Introduction Biosynthetic prosthesis has become the trend to carry out arterial reconstruction in infected sites since considered to be resistant to infection. Late graft occlusion is the only complication reported in literature so far. We report a case of biosynthetic graft infection which led to early detachment of the femoral anastomosis of a femoral-popliteal above-knee bypass. Material A...

This trial aimed to assess the value of MRI in the differential diagnosis of chronic groin pain in athletes, a condition caused by various pathologies, the most common being posterior abdominal wall deficiency, osteitis pubis and muscular imbalance. Nineteen subjects with clinically ruled-out hernia and recurrent episodes of exercise-triggered groin pain were assessed. Dynamic MRI was performed...

BACKGROUND Meaningful delays occurred in the Interventional Management of Stroke (IMS) III trial. Analysis of the work flow will identify factors contributing to the in-hospital delays. METHODS AND RESULTS In the endovascular arm of the IMS III trial, the following time intervals were calculated: stroke onset to emergency department arrival; emergency department to computed tomography (CT); C...

Br J Sports Med 2011;45:478–491. doi:10.1136/bjsm.2010.080937 478 Accepted 2 March 2011 ABSTRACT Background Valid, reliable and responsive Patient-Reported Outcome (PRO) questionnaires for young to middle-aged, physically active individuals with hip and groin pain are lacking. Objective To develop and validate a new PRO in accordance with the COnsensus-based Standards for the selection of healt...

Predrag MATIĆ Dedinje Cardiovascular Institute 1 Heroja Milana Tepića Street 11000 Belgrade Serbia [email protected] SUMMARY Introduction Infection of synthetic graft in the groin is a rare but devastating complication. When it occurs, several possibilities of treatment are available. Extra-anatomic reconstruction and in-situ implantation of new, infection resistant grafts are associated with ...

OBJECTIVES To compare the BD GeneOhm Methicillin Resistant Staphylococcus aureus (MRSA) Achromopeptidase (ACP) polymerase chain reaction (PCR) assay with the culture method for the detection of MRSA colonization. METHODS One hundred and two patients were admitted to the Intensive Care Unit in King Khalid Hospital, Najran, Kingdom of Saudi Arabia from July 2010 to February 2011. Separate swabs...

CASE REPORT A 73 year old man presented with loss of mobility, anorexia, weight loss and pain in the left hip. Recent investigation of altered bowel habit had shown extensive diverticular disease of the sigmoid colon. On examination he was cachectic, dehydrated and pyrexic. There was redness, increased temperature, swelling and crepitus in the left groin with fixed flexion deformity and painful...

BACKGROUND A systematic analysis was conducted of randomized controlled trials (RCTs) comparing lightweight mesh (LWM) with heavyweight mesh in laparoscopic inguinal hernia repair. METHODS Data extracted from the included RCTs were analyzed according to the principles of meta-analysis. RESULTS Eleven RCTs encompassing 2,189 patients were analyzed. In a fixed-effects model, operating time, p...

BACKGROUND There are many methods available for coverage of both the volar and dorsal hand surfaces in traumatic injury. All of these surgical procedures allow for ample coverage of the defect, but have the major drawback of needing multiple donor sites. In the present report, a case of a complex crush injury to the hand in which both volar and dorsal surfaces received traumatic injury is prese...

INTRODUCTION Synthetic mesh is the prosthetic material used for most inguinal hernioplasties. However, when left in contact with intra-abdominal viscera, it often becomes associated with infection and migration, particularly in irradiated tissues, contaminated fields, immunosuppressed individuals, and patients with intestinal obstruction or fistula. AlloDerm(®) Regenerative Tissue Matrix (LifeC...