Outcome of Silicone Implant for Treatment After Failure of Primary Trapeziometacarpal Surgery.

PURPOSE: To evaluate the outcome of a silicone implant used after failure of primary trapeziometacarpal (TMC) surgery. METHODS: We retrospectively reviewed 22 Tie-in silicone implants performed between January 2005 and December 2015. All silicone implants were used for revision after failure of TMC surgery. We determined the time between implantation and the date of diagnosis of the failed revision procedure (rupture, major wear, dislocation, or poor clinical tolerance). RESULTS: Median survival was 2.15 years. Only 3 patients did not show wear, but one was lost after 1 year of follow-up. We found 10 cases with rupture of the implant, 5 with implant instability (subluxation or dislocation), 3 implants with abnormal wear, and 1 patient who reported residual pain. A total of 42% of failures were associated with silicone synovitis CONCLUSIONS: Survival of the Tie-in silicone implant in TMC revision surgery is poor; nearly half of implants failed at 2 years. The rate of silicone synovitis is also important because future revision might be more complex owing to bone loss. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Laparoscopic resection of a leiomyoma of the seminal vesicle.

We present a case of a leiomyoma of the seminal vesicle that occurred in a 52-year-old man who presented with symptoms of bladder outlet obstruction. Prostate-specific antigen was within normal limit. Computed tomography scan and magnetic resonance imaging revealed a mass in the patient's right seminal vesicle. Laparoscopic excision of the seminal vesicle tumor was performed successfully. The patient was discharged from the hospital on the fourth postoperative day.

[Spontaneous perirenal haematoma caused by a renal adenoma]. / Hématome péri-rénal spontané causé par un adénome rénal.

Spontaneous perirenal haematoma is a rare entity and is due to an underlying renal disease. Renal tumours represent the majority of causes of atraumatic renal rupture. The authors report a case in which perirenal haematoma, due to spontaneous rupture of a renal adenoma, 2 cm in diameter, was treated by radical nephrectomy.