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At least 793 records · Page 44Linked to original sources
PubMed1982

Results in treating 88 cases of recurrent urinary stress incontinence with the Oxford fascia lata sling procedure.

Eighty-eight consecutive fascia lata sling procedures were performed for recurrent urinary stress incontinence. The cure rate was 88.6%. Ten patients were not cured (although six of these were improved) and three failures to cure were sling failures occurring in the first 25 cases. The other seven failures to cure were due to detrusor overactivity. The only significant complication was delayed successful voiding.

Fascia Lata↗
PubMed1990

Blepharoptosis repair by fascia lata suspension with direct tarsal and frontalis fixation.

Nine patients with blepharoptosis and no levator palpebrae superioris muscle function were treated by fixating irradiated fascia lata to the tarsus and frontalis muscles under direct visualization. No recurrences were noted on follow-up, which ranged from four to 24 months. There were no postoperative infections or granuloma reactions. Cosmetically, the height, contour, and symmetry of the eyelid margin and eyelid crease were predictable and satisfactory. This modified method of frontalis suspension may provide a more predictable and cosmetically pleasing result in the treatment of blepharoptosis when minimal or no levator muscle function is present.

Adolescent↗
PubMed1998

The biomechanical properties of fascia lata grafts: a preliminary study.

The mechanical properties of fascia lata in the form of a sheet and as a tubulised structure have been determined. The stiffness of the sheet was 3.3 +/- 0.58 N/mm and the stiffness of the tube was 6.2 +/- 1.06 N/mm. The ultimate tensile strength of the tube was 35.7 +/- 14.1 N.

Biomechanical Phenomena↗
PubMed1991

Expanding contractures of the tunica albuginea due to Peyronie's disease with temporalis fascia free grafts.

We describe a procedure to expand contractures of the tunica albuginea by multiple full thickness relaxing incisions followed by inlay of tailored temporalis fascia free grafts. This technique is performed without resection of the tunica albuginea, although in the case of calcified plaques the calcifications themselves are removed, preserving the overlying tunica. Between September 1988 and February 1990, 12 patients have undergone this procedure, all of whom have greater than 3 months of followup and have experienced spontaneous erections within the first week postoperatively. Of the patients 11 resumed intercourse within 8 weeks of surgery and 1 required 12 weeks. No patient had sensory loss postoperatively and there has been no donor site morbidity. Correction of curvature was accomplished in all patients and there have been no recurrences within a maximal followup of 22 months. Within the limitations of such a small study we believe that there is evidence supporting this approach in potent patients with severe acquired penile curvature.

Fascia↗
PubMed2002

Use of cadaveric fascia lata for closure of bladder exstrophy with diplomyelia.

We describe a technique for the repair of bladder exstrophy using cadaveric fascia lata. The graft is folded in a four-layer configuration, passed through the obturator foramina, and then wrapped and anchored in front of the pubis. The resultant ring-shaped graft is useful when complex deformities preclude proper apposition of the pelvis anteriorly.

Abnormalities, Multiple↗
PubMed2005

[Repair of exposed hydroxyapatite implants using temporalis fascia: four case reports].

Using hydroxyapatite porous implants improves the functional and cosmetic results for patients after evisceration. However, exposure is still the most frequent complication and requires various surgical treatments. We present four patients who had an autologous temporalis fascia graft for an exposed hydroxyapatite implant 6 months to 5 years after the first evisceration. Mean follow-up was 17 months. We describe our surgical procedure and its results, and we discuss its advantages and its place in the management of exposed porous implants.

Aged↗
PubMed1986

Fascia patch graft for a digital flexor sheath defect over primary tendon repair in the chicken.

The histologic appearance of 14 chicken flexor tendon repair sites with a defect in the tendon sheath was compared with 14 covered by fascia patch grafts. Half the animals (seven with and seven without the patch) were studied 3 weeks after surgery and the other half 8 weeks after surgery. The qualitative microscopic examination showed that the area of healing was better organized with less restrictive-appearing adhesions when the sheath defect was grafted.

Animals↗
PubMed1988

Entrapment neuropathy of the palmar cutaneous branch of the median nerve by the fascia of flexor digitorum superficialis.

A case of thenar numbness, with concomitant carpal tunnel syndrome is presented. Physical findings and the result of injection of a local anesthetic into two different sites of tenderness suggested coexistence of entrapment and/or compression of the palmar cutaneous branch of the median nerve and the main trunk of the median nerve at the carpal tunnel. At operation, constriction of the palmar cutaneous branch of the median nerve by the fascia of seemingly normal flexor digitorum superficialis was observed beneath the site of maximum tenderness. After decompression of this nerve, combined with carpal tunnel release, the patient lost all pain and numbness; there was no recurrence at 5 months follow-up.

Adult↗
PubMed2000

Endoscopic plantar fascia release.

An anatomic exploration showed that reliable landmarks could allow a safe division of the plantar fascia. The reference line was the posterior border of the medial malleolus, 1 cm from the plantar skin. A clinical study on 53 patients (65 feet) showed that, at follow-up of over 2 years, the procedure effectively relieved heel pain in 89% of patients, morning stiffness in 92%, and allowed 71% to return to unrestricted sports activity. There were 2 complications with lateral heel pain. Patients must be properly selected, and must have had the full range of conservative treatment. Symptoms should have been intractable for approximately 1 year. In this group, good results can be expected with minimum short-term morbidity.

Adult↗
PubMed1993

Anterior cruciate ligament fascia lata allograft reconstruction: progressive histologic changes toward maturity.

Biopsy samples were obtained arthroscopically from 21 patients who had undergone anterior cruciate ligament (ACL) reconstruction using rolled, freeze-dried fascia lata allograft in order to evaluate progressive histologic changes toward maturation. The study period was 3-20 months postoperation. The mean age (+/- SEM) was 31.9 +/- 10.3. Histomorphometry was used for quantitative evaluation. Arthroscopic examination showed fully synovialized allografts in all patients. Varying degrees of degenerative tissues were observed histologically. There was a significant, direct correlation between the percentage of polarized tissue and the maturity of the biopsy specimen (r = 0.9; p < 0.04). The mean area of polarization in the postrehabilitation period (10-20 months) was significantly higher (p < 0.01) than in the rehabilitation period (3-20 months). Overall, there was a progressive decrease in cellularity and vascularity as the allograft matured. Compared with the biopsy samples of normal ACLs, the allograft was still undergoing maturation 20 months postoperatively.

Adolescent↗
PubMed2002

Cadaveric fascia lata pubovaginal slings: early results on safety, efficacy and patient satisfaction.

OBJECTIVE: To prospectively evaluate and quantify the efficacy of cadaveric fascia lata (CFL) as an allograft material in pubovaginal sling placement to treat stress urinary incontinence (SUI). PATIENTS AND METHODS: Thirty-one women with SUI (25 type II and six type III; mean age 63 years, range 40-75) had a CFL pubovaginal sling placed transvaginally. The operative time, blood loss, surgical complications and mean hospital stay were all documented. Before and at 4 months and 1 year after surgery each patient completed a 3-day voiding diary and validated voiding questionnaires (functional inquiry into voiding habits, Urogenital Distress Inventory and Incontinence Impact Questionnaire, including visual analogue scales). RESULTS: The mean (range) operative time was 71 (50-120) min, blood loss 78.7 (20-250) mL and hospital stay 1.2 (1-2) days; there were no surgical complications. Over the mean follow-up of 13.5 months, complete resolution of SUI was reported by 29 (93%) patients. Overactive bladder symptoms were present in 23 (74%) patients before surgery, 21 (68%) at 4 months and two (6%) at 1 year; 80% of patients with low (< 15 cmH2O) voiding pressures before surgery required self-catheterization afterward, as did 36% at 4 months, but only one (3%) at 1 year. Twenty-four (77%) patients needed to adopt specific postures to facilitate voiding. After surgery there was a significant reduction in daytime frequency, leakage episodes and pad use (P < 0.05). The severity of leak and storage symptoms was also significantly less (P < 0.002), whilst the severity of obstructive symptoms remained unchanged. Mean subjective levels of improvement were 69% at 4 months and 85% at 1 year, with corresponding objective satisfaction levels of 61% and 69%, respectively. At 1 year, approximately 80% of the patients said they would undergo the procedure again and/or recommend it to a friend. CONCLUSION: Placing a pubovaginal sling of CFL allograft is a highly effective, safe surgical approach for resolving SUI, with a short operative time and rapid recovery. Storage symptoms are significantly improved, and subjective improvement and satisfaction rates are high.

Adult↗
PubMed2003

Reconstruction of the replanted hand with latissimus dorsi muscle and serratus anterior fascia combined flap.

Reconstruction with the latissimus dorsi muscle flap, combined with the serratus anterior fascia flap, was performed to cover two large and separate palmar and dorsal forearm skin defects in a patient, whose hand had been replanted 20 days earlier after traumatic amputation at the distal forearm level. As a result, a total forearm amputation was salvaged by microsurgical replantation and a free combined flap of the subscapular system. This new application of the combined flap allowed the reconstruction of large and separate wounds of the replanted hand, and provided gliding surfaces for tendons.

Adult↗
PubMed2005

[Sonoanatomy of the muscles and fascia spaces of the pectoral regions].

BACKGROUND: Aim of the study was to work out a reliable method for the ultrasonographic evaluation of the pectoral region. METHODS: The study was performed in 20 cadaver specimens and 20 healthy volunteers as well as in 10 patients with disorders of the pectoral region. RESULTS: For examination of the pectoralis major muscle, the landmark for the positioning of the ultrasound transducer was found to be the lateral border of the anterior axillary fold in the direction of the tip of the coracoid process. Tilting the probe medially, the fibres of the pectoralis major muscle become visible in longitudinal alignment. The main part of the clavicular portion of the pectoralis major muscle can be visualised by moving the probe parallel to this position. Tilting the probe downwards, both the internal part of the clavicular portion, the sterno-costal and the abdominal portion are evaluated. For examination of the pectoralis minor muscle, the probe is positioned between the tip of the coracoid process and the sternal angle. Thus the whole muscle can be examined with a single sweep of the transducer. In all the specimens, probands and patients of our group, both muscle, fascias and pathological lesions could be clearly depicted. SUMMARY: Based on the introduction of standard examination planes, the pectoral region can be evaluated in detail using ultrasonography. Lesions and pathologic changes can be reliably appointed to individual anatomical structures.

Fascia↗