scholarly journals A clinical study of McIndoe vaginoplasty in vaginal agenesis

2019 ◽  
Vol 8 (12) ◽  
pp. 4732
Author(s):  
Samarina Kamal ◽  
Sarita Tirkey ◽  
Shashibala Singh ◽  
Shobha Chakraborty
Keyword(s):  
Retrospective Study ◽  
Clinical Study ◽  
Skin Graft ◽  
Effective Procedure ◽  
Vaginal Agenesis ◽  
Mrkh Syndrome ◽  
Surgical Result ◽  
The Creation

Background: The aim of this study is to determine the effectiveness of McIndoe Vaginoplasty in the creation of a neovagina for patients with vaginal agenesis.Methods: this is a retrospective study of 50 cases of vaginal agenesis, who underwent McIndoe Vaginoplasty over a period of 8 years (2004-2012) by using skin graft in 25 cases and amnion as graft in the remaining.Results: McIndoe Vaginoplasty was performed successfully in all 50 patients and post-surgical result was acceptable to the patient psychologically, sexually and aesthetically.Conclusions: McIndoe Vaginoplasty is a safe and effective procedure for providing a satisfactory and functional vagina in patients with MRKH syndrome. 

scholarly journals Vaginal Reconstruction in Patients with Mayer–Rokitansky–Küster–Hauser Syndrome—One Centre Experience

Medicina ◽  
2020 ◽  
Vol 56 (7) ◽  
pp. 327
Author(s):  
Adelaida Avino ◽  
Laura Răducu ◽  
Adrian Tulin ◽  
Daniela-Elena Gheoca-Mutu ◽  
Andra-Elena Balcangiu-Stroescu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Sexual Life ◽  
Vaginal Agenesis ◽  
Surgical Timing ◽  
Vaginal Reconstruction ◽  
Mrkh Syndrome ◽  
Vaginal Length ◽  
Congenital Condition ◽  
Surgery Department ◽  
Clinical Emergency

Background and Objectives: The Mayer–Rokitansky–Küster–Hauser syndrome is a congenital condition in which patients are born with vaginal and uterus agenesis, affecting the ability to have a normal sexual life and to bear children. Vaginal reconstruction is a challenging procedure for plastic surgeons. The aim of this study is to report our experience in the management of twelve patients with congenital absence of the vagina due to the MRKH syndrome. Materials and Methods: We performed a retrospective study on 12 patients admitted to the Plastic Surgery Department of the Clinical Emergency Hospital “Prof. Dr. Agrippa Ionescu”, Bucharest, Romania, for vaginal reconstruction within a period of eleven years (January 2009–December 2019). All patients were diagnosed by the gynaecologists with vaginal agenesis, as part of the Mayer–Rokitansky–Küster–Hauser syndrome. The Abbe‘–McIndoe technique with an autologous skin graft was performed in all cases. Results: The average age of our patients was 20.16 (16–28) years. All patients were 46 XX. The average surgical timing was 3.05 h (range 2.85–4h). Postoperative rectovaginal fistula was encountered in 1 patient. Postoperative average vaginal length was 10.4 cm (range 9.8–12.1 cm). Regular sexual life was achieved in 10 patients. Conclusion: Nowadays, there is no established standard method of vaginal reconstruction. In Romania, the McIndoe technique is the most applied. Unfortunately, even if the MRKH syndrome is not uncommon, less and less surgeons are willing to perform the procedure to create a neovagina.

scholarly journals Classical McIndoe Technique Versus the McIndoe Technique with a Neovaginal PACIENA Prosthesis® and No Skin Graft

2020 ◽  
Vol 9 (11) ◽  
pp. 3648
Author(s):  
Victoria Navarro ◽  
Maria Isabel Acién ◽  
Pedro Acién
Keyword(s):  
Clinical Trial ◽  
Retrospective Study ◽  
Skin Graft ◽  
Clinical Results ◽  
University Hospital ◽  
Control Group ◽  
Reference Sites ◽  
Vaginal Agenesis ◽  
Classic Technique ◽  
Length Of Hospitalization

An observational, retrospective study was completed to compare the results of the PACIENA clinical trial (using the modified McIndoe technique) with a historical control group of nine patients who were operated on at San Juan University Hospital (1992–2015) using the classic technique. The PACIENA clinical trial included seven patients with vaginal agenesis who were operated on at two reference sites (May 2017–May 2018) using a neovaginal polylactic acid (PLA) prosthesis (PACIENA® prosthesis) and avoiding the use of a skin graft. The results illustrate a reduction in the length of surgery, 86.43 ± 4.75 min in the group with no skin graft compared to 155.56 ± 28.44 in the control group (p < 0.05); and reduction in the length of hospitalization time. Differences were also registered in the length of the neovagina, the average being 8.93 ± 1.42 cm for cases and 6.56 ± 1.13 cm for controls, with no differences in neovaginal epithelialization times or in the satisfaction of sexual relations occurring between groups. The modification of the classical McIndoe technique using the neovaginal PACIENA® prosthesis appears to be successful, obtaining good clinical results with shorter surgery and hospitalization times.

Haemophilic Arthropathy: A Ten Year Radiological and Clinical Study

1982 ◽  
Vol 27 (4) ◽  
pp. 279-283 ◽  
Author(s):  
I. S. Brown ◽  
F. Toolis ◽  
R. J. Prescott
Keyword(s):  
Retrospective Study ◽  
Clinical Study ◽  
Clinical Assessment ◽  
Scoring System ◽  
Radiological Change ◽  
Haemophilic Arthropathy ◽  
Radiological Data ◽  
New Finding

A ten-year retrospective study has been undertaken on a group of ten haemophiliacs for whom previous haematological and radiological data was available. Radiological and clinical assessment of their knees and elbows (40 joints) have been correlated to the accurate recording of all haemarthroses suffered by these joints. There is a statistically significant association between the number of haemarthroses and the radiological change in the joint, as determined by a radiological scoring system. The knees, but not the elbows, show a significant association between number of haemarthroses and deterioration in clinical function. Several bleeds can occur in a haemophilic joint without necessarily causing permanent radiological change; this new finding in adults may be due to modern therapy.

Engineered skin graft with stromal vascular fraction cells encapsulated in fibrin–collagen hydrogel: A clinical study for diabetic wound healing

2020 ◽  
Vol 14 (3) ◽  
pp. 424-440
Author(s):  
Mohammad Ali Nilforoushzadeh ◽  
Mahsa Mollapour Sisakht ◽  
Mohammad Amir Amirkhani ◽  
Alexander M. Seifalian ◽  
Hamid Reza Banafshe ◽  
...  
Keyword(s):  
Wound Healing ◽  
Clinical Study ◽  
Skin Graft ◽  
Stromal Vascular Fraction ◽  
Diabetic Wound ◽  
Collagen Hydrogel ◽  
Diabetic Wound Healing

scholarly journals Clinical study of children with Takayasu arteritis: a retrospective study from a single center in China

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Ye Feng ◽  
Xuemei Tang ◽  
Mingyue Liu ◽  
Juan Zhou ◽  
Xiaodong Zhao ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Clinical Study ◽  
Takayasu Arteritis ◽  
Single Center

scholarly journals Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing

2011 ◽  
Vol 12 (8) ◽  
pp. 5031-5038 ◽  
Author(s):  
Pornprom Muangman ◽  
Sooksan Nitimonton ◽  
Pornanong Aramwit
Keyword(s):  
Clinical Study ◽  
Skin Graft ◽  
Donor Site ◽  
Comparative Clinical Study ◽  
Graft Donor

scholarly journals Surgical treatment of relapsed megaesophagus

2020 ◽  
Vol 47 ◽  
Author(s):  
LUIGI CARLO DA SILVA COSTA ◽  
JOÃO GABRIEL ROMERO BRAGA ◽  
VALDIR TERCIOTI JUNIOR ◽  
JOÃO DE SOUZA COELHO NETO ◽  
JOSÉ ANTÔNIO POSSATTO FERRER ◽  
...  
Keyword(s):  
Weight Loss ◽  
Retrospective Study ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Chagas Disease ◽  
Surgical Procedures ◽  
Postoperative Period ◽  
Outpatient Clinic ◽  
Surgical Result ◽  
Stage 1

ABSTRACT Objective: to analyze the surgical treatment of patients with recurrent megaesophagus followed at the esophageal-stomach-duodenal outpatient clinic of the Hospital de Clínicas - UNICAMP. Methods: a retrospective study, from 2011 to 2017, with 26 patients with Chagas or idiopathic megaesophagus, surgically treated, and who recurred with dysphagia. Clinical, endoscopic and radiographic aspects were assessed and correlated with the performed surgical procedures. Results: 50% had dysphagia for liquids, 69% regurgitation, 65.3% heartburn, 69.2% weight loss and 69.2% had Chagas disease. In addition, 38.4% had megaesophagus stage 1 and 2 and 61.5% stage 3 and 4. Regarding the reoperations, 53% of them underwent Heller-Pinotti surgery by laparoscopy, Serra-Dória in 30.7% and esophageal mucosectomy in 7.9%. In 72% of the reoperations there were no postoperative complications, and 80% of the patients had a good outcome, with reduction or elimination of dysphagia. Among the reoperated patients undergoing the laparoscopic Heller-Pinotti technique, three reported little improvement of dysphagia in the postoperative period and among those who underwent Serra-Dória surgery, 100% had no dysphagia. It was observed that, when the time between the first procedure and the reoperation was longer, the better the surgical result was, with statistical significant decreased dysphagia (p=0.0013, p<0.05). Conclusions: there was a preference to perform laparoscopic re-miotomy and, as a second option, Serra-Dória surgery, for patients with recurrent megaesophagus. Esophagectomy or esophageal mucosectomy were reserved for more severe patients.

scholarly journals O Glide Path na Endodontia Contemporânea: Revisão de Literatura / The Glide Path in Contemporary Endodontics: Literature Review

2021 ◽  
Vol 15 (58) ◽  
pp. 324-333
Author(s):  
Danielle Fernandes Oliveira Martins ◽  
Maria Clara Santos De Farias ◽  
Luiz Roberto Mendes Da Silva
Keyword(s):  
Literature Review ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Effective Procedure ◽  
Root Canals ◽  
Favorable Environment ◽  
Glide Path ◽  
Initial Preparation ◽  
The Creation

Por meio deste estudo é possível analisar que a instrumentação dos canais radiculares após o uso do Glide Path traz inúmeros benefícios, incluindo o melhor deslizamento dos instrumentos, redução do número de fraturas e menor intercorrências intrarradiculares. Além disso, essa preparação inicial do canal radicular com o uso do Glide Path realiza uma desobstrução, criando um “caminho” livre para o melhor deslize dos instrumentos no canal radicular. Os instrumentos possuem características e particularidades que levam ao mesmo objetivo de preparar o conduto para uma segura instrumentação, destaca-se aqui o WaveOne Gold, R-Pilot e o PathFile. É uma técnica que vem sendo difundida e utilizada na endodontia contemporânea com o intuito de realizar um procedimento eficaz.---Abstract: Analyze the use of instruments to prepare the Glide Path and understand how this endodontic instrument brought advantages in instrumentation techniques. This is a literature review with selected articles from the last 10 years, in order to achieve the objectives proposed by the theme. Articles in English and Portuguese were used, with all information pertinent to the topic extracted. Through this study, it is possible to analyze that the instrumentation of root canals after the use of the Glide Path brings numerous benefits, including better sliding of the instruments, reduction in the number of fractures and less intra-radicular complications. In addition, this initial preparation of the root canal using the Glide Path performs clearance, creating a clear “path” for the best glide of the instruments in the root canal. The instruments have characteristics and particularities that lead to the same objective of preparing the conduit for safe instrumentation, the Wave One Gold, R-Pilot and PathFile stand out here. It is a technique that has been disseminated and used in contemporary endodontics with the aim of performing an effective procedure. Through this bibliographical study, it is possible to consider that the use of the Glide Path favors the preparation of the root canal and proves to be effective and safe when used before instrumentation, thus, with the creation of a more favorable environment for instrumentation, the chances of success in endodontic treatment.

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