1,720,991 research outputs found
Bladder erosion after 2 years from cystocele repair with type I polypropylene mesh
No full textType I polypropylene mesh have been widely used in gynaecologic surgery for the treatment of pelvic organ prolapse and stress urinary incontinence. Such devices produced positive results compared to the equivalent non-mesh-based operation but erosions into adjacent viscera, especially the vagina, have also been reported. We describe the case of bladder erosion that manifested two years after the initial cystocele repair surgery and the management adopted
Capsular contracture: Results of 3002 patients with aesthetic breast augmentation [7]
No full text[No abstract available
New view in the mammary asymmetry treatments [Nuove prospettive nel trattamento delle asimmetrie mammarie]
No full textAim. Breast asymmetry is a huge chapter of breast abnormalities. Surgical therapy is the exclusive one. The breast of women can vary in shape, volume and position, thus creating esthetic, social and psychological problems. Methods. We classified breast asymmetry into 6 categories and then we treated them with different surgical techniques: reduction mammaplasty according to Planas; augmentation mammaplasty with prosthesis; grafts or both; ultimately mammaprosthesis (association of mastopessy and prosthesis). We obtained satisfactory esthetic results often with one surgery procedure. Rarely we performed 2 or more procedures of symmetry. We treated 77 patients suffering from breast asymmetry. We excluded in this study the gigantomastic asymmetry (anomaly determined by severe and asymmetric mammary hypertrophy). Results. We found a low number of complications at short and long term. These results are likely due to the ability of the surgeon in the appropriated preoperative evaluation of the patients and of their expectancy and correct surgical techniques. Conclusion. We tried to obtain 3 results: shape and position of the sick breast as same as possible to the contralateral breast and less evident scars located in hidden regions
Risk evaluation of smoking and age on the occurrence of postoperative erosions after transvaginal mesh repair for pelvic organ prolapses
No full textThis study evaluated the influence of age and smoking on the occurrence of vaginal erosions after transvaginal mesh repair of pelvic organ prolapses. We recruited all patients that underwent mesh correction of prolapses and excluded those with stress urinary incontinence, ongoing clinical infections, with a complete antibiotic course in the last 6 months, and with systemic diseases affecting tissue oxygenation. We enrolled 325 patients. Postoperative erosions were present in 6%. Age conferred a 1.6-fold increase in the risk to develop erosions while smoking a threefold increase. Patients with deep erosions had the highest values of pack years, and 6.85 pack years conferred a risk similar to advanced age. Age and smoking are important factors also after pelvic organ prolapse surgery. Our data could be used to stratify patients according to their estimated risk and to dedicate them to specific cares for prevention
Re: Sarma et al.: Risk factors for urinary incontinence among women with type 1 diabetes: findings from the Epidemiology of Diabetes Interventions and Complications study (Urology 2009;73:1203-1209)
No full textTension-free vaginal tape Secur hammock procedure: two additional cases of intraoperative bleeding
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Devastating methicillin resistant Staphylococcus aureus wound infection following abdominoplasty in a prior bariatric surgery patient
No full textA 46-year-old female smoker presented 12 months after laparoscopic adjustable gastric banding, with massive weight loss and skin excess of the abdomen and flanks' She underwent abdominoplasty with muscle plication and flanks liposuction, but on the 14th postoperative day this was complicated by a methicillin-resistant Staph. aureus wound infection. Multiple surgical debridements and high doses of intravenous antibiotics were necessary for cure and to avoid further septic complications. Complete wound closure was achieved after 3 months of therapy. Concomitant risk factors for wound infection (obesity, smoking, flap construction) contributed to a rare but potentially fatal wound complication following abdominoplasty. We alert the surgeon to such postoperative infections and the necessity for a non-conservative approach
Infections of breast implants in aesthetic breast augmentations: A single-center review of 3,002 patients
No full textBackground: A large retrospective analysis examined primary aesthetic breast augmentations to find specific factors that could favor or counteract the occurrence of infections. Methods: Data were collected from the personal databases of two different surgeons at the Crown House Hospital, Oldbury, Birmingham, United Kingdom, from January 1999 to December 2004. All the patients who received primary aesthetic breast augmentation with or without associated mastopexy were recorded. Results: A total of 3,002 women were reviewed. Infections were experienced by 33 patients (1.1%). The analysis showed that Mentor prostheses and local antibiotics both were protective against the occurrence of infections (p < 0.05). On the contrary, the use of drains significantly increased the risk fivefold (p < 0.05). Conclusion: The incidence of infections in aesthetic breast augmentations is 1.1%, and Mentor prostheses, antibiotics in the pocket, and the use of drains seem associated with their occurrence
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