scholarly journals Sciatic Hernia Mimicking Perianal Abscess in a Cirrhotic Patient

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Wellington Andraus ◽  
Luciana Bertocco de Paiva Haddad ◽  
Oscar Cavalcante Ferro ◽  
Luiz Augusto Carneiro D'Albuquerque
Keyword(s):  
Pelvic Floor ◽  
Cirrhotic Patient ◽  
Perianal Abscess ◽  
Abdominal Pressure ◽  
Abdominal Hernias ◽  
Sciatic Hernia ◽  
First Case ◽  
Cirrhotic Patients ◽  
Pelvic Floor Weakness

Abdominal hernias are very frequent in cirrhotic patients with ascites. The hernias usually present as umbilical, inguinal, incisional, or femoral. However, these patients can also develop uncommon hernias such as pelvic hernias because of pelvic floor weakness and high abdominal pressure due to ascites. We present the first case of a cirrhotic patient with ascites that developed a giant sciatic hernia mimicking a perianal abscess.

The effectiveness of a digital pelvic floor training program in thetreatment of urinary incontinence – a real-world evaluation (Preprint)

2019 ◽  
Author(s):  
Sabine Keim ◽  
Alexandra von Au ◽  
Lina Maria Matthies ◽  
Stephanie Wallwiener ◽  
Sarah Brugger ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
University Hospital ◽  
First Line ◽  
First Line Therapy ◽  
A Value ◽  
Pelvic Floor Training ◽  
Significant Impairment ◽  
Pelvic Floor Weakness

BACKGROUND Background: Many women experience urinary incontinence (UI) during andafter pregnancy due to pelvic floor weakness. First-line therapy is conservative treatment, which nowadays can be facilitated by using digitalsolutions. OBJECTIVE The aim ofthe present study was to investigate the efficacy and effectiveness of pelvinain patients with existing UI. METHODS Methods: In the present observational study we analyzed the effectivenessof pelvina, a certified digital pelvic floor training course, in reducing UI symptoms by regularly applying “The Questionnaire for Urinary Incontinence Diagnosis” (QUID) and furthermore examining quality of life (QoL) by conducting the SF-6D. RESULTS Results: In this prospective study, 373 patients with a median age of 36 years (IQR 33 - 47 years) were included. At baseline the patients had a median QUID of 11 (IQR 11 - 15). During the course, incontinence improved significantly to a QUID of 5 (IQR 2 – 11; p<0.001). Additionally, the patients had also shown a significant impairment in their QoL at baseline with a value of 19 (IQR 16 - 22) in SF-6D. After completing the course, the QoL had risen to 24 (IQR 20 - 26). CONCLUSIONS Conclusion: Use of the certified digital pelvic floor course pelvinasignificantly reduces existing UI due to pelvic floor weakness over the timespan of the course. At the same time QoL is significantly improved. CLINICALTRIAL The present study was approved by the ethics committee of the Heidelberg University Hospital (S-392/2019)

scholarly journals Phlebosclerotic Colitis in a Cirrhotic Patient with Portal Hypertension: The First Case in Korea

2009 ◽  
Vol 24 (6) ◽  
pp. 1195 ◽  
Author(s):  
Ha Yan Kang ◽  
Ran Noh ◽  
So Mi Kim ◽  
Hyun Deok Shin ◽  
Se Young Yun ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Cirrhotic Patient ◽  
First Case

scholarly journals Strength of pelvic floor in men: reliability intra examiners

2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Patricia Zaidan ◽  
Fabio Dutra Pereira ◽  
Elirez Bezerra da Silva
Keyword(s):  
Pelvic Floor ◽  
Physical Therapist ◽  
High Reliability ◽  
Intraclass Correlation ◽  
Internal Consistency Reliability ◽  
Urinary Continence ◽  
Abdominal Pressure ◽  
Strength Assessment ◽  
Male Patients ◽  
The Moment

Abstract Introduction: The obtaining of urinary continence is due to the strength of the pelvic floor muscles (MAPs) at the moment of muscle contraction, when there are sudden increases in intra-abdominal pressure, which increases urethral closure pressure and decreases the possibility of urinary loss. Objective: To verify the reliability, type: stability, intra-examiner, of the measure of the strength of MAPs held with Peritron. Methods: Test and retest study to assess the intra-rater reliability of Peritron to measure the strength of MAPs. The sample consisted of 36 male patients, mean age 65.3 ± 7.2 years, all with urinary incontinence (UI) after radical prostatectomy. The physical therapist conducted a training for familiarization with the procedures of MAPs strength assessment with Peritron for two weeks. The strength of MAPs was measured by a perineometer of the Peritron brand (PFX 9300®, Cardio-Design Pty. Ltd, Baulkham Hills, Australia, 2153). Results: The intraclass correlation coefficient (ICC) was equal to 0.99; P = 0.0001. The typical measurement error (ETM) was equal to 3.1 cmH2O and ETM% of 4. Conclusion: Peritron showed high reliability for measuring the strength of MAPs in men, both for clinical practice and for the production of scientific knowledge. It should be noted that such measures were carried out in stability, so it is suggested that in internal consistency reliability is equivalent.

scholarly journals Intra-abdominal pressure and abdominal perfusion pressure in cirrhotic patients with septic shock

2012 ◽  
Vol 2 (Suppl 1) ◽  
pp. S4 ◽  
Author(s):  
Hasan M Al-Dorzi ◽  
Hani M Tamim ◽  
Asgar H Rishu ◽  
Abdulrahman Aljumah ◽  
Yaseen M Arabi
Keyword(s):  
Septic Shock ◽  
Perfusion Pressure ◽  
Abdominal Pressure ◽  
Abdominal Perfusion Pressure ◽  
Cirrhotic Patients

scholarly journals Uninterrupted Peritoneal Dialysis after Robotic-Assisted Total Laparoscopic Hysterectomy

2016 ◽  
Vol 36 (3) ◽  
pp. 349-350 ◽  
Author(s):  
Susie Q. Lew ◽  
Mildred R. Chernofsky
Keyword(s):  
Peritoneal Dialysis ◽  
Supine Position ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Wound Complications ◽  
Abdominal Pressure ◽  
Robotic Assisted ◽  
First Case ◽  
Low Volume

This report describes the first case of uninterrupted peritoneal dialysis (PD) after robotic-assisted laparoscopic hysterectomy. Frequent low-volume PD exchanges in a supine position to minimize intra-abdominal pressure starting on post-operative day 3 successfully provided adequate clearance and ultrafiltration. The patient did not encounter any metabolic or wound complications. Pre-admission PD prescription was resumed on post-operative day 14. Interim hemodialysis was not needed.

2. VAGINISMUS, VULVODYNIA AND PELVIC FLOOR MUSCLE ACTIVITY

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 285
Author(s):  
R. Sapsford
Keyword(s):  
Pelvic Floor ◽  
Muscle Activity ◽  
Pelvic Floor Muscle ◽  
Normal Function ◽  
Pelvic Floor Muscles ◽  
Abdominal Pressure ◽  
Abdominal Muscles ◽  
Physiological Factors ◽  
Muscle Groups ◽  
Postural Support

The pelvic floor muscles form the base of the abdominal cylinder and work in synergy with other muscles around the cylinder - the abdominal muscles and the diaphragm. Activity in each muscle group affects the others. Coordinated recruitment of these muscle groups is necessary for generation and maintenance of intra-abdominal pressure, postural support of the trunk, and during functional tasks such as lifting, coughing and nose blowing. Coordinated release of these groups is required for micturition, while defaecation may need activity in some muscles and release in others. Vaginismus and vulvodynia both have a component of over activity of the pelvic floor muscles which impairs normal function, though this over activity may only occur at the time of attempted penetration. Some of the physiological factors that contribute to this overactivity come from outside the pelvic floor muscle complex itself and can be ameliorated by understanding and management of these muscle synergies. An EMG study of muscle activity of the abdominal and pelvic floor muscles during a simulated body posturing for female sexual arousal will help to explain how the pelvic floor muscle over activity in vaginismus arises. Treatment programmes that have been used to successfully address these problems will be explained.

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