Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Jan 2025
ReviewTreatment of fecal incontinence-is there a light in the end of the tunnel?
Fecal incontinence (FI) is a common disease with higher incidence rates in the elderly population. Treatment of affected patients remains challenging and ranges from conservative management to surgical techniques. Despite all efforts patients often undergo several therapeutic measurements to achieve reasonable functional improvements. ⋯ I., Austria) is currently under evaluation. This device, composed of silicone and polyester, is placed around the anus outside the external sphincter muscle complex aiming to improve stool continence via mechanical pressure. Early results of this new operation are eagerly awaited.
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Wien. Klin. Wochenschr. · Jan 2025
Long-term results after surgical basal cell carcinoma excision in the eyelid region: revisited.
The aim of the study was to readdress basal cell carcinoma (BCC) in the periocular region to prove the efficacy of histologically controlled surgical treatment and to identify high-risk characteristics. Retrospective analysis of 451 microscopically controlled BCC excisions in the periocular region. Tumor location, tumor size, AJCC 7 classification, and histological results were recorded. ⋯ The recurrence rate increases with every operation needed. Sclerosing BCCs with deep extension at the medial canthus bear the greatest risk for recurrence. In such cases, centers of expertise should be consulted and additional treatment options should be considered.
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Wien. Klin. Wochenschr. · Jan 2025
Is location more determining than WHO grade for long-term clinical outcome in patients with meningioma in the first two decades of life?
To identify factors for tumor relapse and poor outcome in patients with meningiomas in the first two decades of life. ⋯ Patients with convexity meningiomas in the first two decades of life have a good outcome due to high chance of gross total resection. Patients with skull base meningioma are at high risk of relapse and poor outcome, particularly those with WHO grades 2 and 3. Subtotal resection in patients with skull base location is probably the main reason for this difference.
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Wien. Klin. Wochenschr. · Jan 2025
Case ReportsMasqueraded sebaceous gland carcinoma of the lower eyelid in a young pregnant patient.
The purpose of this case report is to present misdiagnosed sebaceous gland carcinoma of the lower eyelid with rapid growth in a young woman during pregnancy. Eyelid sebaceous gland carcinoma is a relatively rare tumor and a disease primarily of older patients. It occurs more commonly in oriental populations and with a predilection for the upper eyelid. Early diagnosis and appropriate treatment may help improve disease control and patient survival.
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Wien. Klin. Wochenschr. · Jan 2025
Predictors of static and dynamic balance control in kidney transplant recipients.
We aimed to evaluate balance control and lower extremity muscle strength in kidney transplant recipients (KTRs) including a comparison to a healthy control group and determine the predictors of static and dynamic balance control after kidney transplantation. ⋯ Balance control, both static and dynamic, are impaired in KTRs as well as lower extremity muscle strength. Hemoglobin level is a predictor of static balance control whereas body weight is a predictor of dynamic balance control after kidney transplantation.