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    1 OF 955

    Two cases of laparoscopic direct spiral closure of large defects in the second portion of the duodenum after laparoscopic endoscopic co-operative surgery.
    J Minim Access Surg 2017 Dec 11. Epub 2017 Dec 11.
    Department of Gastroenterological Surgery II, Hokkaido University, Graduate School of Medicine, Sapporo, Japan.
    Curative endoscopic resection of non-ampullary duodenal lesions, although possible, is challenging. In recent years, although a novel surgical technique named laparoscopic-endoscopic cooperative surgery (LECS), which combines laparoscopic and endoscopic techniques, has made the resection of nonampullary duodenal lesions relatively easier, closure of the defect is still controversial. We report two cases of the duodenal lesion which were closed using a novel technique for primary closure utilising the free wall of the duodenum. Read More

    A survey of current practices and influences on the choice of suture material, pattern and size used in commonly performed procedures in UK small animal veterinary practice.
    Vet Rec Open 2017 29;4(1):e000189. Epub 2017 Aug 29.
    University of Bristol, Langford Veterinary Services, Bristol, UK.
    Objectives: A survey of UK veterinarians was conducted to determine factors influencing suture choice and current suture practice for common surgical procedures.

    Methods: An online survey was designed and the survey was sent to central practice emails obtained from the 2011 Royal College of Veterinary Surgeons (RCVS) practice database.

    Results: Two hundred and thirty-nine surveys were completed (203 with no additional postgraduate qualifications (NAQ), 16 with RCVS certificates and 19 with diplomas). Read More

    Innovative Economical Surgical Suture Board.
    Indian J Surg 2017 Dec 14;79(6):576-577. Epub 2017 Sep 14.
    Department of Surgery, Santosh Medical College and Hospitals, B-90 Patel Nagar - II, Ghaziabad, Uttar Pradesh 201001 India.
    The aim of this study is to develop an economical suture board for practising suturing skills and techniques. Suture boards were made by using local electric boards, small leather patch, four suction buttons, six screws and a hook. These suture boards are multipurpose boards which are economical and available all the time in department for practicing. Read More

    Age estimation approaches using cranial suture closure: A validation study on a Thai population.
    J Forensic Leg Med 2017 Nov 29;53:79-86. Epub 2017 Nov 29.
    Forensic Osteology Research Center, Faculty of Medicine and Graduate School, Chiang Mai University, 50200, Thailand; Department of Anatomy, Faculty of Medicine, Chiang Mai University, 50200, Thailand; Excellence in Osteology Research and Training Center (ORTC), Chiang Mai University, Chiang Mai, 50200, Thailand. Electronic address:
    Cranial suture closure, one of the most commonly used age estimation methods, for decades, however, is often viewed with caution and its reliability is still debated. Few methods of estimating age using the skeleton, especially cranial suture, have been tested on Thais. This study aims to test the traditional aging techniques using cranial suture closure on Thai individuals in order to identify the error rate of each method when applied to a Thai sample. Read More

    Long-term results of suture annuloplasty for degenerative mitral valve disease: a propensity-matched analysis.
    J Cardiovasc Med (Hagerstown) 2018 Jan;19(1):22-28
    aDepartment of Cardiac SurgerybDepartment of Clinical CardiologycHeart Failure Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
    Aims: Ring annuloplasty is the gold standard of surgical repair in degenerative mitral valve disease. However, prosthetic annuloplasty has some drawbacks and potential hazards. Suture annuloplasty theoretically is able to preserve annular leaflet dynamics and left ventricular performance, but experience is limited. Read More

    A novel technique for modified all-inside repair of bucket-handle meniscus tears using standard arthroscopic portals.
    J Orthop Surg Res 2017 Dec 4;12(1):188. Epub 2017 Dec 4.
    Department of Orthopaedic Surgery, National University Health Systems (NUHS), 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119228, Singapore.
    Background: Bucket-handle meniscus tears (BHMT) are often displaced and unstable. The inside-out technique of repairing such tears is currently the gold standard. All-inside repair with meniscal fixators is getting increasingly popular. Read More

    Treatment of severe mitral regurgitation caused by lesions in both leaflets using multiple mitral valve plasty techniques in a small dog.
    Open Vet J 2017 23;7(4):328-331. Epub 2017 Nov 23.
    Chayagasaka Animal Hospital, 1-1-5 Shinnishi, Chikusa, Nagoya, Aichi, 464-0003 Japan.
    Mitral valve plasty (MVP) is preferred over mitral valve replacement (MVR) for mitral regurgitation in humans because of its favorable effect on quality of life. In small dogs, it is difficult to repair multiple lesions in both leaflets using MVP. Herein, we report a case of severe mitral regurgitation caused by multiple severe lesions in the posterior leaflet (PL) in a mixed Chihuahua. Read More

    Laparoscopic Ureteroneocystostomy with Vesicopsoas Hitch in 10 Steps - for Infiltrative Endometriosis of the Distal Ureter.
    J Minim Invasive Gynecol 2017 Nov 28. Epub 2017 Nov 28.
    Department of Gynecological Surgery, CHU Clermont Ferrand, 1Place Lucie Aubrac, 63000 Clermont-Ferrand, France; Faculté de Médecine, ALCoV-ISIT (UMR6284 CNRS/ Université d'Auvergne), 28 Place Henri Dunant, 63000 Clermont-Ferrand, France. Electronic address:
    Objective: Laparoscopic ureteroneocystostomy with a vesicopsoas hitch has the advantages of minimally invasive approach. The standardization and the description of the technique is the main objective of this video. We described this procedure in 10 steps, which could help to understand and perform this procedure. Read More

    Single versus double row suture anchor fixation for greater tuberosity fractures - a biomechanical study.
    BMC Musculoskelet Disord 2017 Dec 1;18(1):506. Epub 2017 Dec 1.
    Department of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany.
    Background: Fractures of the humeral greater tuberosity (GT) are a frequent injury progressively treated with arthroscopic suture anchor repair. Yet, no biomechanical study has been performed comparing fixation strength of arthroscopic single- (SR) vs. double row (DR) fixation. Read More

    Predictors of cerclage failure in patients with singleton pregnancy undergoing prophylactic cervical cerclage.
    Arch Gynecol Obstet 2017 Nov 29. Epub 2017 Nov 29.
    Department for Obstetrics, University Hospital Bern, 3010, Bern, Switzerland.
    Purpose: The role of cervical cerclage to prevent preterm birth (PTB) remains controversial. The aim of this study was to identify prognostic factors for cerclage failure among singleton pregnant women following prophylactic cerclage (PC).

    Methods: A retrospective analysis of PC was performed in a single center. Read More

    Anastomotic Leakage Using Linear Stapling Device with Pre-attached Bioabsorbable Polyglycolic Acid Felt After Laparoscopic Anterior Resection.
    Anticancer Res 2017 12;37(12):7083-7086
    Division of Surgery, Hiratsuka City Hospital, Hiratsuka, Japan.
    Aim: Many studies have evaluated the risk factors for anastomotic leakage after laparoscopic anterior resection. In this study in order to increase the tightness of anastomoses and prevent bleeding from their staple lines, a linear stapler with pre-attached bioabsorbable polyglycolic acid (PGA) felt was used for rectal transection, and the short-term surgical outcomes were evaluated.

    Patients And Methods: A prospective registry of 62 patients with rectosigmoidal or rectal carcinoma who initially underwent laparoscopic anterior resection using PGA felt for rectal transection was reviewed. Read More

    Pediatric gastrostomy tubes and techniques: making safer and cleaner choices.
    J Surg Res 2017 Dec 25;220:88-93. Epub 2017 Jul 25.
    Division of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
    Background: Gastrostomy tube placement is a common procedure that can be accomplished with a variety of techniques, each with its attendant complications. In an effort to standardize practice at our institution, we retrospectively evaluated complications including early dislodgement requiring operative repair, leaks, and granulation tissue to determine the optimal technique.

    Materials And Methods: A retrospective cohort study (June 2008-July 2014) evaluating children (<18) receiving gastrostomy tubes was completed. Read More

    Interrupted versus continuous suturing for vesicourethral anastomosis during radical prostatectomy: protocol for a systematic review and meta-analysis.
    BMJ Open 2017 Nov 25;7(11):e019823. Epub 2017 Nov 25.
    Department of Urology, University Medical Center Mannheim, Mannheim, Germany.
    Introduction: Radical prostatectomy is the mainstay of treatment for prostate cancer. The vesicourethral anastomosis is a critical step, which most likely impacts urinary continence and urethral stenosis. To date, it still remains unclear whether interrupted and continuous suturing for the anastomosis have different outcomes. Read More

    Meniscal Repair: Technique.
    Orthop Traumatol Surg Res 2017 Nov 23. Epub 2017 Nov 23.
    Service d'Orthopédie Traumatologie, Centre Hospitalier de Versailles, 78150 Le Chesnay, France.
    Meniscal repair aims to achieve meniscal healing, avoiding the adverse effects of meniscectomy.Longitudinal vertical lesions in a vascularized area are the reference indication. The technique generally uses hybrid all-inside implants. Read More

    In Situ Side-to-Side Anastomosis: Surgical Technique and Complication Avoidance.
    World Neurosurg 2017 Nov 23. Epub 2017 Nov 23.
    Department of Neurosurgery, College of Medicine, Kyung Hee University, Seoul, Korea. Electronic address:
    In situ side-to-side (STS) anastomosis is a unique technique used for intracranial artery-intracranial artery revascularization. During a seven-year period, seven STS anastomoses were performed for anterior cerebral artery aneurysms in six patients and postero-inferior cerebellar artery aneurysm in one patient. We describe a step-by-step guide for suturing techniques from arteriotomy to vessel wall sutures based on clinical experiences, with detailed illustrations. Read More

    Multiple hybrid sutures of bucket handle injury on the lateral and medial meniscus of the knee.
    BMJ Case Rep 2017 Nov 23;2017. Epub 2017 Nov 23.
    Orthopaedic and Traumatology Department, Universidade Federal de São Paulo, CETE - Centro de Traumatologia do Esporte, São Paulo, Brazil.
    The objective of the study is to show possibilities of several combinations of suture techniques in a rare bicompartmental bucket handle injury. According to specific injury characteristics, combined suturing techniques were used. The option for different meniscal suture techniques in the two knee compartments allowed the patient, after completing the treatment, to return to his activities with a preserved meniscus. Read More

    Transfemoral Approach for Coronary Angiography and Intervention: A Collaboration of International Cardiovascular Societies.
    JACC Cardiovasc Interv 2017 Nov;10(22):2269-2279
    Cardiovascular Division, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida. Electronic address:
    Objectives: The aim of this study was to examine the current practice and use of transfemoral approach (TFA) for coronary angiography and intervention.

    Background: Wide variability exists in TFA techniques for coronary procedures.

    Methods: The authors developed a survey instrument that was distributed via e-mail lists from professional societies to interventional cardiologists from 88 countries between March and December 2016. Read More

    Evolution and Standardisation of Techniques in Single-Incision Laparoscopic Bariatric Surgery.
    Obes Surg 2017 Nov 21. Epub 2017 Nov 21.
    GEM Hospital and Research Centre, Coimbatore, India.
    Bariatric surgery has proven benefits for morbid obesity and its associated comorbidities. Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesis. Read More

    Left Atrial Appendage Occlusion/Exclusion: Procedural Image Guidance with Transesophageal Echocardiography.
    J Am Soc Echocardiogr 2017 Nov 17. Epub 2017 Nov 17.
    Leon H. Charney Division of Cardiology New York University Langone Medical Center, New York, New York. Electronic address:
    Atrial fibrillation is the most common arrhythmia worldwide and is a major risk factor for embolic stroke. In this article, the authors describe the crucial role of two- and three-dimensional transesophageal echocardiography in the pre- and postprocedural assessment and intraprocedural guidance of percutaneous left atrial appendage (LAA) occlusion procedures. Although recent advances have been made in the field of systemic anticoagulation with the novel oral anticoagulants, these medications come with a significant risk for bleeding and are contraindicated in many patients. Read More

    Management of a cornual ectopic pregnancy.
    J Visc Surg 2017 Dec 17;154(6):467-468. Epub 2017 Nov 17.
    Service de chirurgie digestive, HIA Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France. Electronic address:
    Cornual pregnancy is rare. Treatment involves expulsion of the pregnancy and hemostasis of the cornus if required by hemorrhagic rupture. Two techniques are proposed to achieve hemostasis of the uterine cornus, cornuotomy with suture, or corneal resection with salpingectomy, generally laparoscopically. Read More

    Surgical Otoplasty: An Evidence-Based Approach to Prominent Ears Correction.
    Facial Plast Surg Clin North Am 2018 Feb;26(1):9-18
    Department of Plastic Surgery, Royal Hospital for Sick Children, 9 Sciennes Road, Edinburgh EH9 1LF, UK.
    Otoplasty is one of the first procedures learned during residency. A myriad of surgical techniques and nuances exist. Many have merit, some are ineffective, some destructive, and some frankly fanciful. Read More

    Biomechanical properties of feline ventral abdominal wall and celiotomy closure techniques.
    Vet Surg 2017 Nov 18. Epub 2017 Nov 18.
    University College Dublin School of Veterinary Medicine, Dublin, Ireland.
    Objective: To compare biomechanical properties and mechanism of failure of 3 regions of ventral abdominal wall in cats by using 2 suture materials, 2 suture bite-to-stitch intervals (SBSI), and full-thickness versus fascia-only closure.

    Study Design: Randomized, cadaveric, ex vivo mechanical testing.

    Sample Population: 16 adult cat cadavers, 3 samples per cat. Read More

    Surgical techniques for left atrial appendage exclusion.
    Herzschrittmacherther Elektrophysiol 2017 Dec 17;28(4):360-365. Epub 2017 Nov 17.
    Department of Cardiovascular Surgery, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
    The increasing prevalence of atrial fibrillation with the aging population and its associated major morbidity and mortality due to thromboembolic stroke have resulted in intensive research on stroke prevention or stroke risk reduction strategies. Several surgical techniques for left atrial appendage (LAA) occlusion have evolved over the past decades. Surgeons have been using different techniques leading to highly variable and, in particular, poor data on outcomes. Read More

    Impact of donor graft quality on deep anterior lamellar Keratoplasty (DALK).
    BMC Ophthalmol 2017 Nov 17;17(1):204. Epub 2017 Nov 17.
    Department of Ophthalmology, University of Cologne, Kerpener Strasse 62, 50924, Cologne, Germany.
    Background: To evaluate main features of donor tissue that may influence clinical outcome or complication rate after deep anterior lamellar keratoplasty (DALK).

    Methods: Donor tissue parameters of 84 consecutive corneal donor grafts used for big-bubble DALK surgery between June 2011 and December 2014 in 84 eyes of 84 patients with disorders of anterior corneal stroma were correlated to clinical outcome parameters of recipient eyes 12 months after surgery and 3 months after total suture removal. Main donor tissue parameters included age), post-mortem time, overall preservation time, preservation time after split and prior to transplantation, and preservation technique. Read More

    A prospective randomised comparison of 2 skin closure techniques in primary total hip arthroplasty surgery.
    Hip Int 2017 Nov 13. Epub 2017 Nov 13.
    Department of Orthopaedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou - China.
    Introduction: As an essential step of total hip arthroplasty (THA), an effective and secure skin closure technique after primary THA is important. Metallic staples closure and subcuticular suture are the 2 common techniques for skin closure. However, which closure technique is the optimal skin-closure method remains unclear. Read More

    Fingertip Winding Suture: Pull-out Suture Technique for Flexor Tendon Repair in Zone I.
    Tech Hand Up Extrem Surg 2017 Dec;21(4):143-148
    *Faculty of Medicine, Kasr Al Ainy Hospital, Cairo University, Cairo†Hand Clinic, Giza, Egypt.
    Injuries to flexor tendons in zone I has always been challenging during repair. Over the time several techniques were developed and modified to achieve the highest repair strength and thus the best functional outcome. These techniques vary from pull-out sutures with internal and external fixation to the use of bone anchors. Read More

    A simple suture-guiding device for minimally invasive Achilles tendon repair.
    J Orthop Surg (Hong Kong) 2017 Sep-Dec;25(3):2309499017739484
    3 Orthopaedics and Traumatology Department, Adana Numune Research Hospital, Adana, Turkey.
    Background: Our hypothesis is to utilize a simple suture-guiding device for minimally invasive repair of Achilles tendon without any extra cost with a minimal risk of rerupture. The purpose of this study is to investigate the results of our minimally invasive technique for Achilles tendon repair using a simple ovarian clamp for suture guiding.

    Materials And Methods: Twenty patients with acute Achilles tendon rupture were treated with minimally invasive repair by an expert orthopaedic surgeon. Read More

    Lip Repositioning Technique With Smile Elevator Muscle Containment - A Novel Cosmetic Approach for Gummy Smile: Case Report.
    Compend Contin Educ Dent 2017 Nov/Dec;38(10):e9-e12
    Associate Professor, School of Dentistry, São Leopoldo Mandic, Campinas, Brazil.
    Excessive gingival display (EGD) is a challenge for dentists attempting to provide their patients a pleasant smile. EGD associated with hyperactivity of the smile elevator muscles can be treated with various surgical techniques; regardless of which technique is used, to achieve a predictable result with long-term stability limiting upper lip movement when the patient smiles, a firm muscle containment is imperative. This report describes an innovative suture procedure associated with a lip repositioning technique aimed at maintaining the traction and containment of the smile elevator muscles. Read More

    Primary repair of Achilles tendon avulsions: Presentation of a novel technique and its comparison with suture anchor repair.
    J Orthop Surg (Hong Kong) 2017 Sep-Dec;25(3):2309499017739486
    2 Department of Orthopaedics and Traumatology, Izmir Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey.
    Purpose: We aimed to present our novel technique in the surgical treatment of Achilles tendon avulsions and compare the clinical results of such technique with the repair method using suture anchors.

    Methods: A retrospective study was made of patients with Achilles tendon sleeve avulsion and patients where distal portion of the tear prohibited primary repair, surgically treated between January 2009 and January 2013. Twenty-one patients who met the criteria were examined and called for final examination: 9 patients were treated with the novel technique (group 1) and 12 patients were treated with suture anchor repair (group 2). Read More

    Liquifying PLDLLA Anchor Fixation in Achilles Reconstruction for Insertional Tendinopathy.
    Foot Ankle Spec 2017 Nov 1:1938640017740676. Epub 2017 Nov 1.
    Department of Orthopaedics, Emory University School of Medicine (SAB, ALB, JTB), Atlanta, Georgia.
    Insertional Achilles tendinopathy (IAT) is a frequent cause of posterior heel pain and is often associated with Haglund's deformity. Surgical correction for refractory cases of IAT has been well studied; however, the method of tendon fixation to bone in these procedures remains controversial, and to date, no standard technique has been identified for tendon fixation in these surgeries. Often, after Haglund's resection, there is large exposed cancellous surface for Achilles reattachment, which may require unique fixation to optimize outcomes. Read More

    European Hernia Society guidelines on prevention and treatment of parastomal hernias.
    Hernia 2017 Nov 13. Epub 2017 Nov 13.
    Department of Surgery, Maria Middelares Hospital, Ghent, Belgium.
    Background: International guidelines on the prevention and treatment of parastomal hernias are lacking. The European Hernia Society therefore implemented a Clinical Practice Guideline development project.

    Methods: The guidelines development group consisted of general, hernia and colorectal surgeons, a biostatistician and a biologist, from 14 European countries. Read More

    The impact of different peripheral suture techniques on the biomechanical stability in flexor tendon repair.
    Arch Orthop Trauma Surg 2017 Nov 13. Epub 2017 Nov 13.
    Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, Building W1, 48149, Muenster, Germany.
    Purpose: Flexor tendon repair consists of circumferential peripheral sutures in combination with core sutures to avoid fraying and reduces the exposure of suture material on tendon surface. The peripheral suture adds up to a tenfold increase of the biomechanical stability compared to the core suture alone. The purpose of our study was to determine the most favourable peripheral repair technique for tendon repair. Read More

    [Implants for genital prolapse : Pro mesh surgery].
    Urologe A 2017 Dec;56(12):1576-1582
    Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
    There has been an overall increase in pelvic organ prolapse due to demographic changes (increased life expectancy). Increasing sociocultural demands of women require treatments that are more effective with methods that are more successful. In the treatment of pelvic floor insufficiency and uterovaginal prolapse, pelvic floor reconstructions with mesh implants have proven to be superior to conventional methods such as the classic colporrhaphy, reconstructions with biomaterial, and native tissue repair in appropriately selected patients and when applying exact operation techniques, especially because of good long-term results and low recurrence rates. Read More

    [Arthroscopic soft tissue stabilization of posttraumatic anterior shoulder instability : Techniques, limitations and long-term results].
    Unfallchirurg 2017 Nov 13. Epub 2017 Nov 13.
    OCM Klinik, München, Deutschland.
    Arthroscopic soft tissue stabilization is a well-established and broadly accepted procedure to treat posttraumatic shoulder instability. Advantages in comparison to open stabilization procedures include improved visualization of the structural damage and a less invasive approach. Technical developments in recent years have led to further improvement of the arthroscopic technique for shoulder instability. Read More

    Monitoring and Morphologic Classification of Pediatric Cataract Using Slit-Lamp-Adapted Photography.
    Transl Vis Sci Technol 2017 Nov 2;6(6). Epub 2017 Nov 2.
    State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, China.
    Purpose: To investigate the feasibility of pediatric cataract monitoring and morphologic classification using slit lamp-adapted anterior segmental photography in a large cohort that included uncooperative children.

    Methods: Patients registered in the Childhood Cataract Program of the Chinese Ministry of Health were prospectively selected. Eligible patients underwent slit-lamp adapted anterior segmental photography to record and monitor the morphology of their cataractous lenses. Read More

    "The Chignon Mastopexy": A Double Glandular Suspended Flaps for an Auto-Augmentation Effect.
    Aesthetic Plast Surg 2017 Nov 9. Epub 2017 Nov 9.
    Medical School of Tunis, The office of Dr KOTTI : Residence "Yasmin du lac", Bloc A, Avenue de la bourse, 1053, Lac 2, Tunis, Tunisia.
    Background: Many mastopexy techniques have been described in the literature focusing on the new nipple areolar complex position and the breast deflation treatment, but only few of them detailed the glandular volume redistribution to avoid the use of implants. We describe a mastopexy procedure that brings the maximum of the volume to the central part of the breast. We compare the procedure to a "chignon" hair style way to vulgarize the technique and simplify its comprehension. Read More

    Visual outcome and complications of various techniques of secondary intraocular lens.
    Oman J Ophthalmol 2017 Sep-Dec;10(3):198-204
    Department of Ophthalmology, Regional Institute of Ophthalmology, Government M. D. Eye Hospital, Allahabad, Uttar Pradesh, India.
    Background/aims: The purpose of this study was to compare and evaluate the visual outcome and complications of various techniques of secondary intraocular lens (IOL) (i.e., anterior chamber IOL [ACIOL], suture-fixated posterior chamber IOL [PCIOL], and glue-fixated PCIOL). Read More

    Arthroscopic Soft Tissue Procedures for Anterior Shoulder Instability.
    Open Orthop J 2017 31;11:979-988. Epub 2017 Aug 31.
    Fortius Clinic Central 17 Fitzhardinge Street London W1H 6EQ UK.
    Background: Arthroscopy has rapidly transformed the treatment of anterior shoulder instability over the past 30 years. Development of arthroscopic equipment has permitted the investigation and diagnosis of the unstable shoulder, and fixation methods have evolved to promote arthroscopy from an experimental procedure to one of first-line mainstream treatment.

    Methods: Key research papers were reviewed to identify the fundamental principles in patient diagnosis and appropriate selection for arthroscopic treatment. Read More

    Rectal Eversion Technique: A Method to Achieve Very Low Rectal Transection and Anastomosis With Particular Value in Laparoscopic Cases.
    Dis Colon Rectum 2017 Dec;60(12):1329-1331
    Colon and Rectal Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
    Introduction: Transection of the rectum at the anorectal junction is required for proper resection in ulcerative colitis and restorative proctocolectomy. Achieving stapled transection at the pelvic floor is often challenging, particularly during laparoscopic proctectomy. Transanal mucosectomy and handsewn anastomosis are frequently used to achieve adequate resection. Read More

    Transoral outlet reduction: a comparison of purse-string with interrupted stitch technique.
    Gastrointest Endosc 2017 Nov 3. Epub 2017 Nov 3.
    Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
    Background And Aims: Weight regain after Roux-en-Y gastric bypass (RYGB) correlates with dilated gastrojejunal anastomosis (GJA). Endoscopic sutured transoral outlet reduction (TORe) is a safe and effective management and has predominantly been performed by either placing interrupted sutures at the GJA or the creation of a purse-string suture. The aim of the current study was to compare these techniques. Read More

    Analysis of Two Different Arthroscopic Broström Repair Constructs for Treatment of Chronic Lateral Ankle Instability in 110 Patients: A Retrospective Cohort Study.
    J Foot Ankle Surg 2017 Nov 2. Epub 2017 Nov 2.
    Fellow, Florida Orthopedic Foot & Ankle Center Fellowship, Sarasota, FL.
    Chronic lateral ankle instability is a common condition treated by most foot and ankle surgeons. Once conservative treatment has failed, patients often undergo surgical reconstruction, either anatomic or nonanatomic. The present retrospective cohort study compared the clinical outcomes of 2 different arthroscopic Broström procedures. Read More

    Matriderm® for the management of scalp necrosis following surgical treatment of a giant parietal encephalocele. Case report.
    World Neurosurg 2017 Nov 1. Epub 2017 Nov 1.
    Plastic Surgery, Mater Dei Hospital, Belo Horizonte, MG, Brazil.
    Background: management of encephaloceles is challenging when massive brain herniation is present. In such instances, an expansile cranioplasty may be attempted so as to preserve some herniated brain tissue. Complications such as wound dehiscence, CSF leak and scalp necrosis are postoperative concerns. Read More

    An Evaluation of Commonly Used External Ventricular Drain Securement Methods in a Porcine Model: Recommendations to Improve Practice.
    World Neurosurg 2017 Nov 2. Epub 2017 Nov 2.
    Department of Neurosurgery, Wessex Neurological Centre, University Hospital Southampton, Southampton, UK.
    Background: External ventricular drain (EVD) dislodgement is common and leads to significant morbidity and mortality. Many securement techniques to prevent this are described. There are, however, no objective studies comparing them. Read More

    Closure methods for laparotomy incisions for preventing incisional hernias and other wound complications.
    Cochrane Database Syst Rev 2017 Nov 3;11:CD005661. Epub 2017 Nov 3.
    Department of Surgery, Kingston General Hospital, 76 Stuart Street, Kingston, ON, Canada, K7L 2V7.
    Background: Surgeons who perform laparotomy have a number of decisions to make regarding abdominal closure. Material and size of potential suture types varies widely. In addition, surgeons can choose to close the incision in anatomic layers or mass ('en masse'), as well as using either a continuous or interrupted suturing technique, of which there are different styles of each. Read More

    [Clinical effect of modified alveolar cleft repair with bone grafting].
    Shanghai Kou Qiang Yi Xue 2017 Jun;26(3):281-284
    Department of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Fujian Medical University. Fuzhou 350002, China.
    Purpose: To evaluate the clinical effect of improved alveolar cleft repair with bone grafting.

    Methods: Forty one cases with alveolar cleft treated by modified operation between 2008-2016 were included. The modified techniques were as follow: incision design, preparation of bone graft bed, bone removal and bone grafting, etc. Read More

    "Mending A Broken Heart!" (a few technical tips on repairing penetrating trauma to the heart).
    Chirurgia (Bucur) 2017 Sept-Oct;112(5):619-623
    During the history operative repair of cardiac injuries was considered to be unmanageable and the first successful cardiomiorraphy was performed just around a century ago. Tamponade, more frequently than exsanguination are cause of death in penetrating cardiac trauma. This is a usualy lethal injury and those surviving to hospital have an overall mortality approaching 80%. Read More

    Non-contrast MR angiography at 1.5 Tesla for aortic monitoring in Marfan patients after aortic root surgery.
    J Cardiovasc Magn Reson 2017 Oct 30;19(1):82. Epub 2017 Oct 30.
    Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
    Background: Contrast-enhanced cardiovascular magnetic resonance angiography (CE-CMRA) is the established imaging modality for patients with Marfan syndrome requiring life-long annual aortic imaging before and after aortic root replacement. Contrast-free CMRA techniques avoiding side-effects of contrast media are highly desirable for serial imaging but have not been evaluated in the postoperative setup of Marfan patients. The purpose of this study was to assess the feasibility of non-contrast balanced steady-state free precession (bSSFP) magnetic resonance imaging for aortic monitoring of postoperative patients with Marfan syndrome. Read More

    Endoscopic Treatment of Weight Regain Following Roux-en-Y Gastric Bypass: a Systematic Review and Meta-analysis.
    Obes Surg 2017 Oct 29. Epub 2017 Oct 29.
    Gastrointestinal Endoscopy Unit, Hospital das Clínicas, University of São Paulo Medical School, Dr. Arnaldo Av, 455, São Paulo, 01246-903, Brazil.
    Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric procedure. Despite its high efficacy, some patients regain part of their lost weight. Several endoscopic therapies have been introduced as alternatives to treat weight regain, but most of the articles are relatively small with unclear long-term data. Read More

    Arthroscopic Lateral Ligament Repair Through Two Portals in Chronic Ankle Instability.
    Open Orthop J 2017 31;11:617-632. Epub 2017 Jul 31.
    Centro Artroscópico Jorge Batista, 2446 Pueyrredón Avenue, 1st Floor, 1119 Buenos Aires, Argentina.
    Objectives: Injury to the lateral ligament complex of the ankle is one of the most common sports-related injury. Usually lateral ankle evolves with excellent clinical recovery with non surgical treatment, however, near about 30% develop a lateral chronic instability sequela. Several open and arthroscopic surgical techniques have been described to treat this medical condition. Read More

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