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Medicine May 2019Chondroid lipoma (CL) is a rare benign tumor. No relevant epidemiological reports have been published on CL, and there is a lack of uniform diagnostic and treatment... (Review)
Review
RATIONALE
Chondroid lipoma (CL) is a rare benign tumor. No relevant epidemiological reports have been published on CL, and there is a lack of uniform diagnostic and treatment criteria for the tumor.
PATIENT CONCERNS
Here, we report a case of CL with a mass on the left buttock for 2 weeks, and further illuminate its diagnosis and treatment.
DIAGNOSIS
The diagnosis of CL was rendered according to the pathological indices.
INTERVENTIONS
The tumor was resected completely under spinal anesthesia.
OUTCOMES
The patient was followed-up for 6 months and showed no tumor recurrence or metastasis and there was resolution of the patient's lower-limb numbness and pain.
LESSONS
The case study presented here provides evidence that CL could be effectively diagnosed by using ultrasound, puncture or biopsy, and/or magnetic resonance imaging. Furthermore, the patient recovered without any complications after completely resecting the tumor.
Topics: Buttocks; Diagnosis, Differential; Humans; Lipoma; Male; Middle Aged; Soft Tissue Neoplasms
PubMed: 31083243
DOI: 10.1097/MD.0000000000015587 -
Medicine Oct 2015Vacuum sealing is a therapeutic concept to achieve secure and rapid wound healing in traumatic soft tissue damage. Its application and effect in the treatment of severe... (Review)
Review
Vacuum sealing is a therapeutic concept to achieve secure and rapid wound healing in traumatic soft tissue damage. Its application and effect in the treatment of severe buttocks and perianal infection are unclear.We describe a case of buttocks and perianal infection using the vacuum sealing drainage (VSD) technique. A 58-year-old man was admitted with buttocks and perianal severe infection, which was caused by injection. The size of the wounds was 40 × 30 cm. Colostomy was applied prior to the prompt surgical debridement to prevent defecation and keep the perianal region clean. Emergency debridement was then conducted. After the wounds were thoroughly washed with conventional disinfection solution, they were then covered by VSD system.The infection was controlled 9 days after the first surgery by prompt surgical debridement, the application of VSD treatment, and the use of narrow-spectrum antibiotics based on susceptibility result. After 3 applications of VSD treatment, skin grafting harvested from the left leg was conducted. All free skin grafts survived at 8 weeks. Colon was placed back into the abdominal cavity finally.Initial colostomy and debridement, the temporary VSD cover followed after several days by skin grafting is a reliable treatment regimen for severe buttocks and perianal infection.
Topics: Buttocks; Humans; Infections; Injections; Male; Middle Aged; Negative-Pressure Wound Therapy
PubMed: 26512571
DOI: 10.1097/MD.0000000000001766 -
The Journal of Trauma and Acute Care... Oct 2014Perineal and buttock burns are challenging wounds to heal for several reasons because of the contamination risk and shear stress that is always present. Because of the... (Review)
Review
BACKGROUND
Perineal and buttock burns are challenging wounds to heal for several reasons because of the contamination risk and shear stress that is always present. Because of the nature of the wound bed, pathogens can have ready access to create systemic infections and complications. Prolonged healing times also delay the recovery for patients and add to their discomfort and psychological stress from the injury. The ideal treatment approach is not well defined, and the aims of this study were to conduct a literature review of current treatment suggestions and to look at our own patient population to determine how our center treated these challenging patients.
METHODS
This is a retrospective review of all patients treated between 2010 and 2013 at our center. Patients that received care for burns to the perineum or buttocks were evaluated. Mortalities within 24 hours of admission and transfers before completion of their care were excluded. All patients older than 18 years were included in the study. The primary outcome studied was a cause for graft revision. Secondary outcomes included benefits and risks of fecal management devices, risk of infection, and mortality.
RESULTS
The literature review did not show consensus on how to best manage this patient population. Our results however demonstrated that patients treated with the fecal management device Flexi-seal (Convatec, Skillman, NJ) were at increased risk of developing an infection involving an enteric pathogen and requiring revision procedures. The patient population that was treated with this device was also older and had larger burns. The patients within this group that were treated initially with allograft required fewer revisions when compared with patients that received autograft in this group (23% vs. 34%, p > 0.05).
CONCLUSION
After our data and the literature had been reviewed, the lack of evidence-based treatment protocols led us to create recommendations for burn surgeons with regard to the initial management of this complicated area. Certain key features include avoiding autograft at the primary excision if they have an increased revised Baux score and minimizing the amount of liquid stool contaminating the wound bed to increase success.
LEVEL OF EVIDENCE
Epidemiologic study, level IV. Therapeutic study, level V.
Topics: Adult; Algorithms; Allografts; Burns; Buttocks; Fecal Incontinence; Female; Humans; Male; Middle Aged; Perineum; Retrospective Studies; Skin Diseases, Infectious; Skin Transplantation; Treatment Outcome; Wound Healing; Wound Infection
PubMed: 25250608
DOI: 10.1097/TA.0000000000000405 -
Indian Pediatrics Dec 2013
Topics: Arm; Buttocks; Child, Preschool; Face; Female; Humans; Pemphigoid, Bullous; Torso
PubMed: 24413516
DOI: 10.1007/s13312-013-0294-7 -
Orthopaedics & Traumatology, Surgery &... Oct 2022Total hip arthroplasty (THA) on a minimally invasive anterolateral (MIAL) approach frequently leads to gluteus minimus and gluteus medius lesions, and sometimes to...
INTRODUCTION
Total hip arthroplasty (THA) on a minimally invasive anterolateral (MIAL) approach frequently leads to gluteus minimus and gluteus medius lesions, and sometimes to tensor fasciae latae (TFL) denervation. We therefore developed compensatory strategies, which we assessed on pre- and post-operative MRI: 1) to assess gluteus minimus and gluteus medius fatty infiltration (FI), 2) to assess TFL FI, and 3) to assess FI in the other periarticular muscles.
HYPOTHESIS
The modified MIAL approach reduces the rate of gluteus minimus and gluteus medius lesion.
MATERIALS AND METHODS
A continuous prospective single-surgeon series of THA using a MIAL approach included 25 patients. Femoral implantation was performed with the hip in extension so as to distance the proximal femur from the gluteals, avoiding muscle trauma. The superior gluteal nerve branch in the space between the gluteus medius and TFL, running toward the TFL, was systematically released and protected. MRI was performed preoperatively and at 3 months and 1 year post-surgery. FI was analyzed according to the Goutallier classification in all periarticular muscles.
RESULTS
One patient lacked preoperative MRI and was excluded, leaving 24 patients, for 72 MRIs. In 10/24 patients (41.7%) the gluteus minimus and in 8/24 patients (33.3%) the anterior third of the gluteus medius showed ≥2 grade increase in FI between preoperative and 1-year MRI, with significant increases in both at 3 months (p<0.001) and 1 year (p<0.001). At least a 2 grade increase in FI at 1 year was seen in 1 patient (4.2%) in the TFL, in 2 (8.3%) in the piriformis, and in 1 (4.2%) in the obturator internus. There were no significant differences in FI between preoperative, 3-month or 1-year MRI in any other periarticular muscles.
CONCLUSION
Femoral implantation in hip extension did not reduce the rate of gluteal lesions, which remained frequent. In contrast, release of the superior gluteal nerve branch could be effective in conserving TFL innervation. Some rare lesions of the proximal part of the pelvi-trochanteric muscles were also observed.
LEVEL OF EVIDENCE
IV, Prospective case series.
Topics: Arthroplasty, Replacement, Hip; Buttocks; Hip; Hip Joint; Humans; Magnetic Resonance Imaging; Muscle, Skeletal
PubMed: 35724839
DOI: 10.1016/j.otsr.2022.103356 -
International Journal of Environmental... Mar 2022Cellulite is a cosmetic defect that affects over 80% of post-pubertal women. One of its pathomechanisms involves microvascular dysfunction. It has been suggested that...
BACKGROUND
Cellulite is a cosmetic defect that affects over 80% of post-pubertal women. One of its pathomechanisms involves microvascular dysfunction. It has been suggested that vibration is a physical stimulus that may improve circulation in the skin and muscles. The aim of this study was to evaluate the effect of local vibration on cutaneous microcirculation and on eliminating the symptoms of cellulite in women.
METHODS
A total of 57 healthy women with at least grade 1 cellulite were recruited and divided into four groups differing by treatment time (30' or 60') and position (sitting or lying) during the vibration treatments. Participants took part in 15 vibrotherapy sessions. Body composition, selected circumferences, cellulite grade, and thermographic images of buttocks and thighs were recorded.
RESULTS
Significant changes in skin temperature were observed in both studied areas after the first and last treatments in each group. A significant decrease in cellulite grade was observed after a series of treatments. The strongest effects were observed for the sitting position with a treatment time of 60 min.
CONCLUSION
Vibration treatment improves microcirculation in cellulite-affected areas. Over time, no adaptation was observed, and subsequent treatments maintained the beneficial effects. Extending the treatment time increased its influence on the microcirculation in the skin.
Topics: Adipose Tissue; Buttocks; Cellulite; Female; Humans; Microcirculation; Skin; Vibration
PubMed: 35329074
DOI: 10.3390/ijerph19063385 -
British Medical Journal Aug 1974
Topics: Abdomen; Breast; Buttocks; Chin; Cicatrix; Dermabrasion; Ear; Eyelids; Face; Female; Humans; Male; Methods; Neck; Rhinoplasty; Surgery, Plastic; Thigh; Wound Healing
PubMed: 4412664
DOI: 10.1136/bmj.3.5930.566 -
British Medical Journal May 1968
Topics: Buttocks; Humans; Injections, Intramuscular; Thigh
PubMed: 5648985
DOI: 10.1136/bmj.2.5601.367-a -
PloS One 2022The tendency of persons with hemiplegia to sit for prolonged periods can cause excessive interface pressure (IP) on their buttocks. Due to the different... (Randomized Controlled Trial)
Randomized Controlled Trial
The tendency of persons with hemiplegia to sit for prolonged periods can cause excessive interface pressure (IP) on their buttocks. Due to the different neuromusculoskeletal conditions, different buttock IP relief methods are required for persons with left hemiplegia (LH) and right hemiplegia (RH). Therefore, this study investigates temporal characteristics of IP on the right and left buttocks for RH, LH, and able-bodied individuals (AB) sitting in a wheelchair for 30 min. Thirty-five males participated in the study: 13 LH, 12 RH, and 10 AB. In the initial adjustment phase, the participants maintained an erect sitting posture for 7 min (2 min for posture and 5 min for creep adjustments). After the adjustments, experiments were conducted for 30 min to measure the IP. In the experiments, significant right-sided asymmetries of the mean IP were found for each group (P < 0.05). The right buttocks of LH exhibited significantly more right-sided asymmetry of the mean IP than that of AB (p < 0.01). Moreover, the right buttocks of RH exhibited insignificant asymmetry of the mean IP compared to that of AB (p >0.21). The peak IPs of RH and LH were significantly higher than those of AB (p <0.05), and temporal changes of the mean and peak IP of hemiplegia were significant (p <0.05) and not significant (p >0.05), respectively. The RH exhibited affected-side weight-bearing based on the mean IP. In contrast, the LH relieved the mean IP on the affected-side buttock. Due to the right-sided asymmetric mean and high peak IP, hemiplegia in acute and recovery stages using wheelchairs can cause ulceration. Therefore, different rehabilitation approaches are required for the RH and LH to reduce the peak IP and avoid an uneven distribution of the mean IP.
Topics: Adult; Buttocks; Hemiplegia; Humans; Male; Middle Aged; Sitting Position; Weight-Bearing; Wheelchairs
PubMed: 35085303
DOI: 10.1371/journal.pone.0262849 -
Annals of Surgery Feb 1968
Topics: Adult; Aneurysm; Buttocks; Female; Hematoma; Humans; Male; Middle Aged; Radiography
PubMed: 5635707
DOI: 10.1097/00000658-196802000-00018