Background: Laboratory and clinical data have shown that small (0.5-1.0 cm) bites of a running suture closely spaced (0.5 cm) and only through midline fascia results in the lowest incidence of incisional hernia. Methods: Laboratory and clinical manuscripts were used to formulate a goal for optimal closure of a long midline abdominal incision. Using these conclusions as a starting point, surgica...

BACKGROUND Development of hip adductor, tensor fascia lata, and rectus femoris muscle contractures following total hip arthroplasties are quite common, with some patients failing to improve despite treatment with a variety of non-operative modalities. The purpose of the present study was to describe the use of and patient outcomes of botulinum toxin injections as an adjunctive treatment for mus...

University of Manitoba, Winnipeg, Manitoba Correspondence: Dr Edward W Buchel, University of Manitoba, GC 404, 820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9. E-mail [email protected] The majority of autologous free flap breast reconstruction uses tissue from the lower anterior abdominal wall. Traditionally, this involved harvesting the entire ipsilateral or bilateral rectus abdominus muscles...

OBJECTIVE To compare the amount of the dermatan sulfate glycosaminoglycan between male patients with Nyhus type II inguinal hernias and subjects without inguinal hernia, aged between 20 and 40 years. METHODS Two groups were formed: One with 15 male patients with Nyhus type II inguinal hernia and aged between 20 and 40 years with ASA risk I and II, and a control group of ten individuals, also ...

Osteoarthritis (OA) is the leading cause of disability in older adults [1] and 1 metatarsophalangeal joint (MTPJ) OA, is the most common form of OA in the foot [2]. Many foot pathologies are of a biomechanical nature and often associated with one foot type over another [3,4]. OA is postulated to result from elevated joint stress. However, the link between stress distribution in the 1 MTPJ and d...

The role of posterior cervical musculature in sensorimotor control, cervicocephalic pain, and stabilization of the spinal cord has been recently described. Anatomical soft tissue connections which cross the cervical epidural space link suboccipital muscle fascia and dura. These myodural bridges provide passive and active anchoring of the spinal cord. They may also be involved in a dural tension...

BACKGROUND The survival rate of newborns with severe congenital abdominal wall defects has increased. After successfully addressing life-threatening complications, it is necessary to focus on the cosmetic and functional outcomes of the abdominal wall. METHODS We performed a chart review of five cases treated in our institution. RESULTS Five patients, ranging from seven to 18 years of age, u...

INTRODUCTION Inflatable penile prosthesis (IPP) surgery is a successful therapeutic option for men with erectile dysfunction. Traditional placement of the reservoir in the retropubic space of Retzius is associated with the rare occurrence of significant complications including bladder, bowel, and vascular injury. An alternative site, posterior to the abdominal wall musculature, has been identif...

Perineal hernia after infralevator posterior pelvic exenteration due to adenocarcinoma of the lower rectum with genital invasion: a rectus abdominis myocutaneous flap was used to repair the defect and reconstruct the vagina. The donor abdominal fascia area was reinforced with bio-absorbable mesh (BioA-Gore). On CT, ileal loops were observed with elongated mesentery in the pelvis and perineum, a...

OBJECTIVE To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia. METHODS Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated with bilateral pectoralis major muscle...