Background. There is a high incidence of failure after repair of severe perineal lacerations (SPLs). A tertiary referral hospital in the Caribbean introduced guidelines in an attempt to improve outcomes. We performed an audit of SPL repairs at this centre in an attempt to determine the effect on repair failure. Methods. All patients with SPL repairs between November 1, 2007, and December 30, 20...

Hypospadias is one of the most prevalent anomalies of the male genitalia. Contemporary hypospadias repair is very successful, but patients that have the surgery fail often require multiple surgeries throughout their life. Complications from failed hypospadias repairs have a significant impact on patients both psychologically and physically. Failed hypospadias repair encompasses a spectrum of pr...

Minimally invasive surgical technology is changing the management of spigelian hernias. In addition to open repairs, laparoscopic transabdominal repairs as well as laparoscopic totally extraperitoneal repairs are well documented. However, because spigelian hernias are uncommon, few surgeons have a large volume of experience with spigelian hernia repairs. This is particularly true of the repair ...

BACKGROUND The use of prosthetic material for open umbilical hernia repair has been reported to reduce recurrence rates. The aim of this study was to compare outcomes after laparoscopic versus open umbilical hernia repair. METHODS We reviewed all umbilical hernia repairs performed from November 1995 to October 2000. Demographic data, hernia characteristics, and outcomes were compared. RESUL...

Despite appropriate management of distal radius fractures, TFCC tears and DRUJ instability in the acute setting, a subset of patients will have ongoing pain or instability of the DRUJ. Ongoing instability is thought to eventually lead to pain, loss of motion and degenerative changes due to alterations in normal kinematics of the joint, although there is little in the literature to support this ...

BACKGROUND Tears of the superior labrum (superior labrum anterior and posterior [SLAP] lesions) of the shoulder are uncommon injuries; however, the incidence of surgical correction seems to be increasing. PURPOSE To report the findings of a review of a proprietary descriptive database that catalogs cases for the purpose of board certification on the demographics of SLAP lesion repair. It is t...

We introduce a general framework for repairing inconsistent databases by distance-based considerations. The uniform way of representing repairs and their semantics clarifies the essence behind various approaches to consistency restoration in database systems, helps to compare the underlying formalisms, and relates them to existing methods of defining belief revision operators, merging data sets...

Laparoscopic totally extraperitoneal (TEP) hernia repair is a well-accepted technique for inguinal hernia repair. Different types of mesh and fixation methods have been described. Recently, a novel, self-fixating mesh has been introduced and used successfully in open inguinal hernia repairs. We report the first initial experience using this mesh for TEP repairs.

INTRODUCTION Overweight patients sometimes present a practical problem for provision of lower-limb prostheses. Most information about the effect of body weight on the endurance of prostheses is based on laboratory tests. This is a retrospective study based on an audit to study the effect of body weight and age on the frequency of repairs. SUBJECTS One hundred and sixteen patients were involve...

The aim of this study was to evaluate the shear bond strength of resin composite repairs with and without aging of the surface to be repaired, using different adhesive systems and resin composites. Ninety specimens were prepared: 10 for the Control Group (GC - without repair); 40 for Group I (GI - repairs after 7 days) and 40 for Group II (GII - repairs after 180 days). Groups I and II were div...