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61.
Non-absorbable prosthetic materials in hernia surgery can cause relatively rare complications, which include chronic pain,
a feeling of stiffness with reduced compliance of the abdominal wall, prosthetic erosion/fistulisation and an increased risk
of persistent deep infection. Recently, to avoid these problems, new “biological” prosthetic materials have been developed
and proposed for clinical use. These materials are all essentially composed of an extracellular matrix stripped of its cellular
components, and differ substantially only in their source (porcine small intestine submucosa, porcine dermis or cadaveric
human dermis). Because of the numerous variables involved, it is very difficult to conduct a randomised controlled trial.
Therefore, the European Hernia Society (EHS) has decided to start the EHS Registry for Biological Prostheses (ERBP). This
is a prospective registry in Europe on the use of collagen meshes in (potentially) contaminated circumstances or clean surgical
fields. The registry intends to collect some preoperative data on the patient and indication, intraoperative data and outcome
data. 相似文献
62.
AC Unger H Cabrera-Palacios AP Schulz Ch Jürgens A Paech 《European journal of medical research》2009,14(6):264-271
Introduction
At present there are no reliable non-traumatic and non-invasive methods to analyse the healing process and loosening status after total hip replacement. Therefore early as well as late loosening of prosthesis and interface component problems are difficult to be found or diagnosed at any time.Methods
In a cadaver study the potential application of Resonance Frequency Monitoring (RFM) will be evaluated as a non-invasive and non-traumatic method to monitor loosening and interface problems in hip replacement. In a 65 year old female cadaver different stability scenarios for a total hip replacement (shaft, head/modular head and cup, ESKA, Luebeck, Germany) are simulated in cemented and cement less prosthesis and then analysed with RFM. The types of stability vary from secure/press-fit to interface-shaft disruption.Results
The RFM shows in cemented as well as cement less prosthesis significant intra-individual differences in the spectral measurements with a high dynamic (20 dB difference corresponding to the factor 100 (10000%)), regarding the simulated status of stability in the prosthesis system.Conclusion
The results of the study demonstrate RFM as a highly sensitive non-invasive and non-traumatic method to support the application of RFM as a hip prosthesis monitoring procedure. The data obtained shows the possibility to use RFM for osteointegration surveillance and early detection of interface problems, but will require further evaluation in clinical and experimental studies. 相似文献63.
64.
Thaís Helena Gasparoto Tatiana Salles de Souza Malaspina José Humberto Damante Edgard Franco de Mello Jr Maura Rosane Valério Ikoma Gustavo Pompermaier Garlet Maria Renata Sales Nogueira Costa Karen Angélica Cavassani João Santana da Silva Ana Paula Campanelli 《Journal of oral pathology & medicine》2014,43(10):754-760
65.
NS Thompson MD FRCS R Date FRCS AP Charlwood FRCS IV Adair FRCS WDB Clements MD FRCS 《International journal of clinical practice》2001,55(8):573-575
This report describes a complex syndrome of injuries occurring in a young female who was a back seat passenger wearing a lap-belt restraint in a high-speed road traffic accident. As a consequence of the forced flexion distraction injury of her lumbar spine, she sustained a fracture-subluxation of the first lumbar vertebra in association with a jejunal perforation and extensive small intestinal mesenteric laceration. She also had a large traumatic hernia of the anterior abdominal wall, which was overlooked at primary laparotomy. This report highlights collectively the classical combination of injuries associated with the lap-belt syndrome and demonstrates the importance of carefully inspecting the anterior abdominal wall for deficiencies, because traumatic herniation may be easily overlooked. 相似文献
66.
Aiolfi A. Cavalli M. Sozzi A. Lombardo F. Mendogni P. Nosotti M. Bonitta G. Bruni P. G. Campanelli G. Bona D. 《Hernia》2022,26(6):1679-1685
Hernia - Paraesophageal hiatal hernia (PEH) is characterized by protrusion of intra-abdominal organs into the posterior mediastinum. Respiratory symptoms and reduced pulmonary function have been... 相似文献
67.
68.
Giuseppina Natale MSc Annabella Pignataro PhD Gioia Marino MSc Federica Campanelli PhD Valeria Calabrese MSc Antonella Cardinale PhD Silvia Pelucchi PhD Elena Marcello PhD Fabrizio Gardoni PhD Maria Teresa Viscomi PhD Barbara Picconi PhD Martine Ammassari-Teule PhD Paolo Calabresi MD Veronica Ghiglieri PhD 《Movement disorders》2021,36(10):2254-2263
69.
70.
Anne Coutaux Laurence Salomon Michel Rosenheim Anne‐Sophie Baccard Catherine Quiertant Emmanuelle Papy Thierry Blanchon Elisabeth Collin François Cesselin Michèle Binhas Pierre Bourgeois The Pain Committee Hôpital de la Pitié‐Salpêtrière AP‐HP Paris France 《European Journal of Pain》2008,12(1):3-8
Context: Care‐related pain includes pain occurring during transportation, movement, diagnostic imaging, physical examination, or treatment. Its prevalence has never been assessed in a large adult inpatient population. Objective: To identify the procedures likely to induce or increase pain in hospital patients, attempting to separate the most painful from those reported as most frequently inducing pain. Design: A single‐day cross‐sectional survey conducted in two large French teaching hospitals, including all hospitalized patients, free of communication problems. One third was randomly selected and interviewed about the painful episodes that had occurred or were associated with the procedures performed during the previous two weeks. Patients were interviewed using a structured questionnaire. Results: Six‐hundred‐eighty‐four patients were randomly selected. Six‐hundred‐seventy‐one painful events were reported in 55% of the patients, with an average of 1.8events/patient. Fifty‐two percent of the painful events were associated with procedures performed by non‐medical staff; 38% of the painful episodes occurred during procedures involving vascular puncture and 24% during patients’ mobilization. In 57% of painful procedures, pain was rated as severe or extremely severe. The most painful procedures were invasive procedures, other than vascular and non vascular punctures (74% of severe and extremely severe painful episodes). Maximum pain intensity was rated higher for procedures that were repeated than for those experienced only once (62% versus 53%, p=0.02). Conclusion: This survey gives new insight into our daily practice. Proper management of care‐related pain should be a major concern of all hospital staff to improve the quality of our health care. 相似文献