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Am J Ophthalmol 2021 May 1. Epub 2021 May 1.

Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts. Electronic address:

Objective: To optimize the flanged belt-loop technique of scleral fixation through biomechanical testing and report clinical outcomes of resultant modifications.

Design: Experimental study.

Methods: The force to disinsert flanged polypropylene suture from human cadaveric sclera was assessed using a tensile testing machine and compared to the breaking strengths of 9-0 and 10-0 polypropylene. Read More

Arthrosc Tech 2021 Feb 16;10(2):e507-e517. Epub 2021 Jan 16.

Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, U.S.A.

Inside-out meniscal repair is considered the gold standard for reparable tears of the medial and lateral menisci despite the recent popularity of all-inside devices. Accurate suture passage is required to perform a stable repair as well as to prevent inadvertent neurovascular injury from the suture needles. Placement of a deep soft-tissue retractor is necessary to identify and retrieve these needles prior to tying the sutures. Read More

J Ophthalmol 2021 8;2021:6648777. Epub 2021 Feb 8.

Department of Ophthalmology, Tenth People's Hospital Affiliated to Shanghai Tongji University School of Medicine, Shanghai 200072, China.

Purpose: To describe a flapless/grooveless technique for four-point refixation of a dislocated intraocular lens (IOL) with four fenestrated haptics.

Methods: An intraocular suture looping technique was performed with the assistance of two 27-gauge needles. A looping needle was passed into the eye through paracentesis and was used to loop both fenestrated haptics on the same side with an 8-0 polypropylene thread. Read More

Wilderness Environ Med 2021 03 9;32(1):128-129. Epub 2021 Jan 9.

Department of Family Medicine, University of Alberta, Division of Clinical Sciences, Northern Ontario School of Medicine, Edmonton, AB.

J Surg Orthop Adv 2020 ;29(4):230-233

Carilion Clinic Institute for Orthopaedics and Neurosciences, Roanoke, Virginia; Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Virginia.

Our objective is to determine if radiographs are adequate for identification of retained microsurgical needles. Four microsurgical needles ranging from 3.8 mm to 6. Read More

J Vis Exp 2020 11 12(165). Epub 2020 Nov 12.

Laboratory of Photobiology, Keio University School of Medicine; Department of Ophthalmology, Keio University School of Medicine;

Diverse vascular diseases such as diabetic retinopathy, occlusion of retinal veins or arteries and ocular ischemic syndrome can lead to retinal ischemia. To investigate pathological mechanisms of retinal ischemia, relevant experimental models need to be developed. Anatomically, a main retinal blood supplying vessel is the ophthalmic artery (OpA) and OpA originates from the internal carotid artery of the common carotid artery (CCA). Read More

Aesthetic Plast Surg 2021 04 29;45(2):521-527. Epub 2020 Oct 29.

Head of the Plastic Surgery Division, Hospital de Clínicas de Porto Alegre, Porto Alegre-RS, Brazil.

Background: Up to 25% of otoplasties can lead to complications, indicating the need for technical refinement. Stenström's anterior auricular cartilage scoring is used in combination with Mustardé's technique to treat the antihelix deformity in several series, with good results. Both can be performed with different instruments such as rasps or puncture needles. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Oct;34(10):1243-1247

The 3rd Department of Knee Injury, Henan Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang Henan, 471002, P.R.China.

Objective: To investigate the effectiveness of non-absorbable suture cerclage combined with patella claw fixation for the treatment of inferior patella fractures.

Methods: Between September 2016 and January 2019, 22 patients with inferior patella fractures were treated. There were 12 males and 10 females, with a mean age of 49. Read More

J Pediatr Orthop B 2021 Mar;30(2):150-153

Barts and London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

We describe a new technique of using titanium alloy anchors to perform internally rotating capsulorrhaphy during open reduction and stabilization procedure and obliteration of pseudoacetabulum when one exists. We routinely use anterior approach via bikini incision (modified Smith-Peterson approach) to perform open reduction and internally rotating capsulorrhaphy. We describe the technique of using barbed titanium alloy anchors preloaded with nonabsorbable sutures and two needles, to accomplish a secure and easy capsulorrhaphy, in selected cases. Read More

Andrology 2021 01 10;9(1):361-367. Epub 2020 Sep 10.

Andrology Center, Peking University First Hospital, Beijing, China.

Background: Double-armed suture longitudinal intussusception vasoepididymostomy (DA-LIVE) has been widely adopted owing to its simplicity and high success rate; however, specialized double-armed microsutures are required.

Objective: To provide a novel single-armed suture longitudinal intussusception vasoepididymostomy (SA-LIVE) technique using only two single-armed sutures, named Guo's SA-LIVE.

Materials And Methods: Four weeks after vasectomy in male adult Wistar rats, vasoepididymostomies were performed using DA-LIVE, SA-LIVE, or Guo's SA-LIVE. Read More

Arthrosc Tech 2020 Jul 18;9(7):e953-e957. Epub 2020 Jun 18.

Department of Orthopaedic Surgery, Louisiana State University Health, Shreveport, Louisiana, U.S.A.

The purpose of this paper is to describe the rebar repair as a technique for repair of radial meniscus tears and compare the rebar technique with current techniques used for meniscus repairs. This technique consists of 4 sutures placed with the inside-out technique. First, the vertical mattress reinforcement sutures are placed anteriorly and posteriorly to the tear. Read More

Foot Ankle Surg 2020 Jun 7. Epub 2020 Jun 7.

Valley Hospital Medical Center, Department of Orthopedic Surgery, 620 Shadow Lane, Las Vegas, NV, 89106, United States.

Background: Minimally invasive techniques for Achilles tendon repair are increasing due to reports of similar rerupture rates using open and percutaneous techniques with fewer wound complications and quicker recovery with percutaneous methods. The goal of this study was to investigate quantitatively the relationship and risk of injury to the sural nerve during Achilles tendon repair when using the Percutaneous Achilles Repair System (PARS) (Arthrex®, Naples, FL), by recording the distance between the passed needles and the sural nerve as well identifying any direct violation of the nerve with needle passage or nerve entrapment within the suture after the jig was removed. The hypothesis of the study is that the PARS technique can be performed safely and without significant risk of injury to the sural nerve. Read More

J Laparoendosc Adv Surg Tech A 2020 May 2;30(5):603-606. Epub 2020 Mar 2.

Department of Pediatric Surgery, Dr Sami Ulus Gynecology, Obstetrics and Child Health and Diseases Training and Research Hospital, Ankara, Turkey.

As a relatively new approach, popularity of pneumovesicoscopic surgery is increasing, but slower than expected due to complex nature of the procedure with efforts to overcome the difficult steps of the procedure. Bladder fixation is one of the crucial steps of the procedure. In this study, we present a novel and simple T-bar technique to overcome this difficulty. Read More

Transl Androl Urol 2019 Dec;8(6):728-735

Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

Background: Vasectomy reversal (VR) is a specialized procedure currently offered by an increasing number of medical practitioners. One method of VR, vasoepididymostomy (VE), is considered the most challenging microsurgical technique within the field of reproductive urology. We surveyed reproductive urologists to assess current practice patterns regarding both intra-operative and post-operative considerations surrounding VE, with the hypothesis being that more experienced surgeons may have different practice patterns than less experienced surgeons. Read More

Arthroscopy 2020 02;36(2):499-500

University of Virginia.

Perform meniscal repair with care and beware! Because of the well-known adverse consequences of meniscectomy, especially in the lateral compartment, meniscal repair should be considered for every meniscal tear even if it requires pushing the envelope. Nevertheless, the surgeon must be keenly aware of neuromuscular risks associated with this technique. For the posterior horn of the lateral meniscus, extreme caution must be exercised, particularly in younger and presumably smaller female patients. Read More

Surg Innov 2020 Apr 1;27(2):211-219. Epub 2020 Feb 1.

Department of Surgical and Perioperative Sciences, Division of Surgery, Umeå University, Sunderby Research Unit, Umeå, Sweden.

Our aim was to determine if a newly designed Najar needle holder (NNH) shortens the time for novices to improve advanced laparoscopy (AL) techniques (suturing/knot tying), compared with a conventional macro needle holder (MNH) in a simulator. Furthermore, we aimed to validate a new video scoring system determining AL skills. Forty-six medical students performed identical surgical tasks in a prospective, crossover study evaluating AL skills (NNH vs MNH). Read More

Cureus 2019 Dec 15;11(12):e6389. Epub 2019 Dec 15.

Surgery, Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine, Bethesda, USA.

Autologous total auricular reconstruction requires an intricately sculpted, curved, and stacked cartilaginous framework implanted under healthy vascularized tissue. The ideal fixation technique would be readily available, easy to deploy, and free of complications. Commonly used sutures can fracture fragile pieces, inadequately maintain shape, or migrate. Read More

BMC Ophthalmol 2019 Dec 26;19(1):266. Epub 2019 Dec 26.

Department of Ophthalmology, Xiamen Eye Centre of Xiamen University, Xiamen, 361016, Fujian Province, China.

Background: To investigate the efficacy and safety of continuous ab interno repairing of traumatic cyclodialysis cleft in severe ocular trauma using a 30-gauge (G) needle.

Methods: Fifteen patients (15 eyes) with traumatic cyclodialysis cleft admitted to the ocular trauma department of our hospital from July 2014 to December 2018 were included in this study. After the bulbar conjunctiva corresponding to the ciliary body was incised along the corneal limbus, an incision was made along the corneal limbus on the opposite side. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Dec;22(12):1165-1169

Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing 100044, China.

To compare the efficacy and safety of two procedures in the treatment of hemorrhoid: the procedure for prolapse and hemorrhoids (PPH) and stapled transanal rectal resection (STARR). A retrospective cohort research was conducted. Clinical data of 263 patients undergoing the first elective surgery for grade IV hemorrhoids by the same team of surgeons at our department from January 2015 to December 2016 were analyzed retrospectively, while those had other anorectal diseases, emergency surgery, inflammatory bowel disease, tumor and incomplete clinical data were excluded. Read More

BMC Surg 2019 Dec 16;19(1):196. Epub 2019 Dec 16.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Background: This study aimed to identify and review associations between the types of sutures used for uterine compression suture (UCS) and its outcomes in postpartum hemorrhage.

Methods: An electronic search using PubMed and Scopus databases was performed. We included the English articles reported from January 1, 1997, to May 31, 2017, using search words or terms regarding the types of suture and needle used for UCSs. Read More

Vet Ophthalmol 2020 Mar 4;23(2):325-330. Epub 2019 Dec 4.

School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA.

Objective: The purpose of this study was to compare the leakage rates of perilimbal uniplanar and biplanar clear corneal incisions in dogs when subjected to increased intraocular pressure (IOP) both from within the eye and via external pressure.

Procedure: Uniplanar clear corneal incisions were created in eight freshly enucleated canine eyes using a 3.2 mm straight slit knife while 8 fellow eyes received a biplanar clear corneal incision consisting of an approximately 300 μm deep groove followed by a 3. Read More

BMC Ophthalmol 2019 Nov 21;19(1):234. Epub 2019 Nov 21.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, No. 639 Zhizaoju Road, Shanghai, 200011, China.

Background: To report a modified surgical technique for intrascleral intraocular lens (IOL) fixation with fewer anterior segment manipulations in eyes lacking sufficient capsular support.

Methods: Eyes from 14 patients who underwent 27-gauge needle-guided intrascleral IOL fixation with built-in 8-0 absorbable sutures were studied. The 8-0 absorbable sutures were inserted into 27-gauge round needles and used to create sclerotomies at the 4 o'clock and 10 o'clock positions under the scleral flap. Read More

Arthrosc Tech 2019 Aug 1;8(8):e905-e910. Epub 2019 Aug 1.

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana, U.S.A.

Articular surface partial rotator cuff tendon tears are a common source of shoulder pain and dysfunction, and there is no consensus regarding the optimal arthroscopic treatment. Commonly accepted techniques, such as transtendinous repair or tear takedown with primary repair, may violate healthy tendon tissue and increase the suture anchor density. In this note, we describe an outside-in double row-equivalent technique for repair of partial articular-sided rotator cuff tears. Read More

J Cataract Refract Surg 2019 10;45(10):1367-1371

McGill University, Montreal, Quebec, Canada. Electronic address:

In eyes with absent or insufficient capsule support, three-piece posterior chamber intraocular lens (PC IOL) may be fixed to the sclera. Previous techniques involve the use of sutures, flaps, glue, needles, trocars, or intrascleral tunnels to fixate the distal tips of the haptics intrasclerally. Herein we describe a modified technique for the sutureless scleral fixation of a standard 3-piece PC IOL using self-sealing sclerotomies created with a crescent blade and a 20-gauge microvitreoretinal blade, and then reinserting the haptics to leave the tips inside the vitreous cavity. Read More

World J Surg 2020 01;44(1):95-99

Department of Surgery, Skåne University Hospital, University of Lund, Jan Waldenströms gata 5, 205 02, Malmö, Sweden.

Introduction: A laparotomy is commonly required to gain abdominal access. A safe standardized access and closure technique is warranted to minimize abdominal wall complications like wound infections, burst abdomen and incisional hernias. Stitches are recommended to be small and placed tightly, obtaining a suture length-to-incision length (SL/WL) ratio of ≥ 4:1. Read More

J Surg Orthop Adv 2019 ;28(2):89-96

Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

A needle holder is one of the crucial surgical instruments for surgeons. Its prime function is to steadily hold the needle while applying sutures, thus avoiding injury to the surrounding tissues and to the surgeon's hand. Wide varieties of needle holders are available for use in orthopaedic practice. Read More

J Laparoendosc Adv Surg Tech A 2019 Sep 19;29(9):1192-1196. Epub 2019 Jul 19.

Faculty of Medicine, Beni Suef Medical School, Beni Suef, Egypt.

Laparoscopic appendectomy is among the most common surgical procedures. Needlescopic appendectomy (NA) is an acceptable, safe technique in children, but with many drawbacks such as a high conversion rate and long operative time. We present a new technique for NA in children using only a single port, Mediflex facial closure needle, and vascular access cannula (VAC). Read More

J Dermatolog Treat 2021 Mar 15;32(2):227-230. Epub 2019 Jul 15.

Department of Dermatology and Venereology, Medical Faculty, Selçuk University, Konya, Turkey.

Background: One of the most common nonsurgical options for facial rejuvenation is lifting using threads. Application of polydioxanone (PDO) threads is generally secure and effective procedure, but complications on the involved regions can occur.

Objective: In this study, we shared our experiences of efficacy and safety of PDO thread lifting for facial rejuvenation and presented our technique to prevent the migration of threads. Read More

Eur J Dent 2019 Feb 6;13(1):108-113. Epub 2019 Jun 6.

Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey.

Objective: Various suture materials and needles are now available for use in the dental surgery. The aim of this study was to determine the preference of suture materials among Turkish dentists by a dental survey.

Materials And Methods: The survey was prepared and sent electronically to Turkish dentists through e-mail and/or Facebook. Read More

J Laparoendosc Adv Surg Tech A 2019 Aug 4;29(8):1077-1080. Epub 2019 Jun 4.

2Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Laparoscopic intracorporeal sutures and knots require advanced techniques in children. The JAiMY needle holder (Endocontrol Company, Grenoble, France), a flexible jaw with both clockwise and anticlockwise revolving functions, enables the placement of sutures in very small working spaces. Using this tool, a novel new ligation method, which we named "twitching technique," can be performed. Read More