The Experts below are selected from a list of 99 Experts worldwide ranked by ideXlab platform
Paul N. Manson - One of the best experts on this subject based on the ideXlab platform.
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Contour abnormalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction: a multifactorial analysis.
Plastic and reconstructive surgery, 2002Co-Authors: Maurice Y. Nahabedian, Paul N. MansonAbstract:Contour abnormalities of the abdomen after transverse rectus abdominis muscle (TRAM) flap breast reconstruction occur with all methods of flap elevation and include lower and upper abdominal laxity, Epigastric Fullness, and hernia. This study is a retrospective analysis of 101 women comparing the many variables that may contribute to an abnormal contour. Statistical analysis comparing the free, pedicled, unilateral, bilateral, muscle-sparing, and non-muscle-sparing flaps was completed using logistic regression. Associated factors, including diabetes mellitus, tobacco use, use of mesh, and prior abdominal operations, were incorporated. Abnormal abdominal contour was present in 13 of 101 women and included 16 specific abnormalities. These included upper abdominal bulge in three women, lower abdominal bulge in eight, and Epigastric Fullness in five. No woman developed a hernia. Bifactorial analysis demonstrated a significant increase in abnormal contour for the pedicled, bilateral, and non-muscle-sparing TRAM groups when compared with their countervariable groups (free, unilateral, and muscle-sparing TRAM, respectively; p < 0.05). Multifactorial analysis demonstrated a significant increase in abnormal contour in two subgroups (p < 0.05). An analysis of associated factors demonstrated a significant increase in abnormal contour for the bilateral TRAM in the presence of a prior lower midline incision (p < 0.05).
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contour abnormalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction a multifactorial analysis
Plastic and Reconstructive Surgery, 2002Co-Authors: Maurice Y. Nahabedian, Paul N. MansonAbstract:Contour abnormalities of the abdomen after transverse rectus abdominis muscle (TRAM) flap breast reconstruction occur with all methods of flap elevation and include lower and upper abdominal laxity, Epigastric Fullness, and hernia. This study is a retrospective analysis of 101 women comparing the ma
Maurice Y. Nahabedian - One of the best experts on this subject based on the ideXlab platform.
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Contour abnormalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction: a multifactorial analysis.
Plastic and reconstructive surgery, 2002Co-Authors: Maurice Y. Nahabedian, Paul N. MansonAbstract:Contour abnormalities of the abdomen after transverse rectus abdominis muscle (TRAM) flap breast reconstruction occur with all methods of flap elevation and include lower and upper abdominal laxity, Epigastric Fullness, and hernia. This study is a retrospective analysis of 101 women comparing the many variables that may contribute to an abnormal contour. Statistical analysis comparing the free, pedicled, unilateral, bilateral, muscle-sparing, and non-muscle-sparing flaps was completed using logistic regression. Associated factors, including diabetes mellitus, tobacco use, use of mesh, and prior abdominal operations, were incorporated. Abnormal abdominal contour was present in 13 of 101 women and included 16 specific abnormalities. These included upper abdominal bulge in three women, lower abdominal bulge in eight, and Epigastric Fullness in five. No woman developed a hernia. Bifactorial analysis demonstrated a significant increase in abnormal contour for the pedicled, bilateral, and non-muscle-sparing TRAM groups when compared with their countervariable groups (free, unilateral, and muscle-sparing TRAM, respectively; p < 0.05). Multifactorial analysis demonstrated a significant increase in abnormal contour in two subgroups (p < 0.05). An analysis of associated factors demonstrated a significant increase in abnormal contour for the bilateral TRAM in the presence of a prior lower midline incision (p < 0.05).
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contour abnormalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction a multifactorial analysis
Plastic and Reconstructive Surgery, 2002Co-Authors: Maurice Y. Nahabedian, Paul N. MansonAbstract:Contour abnormalities of the abdomen after transverse rectus abdominis muscle (TRAM) flap breast reconstruction occur with all methods of flap elevation and include lower and upper abdominal laxity, Epigastric Fullness, and hernia. This study is a retrospective analysis of 101 women comparing the ma
Jacinto De Miguel - One of the best experts on this subject based on the ideXlab platform.
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late results of bilateral selective vagotomy and pyloroplasty for duodenal ulcer 5 9 year follow up
British Journal of Surgery, 2005Co-Authors: Jacinto De MiguelAbstract:From July, 1964, to July, 1968, bilateral selective vagotomy and pyloroplasty were performed in 135 patients for duodenal ulcer, without postoperative mortality. Two unrelated deaths occurred during the period of the survey and 2 other patients were lost to follow-up. The remaining 131 patients were followed up for a minimum of 5 years and a maximum of 9 years. The most frequent symptoms were Epigastric Fullness, early dumping and mild diarrhoea. Only I case of moderate diarrhoea was observed, and none of severe diarrhoea. Food vomiting, bile vomiting and hypo-glycaemia-like attacks were uncommon. Recurrent duodenal ulcer was proved in 4.6 per cent and highly suspected in 1.5 per cent. Gastric ulcer was proved in 3-1 per cent. Approximately 91 per cent of the patients were classed as having a satisfactory result and 9 per cent were unsatisfactory. It is concluded that bilateral selective vagotomy is clearly effective in controlling the ulcer diathesis in the long term. In addition, it seems to lessen some of the side-effects of gastric surgery. For these reasons, consideration should be given to its use in the surgical treatment of duodenal ulcer.
Evaghelos Xynos - One of the best experts on this subject based on the ideXlab platform.
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laparoscopic vs open approach for nissen fundoplication
Surgical Endoscopy and Other Interventional Techniques, 2002Co-Authors: Emmanuel Chrysos, John Tsiaoussis, Elias Athanasakis, Odysseus John Zoras, John Sophocles Vassilakis, Evaghelos XynosAbstract:Background: Several studies, most of them nonrandomized, have shown similar functional results for both laparoscopic and open Nissen fundoplication, the operation of choice for the treatment of gastroesophageal reflux disease (GERD). Methods: A total of 106 patients with documented GERD were randomized to receive either a laparoscopic or an open Nissen fundoplication. Preoperative and postoperative investigations included clinical assessment, esophagogram, upper gastrointestinal endoscopy, esophageal manometry, and 24-h ambulatory pHmetry. Results: Both approaches were successful in controlling reflux. There was an overall improvement in esophageal peristalsis and an increase in lower esophageal sphincter (LES) pressure in both groups. Open Nissen fundoplication was associated with a significantly increased rate of wound (p <0.001) and respiratory (p <0.05) complications. Hospitalization was also longer after the open technique (p <0.001). At 3-month follow-up, although the rate of postoperative dysphagia was similar for the two approaches, the open approach was associated with a significantly higher incidence of postprandial Epigastric Fullness (p <0.05) and bloating syndrome (p <0.01). Conclusions: The open and laparoscopic approaches for the Nissen fundoplication are equally effective in controlling GERD. The open approach is associated with a significantly higher rate of wound and respiratory complications and, at early stages, an increased rate of postprandial Epigastric Fullness and abdominal bloating. The dysphagia rate is similar with both methods.
Farzad Khademolhosseini - One of the best experts on this subject based on the ideXlab platform.
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esophageal caustic injuries and colon interposition in children long term follow up
2007Co-Authors: Hamid Reza Forutan, Reza Mostafavi, Seyed Mohsen Dehghani, Mohammad Hadi Imanieh, Farzad KhademolhosseiniAbstract:Background : As sodium hydroxide (NaOH) is frequently used as a cleaning agent for air conditioners in southern Iran, caustic esophageal injuries happen frequently especially in children. After undergoing several dilatation procedures of the esophagus, a number of these patients eventually require colon interposition, an operation by which the esophagus is replaced by a segment of colon. Colon interposition is a surgical treatment modality for patients with severe caustic injuries in the esophagus. This study describes the technique and results of colon interposition in patients who had undergone this operation. Materials and Methods : All patients who underwent colon interposition in Nemazee Hospital affiliated to Shiraz University of Medical Sciences in southern Iran from April 1990 to April 2005, were enrolled in our study. Medical records of these patients were reviewed and they were called for a follow-up examination. Out of 18 patients, only eight patients responded. They underwent clinical examination, laboratory tests, imaging and endoscopy. Results : Growth retardation was seen in all cases. All radiographs of the chest revealed peribronchial thickening. Redundancy was seen in 60% of the patients. Lower junction stenosis, diverticulum and dilatation of the esophagus were commonly visible. Epigastric Fullness (85%), dysphagia (57%), halitosis (45%), heartburn (45%), vomiting (45%), odynophagia (28%) and abdominal pain (28%) were the most common complications. There were no mortalities in our series. Conclusions : As growth retardation was the most common complication of colon interposition in children, an appropriate nutritional support seems to be necessary after the operation.
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esophageal caustic injuries and colon interposition in children long term follow up
2007Co-Authors: Hamid Reza Forutan, Reza Mostafavi, Seyed Mohsen Dehghani, Mohammad Hadi Imanieh, Farzad KhademolhosseiniAbstract:Background : As sodium hydroxide (NaOH) is frequently used as a cleaning agent for air conditioners in southern Iran, caustic esophageal injuries happen frequently especially in children. After undergoing several dilatation procedures of the esophagus, a number of these patients eventually require colon interposition, an operation by which the esophagus is replaced by a segment of colon. Colon interposition is a surgical treatment modality for patients with severe caustic injuries in the esophagus. This study describes the technique and results of colon interposition in patients who had undergone this operation. Materials and Methods : All patients who underwent colon interposition in Nemazee Hospital affiliated to Shiraz University of Medical Sciences in southern Iran from April 1990 to April 2005, were enrolled in our study. Medical records of these patients were reviewed and they were called for a follow-up examination. Out of 18 patients, only eight patients responded. They underwent clinical examination, laboratory tests, imaging and endoscopy. Results : Growth retardation was seen in all cases. All radiographs of the chest revealed peribronchial thickening. Redundancy was seen in 60% of the patients. Lower junction stenosis, diverticulum and dilatation of the esophagus were commonly visible. Epigastric Fullness (85%), dysphagia (57%), halitosis (45%), heartburn (45%), vomiting (45%), odynophagia (28%) and abdominal pain (28%) were the most common complications. There were no mortalities in our series. Conclusions : As growth retardation was the most common complication of colon interposition in children, an appropriate nutritional support seems to be necessary after the operation.