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Presacral venous bleeding during mobilization in rectal cancer 被引量:4
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作者 Jose Enrique Casal Núnez Vincenzo Vigorita +4 位作者 Alejandro Ruano Poblador Ana María Gay Fernández Maria ángeles Toscano Novella Nieves Cáceres Alvarado Lucinda Pérez Dominguez 《World Journal of Gastroenterology》 SCIE CAS 2017年第9期1712-1719,共8页
To analyze the anatomy of sacral venous plexus flow, the causes of injuries and the methods for controlling presacral hemorrhage during surgery for rectal cancer.METHODSA review of the databases MEDLINE<sup>... To analyze the anatomy of sacral venous plexus flow, the causes of injuries and the methods for controlling presacral hemorrhage during surgery for rectal cancer.METHODSA review of the databases MEDLINE<sup>®</sup> and Embase™ was conducted, and relevant scientific articles published between January 1960 and June 2016 were examined. The anatomy of the sacrum and its venous plexus, as well as the factors that influence bleeding, the causes of this complication, and its surgical management were defined.RESULTSThis is a review of 58 published articles on presacral venous plexus injury during the mobilization of the rectum and on techniques used to treat presacral venous bleeding. Due to the lack of cases published in the literature, there is no consensus on which is the best technique to use if there is presacral bleeding during mobilization in surgery for rectal cancer. This review may provide a tool to help surgeons make decisions regarding how to resolve this serious complication.CONCLUSIONA series of alternative treatments are described; however, a conventional systematic review in which optimal treatment is identified could not be performed because few cases were analyzed in most publications. 展开更多
关键词 Presacral hemorrhaging Rectal surgery Sacral venous plexus pelvic surgery Sacral anatomy
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Surgical treatment of locally advanced anal cancer after male-to-female sex reassignment surgery
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作者 Marco Caricato Fabio Ausania +5 位作者 Giovanni Francesco Marangi Ilaria Cipollone Gerardo Flammia Paolo Persichetti Lucio Trodella Roberto Coppola 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第23期2918-2919,共2页
We present a case of a transsexual patient who underwent a partial pelvectomy and genital reconstruction for anal cancer after chemoradiation. This is the first case in literature reporting on the occurrence of anal c... We present a case of a transsexual patient who underwent a partial pelvectomy and genital reconstruction for anal cancer after chemoradiation. This is the first case in literature reporting on the occurrence of anal cancer after male-to-female sex reassignment surgery. We describe the surgical approach presenting our technique to avoid postoperative complications and preserve the sexual reassignment. 展开更多
关键词 Sex reassignment pelvic surgery Analcancer
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Iatrogenic Female Genital Fistula, 35 Cases Report
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作者 N. Idi I. Abdoulaye +1 位作者 F. Chaibou Nomao Z. Assoumane 《Open Journal of Obstetrics and Gynecology》 2020年第9期1156-1162,共7页
<p> <b><span style="font-family:Verdana;">Introduction: </span></b><span style="font-family:""><span style="font-family:Verdana;">Female gen... <p> <b><span style="font-family:Verdana;">Introduction: </span></b><span style="font-family:""><span style="font-family:Verdana;">Female genital fistula (FGF), remains a world concern, especially in low developed country. Obstructive (blocked) delivery labor is his principal cause, sometimes by pelvic surgery (urogenital or obstetrical, rectal) more rarely by congenital urogenital malformation, excision, pelvic neoplasm, pelvic radiotherapy. We were interested in iatrogenic FGF treated in the special referral fistula center. </span><b><span style="font-family:Verdana;">Methodology: </span></b><span style="font-family:Verdana;">We report 35 cases of iatrogenic female genital fistula. Are included only cases by urogenital surgery, excision in the National Referal Center of Obstetrical Fistula. Were not included cases happened by over 12 hours blocked delivery labor, caustic destruction, pelvic cancer pelvic infection and those with incomplete file. The epidemiologic, clinical and therapeutic information were studied. All ethical protocols were respected. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">CNRFO recorded 743 cases of female genital fistula from May 23 2013 to May 23 May 2018 within 35 iatrogenic cases (4.71%). Patients were 19 - 29 years old (42.85%), average age 35 years old, extremes 19 - 60 years, without occupation (82.86), grand multiparous 48.57%, with a mean of 4 previous deliveries. The principal constancies were hysterectomies 71.43%, caesarean section 17.14%, genital excision 11.42%, and cystocele cure 11.42%. The anatomical finds were soft vagina tissue 97.14% uretero-vaginal fistula 45.71% (2 cases post Caesarean, 14 cases post hysterectomy), vesico-vaginal 31.43% (all post hysterectomy), ureteral 11.42% (all post caesarean), 1 vesico-uterine 5.71% (case post caesarean), 1 case after a cystocele cure, 2 uretro-vaginal 11.42% secondary of genital excision. Treatment was ureteral reimplantation (18/31) cases by abdominal way, fistulorraphy (12/31) and 1uretroplasty by vaginal, 4 cases treated with transurethral bladder probe. 30 were cured by fistulas surgery, 1 urinary tress incontinency and 1 not closed, and 4 of transurethral bladder probe were cured. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">The female genital fistula is sometimes the consequence of Caesarean, hysterectomy, gynecological surgery, urologic surgery and some traditional practices.</span></span> </p> 展开更多
关键词 Female Genital Fistula Iatrogenic Fistula EXCISION pelvic Surgery Caesarian HYSTERECTOMY
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New considerations regarding pelvic organ prolapse treatment in China
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作者 ZHU Lan G.Willy Davila 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第7期1209-1211,共3页
Pelvic organ prolapse (POP) is non-fatal conditions which can markedly affect a patient’s quality of life. Multiple recently developed pelvic reconstructive surgeries have led to a recent expansion in China. In thi... Pelvic organ prolapse (POP) is non-fatal conditions which can markedly affect a patient’s quality of life. Multiple recently developed pelvic reconstructive surgeries have led to a recent expansion in China. In this study, we would like to discuss various aspects of the evaluation and management of POP and raise the question of what is sufficient evidence for the adoption of innovative treatments for POP. 展开更多
关键词 pelvic organ prolapse UROGYNECOLOGY reconstructive surgery pelvic surgery MESH
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Using a needle for sacrospinous ligament fixation for pelvic organ prolapse based on the Miyazaki technique
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作者 Ilnur Irekovich Musin Alfiya Galimovna Yashchuk +4 位作者 Valentin Nikolaevich Pavlov Jianliu Wang Xiuli Sun Raisa Arkadevna Naftulovich Elena Mikhailovna Popova 《Gynecology and Obstetrics Clinical Medicine》 2022年第2期82-85,共4页
Background:Approximately 7%of all women will require surgery to correct pelvic organ prolapse during their lives.Of these,approximately 10%-13%will require another operation within 5 years due to recurrence of the dis... Background:Approximately 7%of all women will require surgery to correct pelvic organ prolapse during their lives.Of these,approximately 10%-13%will require another operation within 5 years due to recurrence of the disease.Increases in life expectancy and elderly individuals with estrogen deficiencies will mean higher rates of pelvic organ prolapse,significantly reducing the quality of life for millions of people.This study introduces technologies that can help treat pelvic prolapse while reducing the rate of recurrence.Methods:This paper outlines how to properly perform sacrospinous ligament fixation using the Miyazaki technique.Results:A needle was used to successfully perform a sacrospinous ligament fixation using Miyazaki's technique.Conclusions:Considering the Food and Drug Administration’s 2019 decision to permit surgeries with native tissue,this method can be used with sacrospinous ligament fixation as the primary treatment option for pelvic organ prolapse. 展开更多
关键词 pelvic organ prolapse Sacrospinous ligament fixation SACROCOLPOPEXY pelvic surgery
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