Regarding van den Bedem, Schutte, van der Helm, and Simonsz: Mechanical properties and functional importance of pulley bands or ÔFaisseaux TendineuxÕ q In their paper entitled ''Mechanical properties and functional importance of pulley bands or ÔFaisseaux Tendi-neuxÕ, van den Bedem et al. (Vision Research 45 (2005) 2710–2714) argue that mechanical properties of connective tissues they define as...

The composite anterolateral thigh flap with vascularized fascia lata has emerged as a workhorse at our institution for complex Achilles defects requiring both tendon and soft tissue reconstruction. Safe elevation of this flap, however, is occasionally challenged by absent or inadequate perforators supplying the anterolateral thigh. When discovered intraoperatively, alternative options derived f...

To find out whether diabetic children may inject their insulin intramuscularly rather than subcutaneously, a random sample of 32 patients aged 4.3-17.9 (median 11.3) years was studied. Distance from skin to muscle fascia was measured by ultrasonography at standard injection sites on the outer arm, anterior and lateral thigh, abdomen, buttock, and calf. Distances were greater in girls (n = 15) t...

Physical activity is vital for the prevention of sarcopenia and frailty. The training effects of recreational golf on muscle function in older people are unknown. The present study examined quadriceps muscle and subcutaneous fat thickness in 66 older females. Thirty-one golfers (mean age 69.1 years, standard deviation ±3.4) were compared with 35 less active non-golfers (73.4 ± 4.2 years). Image...

A fistula is considered complex when abdominal connective tissue and fascia are lost due to infection or debridement, exposure to caustic substances or retraction, as seen in the prolonged open abdomen. These fistulae are essentially enteroatmospheric, because they have no corresponding abdominal wall fat or fascia between the bowel lumen and the outside world. They often occur after bowel is e...

, e outer side, the outer edge of the conjoint tendon on the mesial side, and the pubic one below. The transversalis fascia is bulged through this space, and even when the yide-mouthed sac has been ligatured and removed, it is impossible to suture the conJoint tendon to the inner part of the inguinal ligament in such a way as to form a strong oor to this part of the inguinal canal; for there is...

We report a case and surgical technique of successful sling suspension of insufficient efferent limb of continent urinary reservoir, which has occurred urinary incontinence. A 64-year-old male, who received radical cystectomy with continent urinary reservoir, had been suffered urinary incontinence from the reservoir about one year after surgery. Various procedures, such as the repair of the eff...

PURPOSE To describe a case of safe placement of an inflatable penile prosthesis reservoir for postoperative erectile dysfunction (ED) with a history of radical cystoprostatectomy with an orthotopic Studer neobladder. MATERIALS AND METHODS A 55-year-old bladder cancer patient, who underwent radical cystoprostatectomy with orthotopic Studer neobladder 2 years prior, suffered from postoperative ...