Differences in sacral neuromodulation device infection rates based on preoperative antibiotic selection.

Introduction And Hypothesis: After SNM implantation the most significant complication that can occur is wound infection, which typically requires removal of all components. Such infections have been reported in 5-11 % of patients, but little is known about risk factors. The objective of this analysis is to determine our postoperative wound infection rate after SNM implantation, and examined various potential predictive factors.

The distal left Malone antegrade continence enema--is it better?

Purpose: The Malone antegrade continence enema is used for refractory fecal dysfunction in the pediatric neuropathic population. While various locations along the colon have been described, the optimal site for achieving efficient enemas remains unknown. We reviewed our experience with the Malone antegrade continence enema procedure and investigated functional outcomes and complications associated with proximal and distal locations.

The treatment of female stress urinary incontinence: an evidenced-based review.

Objective: To review the literature on the surgical and nonsurgical treatment options for stress urinary incontinence in women, focusing exclusively on randomized clinical trials and high quality meta-analyses.

Materials And Methods: A computer-aided and manual search for published randomized controlled trials and high quality meta-analyses investigating both conservative and surgical treatment options for stress urinary incontinence. In the case of a treatment that is not studied in these formats large case series have been used.

Blunt renal trauma and the predictors of failure of non-operative management.

Objectives: While non-operative management of renal trauma in selected patients is now an accepted management option, predictors of failure of this treatment strategy are still unclear.

Methods: Five-year retrospective study of all patients with blunt renal injuries managed non-operatively at a Level I Trauma Center. Abstracted data included patient demographics, initial vital signs, base deficit, associated injuries, use of blood transfusion, management, and outcomes.

Is there a role for secondary thoracic ultrasound in patients with penetrating injuries to the anterior mediastinum?

Pericardial tamponade (PT) after penetrating thoracic injury can be lethal if not diagnosed and treated promptly. Most patients present with PT shortly after their injuries occur, but delayed presentation of PT (delayed pericardial tamponade [DPT]) has occurred as late as 73 days after initial injury. Initial evaluation of patients with an anterior mediastinal penetrating injury includes physical examination, chest x-ray, and echocardiography.