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Orv Hetil 2018 Dec;159(51):2167-2174

Marosvásárhelyi Orvosi és Gyógyszerészeti Egyetem (University of Medicine and Pharmacy) Aleea Carpati 45c/48, Marosvásárhely-Tirgu Mures, Románia.

Introduction: Left ventricular aneurysm is a severe complication of acute myocardial infarction, which contributes significantly to mortality and morbidity associated with this pathology. Despite the progress of correction techniques, there are still controversies about the optimal approach addressing this pathology.

Aim: The aim of this study was to analyse short and medium term outcomes of left ventricular reconstruction for ischemic left ventricular aneurysm using two surgical techniques (endoventricular patch plasty and liniar suture) in order to determine if one of these techniques has supperior results. Read More

SICOT J 2018 14;4:57. Epub 2018 Dec 14.

Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.

Rotator cuff repairs seek to achieve adequate tendon fixation and to secure the fixation during the process of biological healing. Currently, arthroscopic rotator cuff repair has become the gold standard. One of the earliest defined techniques is single-row repair but the inadequacy of single-row repair to precisely restore the anatomical footprint as well as the significant rates of retear especially in large tears have led surgeons to seek other techniques. Read More

Injury 2018 Dec 22;49(12):2248-2251. Epub 2018 Oct 22.

Department of Orthopaedic Surgery, Nagoya Ekisaikai Hospital, 4-66 Shonen-Cho, Nakagawa-Ku, Nagoya, 454-8502, Japan.

Introduction: Flexor tendon injury often occurs with concomitant injuries such as fracture, vascular injury, and extensor tendon injury. These injuries are repaired independently, without a comprehensive strategy. We aimed to identify the effect of concomitant injuries and treatment choice on the outcome of flexor tendon repair. Read More

Oper Orthop Traumatol 2018 Dec 11. Epub 2018 Dec 11.

Abteilung für Sportorthopädie, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, München, Deutschland.

Objective: Transosseous augmentation of patellar sleeve fractures (PSF) with suture tape in young athletes.

Indications: Acute avulsions of the proximal or distal patellar pol with clinical relevant deficit of knee extension.

Contraindications: Local infections, severe soft tissue damage (relative contraindication), fractures of the patella or tibial tuberosity. Read More

Eur J Orthop Surg Traumatol 2018 Dec 7. Epub 2018 Dec 7.

Department of Orthopaedic Surgery and Sports Traumatology, Grenoble South University Hospital, 38130, Echirolles, France.

Introduction: Damage to the common peroneal nerve is the most frequent nerve injury in lower limb traumas. Our objective was to assess the motor and sensory recovery levels and the functional outcomes after remedial surgery for common peroneal nerve trauma, through either neurolysis, direct suture or nerve graft.

Methods: This is a transversal, observational study of a monocentric cohort of 20 patients who underwent surgery between January 2004 and June 2016, which included 16 men and 4 women whose median age was 35 ± 11 years. Read More

Arthrosc Tech 2018 Nov 22;7(11):e1197-e1203. Epub 2018 Oct 22.

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

An arthroscopic technique for the surgical treatment of acute acromioclavicular (AC) joint injuries is presented in this study. This procedure aims to achieve both vertical and horizontal stability through the healing of both coracoclavicular (CC) and AC ligaments. As a routine maneuver, arthroscopic CC stabilization was applied using the dog bone button to obtain only vertical stability. Read More

Arthrosc Tech 2018 Nov 22;7(11):e1191-e1196. Epub 2018 Oct 22.

Hospital Universitario de Torrejón, Torrejón de Ardoz, Spain.

The current understanding of the biomechanical role of the meniscus, in conjunction with the increasing efforts to achieve its preservation within the orthopaedic community during treatment of meniscal lesions, has prompted the development of different meniscal repair techniques. The outside-in technique is recommended for anterior horn and middle-segment meniscal tears and has been recognized as a low-cost procedure with a low incidence of complications. Diverse modifications of this technique have been published over the past decade. Read More

Arthrosc Tech 2018 Nov 1;7(11):e1089-e1095. Epub 2018 Oct 1.

Princeton Orthopaedic & Rehabilitation Associates, Princeton, New Jersey, U.S.A.

Superior capsular reconstruction is a powerful tool for the treatment of massive irreparable rotator cuff tears. Several authors have described this evolving technique. Issues of graft sizing, graft passage, graft tensioning, and suture management make this a challenging procedure even in the hands of experienced shoulder surgeons. Read More

Curr Opin Pediatr 2018 Dec 3. Epub 2018 Dec 3.

Hospital for Special Surgery, New York, New York, USA.

Purpose Of Review: The purpose of this review is to summarize and clarify the current framework for treating tibial spine avulsion fractures (TSAFs). We will discuss how these fractures are classified both on plain radiographs and MRI as well as report the incidence of concomitant soft tissue injury, an important consideration that guides treatment. We will also compare guidelines for nonsurgical versus surgical treatment and summarize frequently used surgical techniques. Read More

BMC Ophthalmol 2018 Dec 7;18(1):311. Epub 2018 Dec 7.

Chongqing Key Laboratory of Ophthalmology and Chongqing Eye Institute, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.

Background: This study aims to compare the safety and effectiveness of two closed-chamber techniques for repairing iridodialysis.

Methods: Seventy five patients with iridodialysis undergoing surgery from February 2008 to October 2017 were included in this study. Patients were divided into two Groups, Group A (32 eyes) and Group B (35 eyes), with Group A using a 26-gauge hypodermic needle guided 10-0 nylon suture, and Group B using a double-armed polypropylene suture. Read More

Surg Infect (Larchmt) 2018 Dec 11. Epub 2018 Dec 11.

Comprehensive Hernia Center, Digestive Disease and Surgical Institute , Cleveland Clinic, Cleveland, Ohio.

Background: The management of incisions and decisions on closure techniques for surgical wounds are driven by expected incisional morbidity and the severity of the potential morbidity for the patient.

Methods: This article reviews current literature on the potential strategies to be considered in closing the skin and fascia of incisions.

Results: The review of the literature indicates that low-risk wounds for infection should be closed primarily with subcuticular suture, and adjunctive local measures should be avoided. Read More

Acta Anaesthesiol Scand 2018 Dec 6. Epub 2018 Dec 6.

Department of Anaesthesia and Intensive Care Medicine, Copenhagen University Hospital, Nordsjaellands Hospital, Hillerød, Denmark.

Background: We performed a randomised blinded pilot study in 16 healthy volunteers to assess whether placing a suture-method catheter in the adductor canal is feasible with two different insertion techniques.

Methods: Each volunteer had a suture-method catheter placed approximately halfway between the superior anterior iliac spine and base of the patella in both legs. Catheters were placed using a parallel technique in one leg and a perpendicular technique in the other leg, according to randomisation. Read More

Hernia 2018 Dec 5. Epub 2018 Dec 5.

Mayne Medical School, School of Medicine, University of Queensland, Brisbane, QLD, Australia.

Purpose: One of the most important measures of success of open inguinal herniorrhaphy is the incidence of recurrence. Reports suggest that up to 13% of all inguinal hernia repairs worldwide, irrespective of the approach, are repaired for recurrence. The reason as to why inguinal hernias recur is most likely multifactorial. Read More

Hand (N Y) 2018 Dec 5:1558944718813608. Epub 2018 Dec 5.

1 Vanderbilt University, Nashville, TN, USA.

Background: Epitendinous sutures not only join the 2 severed tendon edges but also supply strength and support to the repair. Multiple techniques have been described, but none of them include another thread of suture. This could potentially increase the strength of the repair without affecting gliding. Read More

Clin Teach 2018 Dec 2. Epub 2018 Dec 2.

University of Exeter Medical School, Exeter, UK.

Background: Undergraduate medical students frequently report inadequate basic surgical skills such as suturing and knot tying. In recent years, peer assisted learning (PAL) has proven to be an effective method of teaching basic surgical skills. The consistency of the teaching and the quality of the content may be questionable in these workshops. Read More

Transl Gastroenterol Hepatol 2018 31;3:85. Epub 2018 Oct 31.

Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

The endoscopic management armamentarium of gastrointestinal disruptions including perforations, leaks, and fistulas has slowly but steadily broadened in recent years. Previously limited to surgical or conservative medical management, innovations in advanced endoscopic techniques like natural orifice transluminal endoscopic surgery (NOTES) have paved the path towards development of endoscopic closure techniques. Early recognition of a gastrointestinal defect is the most important independent variable in determining successful endoscopic closure and patient outcome. Read More

Foot Ankle Surg 2018 Nov 22. Epub 2018 Nov 22.

Department of Orthopaedic Surgery, Box Hill Hospital, Melbourne, Victoria, Australia. Electronic address:

Background: Ankle syndesmotic injuries can be surgically managed with syndesmosis screws (SS) or suture button (SB) fixation. We performed a meta-analysis of randomized controlled trials (RCTs) aiming to compare the clinical and complication profiles of both modalities.

Methods: A multi-database search up to 4th of March 2018 was performed according to PRISMA guidelines. Read More

World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.

Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China; Department of Neurosurgery, Fuxing Hospital, Capital Medical University, Beijing, China.

Objective: The repositioning of a dolichoectatic vertebrobasilar artery for arterial decompression has been extensively utilized in the clinical setting. This study aims to describe and summarize the technical characteristics and clinical results of the sling technique.

Methods: The terms "dolichoectatic aneurysm", "dolichoectasia", "ectasia" and "megadolichoectasia" were used to search for pertinent articles related to the VBA territory. Read More

Int J Oral Maxillofac Surg 2018 Nov 27. Epub 2018 Nov 27.

Facial Cleft Deformity Clinic, Department of Maxillofacial and Oral Surgery, University of Pretoria, Pretoria, South Africa; Life Wilgers Hospital, Pretoria, South Africa.

The philtrum is an important aesthetic structure in the midface. A number of philtrum reconstruction techniques have been advocated for secondary cleft lip revision procedures. Conventional surgical management involves end-to-end orbicularis oris muscle approximation during primary cleft lip repair, often resulting in a flat lip appearance that requires secondary revision surgery at a later stage. Read More

Dig Surg 2018 Dec 5:1-8. Epub 2018 Dec 5.

Background: Intrathoracic esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. Read More

Facial Plast Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Plastic and Reconstructive Surgery, Urmia University of Medical Sciences, Imam Khomeini Teaching Hospital, Urmia, West Azerbaijan, the Islamic Republic of Iran.

Eyelid reconstructions are considered challenging surgical procedures, which are mostly performed due to trauma, tumor resections, and congenital defects. Several techniques can be used to reconstruct the lower eyelid defects. In this study, the authors aimed to introduce a new single-step technique for the reconstruction of medium-sized lower eyelid defects while preventing ectropion. Read More

Dan Med J 2018 Dec;65(12)

Introduction: Fewer open surgical procedures are performed, and thus a need to learn open surgical techniques outside the operating room has emerged. Simulation training offers the possibility to train in a safe environment before operating on patients. The purpose of this study is to evaluate the effect of a simulation-based course in basic open surgical skills and to describe its pedagogical foundation, content and organisation. Read More

BMC Musculoskelet Disord 2018 Dec 3;19(1):432. Epub 2018 Dec 3.

Department of Orthopedic Sports Medicine, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany.

Background: Elbow dislocation represents a common injury, especially in the younger population. If treated surgically, the reattached tendons require a high amount of primary stability to allow for an early rehabilitation to avoid postoperative stiffness. The purpose of this study was to assess the biomechanical properties of a single and a double row technique for reattachment of the common extensor and common flexor muscles origin. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13422

Department of Gastroenterology, The Fifth Affiliated Hospital of Wenzhou Medical University.

Rationale: Most of esophageal rupture is a very serious life-threatening benign gastrointestinal tract disease with high mortality. However, there are a few cases of spontaneous esophageal rupture during gastroscopy.

Patient Concerns: A 57-year-old man who underwent a routine diagnostic gastroscopy due to food obstruction was reported. Read More

Sud Med Ekspert 2018 ;61(6):13-16

Federal State Budgetary Institute 'Russian Centre of Forensic Medical Expertise', Ministry of Health of the Russia, Moscow, Russia, 125284.

The present study included 280 thin bone slices of the cranial vault fragments obtained from 70 children at the age of 2-3 weeks or above that and the subjects aged up to 21 years. The slices were prepared from the bone plates taken from the regions of the coronal (C - middle part), interparietal suture (S - apical and S - obelion parts), and occipital (L - middle part) sutures. The thickness of the cortical and spongy substances was measured with the use of an Olympus BX 51 microscope and an OlympusSC 30 digital camera supported by the ImageScope computer software - program. Read More

Knee Surg Relat Res 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopaedic Surgery, The Armed Forces Daegu Hospital, Gyeongsan, Korea.

Purpose: The purposes of the present study were to review published studies that investigated arthroscopic meniscus repair to treat meniscus injury in young patients and to compare all-inside and inside-out suture techniques.

Methods: Various electronic databases were queried for published articles, and this search was updated in August 2017 for evaluating the outcomes of arthroscopic meniscus surgery in young patients. Data search, extraction, analysis, and quality assessment were performed according to the Cochrane Collaboration guidelines, and the clinical outcomes were evaluated using various outcome values in young patients according to suture techniques. Read More

Adv Ther 2018 Nov 28. Epub 2018 Nov 28.

Department of Medical and Surgical Specialties, University of Brescia, Brescia, Italy.

Canaloplasty is a relatively new non-penetrating surgery for the reduction of intraocular pressure in patients affected by glaucoma. The technique uses a microcatheter to perform a 360 º cannulation of Schlemm's canal and leaves in place a tension suture providing an inward distension. It aims to restore the physiological outflow pathways of the aqueous humour and is independent of external wound healing. Read More

BMC Gastroenterol 2018 Nov 28;18(1):178. Epub 2018 Nov 28.

Department of Surgery, Linkou Chang Gung Memorial Hospital, No.5, Fuxing St, Guishan Dist, Taoyuan City, 33305, Taiwan, Republic of China.

Background: Laparoscopic liver resection has been regarded as the standard treatment for liver tumors located at the left lateral liver sector. However, few studies have reported the results of laparoscopic left lateral sectionectomy (LLS) for HCC, not to mention the feasibility of this emerging technique for the less experienced liver surgeons. The current study would reappraise the Louisville statement by examining the outcome of LLS performed by a young liver surgeon. Read More

Turk J Urol 2018 Nov 26:1-5. Epub 2018 Nov 26.

Department of Urology, Mayo Clinic, Rochester, MN, USA.

Objective: To evaluate characteristics of artificial urinary sphincter (AUS) mechanical failures and compare outcomes based on the use of either suture-tied connections or Quick-Connects (QC) for single-component revisions.

Material And Methods: A total of 46 patients underwent single-component AUS revisions following primary AUS placement from January 1983 to January 2011 at our institute. Prior to 1996 all revision cases were performed with suture-tie connections and after that time we used QC for revisions. Read More

J Hand Microsurg 2018 Dec 20;10(3):166-171. Epub 2018 Mar 20.

The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.

Triceps tendon ruptures are uncommon injuries, but they typically require surgical repair. Multiple primary repair techniques are available, including transosseous, suture anchor, and anatomic repairs. The technique described here, the "suture bridge" repair, provides an anatomic repair of the distal triceps tendon to its footprint. Read More

World J Orthop 2018 Nov 18;9(11):235-244. Epub 2018 Nov 18.

Orthopaedic Department, Leeds General Infirmary, Great George St, Leeds LS1 3EX, United Kingdom.

This editorial reviews and summarises the current evidence (meta-analyses and Cochrane reviews) relating to the use of hip hemi-arthroplasty for neck of femur fractures. Regarding the optimal surgical approach, two recent meta-analyses have found that posterior approaches are associated with: higher rates of dislocation compared to lateral and anterior approaches; and higher rates of re-operation compared to lateral approaches. Posterior approaches should therefore be avoided when performing hip hemi-arthroplasty procedures. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Nov 26. Epub 2018 Nov 26.

Fowler Kennedy Sport Medicine Clinic, Western University, London, Canada.

Purpose: Meniscal graft extrusion is a concern following meniscal allograft transplantation (MAT). MAT surgical techniques continue to evolve in an effort to reduce extrusion; however, improvements remain difficult to measure in vivo. A novel MRI-compatible in vitro loading device capable of applying physiologically relevant loads has been developed, allowing for the measurement of extrusion under a variety of controllable conditions. Read More

Am J Sports Med 2018 Nov 26:363546518804804. Epub 2018 Nov 26.

Hospital for Special Surgery, New York, New York, USA.

Background:: Operative treatment is indicated for unstable syndesmosis injuries, and approximately 20% of all ankle fractures require operative fixation for syndesmosis injuries.

Purpose:: To perform a meta-analysis of randomized controlled trials evaluating clinical outcomes between suture button (SB) and syndesmotic screw (SS) fixation techniques for syndesmosis injuries of the ankle.

Study Design:: Meta-analysis. Read More

J Am Acad Orthop Surg 2018 Nov 20. Epub 2018 Nov 20.

From the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

The last stage of a supination-external rotation ankle fracture involves either transverse fracture of the medial malleolus or rupture of the deltoid ligament. When the deltoid ligament ruptures, a "bimalleolar equivalent" ankle fracture occurs, and the surgeon is presented with several diagnostic and therapeutic challenges. In the native ankle, the deltoid ligament provides restraint to eversion and external rotation of the talus on the tibia. Read More

Eur J Surg Oncol 2018 Nov 10. Epub 2018 Nov 10.

Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. Electronic address:

Background: In pancreatoduodenectomy，the treatment of pancreatic stump is a critical step, pancreaticoduodenectasis and hemorrhage are the two most common complications, which are closely related to the operation of pancreaticojejunostomy and because leaks from this incur major morbidity and mortality. We describe the special technical experience of a modified end-to-side pancreatojejunostomy(mPJ): surgical methods which combine jejunal decompression tube with pancreatic duct jejunal parachute monolayer suture，and report on the outcome of the consecutive 350 patients.

Method: From December 2009 to December 2016, 350 pancreatic resections were performed by a single surgeon which are consecutive. Read More

Urol Clin North Am 2019 Feb;46(1):97-102

Department of Urology, Stanford University, 300 Pasteur Drive, Grant Building, 2nd Floor, S287, Stanford, CA 94304, USA; Department of Obstetrics & Gynecology, 300 Pasteur Drive- HG332 Stanford, CA 94305, USA. Electronic address:

An estimated 300,000 women undergo pelvic organ prolapse (POP) surgery in the United States every year at a cost of more than 1 billion dollars per year. The prevalence of POP is approximately 2.9% to 8%, and increases with age. Read More

Urol Clin North Am 2019 Feb;46(1):79-85

Glickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Pelvic organ prolapse is common in parous women, although few report symptoms. The incidence of posterior compartment prolapse, or rectocele, is less well-reported. Posterior vaginal wall prolapse is associated with pain, constipation, and splinting. Read More

Urol Clin North Am 2019 Feb;46(1):71-78

Department of Obstetrics and Gynecology, Soroka University Medical Center, Rager Boulevard, PO Box 151, Beer Sheva 85025, Israel; Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. Electronic address:

Pelvic organ prolapse is a common and bothersome problem that affects women's work, traveling, physical exercise, sleep, and sexual function. Synthetic implants show superiority in reducing recurrence of pelvic organ prolapse. However, inserting foreign materials carries an increased risk of complications. Read More

Urol Clin North Am 2019 Feb;46(1):61-70

Female Pelvic Medicine and Reconstructive Surgery, Section of Urology, Virginia Mason Medical Center, 1100 9th Avenue, C7-URO, Seattle, WA 98101, USA. Electronic address:

Native tissue anterior compartment prolapse repair remains an important surgical procedure for pelvic prolapse. Native tissue repair has been well-studied and is successful in relieving vaginal bulge symptoms and reducing prolapse within the vagina. Native tissue cystocele repair has been performed safely since the advent to modern vaginal surgery for prolapse. Read More

J Orthop Surg Res 2018 Nov 22;13(1):297. Epub 2018 Nov 22.

Department of Orthopaedic Surgery, Kurume University Hospital, 67 Asahi-machi, Kurume, Japan.

Purpose: To compare arthroscopic suture bridge (SB) techniques with medial tying to those without tying, considering clinical and structural outcomes.

Methods: We included 124 patients with rotator cuff tears after arthroscopic rotator cuff repair (ARCR). Fifty-three patients with clinical and structural evaluations 3, 12, and 24 months postoperatively were included and divided into 29 patients with medial tying (WMT group) and 24 without tying (WOMT group). Read More

J Surg Res 2018 Dec 30;232:26-32. Epub 2018 Jun 30.

Division of Pediatric Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah. Electronic address:

Background: There are various suture techniques used during laparoscopic gastrostomy to secure the stomach to the anterior abdominal wall. However, it remains unclear whether temporary fixation or subcutaneous absorbable sutures predispose pediatric patients to fewer postoperative complications. Our goal was to determine if a particular suture technique resulted in an increased risk for the development of postoperative complications. Read More

Acta Orthop Belg 2018 Mar;84(1):47-53

The purpose of this retrospective study was to analyze the clinical and radiological outcomes and discuss the value of arthroscopic suture bridge technique in patients with isolated greater tuberosity fractures. Between October 2009 and July 2014, 37 patients with greater tuberosity fractures were analyzed. Thirteen of these patients were treated with arthroscopic reduction and fixation. Read More

J Atr Fibrillation 2018 Jun-Jul;11(1):1806. Epub 2018 Jun 30.

Valley Health System of NY and NJ, Paramus, NJ.

The thrombus formed within the LAA is responsible for the vast (about 90%) majority of strokes. Anticoagulation, although effective therapy for stroke prevention is not feasible in a significant minority of patients due to various reasons. Two percutaenous LAA exclusion techniques have been developed in an effort to decrease risk for stroke: endocardial closure/plugging of the LAA (Watchman, Amplatzer devices) and epicardial LAA ligation (LARIAT). Read More

J Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Research Coordinator, Aurora Research Institute, Aurora Health Care, Milwaukee, WI.

Ankle instability is a common problem that often leads to surgery to stabilize the ankle if conservative methods are unsuccessful in returning the patient to full activity. Surgical ankle stabilization, including arthroscopic and open methods, has been performed with overall excellent results reported. Although initial ligament strength after repair is weaker than the native ligament, new methods of augmentation with suture tape have yielded initial strength comparable to native ligament. Read More

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:1793-1796

Purpose: This paper focuses on an automated analysis of surgical motion profiles for objective skill assessment and task recognition in robot-assisted surgery. Existing techniques heavily rely on conventional statistic measures or shallow modelings based on hand-engineered features and gesture segmentation. Such developments require significant expert knowledge, are prone to errors, and are less efficient in online adaptive training systems. Read More

Medicine (Baltimore) 2018 Nov;97(46):e13253

The rising tendency of cesarean sections will lead invariably to more complications such as placenta praevia. The aim of our study was to evaluate the utility of parallel vertical compression suture to preserve uterus in cases of placenta praevia, and to propose a rational approach of these problematic cases, according to their grade of myometrial invasion.We prospectively included 95 consecutive cases diagnosed with placenta praevia (group1 [Gr1]) where we used parallel compression suture and compared to retrospectively analyzed 100 consecutive cases managed without using this technique (group 2 [Gr2]). Read More

J Turk Ger Gynecol Assoc 2018 Nov;19(4):235-240

Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA Clermont, Clermont-Ferrand, France

To show a simplified technique of extraperitoneal laparoscopic suture. Step-by-step explanation of the technique using an educative video and pictures. This technique of extraperitoneal laparoscopic suture is highlighted through two laparoscopic procedures: a sacrocolpopexy (mesh fixation) for a pelvic organ prolapse and an ovariopexy after hysterectomy without adnexectomy (fibromatous uterus). Read More

Updates Surg 2018 Nov 14. Epub 2018 Nov 14.

Division of Oncological and Robotic General Surgery, Careggi University Hospital, Florence, Italy.

Pancreatic fistula is the main post-operative complication of distal pancreatectomy associated with other further complications, such as intra-abdominal abscesses, wound infection, sepsis, electrolyte imbalance, malabsorption and hemorrhage. Surgeons have tried various techniques to close the stump of the remaining pancreas, but the controversy regarding the impact of stapler closure and suture closure of the pancreatic stump is far from resolved. In this study, we reported our technique and results of robotic assisted distal pancreatectomy with ultrasound identification and consequent selective closure of pancreatic duct. Read More

Asian J Endosc Surg 2018 Nov 13. Epub 2018 Nov 13.

Department of Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Introduction: Surgical techniques to close defects in laparoscopic incisional hernia repair vary across the literature. We herein demonstrate our original and standardized surgical technique for laparoscopic incisional hernia repair with complete intracorporeal defect closure using barbed suture.

Materials And Surgical Technique: Complete intracorporeal defect closures were indicated for defects less than or equal to 6 cm in transverse diameter. Read More

BMC Ophthalmol 2018 Nov 12;18(1):296. Epub 2018 Nov 12.

The School of Medicine, Nankai University, Tianjin, 300071, China.

Background: To evaluate the ophthalmic manifestations and radiographic features of ectopic orbital meningioma to improve diagnostic accuracy.

Methods: Patient data from patients admitted to our institution during a 217-month period from August 1999 to September 2017 were included. Patient ophthalmic manifestations, radiographic features (CT and MRI), diagnosis, pathology, therapeutic regimens, and prognosis were retrospectively reviewed. Read More