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The change of pelvic volume with different types of iliac osteotomies in classic bladder extrophy (Sohag University)
Egypt (IFMSA-Egypt) - Sohag University, Sohag
Orthopaedics and Rehabilitation
Surgery-Orthopedics Sohag University Hospital, Nasser City, Sohag, Egypt
Prof. DR/ Elshazly Mohamed
Dr. Abdalla Elsayed
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
We provide a 3-Dimensional (3D) model of the pelvic floor musculature in patients with classic bladder exstrophy using CT. The infants 1 day to 12 months old undergo CT of the pelvis, which was compared to pelvic CT of infants without pelvic floor abnormalities. While the entire pelvic floor is imaged, special attention will be paid to the contours of the Levator Ani muscle group which will be drawn on T1-weighted axial and coronal images. The overlap of contours in these 2 planes will be used to construct a 3D model of this muscle group. The levatorani muscle group conformed to an elliptical dome shape in the control. For the patients the 3D shape was somewhat irregular with an apparent kink in the ellipse. The elliptical shape of the group will be described by a shape factor, s, which equals the ratio of the maximum height-to- the length of the base of the ellipse the change of pelvic volume after iliac osteotomies in these patients. Our model gives further insights into the true pelvic floor anatomy in exstrophy cases and is to know if abnormalities in the pelvic floor may or may not correlate with abnormalities of the bony pelvis. Acquired knowledge: How to use CTs of patients with bladder exstrophy& to study specific anatomical changes with this pathology.
What is the aim of the project?
The change of pelvic volume after iliac osteotomies in these patients. Our model gives further insights into the true pelvic floor anatomy in exstrophy cases and is to know if abnormalities in the pelvic floor may or may not correlate with abnormalities of the bony pelvis.
What techniques and methods are used?
The study will conduct by monitoring relevant cases and data will be collected during this study by using advanced radiological methods; essentially, the Three Dimensional CT. Measurements and variations will be noted to draw a sound conclusion about the different outcomes of various techniques.
What is the role of the student?
- The student will mainly observe
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks will be done under supervision
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
What are the tasks expected to be accomplished by the student?
After the exchange period the student should have gathered information about the osteotomized patients, the effects of osteotomies on the pelvic volume, the basics of the medical research and methodology, and some statistics regarding the incidence of the pelvic osteotomy in Sohag, Egypt. The student is expected to participate in different steps of the research including spending time in the orthopedic surgery clinic for data collection. -The student will write down all the above mentioned steps in his/her logbook to be signed by the tutors at the end of each shift. -At the end of the clerkship the student will make a conclusion according to the statistical studies they had already made through the whole month to evaluate the whole project and prepare a scientific report.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Observe and participate to an extent
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students
- Hammouda HM; Kotb H. Complete primary repair of bladder exstrophy: initial experience with 33 cases. J Urol. 2004;172(4 Pt 1):1441–1444. discussion 1444. [PubMed]
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