion is a viable option for vaginal and perineal reconstruction....
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PMID: 20173485
PDF is available here.
PDF is available here.
Abstract
Aggressive angiomyxoma must be considered in the differential diagnosis of any female with an asymptomatic perineal mass. A complete margin-free excision should be achieved to avoid recurrence. Long-term follow-up is quite necessary because of the high rate of local recurrence....
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PMID: 20134274
PDF is available here.
PDF is available here.
Abstract
The prevalence of MSSA colonization in children and care providers in a university medical center child care center is similar to that of the general population. Children colonized with MSSA tended to be older and to have received fewer courses of antibiotics than children who did not have MSSA. The...
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PMID: 20135830
PDF is available here.
PDF is available here.
Abstract
A constant small, but clinically important, number of American women choose to deliver at home. Contradictory professional and public policies reflect the polarization and politicization of the controversy surrounding this birth option. Women opting for home birth seek and often attain their goals o...
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PMID: 20100362
PDF is available here.
PDF is available here.
Obstetrics & Gynecology (115)2 Pt 1 2010
Abstract
Of 2,586 women, 1,519 (59%), 798 (31%), and 269 (10%) were included in groups 1, 2, and 3, respectively. Birth weight was directly correlated to the rate of failed trial of labor (19%, 28%, and 38% for groups 1, 2, and 3, respectively; P<.01), uterine rupture (0.9%, 1.8%, and 2.6%; P<.05), shoulder...
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PMID: 20093908
PDF is available here.
PDF is available here.
Abstract
OBJECTIVE: Evaluation of the mutual relationship between delivery and late anal incontinence. DESIGN: Review. SETTING: Department of Gynaecology and Obstetrics, Charles University and University Hospital Pilsen. SUMMARY: Anal incontinence is a symptom often referred to by women between the ages of 4...
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PMID: 20437832
PDF is available here.
PDF is available here.
Abstract
Abstract
We report on a baby with penoscrotal transposition (PST) consisting of bifid scrotum and hypospadias with chordee associated with perineal lipoma. The affected baby was one twin of an IVF pregnancy referred to our center for ambiguous genitalia by fetal ultrasound. Examination of the uterus revealed...
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PMID: 20215739
PDF is available here.
PDF is available here.
Abstract
2,108 women delivered 2,135 infants with 1,874 (89%) screened for GBS. Of those screened, 1,322 (71%) tested negative and 552 (29%) tested positive for GBS. In this analysis of 2,135 infants, 3 (0.94 cases/1,000 live births) were diagnosed with invasive GBS sepsis. CONCLUSION: High rates of screenin...
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PMID: 20689734
PDF is available here.
PDF is available here.
Abstract
Fourth degree lacerations of the vaginal wall and perineum following childbirth can cause cloacal-like defects of the perineum. The loss of the anterior anal sphincter and resultant thinning of the perineum and rectovaginal septum can lead to fecal incontinence and difficulties with sexual activity....
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PMID: 20010412
PDF is available here.
PDF is available here.
Abstract
Mutilating injury on pelvis may be complicated by urinary bladder ruptures and soft-tissue avulsion of the lower abdominal wall or perineum. With retraction of the avulsed abdominal wall or perineum, as well as bladder tissue loss secondary to trauma or infection, direct closure the injured bladder...
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PMID: 20023456
PDF is available here.
PDF is available here.
Abstract
Transperineal sonocystography was equivalent to FC in detecting anastomotic leaks after RP. It provides a safe, inexpensive, and effective alternative to traditional FC for evaluating the integrity of the vesicourethral anastomosis after RP....
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PMID: 20040777
PDF is available here.
PDF is available here.
Abstract
Abstract
We report the case of a newborn with acute myeloid leukaemia, who developed perineal necrotizing fasciitis due to Pseudomonas Aeruginosa, after twenty days of life. Following surgical debridement, she was effectively treated with topical negative pressure therapy (V.A.C.(R) device) with silver foam...
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PMID: 20406723
PDF is available here.
PDF is available here.
Abstract
I or II pressure ulcers. However, a modest but growing body of research is beginning to provide insights into the epidemiology, etiology, and pathophysiology of IAD. In addition, recent changes in reimbursement policies from the US Center for Medicare and Medicaid Services regarding pressure ulcer p...
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PMID: 20131923
PDF is available here.
PDF is available here.
BMC Surgery (10) 2010
Abstract
The PSP is an elegant, fast and safe procedure, with good functional results. TRIAL REGISTRATION: ISRCTN68491191....
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PMID: 20205956
PDF is available here.
PDF is available here.
Abstract
BACKGROUND: The Perineal Assessment and Repair Longitudinal Study (PEARLS) is a national clinical quality improvement initiative designed to improve the assessment and management of perineal trauma. Perineal trauma affects around 85% of women who have a vaginal birth in the UK each year and millions...
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PMID: 20184764
PDF is available here.
PDF is available here.
Abstract
Free communication and disease spread occur within the confines of the superficial perineal, scrotal, penile, and abdominal wall spaces formed by Colles, Buck, dartos, and Scarpa fasciae....
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PMID: 20351502
PDF is available here.
PDF is available here.
Abstract
The mean tumor height from the anal verge was 2.9 cm for the patients with abdominoperineal excision vs 4.6 cm in the patients with low anterior resection. The involved margin rate was 20% overall, but was 31.9% for abdominoperineal excision vs 12% for low anterior resection. More patients who had a...
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PMID: 20010351
PDF is available here.
PDF is available here.
Actas Dermo-Sifiliográficas (100)10 2009
Abstract
Abstract
Pelvic floor may be affected by birth and delivery since these are risk factors for muscles, connective tissue and nerve damage. Women with pelvic floor injuries may suffer in the long term from pelvic floor organs prolapse as well as from functional impairment such as urinary and fecal incontinence...
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PMID: 20088438
PDF is available here.
PDF is available here.
Abstract
The objective of this study is to determine the quantity, position, and caliber of perforating vessels in the perineum, and to provide an anatomic basis for designing perineal perforator flaps. Eleven adult cadavers (22 sides) were dissected under an operating microscope (x10). Microstructures, incl...
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PMID: 19887931
PDF is available here.
PDF is available here.
Abstract
We studied the effect of genital tract trauma, labor care, and birth variables on the incidence of pain in a population of healthy women exposed to low rates of episiotomy and operative vaginal delivery.
A prospective study of genital trauma at birth and assessment of postpartum peri...
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PMID: 20002420
PDF is available here.
PDF is available here.
Georgian medical news ()177 2009
Abstract
Ruptures of rectum, cervix uteri and perineum during the process of delivery have been one of the most difficult problems of modern medicine. The issue of its surgical treatment is still waiting solution. That is why, very important in this patients to select the method of surgical operation differe...
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PMID: 20090151
PDF is available here.
PDF is available here.
American Surgeon (75)12 2009
Abstract
We hypothesize that the presence of perineal open wounds increases morbidity, mortality, and concomitant use of hospital resources. Patients diagnosed with OBPF over a 5-year period at a Level I trauma center were identified by trauma registry review, and were retrospectively reviewed under an Insti...
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PMID: 19999917
PDF is available here.
PDF is available here.
Abstract
Report rewarded with the VA.C. 2009 Therapy First Prize, as part of its third officially announced contest, in the discipline of best clinical case. This operation was carried out on a young woman who suffered from obesity (BMI:39) and who had been diagnosed by means of rectoscopy for colorectal car...
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PMID: 20143736
PDF is available here.
PDF is available here.
Abstract
Study was aimed at comparing clinical and transperineal ultrasound findings of females with stress urinary incontinence and normal controls. Between 2004 and 2005, 40 women with stress urinary incontinence (mean age 47.5 years) diagnosed by history via ICIQ-SF (International consultation on Incontin...
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PMID: 20128516
PDF is available here.
PDF is available here.
Abstract
American Surgeon (75)10 2009
Abstract
We review our recent experience with APR with vertical rectus abdominis myocutaneous flap reconstruction (VRAM) after preoperative pelvic radiation. A retrospective review of patients who underwent APR with VRAM reconstruction after pelvic radiation from December 2004 to July 2008 was conducted. Out...
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PMID: 19886152
PDF is available here.
PDF is available here.
Abstract
Negative pressure therapy (NPT) is a proven safe and effective technique to promote healing of complex adominoperineal wounds using either an open or closed approach. Specifically designed devices are available in industrialized countries but high cost is a limiting factor for their use in developin...
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PMID: 20025168
PDF is available here.
PDF is available here.