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At least 883 records · Page 49Linked to original sources
PubMed2002

[Vulvar reconstruction with myocutaneous flaps from musculus tensor fasciae latae after block-resection for vulvar cancer].

Up-to date treatment of oncological diseases, in particular the vulvar cancer, leads to increasing of survival, in which to the foreground outlines not only the physical health but as well better social adaptation, sexual and adequate mental life of patients. Reconstructive surgery takes place in the oncological practice more and more. For vulvar reconstruction after operative treatment can be used cutaneous flaps and grafts, skin-fascial and myocutaneous flaps. The autors present their experience by describing in details the technique of vulvar reconstruction by myocutaneous flaps from m. tensor fasciae latae. It helps for eliminating the negative results of enlarged operative therapy.

Adult↗
PubMed2003

[Reconstruction of anterior cruciate ligament using bone-patellar tendon-borne graft or fascia lata graft. A retrospective study of functional results].

INTRODUCTION: The purpose of this study was to compare the functional results using two different types of reconstruction of the anterior cruciate ligament. MATERIAL AND METHODS: A retrospective comparison of 34 patients operated with a fascia lata graft and 26 patients operated with a bone-patellar tendon-bone graft. The patients were evaluated twice with a postoperative Lysholm score, a preoperative and postoperative Tegner score, and a postoperative knee-laxity test. RESULTS: The Lysholm scores after the first (P = 0.07) and second (P = 0.29) postoperative control showed no difference between the two groups. There was no difference between the preoperative and postoperative Tegner scores of the two groups (P = 0.42). A total of 27 patients out of 60 practiced sports or had knee-straining work postoperatively at the same level as preoperatively. No difference was found between the two groups when comparing the knee-laxity tests (P = 0.12). DISCUSSION: This study did not find any difference in the final functional results when comparing the two operation techniques. Almost half of the patients can expect a return to sports at a preinjury level.

Adolescent↗
PubMed2001

Cytokine manipulation of explanted Dupuytren's affected human palmar fascia.

INTRODUCTION: Dupuytren's disease plagues human hands and digits producing fibrotic nodules and fascial cords with resultant debilitating flexion contracture deformities. Interest in this condition is great but because the disease is specific to humans and study has been hampered by the lack of an in vivo model. By utilizing an in vivo "nude" rat model it is possible to maintain and study explanted Dupuytren's contracted palmar fascia for prolonged periods of time. MATERIALS AND METHODS: Human specimens were divided into four, one for in vitro analysis, and three for model explantation. The explanted tissue was perfused with either transforming growth factor beta-2 (TGFbeta2), its antibody, or a control vehicle. Explant biopsies were obtained at 30 and 60 days and compared to tissue prior to explantation. Immunohistochemistry of collagen I and III, DNA synthesis, protein production, and fibroblast kinetics were serially determined. RESULTS: Perfusion of explanted Dupuytren's tissue by TGFbeta2 upregulated collagen I and III from biopsies obtained from the explants at 30 days when compared to vehicle control (P < 0.001). Perfusion with antibody prevented this upregulation when compared to vehicle control (P < 0.001). Cell cultures derived from fibroblasts obtained from biopsies of the explants perfused with TGFbeta2 increased DNA synthesis, protein production and fibroblast kinetics. CONCLUSION: These findings paralleled those from other fibroproliferative disorders suggesting a role for TGFbeta2 in the pathogenesis of Dupuytren's contracture as well as possible novel treatment approaches.

Analysis of Variance↗
PubMed1992

[Mechanical properties of tissue generated as a result of fascia lata grafted into an articular cartilage defect of the knee joint (experimental observations)].

In 64 sheep knees crushing strength and elastic recovery of the tissue generated on the basis of fascia lata grafted into articular cartilage defect in the knee after active motion and load has been assessed. The newly generated tissue is characterized by increasing in time thickness, deformability and elastic recovery the greater the deeper the defect was. Primarily, the new tissue is able to carry smaller loads but after 26 weeks is capable of carrying much greater loads then the cartilage; it has also better plastic and elastic properties.

Animals↗
PubMed2004

[Results of myringoplasty and type I tympanoplasty with the use of fascia, cartilage and perichondrium grafts].

Since the publication of Miodoński, Zollner and Wullstein different methods and grafting materials have been promoted in tympanoplasty. The purpose of this study was to demonstrate the anatomical and functional results of tympanoplasty in comparison with the material used. The studies included a selected group of 142 patients who were operated on because of perforation of tympanic membrane. The analysed group consisted of 112 patients when perichondrium and cartilage were used to reconstruct the tympanic membrane. The comparison group consisted of 30 patients when fascia of the musculus temporalis was used to close a defect of the eardrum. In all cases before and after operation there was made tonal audiometry with indication for air and bone conduction within range from 500 to 4000 Hz, verbal audiometry after operation with indication of speech detection and speech reception threshold using mono-syllable NLA-93 test, tympanometry after operation and evaluation of anatomical results after surgery. The comparison of operation results showed that there was no significant difference between the two groups.

Adolescent↗
PubMed2005

The use of hydroxyapatite cement and a pericranial/deep temporal fascia graft for cranioplastic reconstruction of translabyrinthine craniectomy defects.

Most translabyrinthine temporal bone defects are reconstructed with free abdominal fat grafts, with or without the use of hydroxyapatite cement. However, these procedures are associated with considerable morbidity at the graft donor site, with a 6 to 15% incidence of cerebrospinal fluid (CSF) leaks, and with postoperative headaches. We have developed a new technique for reconstructive cranioplasty that involves the use of hydroxyapatite cement and a pericranial/deep temporal fascia graft. This technique obviates the need for an abdominal fat graft and therefore circumvents the morbidity associated with it; it may also significantly reduce the incidence of CSF leaks and postoperative headaches. We describe the results of our use of this technique in a series of 10 patients. Based on our early findings, we believe that this technique holds great promise for reconstructive cranioplasty following translabyrinthine craniectomy.

Adult↗
PubMed2004

[Comparative study of tension-free vaginal tape and fascia lata for stress urinary incontinence].

OBJECTIVE: To compare the efficacy of surgically managing stress urinary incontinence (SUI) with tension-free vaginal tape (TVT) and autologous fascia lata pubovaginal sling (Lata). METHODS: Sixty-seven patients suffering from SUI entered this prospective study. The patients were divided into two groups randomly, 48 in TVT group and 19 in Lata group. The average follow-up time post-operation was 20 months in TVT group and 37 months in Lata group. RESULTS: The operating time was (27 +/- 5) min in TVT and (125 +/- 13) min in Lata. The volume of blood loss during surgery was: (27 +/- 6) ml in TVT and (67 +/- 11) ml in Lata. The post-operative recovery period in the hospital was: TVT, 1.8 days and Lata, 7.2 days. The differences between the two groups for these three parameters were statistically significant (P < 0.01). The 3-month cure rate post-operations was 94% (45/48) for TVT and 95% (18/19) for Lata. The surgical complications included 1 case of vesical perforation and 2 cases of overactive bladder in TVT group. CONCLUSIONS: TVT and Lata are both effective and safe surgical treatments for stress urinary incontinence. TVT has the benefits of being minimally invasive with a shorter operating time and a quicker recovery for the patients. A disadvantage is that the tape used in TVT is expensive, making the operation rather costly. Lata on the other hand is cheaper and may result in fewer complications, but the operation is not as easy for the patient.

Aged↗
PubMed2005

[Surgery of ventral hernia using fascia lata graft].

Severe intraabdominal sepsis sometimes recquires very aggressive surgery with repeated surgical revisions of abdominal cavity. This often leads to large ventral hernia. The authors present one of the possibilities of surgical management of the hernia using fascia lata graft. This method is easy to perform and cost effective because of autologous material, which is most ideal from the point of biological view.

Abdominal Wall↗
PubMed2005

Sonographic assisted diagnosis and treatment of bilateral gastrocnemius tendon rupture in a Labrador retriever repaired with fascia lata and polypropylene mesh.

This case report describes a four-year-old, eighty-five pound, male neutered Labrador retriever that was admitted with unilateral lameness and clinical findings consistent with a unilateral gostrocnemius tendon rupture. A prior history of trauma was not identified. Ultrasonagraphic evaluation revealed bilateral gastrocnemius tendon defects in which approximately 80% of the tendon was ruptured on the clinically normal side, yet mechanical function and anatomical length were not apparently altered. Bilateral surgical repair was performed utilizing primary tendon reconstruction, supported by fascia lata, autograft and polypropylene mesh. The repairs were protected with rigid costs for two weeks following surgery, and replaced with orthotics through the complete recovery period. Orthotics provided semi-rigid support and allowed removal for controlled intermittent physical therapy. This surgical repair technique, combined with orthotic support, allowed for early mobilization and good ultimate outcome for a complicated bilateral condition.

Animals↗
PubMedDate not supplied

Effects of basic fibroblast growth factor and phenytoin on healing of abdominal wall fascia and colonic anastomoses.

The aim of this study was to investigate the effects of basic fibroblast growth factor (bFGF) and phenytoin on wound healing in rats compromised by methylprednisone. This study was conducted in four groups consisting of 20 male Wistar rats. Rats in groups 2, 3, and 4 had a daily injection of methylprednisolone 5 mg/kg/day for 15 days. Laparotomy and sigmoid transsection were performed on day 15. In the postoperative period, rats in group 1 received no medication, group 2 received methylprednisolone 5 mg/kg/day intramuscularly, group 3 received bFGF 5 microg/kg on days 1-3 subcutaneously, and group 4 received phenytoin 40 mg/kg/day intraperitoneally. bFGF and phenytoin had a positive effect on tensile strength, hydroxyproline content, and wound healing parameters in abdominal wall fascia. In colonic anastomosis, phenytoin corrected all parameters, but bFGF had no effect.

Abdominal Wall↗
PubMed1991

Chronic compartment syndrome caused by aberrant fascia in an aerobic walker.

The following is a case presentation of a 36-yr-old female athlete who presented with the symptoms and signs of chronic anterior compartment syndrome. Pre-exercise and post-exercise tissue pressure measurements revealed increased compartment pressures in both of her anterior leg compartments. Aberrant fascial bands overlying and compressing the anterior compartments were discovered at the time of surgery. Fasciotomies led to complete recovery and return to previous levels of athletic activity. This is the first report of aberrant fascia as a cause of chronic anterior compartment syndrome.

Adult↗
PubMed1990

Patch procedure: modified transvaginal fascia lata sling for recurrent or severe stress urinary incontinence.

Ten patients with either recurrent or severe stress urinary incontinence were treated with a new procedure, using a patch of fascia lata to support the bladder base and the urethra. Nine of the ten patients are objectively continent of urine 1-2 years postoperatively. When pre- and postoperative urodynamics were compared, we noted significant increases in urethral closure pressure, functional urethral length, and abdominal pressure transmission to the proximal urethra. Intraoperative and postoperative morbidity was minimal. The procedure is easily performed and requires no more expertise than does a transvaginal needle bladder neck suspension.

Adult↗
PubMed1988

[A case of advanced penile cancer treated with multimodal therapy--combination with tensor fascia lata myocutaneous flap].

A 40-year-old male with advanced penile cancer, whose left inguinal node was ulcerated at the time of initial presentation, underwent multimodal therapy. Four cycles of chemotherapy were given from September 20, 1984 to February 8, 1985. Partial penectomy and left ilioinguinal lymphadenectomy with removal of left groin ejaculation were performed on February 20, 1985, followed by right ilioinguinal lymphadenectomy on March 20, 1985. The skin defect of the left groin was covered with tensor fascia lata myocutaneous flap. The patient is alive with no evidence of disease 30 months after the surgery.

Adult↗
PubMed1989

[The temporalis muscle fascia flap for covering defects in the oropharynx. Report of 4 years experiences with 26 cases].

The temporalis muscle flap has proved its usefulness in the reconstruction of extensive oropharyngeal defects in the last 4 years in 26 patients. Although the functional qualities of the reconstructed area are not as superb as jejunal mucosa, due to a certain fibrosis of the muscle-fascia flap, much less surgical effort is required with this flap, since it is situated in the vicinity of the defect. Moreover, its short vascular pedicle guarantees the safe taking of the flap. The cosmetic alteration caused by the flattening of the temporal fossa is considerably attenuated with the replantation of the zygomatic arch. Especially in the multimorbide oropharyngeal cancer patient, the temporalis muscle flap with its reasonable surgical effort and its reliability represents a valuable alternative in the reconstruction of extensive defects.

Fascia↗
PubMed1989

Role of tensor fascia lata musculocutaneous flap in lymphedema of the lower extremity and external genitalia.

The tensor fascia lata (TFL) musculocutaneous flap has been used to cover raw areas resulting after block dissection of fungating cancerous glands in the groin. Postoperative lymphorrhea, a frequent serious problem after groin block dissection, was not seen. It was inferred that the TFL musculocutaneous flap absorbed lymph. This observation was used in treating patients with lymphedema of the lower extremity and genitalia. Groin block dissection was performed in 12 patients with tubercular and filarial lymphedema. By performing a groin block dissection, lymph was allowed to escape in the area of dissection and the TFL musculocutaneous flap absorbed the lymph. As a result a consistent reduction in the size and edema of the affected areas was noted. Wrinkling and suppleness of skin was seen in each patient within the first week. In 1 patient with congenital lymphedema, edema was restricted to the leg and foot. In this patient, groin block dissection was not performed. One end of the TFL musculocutaneous flap was transferred to the calf, and in second stage the proximal end with the whole flap was transferred to the back of the thigh and popliteal fossa. The TFL musculocutaneous flap here acted as a bridge between the area of congenital lymphedema (leg) and the area with normal lymphatic drainage (thigh).

Fascia Lata↗
PubMed1986

[Relation between neural structures possessing acetylcholinesterase activity and the hemomicrocirculatory bed of the fascia of the rat].

By means of Karnovsky--Roots method the nervous apparatus of the hemomicrocirculatory bed has been revealed in the subcutaneous muscle fascia possessing acetylcholinesterase (AChE) activity. Innervational peculiarities in some microvascular branches, bushy pattern of AChE-positive nervous structures have been stated, as well as their uneven distribution along the vessels.

Abdominal Muscles↗