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International Wound Journal Apr 2019The ideal treatment for patients who suffer from pilonidal sinus disease should lead to a cure with a rapid recovery period allowing a return to normal daily activities,... (Review)
Review
The ideal treatment for patients who suffer from pilonidal sinus disease should lead to a cure with a rapid recovery period allowing a return to normal daily activities, with a low level of associated morbidity. A variety of different surgical techniques have been described for the primary treatment of pilonidal sinus disease and current practice remains variable and contentious. Whilst some management options have improved outcomes for some patients, the complications of surgery, particularly related to wound healing, often remain worse than the primary disease. This clinical review aims to provide an update on the management options to guide clinicians involved in the care of patients who suffer from sacrococcygeal pilonidal sinus disease.
Topics: Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Neoplasm Recurrence, Local; Pilonidal Sinus; Practice Guidelines as Topic; Sacrococcygeal Region; Surgical Procedures, Operative; Wound Healing
PubMed: 30440104
DOI: 10.1111/iwj.13042 -
BioMed Research International 2017Caudal epidural block is a commonly used technique for surgical anesthesia in children and chronic pain management in adults. It is performed by inserting a needle... (Review)
Review
Caudal epidural block is a commonly used technique for surgical anesthesia in children and chronic pain management in adults. It is performed by inserting a needle through the sacral hiatus to gain entrance into the sacral epidural space. Using conventional blind technique, the failure rate of caudal epidural block in adults is high even in experienced hands. This high failure rate could be attributed to anatomic variations that make locating sacral hiatus difficult. With the advent of fluoroscopy and ultrasound in guiding needle placement, the success rate of caudal epidural block has been markedly improved. Although fluoroscopy is still considered the gold standard when performing caudal epidural injection, ultrasonography has been demonstrated to be highly effective in accurately guiding the needle entering the caudal epidural space and produce comparative treatment outcome as fluoroscopy. Except intravascular and intrathecal injection, ultrasonography could be as effective as fluoroscopy in preventing complications during caudal epidural injection. The relevant anatomy and techniques in performing the caudal epidural block will be briefly reviewed in this article.
Topics: Adult; Anesthesia, Caudal; Anesthesia, Epidural; Child; Epidural Space; Humans; Injections, Epidural; Low Back Pain; Sacrococcygeal Region; Sciatica; Ultrasonography
PubMed: 28337460
DOI: 10.1155/2017/9217145 -
Journal of Wound, Ostomy, and...The purpose of this systematic review was to identify and evaluate the use of prophylactic foam dressings for prevention of hospital-acquired pressure injuries (HAPIs).
PURPOSE
The purpose of this systematic review was to identify and evaluate the use of prophylactic foam dressings for prevention of hospital-acquired pressure injuries (HAPIs).
METHODS
A systematic review was conducted in accordance with the Preferred Reporting Items of Systematic Reviews and Meta-analysis Statement (PRISMA).
SEARCH STRATEGY
Four researchers independently conducted searches in Health Source, Cochrane of Systematic Reviews, CINAHL, and PubMed. Search terms included: "pressure* OR skin breakdown AND sacrum*"; "ICU patient* OR critical care patient*"; and "foam dressing OR prophylactic* or prevent*."
FINDINGS
The search identified 380 articles; 14 met eligibility criteria. The methodological quality of the included studies was variable. Findings from all studies included in our review support a decrease in HAPI incidence with use of sacral foam dressings.
IMPLICATIONS
Findings from this review suggest that prophylactic foam dressings decrease sacral HAPI occurrences in critical care patients. While additional research is needed, current best evidence supports use of prophylactic foam sacral dressings for patients at risk for HAPI.
Topics: Bandages; Hospitals; Humans; Incidence; Pressure; Pressure Ulcer; Sacrococcygeal Region; Wound Healing
PubMed: 33951710
DOI: 10.1097/WON.0000000000000762 -
African Journal of Paediatric Surgery :... 2022Rhabdomyosarcoma (RMS) is one of the common malignant soft-tissue sarcomas affecting children. It originates from the embryonic mesenchyme precursor of striated muscle...
Rhabdomyosarcoma (RMS) is one of the common malignant soft-tissue sarcomas affecting children. It originates from the embryonic mesenchyme precursor of striated muscle and is frequently seen in the head-and-neck region, genitourinary system and extremities. Occasionally, it arises from the retroperitoneum, biliary tract and abdomen and is rarely seen in the sacrococcygeal area. A 4-month-male child presented with a nodule over the sacrum. Based on histopathology and immunohistochemical marker studies, a final diagnosis of RMS was rendered. There was no evidence of any teratomatous elements.
Topics: Child; Humans; Male; Rhabdomyosarcoma; Sacrococcygeal Region; Soft Tissue Neoplasms; Teratoma
PubMed: 36018208
DOI: 10.4103/ajps.ajps_69_21 -
MMW Fortschritte Der Medizin Sep 2022
Review
Topics: Back Pain; Humans; Low Back Pain; Sacrococcygeal Region
PubMed: 36064923
DOI: 10.1007/s15006-022-1801-3 -
American Journal of Obstetrics and... Jul 2023
Topics: Female; Humans; Endometriosis; Sacrococcygeal Region; Laparoscopy
PubMed: 36641114
DOI: 10.1016/j.ajog.2023.01.009 -
European Urology Focus Jan 2018We reviewed the available studies on efficacy and safety of percutaneous tibial nerve stimulation (PTNS) and sacral nerve modulation (SNM) for overactive bladder (OAB)... (Comparative Study)
Comparative Study Review
UNLABELLED
We reviewed the available studies on efficacy and safety of percutaneous tibial nerve stimulation (PTNS) and sacral nerve modulation (SNM) for overactive bladder (OAB) symptoms not responsive to conservative treatments. We limited our search to randomized trials, in English, with at least 20 adult patients, and 6 mo and 12 wk of follow-up for SNM and PTNS, respectively, published between January 1998 and December 2017. Therapeutic success ranges from 61% to 90% for SNM and from 54% to 79% for PTNS. Both techniques are effective and safe, with no life-threatening adverse effects. PTNS is a less invasive technique that gives good results in short time with fewer side effects.
PATIENT SUMMARY
Sacral nerve modulation and percutaneous tibial nerve stimulation are effective and safe in patients with overactive bladder syndrome not responsive to standard medical therapy.
Topics: Adult; Female; Humans; Lower Urinary Tract Symptoms; Male; Neurotransmitter Agents; Randomized Controlled Trials as Topic; Sacrococcygeal Region; Tibial Nerve; Treatment Outcome; Urinary Bladder, Overactive
PubMed: 29773501
DOI: 10.1016/j.euf.2018.04.019 -
Medicine Dec 2022Sacrococcygeal teratomas (SCT) in adults are extremely rare, and most SCTs are located either mainly outside the pelvis, with a small number of intrapelvic components,... (Review)
Review
Sacrococcygeal teratomas (SCT) in adults are extremely rare, and most SCTs are located either mainly outside the pelvis, with a small number of intrapelvic components, or mostly in the pelvis (types III and IV). The etiology of teratomas remains unknown. Most teratomas are benign, and approximately 1 to 2% of teratomas undergo malignant transformation, including squamous cell carcinoma, adenocarcinoma, sarcoma, and other malignancies. Most SCTs grow insidiously, and their symptoms are not easily detected in the early stages. Some cases may only be discovered through physical examination or compression symptoms when the tumor reaches a detectable size. Computed tomography and magnetic resonance imaging have high detection rates for presacral space-occupying lesions and can provide imaging details with guiding significance for the selection of surgical methods. Surgical resection is the preferred treatment option for SCT and can determine the pathological type. Common sacrococcygeal malignancies are mainly immature teratomas and mature teratomas. When the presence of malignant components is confirmed, the treatment model should be adjusted according to pathological type.
Topics: Humans; Adult; Sacrococcygeal Region; Teratoma; Tomography, X-Ray Computed; Pelvic Neoplasms; Pelvis; Spinal Neoplasms
PubMed: 36596010
DOI: 10.1097/MD.0000000000032410 -
Neurosurgery Clinics of North America Jul 2018The indications for sacropelvic fixation continue to evolve with emerging instrumentation technologies and advancing techniques. Common indications include long... (Review)
Review
The indications for sacropelvic fixation continue to evolve with emerging instrumentation technologies and advancing techniques. Common indications include long construct fusions, high-grade spondylolisthesis, sacral fractures, sacral tumors, and global sagittal and/or coronal imbalance among others. The authors' preferred technique is through use of a freehand S2-alar-iliac screw placement.
Topics: History, 20th Century; History, 21st Century; Humans; Orthopedic Fixation Devices; Pelvic Bones; Sacrococcygeal Region; Spinal Curvatures; Spinal Fusion
PubMed: 29933806
DOI: 10.1016/j.nec.2018.02.001 -
International Journal of Dermatology Jul 2014Skin dimples are a common occurrence in children. Besides being of cosmetic significance, they may give an important clue to an underlying genetic or metabolic problem.... (Review)
Review
Skin dimples are a common occurrence in children. Besides being of cosmetic significance, they may give an important clue to an underlying genetic or metabolic problem. A simplified location-based algorithmic approach to diagnose the underlying cause of skin dimples is presented. Clinical significance of medically important dimples, especially sacral dimples, its association with occult spinal dysraphism, and a cost-effective diagnostic strategy for its imaging is discussed.
Topics: Biomarkers; Cosmetic Techniques; Dermatologic Surgical Procedures; Forearm; Humans; Knee; Musculoskeletal Abnormalities; Sacrococcygeal Region; Skin; Spinal Dysraphism
PubMed: 24738724
DOI: 10.1111/ijd.12376