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surgical sutures

Georgi P Georgiev, Georgi Kotov, Alexandar Iliev, Plamen Kinov, Jordanka Angelova, Boycho Landzhov
The medial collateral ligament of the knee joint is one of the most commonly injured ligaments of the knee. Recent data have shown that the thin layer of connective tissue covering the ligament, known as the epiligament, is essential for its nutrition and normal function, as well as its healing after injury. The aim of the present study was to investigate and compare the changes in the epiligament of the medial collateral ligament which occurred during operative and non-operative treatment throughout the first month after injury...
March 15, 2019: Cells, Tissues, Organs
Beatriz Sainz de Baranda, Francisco-Javier Silvestre, Javier Silvestre-Rangil
PURPOSE: To determine whether the Pederson scale is a good predictor of the surgical difficulty of third molar extraction and establish whether such surgical difficulty is directly related to the postoperative course as assessed from clinical (pain, inflammation, and trismus) and blood (C-reactive protein, interleukin-6 [IL-6], and fibrinogen) parameters. MATERIALS AND METHODS: A prospective observational study was conducted of 2 groups of patients who underwent simple or surgical third molar extraction under local anesthesia...
February 20, 2019: Journal of Oral and Maxillofacial Surgery
Michael Catapano, Darren de Sa, Seper Ekhtiari, Albert Lin, Asheesh Bedi, Bryson P Lesniak
PURPOSE: To systematically review and evaluate the efficacy and complication profile of superior capsular reconstruction (SCR) as a technique to address massive, irreparable rotator cuff tears (MIRCTs). METHODS: Searches of the Cochrane Database of Systematic Reviews, Embase, MEDLINE, PubMed, and conference abstracts of 4 major conferences identified clinical studies addressing SCR for MIRCTs. Two reviewers independently screened the titles, abstracts, and full texts, extracting data from eligible studies...
March 13, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
S Findeklee, E Spüntrup, J C Radosa, P Sklavounos, A Hamza, E F Solomayer, M Banerjee, C Spüntrup
PURPOSE: There are two groups of undergraduate students involved in endoscopic surgery with different degrees of experience: average and more experience. This study proves whether the subjective impression of the laparoscopic trainer is verifiable and which factors influence extreme talent. METHODS: 21 medical students of the eighth term of the University of Witten-Herdecke participated in the study. On their first course day, students got instructed in suturing and knot technique...
March 14, 2019: Archives of Gynecology and Obstetrics
Giovanni Botti, Chiara Botti, Leonardo Rossati, Alessandro Gualdi, Pierfrancesco Nocini, Riccardo Nocini, Dario Bertossi
BACKGROUND: Canthopexies can be performed to modify the eye slant, both when the lateral canthus is lower than the medial one (congenital defect) or in case the patient asks for an almond-shaped eye (cosmetic indication). OBJECTIVES: This peculiar type of canthopexy can be defined as "dynamic canthopexy," meaning that the later canthus is released from its original insertion and raised to a higher position. METHODS: We reviewed 30 patients treated with a "dynamic canthopexy" between January 2005 to March 2015...
March 15, 2019: Aesthetic Surgery Journal
Mingbo Liu, Ying Bi, Na Li, Weide Ye, Baolong Li, Yanjun Yang, Ziqing Zhang
Objective: To explore the surgical method and effectiveness of the great toenail bed flap supplied with the fibular dorsal artery of great toe in repair of the finger nail bed central longitudinal defect. Methods: Between May 2012 and February 2017, 7 cases (7 fingers) with the finger nail bed central longitudinal defects were repaired with the great toenail bed flap supplied with the fibular dorsal artery of great toe. There were 3 males and 4 females; the age ranged from 17 to 35 years (mean, 27 years)...
March 1, 2019: Chinese Journal of Reparative and Reconstructive Surgery
Shouli Wang, Xiaobo Zhou, Junbo Liang, Fucun Liu, Bin Wang
BACKGROUND: The traditional extended lateral approach for calcaneus fractures can provide sufficient exposure for reduction, but complications are frequent. The minimally invasive approach does limited damage to the soft tissue and its complication rate is low, but provides limited surgical exposure for complicated fracture. Thus, an approach that could provide wide exposure with less soft tissue injury is important. METHODS: The lateral bone flap approach, we proposed, involved the same incision as the extended lateral approach...
March 14, 2019: ANZ Journal of Surgery
Matheus Roberto da Mota Costa, André Lacerda de Abreu Oliveira, Leonardo Waldstein de Moura Vidal, Renato Moran Ramos, Ingrid de Oliveira Campos, Kerstin Hansson, Charles J Ley, Ulf Olsson, Niklas Olov Borg, Odd Viking Höglund
A resorbable self-locking device (LigaTie) was developed to enable safe and easy surgical ligation of blood vessels. The aim of this study was to compare the long-term in vivo resorption of the device to a commercially available suture of equivalent material (Maxon) following ovarian pedicle ligation. After ovariohysterectomy follow-up ultrasound examinations were performed monthly on 21 dogs ligated with the device and 22 dogs ligated with the suture material until no hyperechoic remnants, acoustic shadowing or local tissue reactions were detected...
March 14, 2019: Veterinary Record
Kazuya Nishino, Yusuke Hashimoto, Yohei Nishida, Shozaburo Terai, Shinji Takahashi, Shinya Yamasaki, Hiroaki Nakamura
PURPOSE: To investigate the incidence of magnetic resonance imaging-confirmed cyst formation after meniscal repair and to analyze associated risk factors. METHODS: This retrospective study included cases repaired arthroscopically with the all-inside (AI) technique (using suture anchors) and/or the inside-out (IO) technique between October 2008 and December 2014. A meniscal cyst was detected on T2 fat-suppressed magnetic resonance images. All cases were divided into 3 groups according to the repair method (AI, IO, and combined technique)...
March 11, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Claire Deroy, Harriet Hahn, Camille Bismuth, Guillaume Ragetly, Eymeric Gomes, Cyrill Poncet
The objective of this study was to describe the operative technique and outcome of a simplified laparoscopic gastropexy approach in dogs. Twenty-one dogs undergoing prophylactic laparoscopic gastropexy with a simple continuous barbed suture without incising the seromuscular layer of the stomach and transversus abdominis muscle were reviewed. In 20 cases, additional procedures were performed (18 ovariectomies and 2 prescrotal castrations); 1 dog had two prior episodes of gastric dilation without volvulus and underwent gastropexy with a prophylactic intent...
March 14, 2019: Journal of the American Animal Hospital Association
Miriam Byrne, Al Aly
A variety of modern surgical needles are available to today's surgeon. However, a surgeon's preference of surgical needles, is usually influenced by experience, ease of use, and the postoperative result, such as scar quality. This article describes the selection of needle designs available, and their intended clinical applications. Key factors in the basic design of the surgical needle include, the quality of its alloy, surface coating, and needle geometry. The needle alloy provides strength and ductility. Silicon coating maintains the sharpness and consistency of penetration of the needle...
March 14, 2019: Aesthetic Surgery Journal
Miriam Byrne, Al Aly
Surgeons must select the optimal suture materials for tissue approximation to maximize wound healing and scar aesthetics. Thus, knowledge regarding their characteristics is crucial to minimize ischaemia, excess wound tension, and tissue injury. This article describes the selection of various suture materials available today and their intended design. Modern suture material should have predictable tensile strength, good handling, secure knot-tying properties, and could be enhanced with an antibacterial agent to resist infection...
March 14, 2019: Aesthetic Surgery Journal
Fábio Xerfan Nahas, Leandro Dario Faustino, Lydia Masako Ferreira
The different types of sutures utilized in plications and for correction of diastasis during abdominoplasty are reviewed and discussed. Because correction of abdominal deformities also involves fascia and muscle advancement, this review also covers the suture materials used in muscle advancement. The selection of specific techniques to treat different types of abdominal wall deformity is also considered. This is important, because the outcome when correcting these deformities depends not only on suture materials but also on employing the optimum technique...
March 14, 2019: Aesthetic Surgery Journal
Zsolt Baranyai, Ákos Balázs, Péter Kupcsulik, László Harsányi
INTRODUCTION: Despite significant development in surgical and intensive therapy, esophageal perforation is still a severe, life-threatening condition. Successful therapy depends on several clinical factors, available medical equipments, but most of all on the available expertise and experience. PATIENTS AND METHODS: We retrospectively evaluated patients' data operated at the 1st Department of Surgery at Semmelweis University between 2005 and 2017 due to esophageal perforation of non-malignant origin...
March 2019: Magyar Sebészet
Sen Wang, Qingyang Meng, Jun Gao, Yuqin Huang, Jie Wang, Yang Chong, Youquan Shi, Huaicheng Zhou, Wei Wang, Dong Tang, Daorong Wang
Background: Due to the technical difficulty, it is not common to close the pelvic peritoneum in laparoscopic abdominoperineal resection (LAPR) in China, which increases the risk of related complications. Permanent sigmoid colostomy is performed through the transperitoneal route conventionally in LAPR. This leads to the high occurrence of parastomal hernias and bowel obstructions. To prevent the complications and reduce surgical costs of LAPR, we performed some modifications for it. Methods: 38 patients diagnosed with low rectal cancer during July 2014 to July 2016 received LAPR with our modifications...
2019: Gastroenterology Research and Practice
Pierre-Emmanuel Bouet, Hugo Madar, Alizée Froeliger, Hady El Hachem, Elsa Schinkel, Aurélien Mattuizi, Loïc Sentilhes
BACKGROUND: Postpartum haemorrhage (PPH) is a major cause of maternal morbidity and one of the leading causes of maternal mortality worldwide. Many medical treatments and interventions are available nowadays, but surgical treatment is sometimes required when less invasive methods are unsuccessful. This study aimed to assess the theoretical and practical knowledge of French residents of Obstetrics and Gynecology concerning the surgical treatment of postpartum haemorrhage. STUDY DESIGN: We performed a questionnaire study for senior residents of Obstetrics and Gynecology in France (fourth and fifth year of training)...
March 13, 2019: BMC Pregnancy and Childbirth
Sergio Lessa, Roberto Sebastiá, Joao Pontello
PURPOSE: Facial clefts are congenital anomalies classified by Tessier based on their anatomical position. Tessier 8 craniofacial clefts extend from the lateral canthus to the temporal region, including bone cleft at the frontozygomatic suture, and it is characterized by the interposition of a strip of skin at the lateral canthus that disrupts the continuity of the orbicularis muscle, preventing its normal functioning. METHODS: This is a retrospective study of 6 patients with congenital eyelid coloboma, of whom 5 underwent surgery for the removal of dermolipoma and reconstruction of the lateral canthus...
March 8, 2019: Ophthalmic Plastic and Reconstructive Surgery
Masaaki Sato, Tomonori Murayama, Jun Nakajima
The "AMAGAMI" or "incomplete grasping" technique is used to adjust the location of the lung while gently grasping the lung tissue with a stapler. Thoracoscopic segmentectomy requires precise but complex stapling, while the surgical view and the number of available instruments are limited. In the AMAGAMI technique, instead of moving the stapler to the targeted position of the lung tissue, an unlocked stapler is used to hold the lung tissue at an easily accessible position, and the lung tissue can then be slid to the ideal resection line using forceps...
January 2019: Journal of Thoracic Disease
Jonathan Thur Sian Yu, Leon Au
PURPOSE: Over-filtration and subsequent hypotony are recognised complications of penetrating glaucoma procedures, especially when augmented with antimetabolites. Patients with uveitis are especially at risk of hypotony and this can reduce the final acuity achieved, compromise surgical outcomes and adversely affect the inflammatory status. The incidence of hypotony following XEN45 implant insertion is higher for uveitic patients and we present a method of surgically addressing this hypotony with transconjunctival compression sutures that are placed over the overdraining XEN45 implant...
March 12, 2019: European Journal of Ophthalmology
Yoshitomo Yanagimoto, Takeshi Omori, Moon Jeong-Ho, Naoki Shinno, Kazuyoshi Yamamoto, Yoji Takeuchi, Koji Higashino, Noriya Uedo, Keijiro Sugimura, Tomoyuki Matsunaga, Hiroshi Miyata, Hajime Ushigome, Yusuke Takahashi, Junichi Nishimura, Masayoshi Yasui, Kei Asukai, Daisaku Yamada, Akira Tomokuni, Hiroshi Wada, Hidenori Takahashi, Masayuki Ohue, Masahiko Yano, Masato Sakon
BACKGROUND: Pancreatoduodenectomy is considered to be a very invasive treatment for early superficial duodenal tumors (SDTs), which have a lower risk of lymph node metastasis. Partial resection of the duodenum with endoscopic submucosal dissection for SDT resection is an attractive technique but it is associated with a high risk of complications. We describe our technique for SDT resection. METHOD: It includes the following elements: freeing the transverse mesocolon, exposing and mobilizing the second part of the duodenum and the head of the pancreas (Kocher maneuver), confirming the location of the ulcer bed for endoscopic submucosal dissection, and laparoscopic suturing by hand in the seromuscular layer of the duodenum...
March 11, 2019: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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