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Total Pelvic Exenteration with Presacral Fascia and Pelvic Musculature Excision for Pelvic Recurrence of Rectal Cancer.
Ann Surg Oncol
January 2025
Division of Colorectal Surgery, Changzheng Hospital, Navy Medical University, Shanghai, China.
Background: Local relapse has not been eradicated even in the era of total mesorectum excision. Although various approaches have been attempted, R0 resection remains the only potentially curative treatment. PATIENT AND METHODS: A 45-year-old woman with a history of laparoscopic abdominoperineal resection was diagnosed with pelvic recurrence 7 months ago.
View Article and Find Full Text PDFThe peri-articular muscle envelope of the hip (PAME) shows atrophy in patients with refractory groin pain after iliopsoas tenotomy.
Hip Int
January 2025
Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium.
Background: Iliopsoas tenotomy is commonly used to address refractory groin pain resulting from iliopsoas tendinopathy. However, consensus and high-level research on its effectiveness are lacking, with concerns about poor outcomes and complications. Little is known of the effects of iliopsoas tenotomy on the peri-articular muscle envelope of the hip.
View Article and Find Full Text PDFPain Following Obstetric Anal Sphincter Injuries: A Prospective Cohort Study.
Urogynecology (Phila)
December 2024
Division of Urogynecology and Pelvic Floor Disorders, Cleveland Clinic Obstetrics and Gynecology and Women's Health Institute, Cleveland, OH.
Importance: Studies characterizing pain and pain management following obstetric anal sphincter injury (OASI) are limited.
Objectives: Our primary objective was to analyze time to pain resolution following OASI. Secondary objectives included analyzing pain severity, location, triggers, and patterns of pain medication use.
Necessity and impact of specialization of large foundation model for medical segmentation tasks.
Med Phys
January 2025
Department of Radiation Oncology, University of California Los Angeles, Los Angeles, California, USA.
Article Synopsis
- Large foundation models like MedSAM show promise in image segmentation, but their effectiveness in specialized fields such as medical imaging is still unclear, necessitating critical community assessment.
- This study investigates the potential advantages and limitations of using MedSAM for segmenting anatomical structures in pelvic MR images, emphasizing the importance of consistent performance in clinical settings.
- The evaluation revealed that both MedSAM and LiteMedSAM performed poorly initially, with minimal improvements from varied bounding box inputs, indicating the need for further fine-tuning for better performance.
Sexual function in women with endometriosis and pelvic floor myofascial pain syndrome.
Rev Bras Ginecol Obstet
October 2024
Universidade Federal do Ceará FortalezaCE Brazil Universidade Federal do Ceará, Fortaleza, CE, Brazil.
Objective: To evaluate and compare the sexual function and pelvic floor muscles (PFM) function of women with endometriosis and chronic pelvic pain (CPP) with and without Myofascial Pelvic Pain Syndrome (MPPS).
Methods: Cross-sectional study conducted between January 2018 and December 2020. Women with deep endometriosis underwent assessments for trigger points (TP) and PFM function using the PERFECT scale.
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