What Types of Abdominal Wall Defects Are There?

Discussion Abdominal wall defects are common in pediatric and adult patients. Pediatric patients not surprisingly have more congenital defects and adults have more that are spontaneously acquired and some are due to surgeries. Adults often have more complications of their defects also. Defects are usually classified by location. Learning Point Types of abdominal wall defects include: Congenital or Spontaneous Epigastric Rectus muscles fail to approximate at the linea alba between the umbilicus and xyphoid process. Usually presents as painless bulge Occurs to 5% of children Incarceration is uncommon in children but much more common in adults Usually repaired Umbilical hernia Umbilicus fails to close in first weeks of infancy Occurs in 10-20% of children Usually close by 2-3 years Incarceration and strangulation are rare in children but more common in adults. Repair usually around 3-5 years For more information about umbilical hernias, click here. For a differential diagnosis of umbilical masses, click here. Groin hernia – inguinal and femoral hernias Inguinal hernias occurs in about 1-5% of infants and femoral hernias occur in 10 years) Problems include incarceration and complicating activities of daily living and cosmesis Most need repair Parastomal hernia Failure to heal(gastroschisis) after creation of the abdominal stoma. Presents as a bulge at site Most need repair Other Lumbar hernia Technically outside the abdomen but is usually classified as an abdomin...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Publication date: Available online 15 December 2018Source: Life SciencesAuthor(s): Julia Modesto Vicente, Caio Jordão Teixeira, Junia Carolina Santos-Silva, Dailson Nogueira de Souza, Natália Tobar, Fabiola Sales Furtuoso, Isabel Gouveia Adabo, Frhancielly Shirley Sodré, Gilson Murata, Silvana Bordin, Gabriel Forato AnhêAbstractAimsThe present investigation evaluated whether pregnancy followed by lactation exerts long-term impacts on maternal hepatic lipid metabolism.Main methodsFemale mice were subjected to two pregnancies, after which they were either allowed to breastfeed their pups for 21 d...
Source: Life Sciences - Category: Biology Source Type: research
Publication date: Available online 15 December 2018Source: European Polymer JournalAuthor(s): Abhishek Gupta, Marek Kowalczuk, Wayne Heaselgrave, Stephen T. Britland, Claire Martin, Iza RadeckaAbstractWound treatment has increased in importance in the wound care sector due to the pervasiveness of chronic wounds in the high-risk population including, but not limited to, geriatric population, immunocompromised and obese patients. Furthermore, the number of people diagnosed with diabetes is rapidly growing. According to the World Health Organization (WHO), the global diabetic occurrence has increased from 4.7% in 1980 to 8.5%...
Source: European Polymer Journal - Category: Chemistry Source Type: research
Publication date: Available online 16 December 2018Source: Respiratory Medicine Case ReportsAuthor(s): Ryota Otoshi, Hideaki Yamakawa, Tamiko Takemura, Takuma Katano, Naoto Aiko, Goushi Matama, Kohsuke Isomoto, Tomohisa Baba, Eri Hagiwara, Takashi OguraAbstractA 66-year-old man, an ex-smoker, was referred to our hospital for slightly progressive respiratory symptoms of cough and dyspnea on exertion and chest abnormal shadow. Chest high-resolution computed tomography showed wide-ranging ground-glass attenuation and reticulation with lower lobe predominance. Bronchoalveolar lavage (BAL) fluid revealed a marked increase in ly...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Authors: Allon R, Levy Y, Lavi I, Kramer A, Barzilai M, Wollstein R Abstract BACKGROUND: Because fragility fractures have an enormous impact on the practice of medicine and global health systems, effective screening is imperative. Currently, dual-energy X-ray absorptiometry (DXA), which has limited ability to predict fractures, is being used. We evaluated the current literature for a method that may constitute a better screening method to predict fragility fractures. A systematic review of the literature was conducted on computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound to evaluate screenin...
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
CONCLUSIONS: These observations suggest that BDNF Val66met-SNP has no detectable effect on the peripheral neuropathy that is induced by paclitaxel. The significance of BDNF Val66Met-SNP in pre-existing peripheral neuropathy-related conditions, such as diabetes, should be further investigated. PMID: 30550003 [PubMed - in process]
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
PARACETAMOL and ibuprofen are both used for treating pain and fever, proving particularly helpful in the case of a hangover. But can you take both together - is this more effective or is it in fact dangerous?
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
In this study, we found that TNF-α resulted in an impairment of autophagic flux in microglia. Concomitantly, an increase of M1 marker expression and reduction of M2 marker expression were observed in TNF-α challenged microglia. Upregulation of autophagy via serum deprivation or pharmacologic activators (rapamycin and resveratrol) promoted microglia polarization toward M2 phenotype, as evidenced by suppressed M1 and elevated M2 gene expression, while inhibition of autophagy with 3-MA or Atg5 siRNA consistently aggravated the M1 polarization induced by TNF-α. Moreover, Atg5 knockdown alone was suffic...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Conclusion: Higher NLR in patients with Bell's palsy was associated with longer recovery time. NLR may be prognostic of recovery time in patients with Bell's palsy. PMID: 30545211 [PubMed - as supplied by publisher]
Source: Clinical and Experimental Otorhinolaryngology - Category: ENT & OMF Tags: Clin Exp Otorhinolaryngol Source Type: research
Authors: Rezaei M, Jamshidi S, Saffarpour A, Ashouri M, Rahbarghazi R, Rokn AR, Motahari P Abstract Appropriate regeneration of periodontal tissues is the primary purpose of periodontal disease treatment. The present study assessed the impact of three key regenerative elements-platelet-rich plasma (PRP), canine bone marrow mesenchymal stem cells (cBM-MSCs), and fibrin glue-on periodontal regeneration. In each of the study's five dogs, Class II furcation defects were established on the buccal surface of five teeth. One tooth (five total) from each dog was placed into one of five groups: (1) PRP + fibrin glue, (2) PR...
Source: International Journal of Periodontics and Restorative Dentistry - Category: Dentistry Tags: Int J Periodontics Restorative Dent Source Type: research
The objective of this systematic review was to search for scientific evidence regarding the impact of periodontal therapy on serum levels of interleukin 6 (IL-6) in type 2 diabetics. A survey was conducted in five databases. Two researchers read titles and abstracts for initial selection and full text for inclusion. Data extraction and methodological quality assessment were performed. Four hundred and fifty-five studies were identified and 15 were included. Significant divergence on the effect of periodontal intervention on IL-6 levels in diabetics was observed among studies. The evaluation results of studies that controll...
Source: International Journal of Periodontics and Restorative Dentistry - Category: Dentistry Tags: Int J Periodontics Restorative Dent Source Type: research
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