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At least 775 records · Page 43Linked to original sources
PubMed1982

Fascia lata paraurethrovesical suspension for the correction of stress urinary incontinence in the woman.

Fascia lata paraurethrovesical suspension for the correction of stress urinary incontinence in the female was used 68 times in 66 women. There was an 80 percent overall cure rate (74 percent if allowances are made for potential late failure). This cure rate is not considered good enough to recommend the operation as a primary procedure. The simplicity of the operation and the 75 percent cure rate in failed previous Marshall-Marchetti-Kranz-type procedures commend it as a secondary procedure. Improvement in the cure rate is expected with more experience and refinement of technique.

Adult↗
PubMed1994

Extracorporeal fascia-fat flap for restoration of facial contour in progressive hemifacial atrophy.

A radial forearm fascia-fat flap transferred by extracorporeal tissue transfer has been evolved and is presented here for the treatment of Romberg's hemifacial atrophy as an alternative to free tissue transfer. The advantages of this technique are that it transfers a similar kind of tissue which is autogenous, the transferred tissue is not liable to undergo absorption, and it has a natural consistency and less gravitational sag. Donor site morbidity is minimal, it is almost a single stage procedure as the second stage is minor, and most important of all, results similar to free flap transfer can be achieved without the facilities and training required for microsurgery.

Adipose Tissue↗
PubMed1976

Renal fascia of Gerota.

There are controversial views regarding the configuration of the renal fascia of Gerota. Various arrangements described in the literature are presented. A consensus is derived and its clinical importance stressed.

Fascia↗
PubMed1988

Potential of lumbodorsal fascia forces to generate back extension moments during squat lifts.

The lumbodorsal fascia (LDF) has been implicated in numerous biomechanical interpretations of low back mechanics as a tissue that provides support to the lumbar spine during demanding load bearing. One hypothesis is that oblique abdominal muscle forces contribute to trunk extensor moment by transforming lateral abdominal tension into longitudinal tension via the LDF. However, a review of the anatomical literature supports the hypothesis that extensor forces in the LDF result from tension within the latissimus dorsi muscle. The purpose of our work was to evaluate the potential of the LDF to generate trunk extensor moment using two mathematical models: one that activated the LDF with the abdominals and another that activated the LDF with the latissimus dorsi. Efforts were made to represent the anatomy as accurately as possible. The results from three subjects performing six squat lifts each, suggested that the potential of the LDF to contribute significant extensor moment has been overestimated. In fact, the issue of whether the LDF is activated by the abdominals or the latissimus dorsi is irrelevant because neither strategy appeared able to generate sizable extensor moments in the type of lift studied.

Adult↗
PubMed1989

Woven carbon-fibre patch versus Dacron mesh in the repair of experimental defects in the lumbar fascia of rabbits.

Defects were created in the lumbar fascia of adult New Zealand white rabbits and repaired with either woven carbon-fibre or Dacron mesh. The histological and mechanical properties of the two materials were compared at intervals up to 12 wk post-operatively. Microscopy showed an abundant orderly deposition of collagen highly vascularized with a minimal inflammatory response on the carbon fibre, whereas the Dacron mesh induced the formation of a flimsy collagenous capsule, with a marked inflammatory response. Mechanical testing showed a significant increase in the strength of the carbon-fibre patch after 2 wk (P = .001), the patch becoming much stronger than the Dacron mesh (P = .002) 5 to 12 wk after implantation.

Animals↗
PubMed1986

Fibrin/fibrinogen and fibrinolytic activity of the palmar fascia in Dupuytren's contracture.

Considering the proved interaction of fibrin with fibroblasts and the seemingly decisive role of structural and functional changes ("modulation") of these cells in the evolution of Dupuytren's contracture, research has been carried out in order to investigate the fibrinolytic capacity and the possible presence of fibrin/fibrinogen in the palmar fascia of subjects operated upon for Dupuytren's Disease. Fibrin/fibrinogen were detected by a direct immunofluorescence technique and fibrinolytic activity was assessed by a fibrin plate method. A remarkable decrease of fibrinolytic activity and the presence of fibrin/fibrinogen were observed in small nodules in the early stage of disease, whereas large nodules showed a high amount of plasminogen activator enzymes. Small nodules seem to form and increase by progressive adhesion of fibroblasts to the polymerizing fibrin, while high fibrinolytic activity of large nodules probably results from "modulation" of many fibroblasts into contractile myofibroblasts and could therefore be considered as a biochemical sign of the evolutionary phase of Dupuytren's contracture.

Adult↗
PubMed2003

Cadaveric fascia lata sling for stress urinary incontinence: a prospective quality-of-life analysis.

OBJECTIVE: The purpose of this study was to describe the effects of full-length cadaveric fascia lata (CFL) sling on quality-of-life outcomes. STUDY DESIGN: Patients were 102 women (aged 29 to 87 years) who underwent the sling procedure for stress incontinence associated with intrinsic sphincter deficiency. They were followed up at 12, 24, 36, and 48 months with the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), and a patient satisfaction questionnaire. RESULTS: Mean IIQ score declined from 55.1 before surgery to 11.0 at 12 months (P<.001). Mean UDI score declined from 67.1 to 28.0 at 12 months (P<.01). At 12 months, 79.7% of patients reported that leakage was better or much better, and 90.2% reported that they were somewhat or completely satisfied with their progress. Results were maintained throughout the 48-month follow-up period. CONCLUSION: The CFL sling procedure has an enduring beneficial effect on lower urinary tract symptoms and quality of life.

Adult↗
PubMed2004

Impact of menopause on collagen subtypes in the arcus tendineous fasciae pelvis.

OBJECTIVE: The arcus tendineous fasciae pelvis (ATFP) provides support to the anterior vagina. The objective of this study was to determine the impact of menopause on the structural components of the ATFP. STUDY DESIGN: Biopsy specimens of the ATFP were obtained from 10 premenopausal, 5 postmenopausal, and 12 postmenopausal women on hormone therapy. Scanning confocal microscopy of fluorescent micrographs was used to define the amount of collagen subtypes, smooth muscle, and elastin. Collagen fiber orientation was determined by scanning electron microscopy. RESULTS: The ATFP is comprised primarily of parallel bundles of type III collagen fibers (84%), an intermediate amount of elastin (13%), and very little smooth muscle. The ratio of collagen I/(III+V) was decreased in postmenopausal not on hormones relative to premenopausal women (P=.04) due to a 75% decrease in collagen I (P=.046). The decrease in collagen I and change in collagen ratios was not present in women on hormone therapy. Comparison of the amounts of elastin and smooth muscle showed no difference in the ATFP of premenopausal and postmenopausal women. CONCLUSION: Menopause in the absence of hormone therapy is associated with a decrease in quantity of collagen I in the ATFP resulting in a decrease in the ratio of collagen I/(III+V). This may compromise the tensile strength and an increase susceptibility to anterior vaginal wall prolapse.

Adult↗
PubMed2005

The distance between the perceived and the actual arcus tendineus fascia pelvis during vaginal paravaginal repair.

OBJECTIVE: This study was undertaken to determine whether the arcus tendineus fascia pelvis (ATFP) can be accurately identified from the paravaginal space (PVS) without entering the retropubic space (RPS). STUDY DESIGN: Eight patients undergoing vaginal paravaginal repair were enrolled. The paravaginal dissection was completed to the most cephalad portion of the PVS without entering the RPS. The apex of each PVS was stained with methylene blue. The RPS was entered, the ATFP visualized, and 4 sutures were placed along its length to be used for the repair. The perpendicular distance between each suture and the most cephalad area of stain was measured. RESULTS: The mean distance from the perceived to actual ATFP at each suture point (1-4) was 3.5 cm, 2.75 cm, 2.0 cm, and 0.91 cm, respectively. CONCLUSION: In these 8 cases, the RPS had to be entered to accurately identify the ATFP. The degree of error increases as the ischial spine is approached (P < .001).

Adult↗
PubMed2005

[Fascia iliaca block for femoral bone fractures in prehospital medicine].

OBJECTIVE: The aim of this study was to assess the feasibility and efficacy of fascia iliaca compartment bloc (FIB) in prehospital care performed by emergency physicians. STUDY DESIGN: Prospective observational study. PATIENTS AND METHODS: Fifty-two patients victim of a femoral bone fracture were included consecutively. All FIB had been performed by emergency physicians trained to the technique. Lidocaine 1.5% with epinephrine has been used. Block efficacy was assessed by testing sensitive block in the anterior, lateral and medial part of the thigh. Pain levels were noted using a simplified numeric scale (SNS). RESULTS: No complete was reported. Ninety-four percent of blocks were successful. SNS values significantly decrease 10 minutes after block performance. CONCLUSION: Emergency medicine physicians trained to the technique can perform FIB with a high success rate.

Aged↗
PubMed2005

Using fascia lata to treat infective aortic false aneurysm.

In patients with infective aortic false aneurysms, repair using artificial materials is in danger of becoming an additional focus for infection. We used harvested autologous fascia lata as a vascular patch in such operations on 2 patients with infected mediastinal false aneurysm after coronary artery bypass surgery. These patients have not had any recurrences of mediastinitis and false aneurysm for 4 to 6 years after the operations.

Aged↗
PubMed2006

Modified tensor fascia lata musculofasciocutaneous flap for the coverage of trochanteric pressure sores.

The method most frequently used for the coverage of trochanteric pressure sores is the tensor fascia lata (TFL) flap. The authors introduce a new, hatchet-shaped incision strategy for the TFL flap, which preserves the safe blood supply of the flap and keeps the flap mobile enough. The part of the flap including the muscle is adapted to the greater trochanter. This provides a good aesthetic result without dog-ear formation at the rotation point of the flap. The donor site is closed in a V-Y fashion, and the closure does not require any skin grafting or designing a local flap. The TFL hatchet flap was used nine times on eight patients to cover trochanteric pressure sores. With one exception all patients healed. No recurrence was observed during the follow-up period, and no contour difference developed on the lateral aspect of the thigh.

Adult↗
PubMed2005

Pathologic conditions of the plantar fascia.

Plantar heel pain in adults is commonly seen in the office of the podiatric foot and ankle specialist. These symptoms may have developed acutely or over a period of time. Often the plantar fascia is the source of the pain, which is caused by a traumatic event or a biomechanical flaw. It is imperative that the podiatric physician understands the multiple causes of plantar foot pain and is able to differentiate the multiple causes of heel pain to confirm a specific diagnosis and formulate a proper treatment plan. A thorough history and physical examination are necessary to obtain this information, and diagnostic procedures are sometimes needed.

Animals↗
PubMed2006

The galea fascia flap in orbital reconstruction: innovative harvest technique.

AIM: To report the treatment of a recurrent adenoid-cystic carcinoma of the lacrimal gland required orbital exenteration with an en bloc resection of the lateral orbital rim and wall and an anterior portion of the temporal muscle. Reconstruction was planned with both the objectives of a shortened healing time for faster epithetic reconstruction and no visible scars. METHOD: After a cranially extended temporal approach, the dissection of the superficial galea layer was connected with the subcutaneous dissection of the upper and lower eyelid after subciliary incisions. RESULTS: Ample exposure of the temporal, frontal and orbital region was obtained, facilitating the orbital exenteration with en bloc resection of the lateral orbital rim and wall and the anterior portion of the temporal muscle. The epithelialization of the eye socket covered with the galea fascia flap was accelerated, providing faster epithetic reconstruction, without visible scars. CONCLUSIONS: Healing time is accelerated, providing faster epithetic rehabilitation without visible scars, which is important in the postoperative rehabilitation ladder after eye exenteration for both patient and surgeon. Further more ablative surgery within this region gets safer and easier due to the ample exposure of this innovative surgical technique. Further evaluation of the effectiveness and safety of this new approach is advisable.

Carcinoma, Adenoid Cystic↗
PubMed2006

Modified superficial parotidectomy: preserving both the great auricular nerve and the parotid gland fascia.

OBJECTIVE: To reduce the incidence of sensory deficits and Frey's syndrome by modifying the traditional superficial parotidectomy. STUDY DESIGN: After raising the skin flap, the parotid gland fascia (PGF) was elevated to form a posterior pedicle fascial flap and then was replaced after the gland removal. The great auricular nerve (GAN) that runs within the PGF was not separated, so both the GAN and the PGF were preserved. Before this modification, the GAN and PGF were examined anatomically. The complication rates in the modified and control groups were compared. RESULTS: 1) The GAN, which runs within the thick and pycnotic PGF, trifurcates into postauricular, preauricular and lobule branches. The modification could be carried out practically based on the anatomy study. 2) Long-term sensory deficit was encountered in 13.3% of the control group, but 0% in the modified one. Frey's syndrome was suffered by 66.7% and 16.7% cases in the control and modified group respectively. The incidence of other complications was not significantly different. CONCLUSION: Our modification is practical. It decreases the complications significantly. EBM RATING: B-3b.

Adenoma, Pleomorphic↗
PubMed2004

Transvaginal surgery in the octogenarian using cadaveric fascia for pelvic prolapse and stress incontinence: minimal one-year results compared to younger patients.

OBJECTIVES: To evaluate prospectively our transvaginal surgery experience in octogenarian women and compare the results with those in younger patients. As our population has aged, the treatment of incontinence and prolapse in women older than 80 years, known as octogenarians, has become a significant clinical issue. METHODS: To date, our prospective database includes 455 women who have undergone transvaginal sling surgery using nonfrozen cadaveric fascia lata with or without concurrent prolapse repair. Of these, 51 (11%) were at least 80 years old at surgery. Complete follow-up was defined as pelvic examination findings, validated questionnaire responses (incontinence and quality of life), and SEAPI (Stress, Emptying, Anatomy, Protection, and Instability) score. The outcomes analysis was focused on the 31 octogenarian women with a minimum of 1 year of complete follow-up and compared their data with the data of 234 younger women with an identical minimal follow-up time. RESULTS: The mean octogenarian age was 83 years (maximal age 93). The mean octogenarian questionnaire and examination follow-up was administered at 21.4 months and 17.5 months, respectively. Of the 31 octogenarians, 17 (55%) reported continence improvement of greater than 70%, and 28 (90%) had no symptomatic recurrent prolapse. Compared with younger patients, no statistically significant difference in outcome parameters was identified. The rates of persistent urgency and urgency in dissatisfied patients were greater in octogenarian women, but did not reach statistical significance. Statistically significant improvement in the octogenarian quality-of-life measures was demonstrated. No perioperative complications occurred. CONCLUSIONS: Transvaginal incontinence and/or prolapse surgery may be safely performed in octogenarian women, with resultant improvement in quality-of-life measures. Although outcomes after transvaginal surgery were comparable between octogenarian and younger women, persistent urgency may predict dissatisfaction in the octogenarian population.

Age Factors↗