The Experts below are selected from a list of 160134 Experts worldwide ranked by ideXlab platform
Simon F Taylor - One of the best experts on this subject based on the ideXlab platform.
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cicatricial entropion repair with hard palate mucous membrane graft Surgical Technique and outcomes
Clinical and Experimental Ophthalmology, 2008Co-Authors: Brighu N Swamy, Ross Benger, Simon F TaylorAbstract:Background: The use of a hard palate mucous membrane graft (HPMMG) has been previously described for upper and lower eyelid cicatricial entropion repair. The objective of this paper is to review the Surgical Technique and postoperative complications in a large series of patient who underwent hard palate grafting for the management of cicatricial entropion. Methods: The medical records of 107 patients representing 147 eyelids undergoing Surgical management of cicatricial entropion with HPMMG were reviewed. The Surgical Technique is described. Results: 147 eyelid operations (74 upper, 73 lower) were performed on 107 patients (46 male, 61 female), with a mean age of 63 years (range 12–87). The aetiology of the cicatricial entropion included idiopathic (41%), trauma (5.6%), chronic blepharitis (16.8%), chemical injury (3.7%), ocular cicatricial pemphigoid (8.4%), trachoma (7.5%) and other (16.8%). Patients were followed postoperatively for an average of 21 months (range 6–120). Ninety-four per cent of patients noted symptomatic improvement. The postoperative complications included excess keratin (29%), recurrence of cicatricial entropion (4.1%), punctuate epithelial erosion (2.7%), graft shrinkage (0.7%) and donor site bleeding (2.0%). Conclusions: Cicatricial Entropion with hard palate mucous membrane grafting for both upper and lower eyelid surgery offers high symptomatic and anatomical cure rates. The requirement for further Surgical intervention is low.
Brighu N Swamy - One of the best experts on this subject based on the ideXlab platform.
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cicatricial entropion repair with hard palate mucous membrane graft Surgical Technique and outcomes
Clinical and Experimental Ophthalmology, 2008Co-Authors: Brighu N Swamy, Ross Benger, Simon F TaylorAbstract:Background: The use of a hard palate mucous membrane graft (HPMMG) has been previously described for upper and lower eyelid cicatricial entropion repair. The objective of this paper is to review the Surgical Technique and postoperative complications in a large series of patient who underwent hard palate grafting for the management of cicatricial entropion. Methods: The medical records of 107 patients representing 147 eyelids undergoing Surgical management of cicatricial entropion with HPMMG were reviewed. The Surgical Technique is described. Results: 147 eyelid operations (74 upper, 73 lower) were performed on 107 patients (46 male, 61 female), with a mean age of 63 years (range 12–87). The aetiology of the cicatricial entropion included idiopathic (41%), trauma (5.6%), chronic blepharitis (16.8%), chemical injury (3.7%), ocular cicatricial pemphigoid (8.4%), trachoma (7.5%) and other (16.8%). Patients were followed postoperatively for an average of 21 months (range 6–120). Ninety-four per cent of patients noted symptomatic improvement. The postoperative complications included excess keratin (29%), recurrence of cicatricial entropion (4.1%), punctuate epithelial erosion (2.7%), graft shrinkage (0.7%) and donor site bleeding (2.0%). Conclusions: Cicatricial Entropion with hard palate mucous membrane grafting for both upper and lower eyelid surgery offers high symptomatic and anatomical cure rates. The requirement for further Surgical intervention is low.
Massimo Lazzeri - One of the best experts on this subject based on the ideXlab platform.
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repair of sphincter urethral strictures preserving urinary continence Surgical Technique and outcomes
World Journal of Urology, 2019Co-Authors: Guido Barbagli, Sanjay Kulkarni, Pankaj Joshi, Dmitriy Nikolavsky, Francesco Montorsi, Salvatore Sansalone, Carla Loreto, Massimo LazzeriAbstract:Repair of post-TURP sphincter urethral strictures represents challenging problem, due to the risk of urinary incontinence after the repair. We described a Surgical Technique we use to repair these strictures preserving urinary continence in patients with incompetent bladder neck. An observational, retrospective, study was conducted to include patients with post-TURP urethral strictures in the area of distal sphincter. We included only patients with complete clinical data and follow-up who previously underwent TURP or HOLEP or TUIP, and subsequently developed proximal bulbar urethral strictures close to the membranous urethra and the related distal urethral sphincter. Patients were included, if they were fully continent after TURP or other procedures to treat BPH. The primary outcome of the study was treatment failure, defined as the need for any post-operative instrumentation. Secondary outcome was post-urethroplasty urinary continence. Patients showing stricture recurrence or post-operative incontinence were classified as failure. Overall, 69 patients were included in the study. Median patient’s age was 67 years; median stricture length was 4 cm. Thirty-tree patients (47.8%) underwent previous urethrotomy. Median follow-up was 52 months. Out of 69 patients, 55 (79.7%) were classified as success and 14 (20.3%) as failure. Out of the whole cohort, thus, 11/69 (16%) have a risk of recurrent strictures and 3/69 (4.3%) have incontinence. The use of modified ventral onlay graft urethroplasty, using particular non-aggressive steps, is a suitable Surgical Technique for repair of sphincter urethral stricture in patients who underwent BPH transurethral surgery, using different procedures (TURP, HOLEP, TUIP).
Luciano Quaranta - One of the best experts on this subject based on the ideXlab platform.
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ahmed glaucoma valve implant Surgical Technique and complications
Clinical Ophthalmology, 2017Co-Authors: Ivano Riva, Gloria Roberti, Francesco Oddone, Anastasios G P Konstas, Luciano QuarantaAbstract:Implantation of Ahmed glaucoma valve is an effective Surgical Technique to reduce intraocular pressure in patients affected with glaucoma. While in the past, the use of this device was reserved to glaucoma refractory to multiple filtration Surgical procedures, up-to-date mounting experience has encouraged its use also as a primary surgery for selected cases. Implantation of Ahmed glaucoma valve can be challenging for the surgeon, especially in patients who already underwent previous multiple surgeries. Several tips have to be acquired by the surgeon, and a long learning curve is always needed. Although the valve mechanism embedded in the Ahmed glaucoma valve decreases the risk of postoperative hypotony-related complications, it does not avoid the need of a careful follow-up. Complications related to this type of surgery include early and late postoperative hypotony, excessive capsule fibrosis around the plate, erosion of the tube or plate edge, and very rarely infection. The aim of this review is to describe Surgical Technique for Ahmed glaucoma valve implantation and to report related complications.
Ross Benger - One of the best experts on this subject based on the ideXlab platform.
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cicatricial entropion repair with hard palate mucous membrane graft Surgical Technique and outcomes
Clinical and Experimental Ophthalmology, 2008Co-Authors: Brighu N Swamy, Ross Benger, Simon F TaylorAbstract:Background: The use of a hard palate mucous membrane graft (HPMMG) has been previously described for upper and lower eyelid cicatricial entropion repair. The objective of this paper is to review the Surgical Technique and postoperative complications in a large series of patient who underwent hard palate grafting for the management of cicatricial entropion. Methods: The medical records of 107 patients representing 147 eyelids undergoing Surgical management of cicatricial entropion with HPMMG were reviewed. The Surgical Technique is described. Results: 147 eyelid operations (74 upper, 73 lower) were performed on 107 patients (46 male, 61 female), with a mean age of 63 years (range 12–87). The aetiology of the cicatricial entropion included idiopathic (41%), trauma (5.6%), chronic blepharitis (16.8%), chemical injury (3.7%), ocular cicatricial pemphigoid (8.4%), trachoma (7.5%) and other (16.8%). Patients were followed postoperatively for an average of 21 months (range 6–120). Ninety-four per cent of patients noted symptomatic improvement. The postoperative complications included excess keratin (29%), recurrence of cicatricial entropion (4.1%), punctuate epithelial erosion (2.7%), graft shrinkage (0.7%) and donor site bleeding (2.0%). Conclusions: Cicatricial Entropion with hard palate mucous membrane grafting for both upper and lower eyelid surgery offers high symptomatic and anatomical cure rates. The requirement for further Surgical intervention is low.
