جستجوی مقالات مرتبط با کلیدواژه « prolapse » در نشریات گروه « پزشکی »

Mitral valve prolapse (MVP) is a common heart valve condition that affects the mitral heart valve, which separates the left atrium from the left ventricle. MVP has various physical symptoms and mainly affects the cardiovascular system. It can also affect cognitive beliefs and emotional well-being. Anxiety is associated with the physical symptoms of MVP such as palpitations and chest discomfort. Individuals can become anxious since they may consider these symptoms as indicators of a serious heart problem. This anxiety can be worsened by metacognitive beliefs, such as the belief that they cannot control the heart symptoms or the symptoms are dangerous.

Vitreous prolapse is a condition in which the vitreous gel is displaced into the anterior chamber, typically caused by a ruptured posterior lens capsule or a zonular defect. Choroidal effusion, characterized by fluid accumulation in the suprachoroidal space, is a common complication of glaucoma surgery and ocular hypotonia. We present the case of a 53-year-old male who developed vitreous prolapse following choroidal effusion and hypotonia after undergoing Ahmed glaucoma valve surgery.

To evaluate the long-term outcome of synthetic mesh use in the treatment of women with Pelvic organ prolapse (POP).

We evaluated the outcome of synthetic mesh implantation by vaginal surgery method in 153 women (mean age of 9.31±53.66 years) with POP grade >2 in the anterior compartment. Demographic findings, baseline symptoms as well as subjective and objective outcome were recorded during the follow-up period of 11.33±36.89 months.

POP relapse occurred in %3.3 indicative of %96.7 anatomical success rate. Patients’ common baseline findings were frequency (%72.5), stress and urge incontinence (%59.5 and %47.7). Subjective outcome were vaginal pain (%13.7), dyspareunia (%9.2) and tension feeling (%8.5), while objective outcomes were mesh exposure (%3.9), urge incontinence (%11.1) and vaginal infection (%1.3). Stress incontinence was completely treated following surgery. There was significant improvement in dyspareunia, vaginal pain, urge and stress incontinence (all p < 0.001) and fecal incontinence (p = 0.02). After surgery, %88.42 were satisfied of the surgery outcome.

POP surgery with synthetic mesh has acceptable results, considerable improvement in symptoms and high rate of satisfaction during follow-up; however, side effects are not uncommon but tolerable.

Solitary rectal ulcer syndrome (SRUS) is rarely observed in young people and its clinical manifestations and endoscopic observations in young patients are atypical. Except for histopathological observations, SRUS can be hardly differentiated from other bowel diseases such as rectal carcinoma or ulceration.
Case Report: The current report presented a case of SRUS in an 18-year-old male living in Harbin, China. The patient complained of gastrointestinal hemorrhage and abdominal pain as his first symptoms. SURS was diagnosed after colonoscopy supported by his complete recovery following the treatment with Etiasa. Issues relevant to the diagnosis and treatment of SURS were discussed in the current article.
Employment of colonoscopy is a great help in the early diagnosis of SURS; thus, this technique has benefits for the treatment and recovery of patients.

The result of transvaginal sacrospinous ligament fixation technique, as part of the vaginal repair procedure for massive uterovaginal (Pelvic Organ Prolapse stage III and stage IV and vault prolapse) is evaluated. A total of 32 women were included in the present case series. Marked uterovaginal prolapse was present in 28 women and four had vault prolapse following hysterectomy. Patients with vault prolapse and marked uterovaginal prolapse underwent sacrospinous colpopexy. The mean follow-up period was 2.5 years. Out of the 28 patients with previous marked uterovaginal prolapse, only one had small cystocele 3 years after the surgery. This patient was asymptomatic and did not require repeat surgery. One woman had post-operative urinary tract infection and two had buttock discomfort, one had ischiorectal abscess and two had cuff cellulitis. All complications were dealt with successfully. No other major intra- and post-operative complications occurred. Transvaginal sacrospinous colpopexy can be performed together with vaginal hysterectomy, with marked uterovaginal prolapse and vault prolapse. Please cite this article as: Gupta P. Transvaginal Sacrospinous Ligament Fixation for Pelvic Organ Prolapse Stage III and Stage IV Uterovaginal and Vault Prolapse.

Mitral valve repair has shown superior results compared to mitral valve replacement in patients with mitral valve prolapse. Using premeasured neochordae (the loop technique) has been proposed for both anterior and posterior leaflet repairs. However, there are two major problems that are usually experienced using this method. One is deciding the length of the neo-chordae, and the other is tying the knot at the intended length.. This study introduced a new technology in mitral valve repair that reduces the complexity of making neo-chordae loops, especially in minimally invasive surgeries..Patients and Neochordameter is a new device which utilizes preoperative transthoracic echocardiography to determine the exact length of required neochordae and enable surgeons to make neochordae loops before starting the cardiopulmonary bypass. In this study, we applied this technique in mitral valve repair of three patients..: Two of these patients were male and the other one was female. All of them had severe mitral regurgitation requiring anterior leaflet repair. Total eight neochordae loops were used in these patients. No change in the length of neochordae was required after saline test and all of these patients had none or trivial mitral regurgitation by intraoperative and follow up transesophageal echocardiography. No complication was seen in six-month follow up..The ability of this technology in developing premeasured neo-chordae loops with accurate sizes and not needing the post-implantation length adjustment which is efficient in reducing the complexity of both minimally invasive and conventional surgeries are the issues which is going to be regarded.

Most contemporary series on urethral prolapse report either on the use of excisional or conservative treatment approaches.. To introduce a modified ligation over a Foley catheter treatment method for urethral prolapse that addresses most of the previously reported complications..Patients and Five consecutive patients with urethral prolapse treated between 2003 and 2011, all using the ligation method on an outpatient basis were studied prospectively. Maintaining the inflated balloon of the Foley catheter with timed removal of the catheters among other modifications to the original technique is further described in the article. The main outcome measures were to evaluate for recurrence, post-operative appearance of the urethral orifice and satisfaction of parents. Secondarily the actions of the parents of the patients and those of the receiving physicians were also recorded.. The mean age of the patients was 6 years old (ranging from 3 to 8 years). All parents suspected sexual molestation and in two cases, the suspected perpetrators were verbally threatened of dire consequences of their actions if proven. None of the receiving medical personnel were aware of this condition. Maximum length of catheterization was for 4 days. The post treatment urethral openings appeared normal and there were no complications.. The ligation method with attention to the modifications described further in the article is a simple, safe and cost effective option for the management of urethral prolapse. Maintaining the inflated balloon of the Foley catheter with timed catheter removal especially adds predictability to this technique.

Vaginal vault prolapse can occur in patients who had abdominal or vaginal hysterectomy. The aim of this study was to introduce a new method of vaginal vault suspension for post-hysterectomy prolapse. In this retrospective cohort study, 34 patients who were suffering from vaginal vault prolapse were undertaken two suspension procedures; 26 patients underwent abdominal round ligament colpopexy (ARLC) that the vaginal apex was tied to the remained round ligament and 8 patients experienced modified Le Fort partial colpocleisis (MLFPC). Intra operative and postoperative complications and patient’s satisfaction were assessed. The age of studied patients was 58.2 ± 5.5 (mean ± SD) ranged from 42 to 75 years. No serious complication was reported at the post operative stage and during the follow-up period among patients participated in the two groups. Minor complications including urinary retention were experienced by two patients (one in each group). In ARLC group, one superficial wound infection and two recurrent prolapses occurred. There is no statistically significant difference between two groups in terms of post-operative complications. ARLC can be considered as a simple, safe and cost-effective alternative technique for vaginal vault suspension after hysterectomy.