26,348 results match your criteria: "Ptosis Adult"

Reduced port laparoscopic rectopexy for full-thickness rectal prolapse.

BMC Surg

September 2024

Department of Surgery, NHO Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-Ku, Osaka City, Osaka, 540-0006, Japan.

Article Synopsis
  • Laparoscopic rectopexy is a common treatment for full-thickness rectal prolapse, and recent studies suggest that reduced port surgery (RPS) could offer less pain and better cosmetic results compared to traditional multiport surgery (MPS).
  • In a study involving 37 patients, researchers compared the outcomes of RPS (27 cases) to MPS (10 cases) without finding any significant differences in operative time, blood loss, complications, or hospital stay.
  • The study concludes that RPS may be a viable option for treating this condition, but further research through a controlled trial is needed to determine if it is superior to MPS.
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Purpose: The purpose of this study was to compare the clinical efficacy of foldable capsular vitreous body (FCVB) filled with either light or heavy silicone oil and the incidence of complications after their implantation for the treatment of severe ocular trauma and silicone oil-dependent eyes.

Methods: FCVB filled with either light (n = 16) or heavy (n = 8) silicone oil was implanted in 24 patients. During the 12-month follow-up period, the intraocular pressure, final best-corrected visual acuity, retinal reattachment condition, position of the FCVB, and complications were assessed.

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Robotic Pauli repair of parastomal hernia.

Surg Endosc

October 2024

Department of Gastroenterological Surgery, Sykehuset Innlandet Hospital Trust, Furnesvegen 26, N-2380, Brumunddal, Norway.

Background: Robotic retro-muscular mesh repair of parastomal hernia (PH) is possible with transversus abdominis release. The aim of this study is to report mid-term results with this method.

Methods: Patients who underwent surgery for PH were enrolled in a prospective study.

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Article Synopsis
  • The study aimed to identify and evaluate factors that contribute to the failure of ptosis repair surgeries, specifically comparing two surgical methods: external levator advancement/resection (ELR) and Müller muscle conjunctival resection (MMCR).
  • A total of 240 patients were analyzed, revealing that 90% of eyelids achieved success after MMCR compared to 79% after ELR, with MMCR showing significantly better long-term outcomes.
  • Key risk factors for surgical failure included chronic use of topical prostaglandins and corticosteroids, lower preoperative margins, prior eye surgeries, and younger age, with the use of topical prostaglandins being identified as the highest risk factor.
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In this case report, a 33-year-old pregnant woman with migraine and visual aura complained of headache, nausea, and blurred vision. Clinically, she presented with bilateral dilated and fixed pupils, ptosis, and tearing. She was erroneously diagnosed as having a migraine attack, but after referral to an ophthalmological department she was diagnosed with bilateral acute angle closure.

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Background: We aimed to assess the impact of complex mitral valve disease and patient risk profile on operative outcomes in the large cohort of the Mini-Mitral International Registry.

Methods: Patients were assigned to categories of complex degenerative mitral valve regurgitation (DMR; bileaflet or anterior mitral leaflet prolapse/flail) and simple DMR (posterior mitral leaflet prolapse/flail). Subgroup analyses was performed in low-risk (EuroSCORE II <8%) and high-risk (EuroSCORE II >8%) cohorts.

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Article Synopsis
  • The study compares the outcomes of Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and laparoscopic surgery in treating pelvic organ prolapse through uterosacral ligament suspension (USLS).
  • Data was gathered from women who underwent both procedures between 2017 and 2023, analyzing factors like operative outcomes, complication rates, and symptom improvement.
  • While both techniques showed similar postoperative success rates, vNOTES achieved a higher anatomical success rate at 6 weeks, although the difference was not significant after corrections for other factors.
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Article Synopsis
  • This study investigated pelvic floor dysfunction among midlife women in Asia over a 6-7 year period, focusing on the prevalence, incidence, and persistence of symptoms like pelvic organ prolapse (POP), bowel, and urinary issues.
  • About 62.3% of women reported symptoms at the start, with factors like poor sleep significantly increasing the risk of new symptoms.
  • Postmenopausal women showed lower risks for certain symptoms, while better physical performance decreased bowel symptom risks, but obesity was linked to persistent issues.
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Minimally invasive techniques in gynecological pathology have well-known benefits, the "gold standard" of uterine prolapse being currently managed laparoscopically. Laparoscopic lateral hysteropexy and hysterosacropexy are surgical techniques that can be performed for uterine prolapse. Laparoscopic management of such cases is recommended, but requires well-trained teams in laparoscopic surgery.

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Background: Recently, natural tissue repair has become popular in the treatment of pelvic organ prolapsed. In this study, we compared patients who underwent cystocele repair with the rug-weaving plication technique, a natural tissue repair method implemented since 2022 for anterior prolapse, with those treated using conventional colporrhaphy.

Methods: We retrospectively reviewed the data of 65 patients who underwent anterior vaginal wall repair with the rug-weaving plication technique (n = 33, Group 1) or conventional colporrhaphy (n = 32, Group 2).

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Article Synopsis
  • The study investigates the outcomes of a new surgical technique called pelvic organ prolapse suspension (POPS) for treating pelvic organ prolapse (POP) and rectal prolapse, focusing on patients who experience recurrence of symptoms after the procedure.
  • The research involved 25 women, primarily menopausal, who mostly had recurrent posterior vaginal wall prolapse and associated obstructed defecation syndrome, with all undergoing laparoscopic ventral rectopexy surgery.
  • Findings indicated no anatomical recurrences after surgery and a significant improvement in patient symptoms, suggesting that a multidisciplinary approach and the use of minimally invasive techniques can be effective for managing recurrent POP.
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Efficacy of Botulinum Type A Injection for the Treatment of Postherpetic Neuralgia and Pruritus Persisting for More Than Four Years-A Case Report.

Medicina (Kaunas)

August 2024

Department of Anesthesiology and Pain Medicine, Korea University Medical Center, Guro Hospital, 148 Gurodong Road, Guro-gu, Seoul 08308, Republic of Korea.

: Postherpetic neuralgia (PHN) and postherpetic pruritus (PHP) are common complications of shingles that affect patients' quality of life. PHN and PHP can be managed using various medications and interventional procedures; however, complications persisting for at least six months may hamper recovery. Subcutaneous injections of botulinum toxin type A (BTX-A) can control persistent PHN and PHP.

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Stress urinary incontinence (SUI) affects around 35% of adult women and has a significant impact on quality of life. A single incision sling (SIS), such as Altis, was introduced to improve original slings and avoid complications. The present study aimed to evaluate the SIS Altis subjective and objective cure rates of women with SUI, mixed urinary incontinence (MUI), recurrent SUI, and SUI with concomitant prolapse and report its complications from one single medical center.

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Aims: The prevalence, the aetiologies, and the clinical features of tricuspid regurgitation (TR) in the context of concomitant degenerative mitral valve (MV) disease are poorly defined. This paper aims to assess the prevalence, determinants, and clinical consequences of TR in severe degenerative mitral regurgitation (DMR).

Methods And Results: Clinical and echocardiographic characteristics were collected among patients with severe DMR.

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Introduction And Hypothesis: Robot-assisted sacrocolpopexy (RASC) is increasingly common due to the increased uptake of surgical robot systems. The aim of this retrospective study was to assess the perioperative outcomes of the first patient cohort to undergo RASC using a brand-new surgical robot system, the hinotori surgical system (robot-assisted sacrocolpopexy with hinotori surgical system [h-RASC]). This study also aimed to compare the outcomes of this group with those of the group of patients who had undergone RASC with the da Vinci surgical system (d-RASC).

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Background/aim: Hysterectomy is the most frequent gynecological surgery. Vaginal hysterectomy (VH) seems to be related to favorable perioperative outcomes compared to abdominal or laparoscopic approaches. As the population ages, anesthesia that is safer for the elderly, such as local anesthesia (LA) with conscious sedation, is gaining popularity and is related to favorable outcomes in patients' recovery compared to general or regional anesthesia.

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Introduction And Hypothesis: This study evaluated the association between pelvic organ prolapse (POP), frailty, and sarcopenia to explore how POP treatment can extend healthy life expectancy in elderly women.

Methods: We conducted a retrospective study of prospectively collected data, comparing women with mild POP (stages 0-II) with those with advanced POP (stages III and IV). The inclusion criteria for this study were women who visited the clinic with at least one symptom of pelvic floor dysfunction and underwent imaging studies between April 2020 and November 2022.

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Article Synopsis
  • - Mitral annular disjunction (MAD) is a condition where the mitral annulus separates from the left ventricle, often linked to mitral valve prolapse (MVP), and can cause ventricular arrhythmias in adults, though it's rare in children.
  • - This report presents two pediatric cases of MAD connected to a large atrial septal defect (ASD), indicating that such a combination hasn't been documented before.
  • - Currently, there are no established guidelines for managing MAD, and the added presence of a large ASD makes treatment decisions even more complex.
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[Clinical analysis of percutaneous superselective superior rectal artery embolization for grades Ⅱ-Ⅲ internal hemorrhoids].

Zhonghua Nei Ke Za Zhi

September 2024

Department of Interventional and Minimally Invasive Tumor Therapy, the Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250033, China.

To investigate the safety and efficacy of percutaneous superselective superior rectal artery embolization in the treatment of grades Ⅱ-Ⅲ internal hemorrhoids. The clinical data of 22 patients with grades Ⅱ-Ⅲ internal hemorrhoids who underwent superselective superior rectal artery embolization in the Department of Interventional and Minimally Invasive Tumor Therapy of the Second Hospital of Shandong University from September 2019 to February 2022 were retrospectively analyzed. According to the blood supply artery of hemorrhoids, superselective embolization was performed with embolization materials.

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Background: There is concern about the durability of mitral valve repair (MVr) for mitral regurgitation (MR) in Marfan patients due to limited long-term data. Furthermore, a detailed time course of changes in cardiac function after MVr in Marfan patients has not been reported. We examined repair techniques, postoperative cardiac function, and outcomes of MVr in Marfan patients.

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Update on the genetic profile of mitral valve development and prolapse.

Pathol Res Pract

October 2024

Department of Pathology, George Emil Palade University of Medicine, Pharmacy, Science and Technology, Targu Mures , Romania; Romanian Academy of Medical Sciences, Romania; Research Center for Oncopathology and Translational Medicine (CCOMT), George Emil Palade University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania. Electronic address:

The purpose of this review is to present a comprehensive overview of the literature published up to February 2024 on the PubMed database regarding the development of mitral valve disease, with detailed reference to mitral valve prolapse, from embryology to a genetic profile. Out of the 3291 publications that deal with mitral valve embryology, 215 refer to mitral valve genetics and 83 were selected for further analysis. After reviewing these data, we advocate for the importance of a gene-based therapy that should be available soon, to prevent or treat non-invasively the valvular degeneration.

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Risk of pelvic organ prolapse after hysterectomy for benign conditions: A nationwide cohort study.

Maturitas

November 2024

Department of Obstetrics and Gynecology, Sanggye Paik Hospital, School of Medicine, Inje University, Seoul, Republic of Korea. Electronic address:

Objective: To assess the risk of pelvic organ prolapse (POP) after hysterectomy for benign conditions.

Study Design: This nationwide retrospective cohort study, utilizing data from the Korean National Health Insurance Service database, compared women aged 40 to 59 who underwent benign hysterectomy between 2002 and 2011 (hysterectomy group) with those who had national medical examinations during the same period (nonhysterectomy group). The analysis used a 1:1 propensity score matching method adjusted for variables.

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Purpose: To report the surgical outcomes of single-stage differential template technique for the correction of palpebral neurofibromatosis associated with severe blepharoptosis in adults.

Methods: This is a retrospective interventional case series. Adult patients with severe unilateral palpebral neurofibromatosis, severe blepharoptosis, and lateral canthal dystopia underwent a single-stage repair.

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Background: Generalized myasthenia gravis (gMG) can be managed with acetylcholinesterase inhibitors (AChEis; e.g., pyridostigmine), corticosteroids, other immunosuppressive drugs (e.

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Objective: To assess how race, ethnicity, primary language, clinical and other sociodemographic factors predict surgical treatment for pelvic organ prolapse (POP) in a minority-majority Hispanic population.

Methods: We identified patients with POP ICD-10 codes from Oct 2019 to Dec 2022 at our Urogynecology academic practice. Data were collected by chart review.

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