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At least 721 records · Page 40Linked to original sources
PubMed1991

[Computed tomographic evaluation of thickness of perirectal fascia in rectal cancer treated by preoperative radiotherapy--diagnostic value for prediction of local recurrence].

Perirectal fascia was examined by computed tomography before and after preoperative radiotherapy in thirty-six patients with rectal cancer. CT measurement showed that perirectal fascia tend to increase in thickness during preoperative radiotherapy in proportion to tumor extension into perirectal fat tissue. The fascial thickening more than 7 mm after preoperative radiotherapy was suggestive of local recurrence to develop. Preoperative or intraoperative boost irradiation would be recommended for such high-risk patients.

Adenocarcinoma↗
PubMed1989

[Superficial temporal fascia pedicle flap. Applications in cervicofacial surgery. Apropos of 20 cases].

The superficial temporal fascia is formed by a fine fibro-muscular layer situated between the subcutaneous plane of the temporal region and the temporal muscle aponeurosis. The superficial temporal artery and its branches run within the fascia which acts as a veritable vessel carrying sheet. The therefore useful in that in minimises esthetic and functional complications at the donor site. This reliable, polyvalent arterialised aponeurotic type flap behaves above all as a covering or interpositional flap. Our clinical experience involves 20 cases, in addition to the applications already published: covering material in cases of loss of facial substance, otopoiesis, organisation of open techniques, we propose its use during oro-bucco-pharyngoplasty and for sealing the base of the skull.

Adolescent↗
PubMedDate not supplied

Transversalis fascia-Cooper ligament vs. ileopubic tract repair for medial inguinal hernia.

In a prospective randomized study of 171 patients, transversalis fascia-Cooper ligament (McVay) repair of medial inguinal hernia was compared with transversalis fascia-ileopubic tract (Ottsen) repair. After median follow-up of 5 years, the total recurrence rate was 9% (95% confidence interval 4-17) following McVay repair and 15% (9-25) following the Ottsen operation. The difference was not statistically significant, but the analysis showed that, whereas the recurrence rate associated with McVay herniorrhaphy was almost constant after 2 years, recurrences continued to appear after Ottsen repair.

Adult↗
PubMed1986

[Reconstruction of the pubovesicocervical fascia following surgical failures of the anterior vaginal wall].

Results of reconstruction of fascia pubo-vesico-cervicalis in 21 women are presented after operative failure on the anterior vaginal dropped wall. The former operation consisted of anterior incision, separation of the walls to the sides, vesical intussusception with purse-string suture or transverse suture and of application mattress sutures on paraurethral tissue. At present the reconstruction of selected fascia pubo-vesico-cervicalis based on the doubling like a waistcoat and suturing under the symphysis pubis. Such a management causes a correctly fibrous and connective tissue support for urinary bladder and elevates the cervix upwards.

Adult↗
PubMed1978

[Quantitative age-dependent variations in dendritic spines in the hippocampus (CA1, CA3 and fascia dentata) of the albino mouse].

The dendritic spines of the apical and basal dendrites of pyramidal neurons in CA1 and CA3 and of granule cells in Fascia Dentata were investigated in 19 stages of age, from the 10th to the 190th postnatal day. The results were statistically evaluated. In CA1 and CA3 a first increase in the number of spines (with a maximum at 35 days) is followed by a subsequent decrease up to the 65th day and a further increase up to the 190th day. This developmental pattern is found in the apical dendrites of CA1 and CA3 in all its investigated segments. On the contrary the basal dendrites differ from this pattern. The spines in the Fascia Dentata show a rapid increase up to the 15th postnatal day followed by a slow but constant increase up the end of our study.

Aging↗
PubMed1995

The Hong Kong vascularized temporalis fascia flaps for optimal, mastoid cavity reconstruction.

The classical modified radical mastoidectomy offers the advantages of combining the mastoid cavity, the attic and the external canal into one cavity that remains open for inspection. However the ultimate goal to predictably produce well healed, dry and safe mastoid cavities despite receiving much attention has not been fulfilled. By employing basic surgical principles of wide access to facilitate meticulous removal of all cholesteatoma and then eliminating all raw surfaces of the bony cavity with pedicled vascularized deep temporalis fascia, the Hong Kong Flap technique achieves the highest percentage of dry, stable, disease free ears. This living fibrous tissue layer provides the optimal substrate for epithelial resurfacing while separating the mucosa and bone of the middle ear and mastoid from the surface epithelium. Excellent healing even under unfavourable circumstances is ensured by the rich blood supply to the pedicled temporalis fascia flap. Furthermore the technique obviates the need for second look procedures in more than two-thirds of cases as the cavity lining becomes transparent and simple observation is safe. The Hong Kong Flap was used to reconstruct 107 cavities between October 1988 and October 1992. 86 were performed for primary cholesteatoma removal and 21 for revision of discharging cavities. 103 (96%) healed soundly. There were 4 dry perforations. Minor complications occurred in 8 (7%) patients. 84 (78%) required n+o second exploratory operation. This is a straight forward procedure requiring no special technical skills. The concept is rational and provides the ideal management for cholesteatoma by achieving a dry, safe ear with one operation.

Cholesteatoma, Middle Ear↗
PubMed1997

Neonatal nonhandling and in utero prenatal stress reduce the density of NADPH-diaphorase-reactive neurons in the fascia dentata and Ammon's horn of rats.

The density of nitric oxide (NO)-producing neurons in the fascia dentata and Ammon's horn was assessed in 6-month-old male rats using NADPH-diaphorase (NADPH-d) histochemistry. Two separate experiments investigated whether (1) the complete absence of neonatal handling or (2) the administration of periodic prenatal stress could affect the expression and distribution of NADPH-d reactivity in the hippocampus, when compared with rats raised in normal standard laboratory conditions. Experiment 1 demonstrated that adult rats that received no handling during neonatal development (from birth to postnatal day 22) showed a very substantial reduction in NADPH-d-positive neurons per unit area throughout the entire hippocampus when compared with rats that received regular daily handling in this period. Quantitative analysis further revealed that this effect was significantly more pronounced in Ammon's horn than in the fascia dentata, and within Ammon's horn the dorsal region was selectively more affected. Experiment 2 showed that prenatal stress, which involved the administration of daily restraint stress to pregnant dams throughout the gestation period, also led to a reduction in NADPH-d reactivity in the hippocampus of the offspring of these dam when they reached adulthood. The present results suggest that behavioral manipulations in the early neonatal or prenatal period can significantly alter the neurodevelopment of the hippocampal NO system and these changes might be related to some of the behavioral abnormalities that emerge later in adulthood.

Animals↗
PubMed1997

[Buck's fascia rupture in blunt penile injury].

Contribution of one case report of closed penial traumatism, in upright penis during intercourse which, apart from affectation of the albuginea of the cavernous bodies, resulted in fracture of Buck's fascia and was treated in a conservative manner. When the fascia is compromised, the picture presents specific clinical characteristics.

Adult↗
PubMed1997

[Embryonic development of renal fascia].

Findings on embryonal development of renal fascia are given. By the end of the second and during the third months of embryogenesis renal fascia and fascio-mesenchymal clefts as a base for the future adipocyte spaces of retroperitoneum connected with it form around kidneys due to successive rearrangements of mesenchyme.

Adipocytes↗
PubMedDate not supplied

[Differentiation of neurons and synapses of mossy fibers in transplants of fascia dentata developing in the rat neocortex].

Embryonic fascia dentata tissue isolated from the hippocampus was transplanted heterotopically into the neocortex of adult rats. Ultrastructural characteristics of neurons and synapses in transplants were studied nine months later. It has been found that the main types of neurons present in fascia dentata undergo differentiation in the transplants, and a dense neuropile containing various types of synapses is produced. A characteristic feature of the transplanted neurons is the presence of additional microspines on somatic and dendrite surfaces; this appears to be due to a deficiency of external and internal afferents. Gigantic synaptic terminals of granule cell axons (mossy fibers) in transplants possess unique morphological characteristics, which allow their identification in a complex neuropile. Just as in situ, they form two types of contacts: chemical asymmetric contacts with dendrite spines and desmosome-like ones with dendrite surface characteristics. However, accumulations of large vesicles with electron-dense centers can often be observed near the active zones of the synapses, and desmosome-like connections are more prominent. The most important feature is that gigantic synapses in transplants use midsize and small dendrites as postsynaptic targets up to terminal branches, and they contact with spines of the usual shape and size, whereas in situ terminal synaptic contacts of mossy fibers are formed only with gigantic processes of initial segments of the large apical dendrites. Thus, in the absence of normal synaptic targets, mossy fibers can produce contacts having all features of functional synapses, but with atypical postsynaptic structures.

Animals↗
PubMed1998

Fascia lata suburethral sling vs. Burch retropubic urethropexy. A comparison of morbidity.

OBJECTIVE: To compare morbidity from the fascia lata sling to that from the Burch procedure. STUDY DESIGN: The charts of 64 consecutive patients undergoing the two procedures were reviewed for perioperative, immediate postoperative and delayed postoperative complications. RESULTS: Mean age was significantly older and prior surgery more common in the sling group, but parity and weight were comparable for the two groups. Operative time, estimated blood loss, change in hematocrit, incidence of transfusion, use of narcotics and hospital stay were not statistically different. Duration of catheter use was 2.2 days longer in the sling group (8.96 vs. 6.75 days, P = .387). Comparison of the sling vs. Burch, respectively, showed persistent urge incontinence in 42.8% and 40.0%, new urge incontinence in 22.2% and 16.6%, and cystotomy in 11% and 0%. CONCLUSION: The fascia lata sling procedure has morbidity comparable to that of Burch retropubic urethropexy. Urge incontinence needs to be specifically addressed preoperatively in both groups of patients.

Body Weight↗
PubMed1981

Reconstruction of mandibular defects with the revascularized free tensor fascia lata osteomyocutaneous flap.

In recent years, experience with microvascular surgery has enabled the use of free vascularized bone grafts to bridge mandibular defects. Such grafts have several advantages over conventional nonvascularized bone grafts. Advantages include improved survival and more rapid healing in poorly vascularized recipient sites, less risk of absorption, and greater resistance of the graft to infection and subsequent extrusion. Several free osteocutaneous rib grafts have been reported for mandibular replacement; however, only a few reports have advocated the use of free compound flaps that use iliac crest bone. Two cases of immediate mandibular reconstruction used the revascularized free tensor fascia lata osteomyocutaneous flap. This flap uses revascularized iliac crest bone. Viability of one bone graft was confirmed by scintigraphy ten days after transfer of the compound flap.

Aged↗
PubMed1988

Biomechanics of fascia lata ligament replacements: early postoperative changes in the goat.

Mechanical properties of fascia lata autografts used to replace the anterior cruciate ligament (ACL) in the goat were measured at 0, 2, 4, and 8 weeks after surgery. The ACL was replaced in the right knee of 50 animals divided equally into two groups according to graft fixation technique: (a) two smooth staples at each end, with the tissue pulled back toward the joint over the first staple and (b) reinforced fixation with a spiked bushing placed through the tissue and a 3-cm-long flat polypropylene braid sutured to each end of the graft. Eleven unoperated contralateral knees were tested as controls. All statistically significant effects of the reinforced versus staple fixation were observed at 0 weeks, with the reinforced group showing less anteroposterior (AP) translation of the joint and greater maximum force and stiffness of the femur-graft-tibia units. The reinforced group had increased AP translation and decreased strength and stiffness by 2 weeks after surgery. Increased AP translation resulted primarily from increases in the low-stiffness region of the force-displacement curve (primary AP translation) and to a lesser extent from increased translation in the high-stiffness region (secondary anterior translation). Failures at 0 weeks with the reinforced fixation occurred at the bushing or end of the reinforcing braid, while all but one of the later failures occurred in the tissue mid-substance. In the staple group, maximum force was greater at 8 weeks than at 0 weeks, as the failure locations changed from the fixation to the tissue mid-substance.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1988

A long term follow up of resection interposition arthroplasty of the knee using chromicized fascia lata.

We have reviewed the results of 25 patients who had a resection interposition arthroplasty of the knee using chromicized fascia lata, with a mean follow-up of 22 years. No patient had severe pain although 10 had occasional pain after heavy labour. Thirteen knees had 60 degrees of movement or more but 12 had 45 degrees or less. The radiographs all showed adaptive remodelling of the resected bone ends. This procedure successfully restored function in the majority of cases with absence of pain over a long period.

Adolescent↗
PubMed1976

A composite vaginal vault suspension using fascia lata.

A description of a composite procedure is offered as a further effort to have a safe, relatively easy, and dependable surgical operation for complete vaginal prolapse in the sexually active woman. The fact is generally accepted that the combination vaginal and surgical approach done at the same sitting gives a better chance for cure where either single approach has proved to be less dependable. Nothing startling new is claimed, but the selection of the homologous fascia lata as the suspending material used technically in a simple, safe manner is outlined. Twelve patients have had this procedure done in the past 4 years with no recurrence of the prolapsed vault and no complaint of dyspareunia by either partner. One patient has had recurrent enterocele even though effort had been made to prevent this. There has been no death in this series.

Aged↗
PubMed1980

Our clinical experience with the tensor fasciae latae myocutaneous flap.

The tensor fasciae latae musculocutaneous flap is confirmed to be an easily designed and reliable flap. It is especially useful in the closure of trochanteric pressure sores, and has potential value in the repair of defects in the groin and lower abdomen. The gracilis flap is possibly more useful for closure of recurrent or large ischial sores, but the limits and dimensions of both flaps require further investigation. Closure of the donor area in the thigh may be difficult especially where excessive tissue calcification is present. Modification of the design of the flap may help to reduce the defect before closure. The rapidity of healing associated with the excellent blood supply to the T.E.L. flap renders it very safe and makes nursing care post-operatively relatively trouble-free.

Fascia↗
PubMed1977

Rehabilitation after aortic valve replacement with autologous fascia lata: a sociomedical study.

In a series of 50 patients who underwent aortic valve replacement with frame-supported fascia lata, 32 were seen for a combined medical and psychosocial examination 10 to 33 months postoperatively. The investigation included a psychometric test battery and an interview concerning the patient's social and psychological situation at the time of the operation and at follow-up. Twenty-seven patients had improved in their New York Heart Association Functional Classification at the time of follow-up. In most instances NYHA classification correlated well with the patients' subjective opinion on their recovery. Those who for various reasons were not able to return to work did not consider themselves recovered. The employment rate after operation was 66%. There is a great need for more information and support to families as well as for more intensive rehabilitation efforts, especially vocational, for the postoperative patient.

Adaptation, Psychological↗