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Radiological Outcomes (radiological + outcome)
Selected AbstractsCarcinoma of the breast metastatic to the ureter seven years laterINTERNATIONAL JOURNAL OF UROLOGY, Issue 8 2005NICOLA MONDAINI Abstract We present a case of ureteral metastasis from a primary breast cancer where the disease recurred with an episode of renal colic 7 years after diagnosis. A surgical operation was performed to remove the terminal ureter and the perimeatal area of the urinary bladder. Urological and radiological outcome was satisfactory after a 2-year follow up. [source] Retroperitoneal laparoscopic decortication of simple renal cysts using the bipolar PlasmaKinetic scissorsINTERNATIONAL JOURNAL OF UROLOGY, Issue 4 2006AHMET TEFEKLI Objectives:, To analyse the efficacy, safety and feasibility of retroperitoneal laparoscopic decortication of simple renal cysts using bipolar PlasmaKinetic scissors. Methods:, Records of 19 patients who underwent laparoscopic decortication of simple renal cysts, performed with bipolar PlasmaKinetic scissors without additional fulguration of the base or the margin of resection, were retrospectively reviewed. Long-term symptomatic and radiological outcomes were assessed. Results:, One single cyst was treated in fourteen (73.7%) cases, two cysts in three (15.8%) cases, three cysts in one (5.2%) case and multiple cysts in one case with autosomal dominant polycystic kidney disease. They were peripherally located in thirteen, peripelvic in three, and parenchymal in two cases. An average of 3.1 trochars were used for each procedure. The mean operating time was 82.5 ± 16.7 min (range, 50,135). Neither open conversion nor blood transfusion was necessary. A total of six minor complications were encountered. Mean hospital stay 2.3 ± 0.9 days (range, 1,4). After a mean follow up of 14.3 ± 5.9 months (range, 3,24), symptomatic success was achieved in 89.5%, and radiological success was accomplished in 88.2%. An asymptomatic cyst recurrence was observed in one (5.9%) case, and one (5.9%) case with residual pain had new cyst formation at another site of the kidney. Conclusions:, Retroperitoneal laparoscopic cyst decortication using bipolar PlasmaKinetic scissors is a feasible and efficient method, eliminating further fulguration of the base and the margins of the cysts. Operating times are shorter than previously published series and highly satisfactory long-term success rates are achieved. [source] Clinical and radiological outcomes after revision to the low-contact-stress mobile-bearing total knee arthroplastyANZ JOURNAL OF SURGERY, Issue 5 2009David J. Whitehead Abstract Background:, The aim of the present study was to investigate the short,medium-term clinical and radiological outcomes in revision total knee arthroplasty using a mobile-bearing implant. Methods:, Forty patients (42 knees) who had revisions using the New Jersey low-contact-stress (LCS) mobile-bearing total knee arthroplasty between 1996 and 2000 were reviewed. Results:, The average age at revision was 71 years (range, 38,86 years) and the average follow up was 6 years (range, 5,9 years). Of the 34 patients reviewed clinically, six had excellent results, and 20 had good results, to give a total of 76% excellent or good results. There were five (15%) fair results and three (9%) poor results. Seven patients required revision of the components. There was one case of instability within the first year of revision, which required only exchange of the polyethylene bearing to achieve a satisfactory clinical outcome. Of the 31 knees reviewed radiologically, progressive radiolucent lines were seen at the bone,cement interface in five (16%) of the femoral components and in two (6%) of the tibial components. Conclusion:, Unconstrained LCS mobile-bearing total knee arthroplasty can be used in revision surgery with satisfactory results after medium-term follow up (level of evidence: therapeutic level III). [source] A randomized-controlled clinical trial evaluating clinical and radiological outcomes after 3 and 5 years of dental implants placed in bone regenerated by means of GBR techniques with or without the addition of BMP-2CLINICAL ORAL IMPLANTS RESEARCH, Issue 7 2009Ronald E. Jung Abstract Objective: The aim of this randomized-controlled clinical trial was to evaluate the long-term outcome of implants placed in bone augmented with a xenogenic bone substitute material and a collagen membrane with or without the addition of recombinant human bone morphogenetic protein-2 (rhBMP-2). Material and methods: Eleven patients received a total of 34 implants placed into sites exhibiting lateral bone defects. In a split mouth design, the defects were randomly treated with the graft material and the collagen membrane either with (test) or without (control) rhBMP-2. The patients were examined 3 and 5 years after insertion of the prosthetic restoration. Student's paired t -test was performed to detect differences between the two groups. Results: The survival rate at 3 and 5 years was 100% for both groups. The peri-implant soft tissues were stable and healthy without any difference between the two groups. The prosthetic reevaluation demonstrated four loose prosthetic screws during the first 3 years and seven ceramic chippings after 3 and 5 years. The mean distance between the first bone to implant contact to implant abutment junction at 3 years was 1.37 mm (test), 1.22 mm (control), and 1.38 mm (test), and 1.23 mm (control) at 5 years. The difference of <0.2 mm between test and control implants was not statistically significant. The mean change of the marginal bone level between baseline and 5 years ranged from ,0.07 mm (mesial, test), ,0.11 mm (distal, test), ,0.03 mm (mesial, control), to +0.13 mm (distal, control). No statistically significant differences were observed between test and control sites. Conclusion: Implants placed in bone augmented with and without rhBMP-2 revealed excellent clinical and radiological outcomes after 3 and 5 years. [source] |