Dermis fat grafts for bilateral augmentation mammaplasty

1995 ◽  
Vol 3 (3) ◽  
pp. 1-8
Author(s):  
John Michael Drever
Keyword(s):  
Body Contouring ◽  
Breast Implants ◽  
Augmentation Mammaplasty ◽  
Silicone Implants ◽  
Lower Abdomen ◽  
Silicone Breast Implants ◽  
Fat Grafts ◽  
Level Of Satisfaction ◽  
High Level

Dermis fat grafts for body contouring have been used for over a century and extensively reported and researched, but since the advent of the more reliable silicone implants they have been dropped and neglected. As a consequence of the present controversy surrounding silicone breast implants, women are inquiring about augmentation with their own tissues. Healthy patients with good vascularity are the best candidates. These grafts are removed from the lower abdomen and placed with the dermis side facing the muscle, ‘take’ and then lose about 30 to 50% of their initial volume. Thirty-six cases were performed with this technique, and a two-and-a-half year follow-up with few complications and a high level of satisfaction is reported.

scholarly journals Follow up survey in Taunton shows high level of satisfaction

BMJ ◽  
1995 ◽  
Vol 310 (6982) ◽  
pp. 803-804
Author(s):  
M. Sowter ◽  
K. Bidgood
Keyword(s):  
Level Of Satisfaction ◽  
High Level

scholarly journals Telephone Follow-Up following Office Anorectal Surgery

2008 ◽  
Vol 90 (6) ◽  
pp. 464-466 ◽  
Author(s):  
Rebecca C Fallaize ◽  
Christine Tinline-Purvis ◽  
Anthony R Dixon ◽  
Anne-Marie Pullyblank
Keyword(s):  
Patient Satisfaction ◽  
Medical Treatment ◽  
Patient Treatment ◽  
Second Line ◽  
Anorectal Surgery ◽  
Fissure In Ano ◽  
Level Of Satisfaction ◽  
Patient Appointment ◽  
High Level

INTRODUCTION Patients with minor anorectal conditions are frequently reviewed at an 8-week out-patient appointment (OPA). This study was designed to assess whether telephone follow-up could reduce OPA numbers whilst maintaining patient satisfaction. PATIENTS AND METHODS Over an 11-month period, 46 patients (23 male) underwent banding of haemorrhoids and 14 were prescribed medical treatment for fissure-in-ano (3 male). All were telephoned at 6 weeks and were offered an 8-week OPA if they had continuing problems. Patients were telephoned at a later date by a member of the hospital's patient panel to assess satisfaction. RESULTS Overall, 88% were contacted at 6 weeks, 60% at the first attempt; 40% required two or more attempts. Of those who underwent banding, 68% were asymptomatic, 17% requested an OPA for re-banding and 15% requested an OPA for a different problem. Of fissure patients, 25% were cured; the remainder were prescribed either second-line medical treatment (8%), anorectal physiology (42%) or surgery (25%). All avoided an OPA. Of a potential 60 OPAs, 47 were saved by telephone follow-up. None of 7 non-contactable patients accepted a written offer of an OPA. Overall, 89% of patients were contacted by the patient panel; of these patients, 93% reported a high level of satisfaction. CONCLUSIONS Telephone follow-up can reduce the number of OPAs following out-patient treatment of minor anorectal conditions whilst maintaining a high level of patient satisfaction. However, it requires considerable consultant time. This process could be developed into either a nurse-led service with booked telephone appointments or a patient-led service to a dedicated hotline.

scholarly journals Comparative study of post placental cut insertion following vaginal and caesarean delivery

2017 ◽  
Vol 6 (3) ◽  
pp. 901 ◽  
Author(s):  
Jasmine Lall ◽  
Oby Nagar
Keyword(s):  
Caesarean Delivery ◽  
Prospective Observational Study ◽  
Postpartum Women ◽  
Expulsion Rate ◽  
Excessive Bleeding ◽  
Level Of Satisfaction ◽  
Post Placental ◽  
High Level ◽  
Effective Contraceptive

Background: The IUCD is a safe and effective contraceptive option for postpartum women who wish to either space or limit subsequent births.Methods: In a hospital based prospective observational, study we compared outcome of post placental IUCD in vaginal and caesarean delivery groups.Results: We found that expulsion rate is significantly higher in vaginal group (10%) as compared to caesarean delivery (2%) group at 3 months of follow up. Excessive bleeding is mostly commonly found complication (18% in both groups at 6weeks of follow up).Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

scholarly journals Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
I. Dimbwadyo-Terrer ◽  
A. Gil-Agudo ◽  
A. Segura-Fragoso ◽  
A. de los Reyes-Guzmán ◽  
F. Trincado-Alonso ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Conventional Therapy ◽  
Control Group ◽  
Virtual Reality System ◽  
Limb Function ◽  
Upper Limb Function ◽  
Level Of Satisfaction ◽  
High Level

The aim of this study was to investigate the effects of a virtual reality program combined with conventional therapy in upper limb function in people with tetraplegia and to provide data about patients’ satisfaction with the virtual reality system. Thirty-one people with subacute complete cervical tetraplegia participated in the study. Experimental group received 15 sessions with Toyra®virtual reality system for 5 weeks, 30 minutes/day, 3 days/week in addition to conventional therapy, while control group only received conventional therapy. All patients were assessed at baseline, after intervention, and at three-month follow-up with a battery of clinical, functional, and satisfaction scales. Control group showed significant improvements in the manual muscle test (p= 0,043, partialη2= 0,22) in the follow-up evaluation. Both groups demonstrated clinical, but nonsignificant, changes to their arm function in 4 of the 5 scales used. All patients showed a high level of satisfaction with the virtual reality system. This study showed that virtual reality added to conventional therapy produces similar results in upper limb function compared to only conventional therapy. Moreover, the gaming aspects incorporated in conventional rehabilitation appear to produce high motivation during execution of the assigned tasks. This trial is registered with EudraCT number2015-002157-35.

Silicone gel in biological systems

1992 ◽  
Vol 50 (1) ◽  
pp. 650-651
Author(s):  
William B. Greene ◽  
Lyle G. Walsh ◽  
Richard M. Silver ◽  
Joann Allen ◽  
John C. Maize
Keyword(s):  
Breast Augmentation ◽  
Latency Period ◽  
Breast Implants ◽  
The United States ◽  
Tissue Reaction ◽  
Silicone Implants ◽  
Clinical Group ◽  
Silicone Breast Implants ◽  
Silicone Gel ◽  
Silica Filler

Electron probe microanalysis of biopsies from two patients who had received silicone gel breast implants has revealed silicon (Si) in macrophages in an arthritic finger joint synovium (Fig. 1) and in a sclerodermatous skin lesion as well as in the fibrous capsule surrounding the implants in both patients (Fig. 2). The silastic envelope has been reported to be semipermeable with substances passing freely into and out of the implant. The polymer usually contains silica filler with a particle size of 30μm to impart added firmness, however, these sharp pointed crystals have not been fully characterized by Electron Microscopy. Silicone has been thought to be relatively inert, eliciting little or no tissue reaction. The substance has been injected or surgically placed into the human body as liquid, joints or in the form of breast augmentation prostheses. Recent reports have indicated that there is more than sufficient reason to change our thinking regarding this chemical and it's significance in biological reactions. There are 100,000 patients who undergo breast augmentation each year in the United States alone with over one million reported silicone implants. One clinical group reported that 4.4% of all new scleroderma patients had silicone breast implants. The patients reported in the study had implants from 2 to 21 years duration. The latency period may mean that scleroderma will increase parallel to the increase in breast augmentation over the last decade.

A feasibility study of Dignity Psychotherapy delivered via telemedicine

2004 ◽  
Vol 2 (2) ◽  
pp. 149-155 ◽  
Author(s):  
STEVEN D. PASSIK ◽  
KENNETH L. KIRSH ◽  
SUZANNE LEIBEE ◽  
LISA S. KAPLAN ◽  
CELIA LOVE ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Great Promise ◽  
A Value ◽  
Dignity Therapy ◽  
Level Of Satisfaction ◽  
Timely Fashion ◽  
Dying At Home ◽  
High Level ◽  
Therapy Sessions

Objective: Dignity Psychotherapy has shown great promise as a value-affirming intervention for patients with advanced disease. We delivered the Dignity Psychotherapy intervention in a feasibility study of a series of eight cancer patients via videophone technology to deliver the therapy into their homes.Methods: Once eligible patients were consented on this IRB-approved study, they completed baseline assessments and were scheduled to have the videophone placed in their homes. The Dignity Therapy sessions then encompassed a first session, which was transcribed and edited, followed by a second session to go over the edited transcript and allow the patient to make changes. Patients then filled out follow-up questionnaires and had the telemedicine equipment removed from their homes, and their legacy document delivered.Results: Participants had a mean age of 56.32 years (range = 41–66, SD = 7.65) and were diagnosed with lung (n = 5, 62.5%), breast (n = 2, 25%), or colon cancer (n = 1, 12.5%). They reported overall benefit from the intervention along with a high level of satisfaction. We were able to deliver the intervention in a timely fashion, with minimal length between sessions and transcript delivery and few technical difficulties.Significance of results: Telemedicine can greatly extend the benefits of Dignity Psychotherapy by bringing it to patients who are dying at home. Our very preliminary work suggests that delivering the intervention to patients who are too ill to leave their homes or who are in rural locations may be a feasible way to help them.

scholarly journals High-Volume Transanal Surgery with CPH34 HV for the Treatment of III-IV Degree Haemorrhoids: Final Short-Term Results of an Italian Multicenter Clinical Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Giuliano Reboa ◽  
Marco Gipponi ◽  
Maurizio Gallo ◽  
Giovanni Ciotta ◽  
Marco Tarantello ◽  
...  
Keyword(s):  
High Volume ◽  
Complication Rates ◽  
Transanal Surgery ◽  
Satisfaction Index ◽  
Level Of Satisfaction ◽  
High Satisfaction ◽  
High Prevalence ◽  
Anal Dilator ◽  
High Level

The clinical chart of 621 patients with III-IV haemorrhoids undergoing Stapled Hemorrhoidopexy (SH) with CPH34 HV in 2012–2014 was consecutively reviewed to assess its safety and efficacy after at least 12 months of follow-up. Mean volume of prolapsectomy was significantly higher (13.0 mL; SD, 1.4) in larger prolapse (9.3 mL; SD, 1.2) (p<0.001). Residual or recurrent haemorrhoids occurred in 11 of 621 patients (1.8%) and in 12 of 581 patients (1.9%), respectively. Relapse was correlated with higher preoperative Constipation Scoring System (CSS) (p=0.000),Pescatori’s degree (p=0.000),Goligher’s grade (p=0.003), prolapse exceeding half of the length of the Circular Anal Dilator (CAD) (p=0.000), and higher volume of prolapsectomy (p=0.000). At regression analysis, only the preoperative CSS,Pescatori’s degree,Goligher’s grade, and volume of resection were significantly predictive of relapse. A high level of satisfaction (VAS = 8.6; SD, 1.0) coupled with a reduction of 12-month CSS (Δ preoperative CSS/12 mo CSS = 3.4, SD, 2.0;p<0.001) was observed. The wider prolapsectomy achievable with CPH34 HV determined an overall 3.7% relapse rate in patients with high prevalence of large internal rectal prolapse, coupled with high satisfaction index, significant reduction of CSS, and very low complication rates.

scholarly journals Diagnosis, investigation and management of breast implant illness

2021 ◽  
Vol 4 (1) ◽  
pp. 9-21
Author(s):  
Daniel WH Wong ◽  
Tai K Lam
Keyword(s):  
Case Reports ◽  
Breast Implant ◽  
Case Series ◽  
Breast Implants ◽  
Silicone Implants ◽  
Exact Nature ◽  
Cochrane Central Register ◽  
Case Control Studies ◽  
Silicone Breast Implants ◽  
Retrospective Cohort Studies

Introduction: An increasing pool of literature proposes a link between silicone implants and autoimmune-related symptoms known colloquially as breast implant illness (BII). We describe the history of BII, reported symptoms, risk factors and previously published diagnostic criteria to aid clinicians in the diagnosis, investigations and management of patients presenting with symptoms that they attribute to their silicone breast implants. Methods: A literature search was performed using MEDLINE®, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials (CENTRAL), the Database of Abstracts of Reviews of Effect (DARE) and PubMed in September 2018. The search terms ‘autoimmune inflammatory syndrome induced by adjuvants’, ‘breast implants’ and ‘silicone’ were used alone and in combination. Results: Thirty-four studies were reviewed including three case reports, 12 case series, 14 retrospective cohort studies, four case control studies and one prospective cohort study. Within this cohort, 18 studies were found regarding the explantation of implants relating to BII. Conclusion: Studies have demonstrated no association between silicone breast implants and any known autoimmune diseases, but there exists a pool of literature suggestive of a relatively undefined condition colloquially known as BII. Serological testing and imaging play an important role in the assessment of patients to exclude other pathology, but these tests remain non-diagnostic for BII. Although medical treatment has shown promise, there is no established treatment for patients. The surgical explantation of implants appears to have positive outcomes for patients; however, the exact nature of the surgery required to achieve this remains unclear.

Lack of Autoantibody Expression in Children Born to Mothers With Silicone Breast Implants

PEDIATRICS ◽  
1996 ◽  
Vol 97 (2) ◽  
pp. 243-245 ◽  
Author(s):  
Jeremiah J. Levine ◽  
Hun-Chi Lin ◽  
Merrill Rowley ◽  
Andrew Cook ◽  
Suzanne S. Teuber ◽  
...  
Keyword(s):  
Antinuclear Antibodies ◽  
Clinical Symptoms ◽  
Breast Implants ◽  
Enzyme Linked Immunosorbent Assay ◽  
Silicone Implants ◽  
Complement Components ◽  
Autoantibody Production ◽  
Silicone Breast Implants ◽  
Ig G

Objective. We determined systematically the prevalence of autoantibodies in children born to mothers with silicone breast implants and the relationships with clinical symptoms and methods of exposure. Methods. Autoantibody expression was determined in 80 children born to mothers with silicone implants and in 42 controls. A clinical assessment score was assigned to each patient. Antinuclear antibodies as well as antibodies to mitochondrial, smooth muscle, striational, myocardial, parietal cell, reticulin tissues, or subcellular compartments were measured by indirect fluorescent assay. Antibodies to nRNP (U1-RNP/snRNP); Sm; SS-A; SS-B; Scl-70; thyroid microsome; immunoglobulin (Ig)G, IgM, and IgA antibodies to cardiolipin; and antibodies to native and denatured human types I and II collagen were measured by enzyme-linked immunosorbent assay. Serum complement components C3 and C4 and IgM rheumatoid factor were measured by nephelometry. Results. Autoantibody prevalence was not significantly different between children born to mothers with silicone implants and controls. The presence of autoantibodies was not related to the children's clinical symptoms or to the method of exposure. Conclusions. Determination of autoantibody production is of limited clinical utility in the evaluation of children born to mothers with silicone breast implants.

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