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    The 'AbdoMAN': an artificial abdominal wall simulator for biomechanical studies on laparotomy closure techniques.
    Hernia 2017 Apr 20. Epub 2017 Apr 20.
    Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
    Purpose: Incisional hernia remains a frequent complication after abdominal surgery associated with significant morbidity and high costs. Animal and clinical studies have exhibited some limitations. The purpose of this study was to develop an artificial human abdominal wall (AW) simulator in order to enable investigations on closure modalities. Read More

    Laryngeal function-preserving operation for T4a laryngeal cancer with vocal cord paralysis - A case report.
    Auris Nasus Larynx 2017 Apr 14. Epub 2017 Apr 14.
    Department of Head and Neck Surgery, Miyagi Cancer Center, Natori, Miyagi, Japan.
    For locally advanced laryngeal cancers, the standard treatment of choice is chemoradiotherapy if organ function needs to be conserved. Surgical treatment with larynx preservation is conducted only for limited cases. For locally advanced laryngeal cancers such as those with vocal cord fixation and/or cricoid cartilage destruction, there is no apparent standardized organ-preserving surgery keeping the essential laryngeal functions, viz. Read More

    The Novel Technique of Transabdominal Preperitoneal Hernioplasty Herniorrhaphy for Direct Inguinal Hernia: Suture Repair of Hernia Defect Wall.
    J Laparoendosc Adv Surg Tech A 2017 Apr 17. Epub 2017 Apr 17.
    2 Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine , Seoul, Republic of Korea.
    Background: Conventional laparoscopic surgeries of direct inguinal hernia include two methods, transabdominal preperitoneal hernioplasty (TAPP) and totally extraperitoneal hernioplasty. Both methods are performed using synthetic mesh without suturing the hernia defect and require extensive mesh coverage for not only Hesselbach's triangle but also indirect ring. For minimally invasive operation, suture of direct hernia defect was devised and performed. Read More

    The Use of a Novel Perfusion-Based Cadaveric Simulation Model with Cerebrospinal Fluid Reconstitution Comparing Dural Repair Techniques: A Pilot Study.
    Spine J 2017 Apr 12. Epub 2017 Apr 12.
    Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033; Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033.
    Background Context: Watertight dural repair is crucial for both incidental durotomy and closure after intradural surgery.

    Purpose: To describe a perfusion-based cadaveric simulation model with cerebrospinal-fluid (CSF) reconstitution and to compare spine dural repair techniques.

    Study Design/setting: Fresh Tissue Dissection Laboratory. Read More

    Surgical treatment of postintubation tracheal stenosis: A retrospective 22-patient series from a single center.
    Asian J Surg 2017 Apr 12. Epub 2017 Apr 12.
    Department of Thoracic Surgery, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
    Background/objective: We aimed to present cases of postintubation tracheal stenosis (PITS), all due to long-term intubation and treated surgically in a university hospital, and to discuss them in light of the literature.

    Methods: In this retrospective study, 22 patients who were treated with tracheal resection and reconstruction due to PITS were included. Demographics, intubation characteristics, localization of stenosis, surgical technique and material, postoperative complications, and survival of patients were recorded. Read More

    Sutureless functional end-to-end anastomosis using a linear stapler with polyglycolic acid felt for intestinal anastomoses.
    Ann Med Surg (Lond) 2017 May 31;17:50-53. Epub 2017 Mar 31.
    Kitasato University, School of Medicine, Department of Surgery, Sagamihara, Kanagawa 252-0374, Japan.
    Background: Gastrointestinal anastomosis remains associated with a considerable burden of morbidity and, in some cases, mortality. Functional end-to-end anastomosis, whilst extremely efficient, is vulnerable to increased intestinal pressure in the immediate postoperative period, which may predispose to development of anastomotic leakage or bleeding. Therefore, there is a requirement for new techniques that facilitate safe and efficacious anastomotic procedures. Read More

    Securing a Chest Tube Properly: A Simple Framework for Teaching Emergency Medicine Residents and Assessing Their Technical Abilities.
    J Emerg Med 2017 Apr 10. Epub 2017 Apr 10.
    Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota.
    Background: Quality-improvement efforts at our institution have identified chest tube dislodgement as a preventable complication of tube thoracostomy. Because proper fixation techniques are not well described in the literature and are seldom formally taught, techniques vary among residents.

    Objective: Our aim was to develop and test a framework for teaching and assessing chest tube securement. Read More

    Braided tape is equivalent to modified Mason-Allen multi-strand #2 suture in subscapularis muscle repair: results of a biomechanical study.
    Shoulder Elbow 2017 Apr 21;9(2):85-91. Epub 2016 Nov 21.
    Université de Montréal, Montreal, Québec, Canada; Hôpital du Sacré-Cœur de Montréal, Montreal, Québec, Canada.
    Background: To help determine the optimal fixation method for subscapularis tendon repair in arthroplasty, the present study compares single-passage transosseous tape (BT) and modified Mason-Allen #2 suture (MA).

    Methods: Eighteen human cadaveric shoulders were randomized to two repair constructs after arthroplasty preparation. Both techniques included two transosseous passages through the bicipital groove and then through the tendon at the level of the anatomical neck. Read More

    Minimally invasive surgical technique for tethered surgical drains.
    Indian J Orthop 2017 Mar-Apr;51(2):213-216
    Department of Orthopaedic Surgery, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
    A feared complication of temporary surgical drain placement is from the technical error of accidentally suturing the surgical drain into the wound. Postoperative discovery of a tethered drain can frequently necessitate return to the operating room if it cannot be successfully removed with nonoperative techniques. Formal wound exploration increases anesthesia and infection risk as well as cost and is best avoided if possible. Read More

    Intraoperative measurement of limb lengthening during total hip arthroplasty.
    Indian J Orthop 2017 Mar-Apr;51(2):162-167
    Department of Orthopedics, University Hospital of Ioannina, 45500 Ioannina, Greece.
    Background: Limb length discrepancy (LLD) after total hip arthroplasty (THA) is a common problem which cannot be completely resolved. Many techniques have been described in order to minimize postoperative LLD, but most of these techniques are difficult to apply. Ideal technique must be simple and accurate. Read More

    Comparison of Fixation Techniques of 3D-Woven Poly(ϵ-Caprolactone) Scaffolds for Cartilage Repair in a Weightbearing Porcine Large Animal Model.
    Cartilage 2017 Apr 1:1947603517700953. Epub 2017 Apr 1.
    1 Department of Orthopaedic Surgery, McKay Orthopaedic Research Lab, University of Pennsylvania, Philadelphia, PA, USA.
    Objective To test different fixation methods of a 3-dimensionally woven poly(ϵ-caprolactone) (PCL) scaffold within chondral defects of a weightbearing large animal model. Methods Full thickness chondral defects were made in the femoral condyles of 15 adult male Yucatan mini-pigs. Two surgical approaches were compared including total arthrotomy (traditional) and a retinaculum-sparing, minimally invasive surgery (MIS) approach. Read More

    A Retrospective Evaluation of Anatomical Reinsertion of the Distal Biceps Brachii Tendon Using an ACL TightRope® RT with a Titanium Cortical Button and Ultra High Molecular Weight Polyethylene Suture: A Preliminary Report.
    Polim Med 2016 Jul-Dec;46(2):163-169
    Department of Traumatology, Clinic of Traumatology and Hand Surgery, Wroclaw University Clinical Hospital, Wroclaw, Poland.
    Background: Various surgical techniques for treating distal biceps brachii tendon injury have been described, and to date there is no consensus regarding the preferred fixation method for the anatomic reinsertion of the ruptured tendon.

    Objectives: The aim of the study was to clinically and functionally evaluate the upper limb after surgical anatomic reinsertion of the distal biceps brachii tendon using an ACL TightRope® RT with a titanium cortical button and ultra high molecular weight polyethylene (UHMWPE) suture, and to assess postoperative complications.

    Material And Methods: The sample comprised 3 patients. Read More

    A novel interventional method for treating femoral pseudoaneurysms- results from a monocentric experience.
    EuroIntervention 2017 Apr 11. Epub 2017 Apr 11.
    Technische Universität Dresden - Heart Center, Department of Cardiology and Intensive Care Fetscherstrasse 76 01307 Dresden, Germany.
    Aims: Iatrogenic pseudoaneurysms of the femoral artery lead to increased morbidity and mortality, especially when surgical treatment is necessary. Manual compression and thrombin injection are commonly used to occlude the pseudoaneurysms. However, in some cases these treatment options are inapplicable or unsuccessful. Read More

    "Buddy wire" for facilitation of femoral venous access for cryoablation: a preliminary report.
    Kardiol Pol 2017 Apr 10. Epub 2017 Apr 10.
    2nd Department of Coronary Artery Disease Institute of Cardiology, Warsaw Poland.
    Background: Some electrophysiological techniques, such as balloon cryoablation, involve the use of steerable sheaths of large diameter (outer diameter 15Fr or more). Their introduction to the femoral vein may be difficult, especially in patients who have had numerous venipunctures in this area. The authors describe a modification of typical venous access with the use of a "buddy wire" technique, facilitating the insertion of the cryoablation sheaths to the femoral vein. Read More

    A Modified Tracheal Transaction Approach for the Repair of Nonmalignant Tracheoesophageal Fistulas: A Report of 5 Cases.
    ORL J Otorhinolaryngol Relat Spec 2017 Apr 8;79(3):147-152. Epub 2017 Apr 8.
    Department of Head and Neck Surgical Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
    Background: A postintubation tracheoesophageal fistula is a rare complication of a tracheotomy. Surgical repair is the only viable option for these patients, but the repair techniques presented in the literature vary.

    Methods: We used a modified tracheal transaction approach to repair 5 cases of nonmalignant tracheoesophageal fistulas. Read More

    Mechanical properties of 6 finger-trap suture techniques.
    Vet Surg 2017 Apr 8. Epub 2017 Apr 8.
    Royal (Dick) School of Veterinary Studies, University of Edinburgh, Midlothian, United Kingdom.
    Objective: To identify the most common methods used by surgeons to place finger-trap sutures (FTS), and determine their influence on the biomechanical properties of constructs.

    Study Design: Questionnaire and experimental study.

    Methods: Six commonly used FTS methods (A-F) were identified from literature review and questionnaire. Read More

    A systematic review and meta-analysis concerning single-site laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia and hydrocele.
    Surg Endosc 2017 Apr 7. Epub 2017 Apr 7.
    Department of Pediatric Urology, Ningbo Women and Children's Hospital, No. 266 Cishuixi street, Cicheng New Town, Jiangbei District, Ningbo, 315031, Zhejiang, China.
    Background: Single-site laparoscopic percutaneous extraperitoneal closure (SLPEC) of hernia sac/processus vaginalis has been widely performed for repair of inguinal hernia/hydrocele in children. However, a variety of surgical instruments and techniques were used, and significant differences existed among the SLPEC reports.

    Methods: A literature search was performed for all available studies concerning SLPEC for pediatric inguinal hernia/hydrocele in PubMed, Embase and Cochrane library. Read More

    Correcting Deviations of the Lower Third of the Nose.
    Facial Plast Surg 2017 Apr 7;33(2):157-161. Epub 2017 Apr 7.
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Stanford University School of Medicine, Stanford, California.
    By convention, a "deviated nose" is one in which the lower third is asymmetric with regard to the midline. The lower third of the nose is composed of the lower cartilages, as well as the dorsal and caudal nasal septum. Not only does the deviated nose cause a cosmetic deformity that is often disconcerting for patients, but it may also be associated with functional problems. Read More

    What are the Training Gaps for Acquiring Laparoscopic Suturing Skills?
    J Surg Educ 2017 Apr 3. Epub 2017 Apr 3.
    Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada. Electronic address:
    Introduction: Advanced laparoscopic suturing is considered a challenging skill to acquire. The aim of this study was to investigate the learning process for advanced laparoscopic suturing in the operating room to understand the obstacles trainees face when trying to master the skill.

    Methods: A qualitative methodology using semistructured interviews and field observations was used. Read More

    Karydakis Flap With Compressing Tie-over Interrupted Sutures Without Drain versus Standard Karydakis for Treatment of Sacrococcygeal Pilonidal Sinus Disease.
    Dis Colon Rectum 2017 May;60(5):514-520
    Department of Surgery, Minia University Hospital, Minia, Egypt.
    Background: Sacroccygeal pilonidal sinus disease is a worldwide health problem, affecting young adults, mainly males, with a tendency for recurrence. Various modalities have been used for treating this condition. The Karydakis procedure is one of most commonly used asymmetric flaps for treating this condition. Read More

    New technique of diaphragmatic plication by means of uniportal video-assisted thoracoscopic surgery.
    Interact Cardiovasc Thorac Surg 2017 Apr 3. Epub 2017 Apr 3.
    Department of Thoracic Surgery, St.Vincentius Kliniken, Karlsruhe, Germany.
    Diaphragmatic plication has been a well employed method for the treatment of diaphragmatic eventration and/or paralysis. Uniportal thoracoscopic procedures seem to offer substantial benefit in terms of postoperative pain and cosmesis with similar outcomes as other surgical techniques. A 60-year-old female patient was referred to our clinic for the surgical treatment of diaphragmatic eventration of an unknown cause. Read More

    Suprapectoral biceps tenodesis using a suture plate: clinical results after 2 years.
    Arch Orthop Trauma Surg 2017 Apr 3. Epub 2017 Apr 3.
    Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Zentrum für Chirurgie, Universitätsklinikum Ulm, Ulm, Germany.
    Purpose: Several techniques for performing a tenodesis of the long head of biceps (LHB) are described. Only few outcome studies are published. This note describes a unicortical fixation via a suture plate-comparable to a distal biceps refixation-performed arthroscopically or mini-open via standard suprapectoral approach. Read More

    Arthroscopic Scapholunate Capsuloligamentous Repair: Suture With Dorsal Capsular Reinforcement for Scapholunate Ligament Lesion.
    Arthrosc Tech 2017 Feb 23;6(1):e113-e120. Epub 2017 Jan 23.
    Orthopaedic Surgery Department, Carlos Van Buren Hospital, Viña del Mar, Chile; Mutual de Seguridad, V Region, Viña del Mar, Chile.
    Scapholunate ligament (SLL) injury is the most frequent injury of the intrinsic carpal ligaments. The dorsal part of the SLL is the most important part for the stability of the scapholunate joint, and tears of this part and at least one of its secondary capsular attachments cause scapholunate dissociation. The arthroscopic technique most frequently used for acute injuries is reduction and fixation with Kirschner wires, and techniques that involve a primary repair of the injured ligament are performed by open surgery with efficient results. Read More

    Simplified Arthroscopic Lateral Meniscal Root Repair Involving the Use of 2 Cinch-Loop Sutures.
    Arthrosc Tech 2017 Feb 16;6(1):e73-e79. Epub 2017 Jan 16.
    Columbia Orthopaedic Group, Columbia, Missouri, U.S.A.
    The meniscal root attachments are critical for meniscal function by securing the menisci in place and allowing optimal shock absorption in the knee. Successful meniscal root repair has been shown to restore the knee's tibiofemoral contact pressure to the same state as an intact meniscus. Although there have been multiple different repair techniques described, there is no report in the literature regarding the use of 2 simple cinch-loop sutures for a meniscal root repair. Read More

    Arthroscopically Assisted Transosseous Foveal Repair of Triangular Fibrocartilage Complex.
    Arthrosc Tech 2017 Feb 16;6(1):e57-e64. Epub 2017 Jan 16.
    Department of Orthopedics, Chang Bing Show Chwan Memorial Hospital, ChangHua, Taiwan, Republic of China.
    The radioulnar ligament of the triangular fibrocartilage complex (TFCC), especially the deep fibers inserted at the ulnar fovea, is the key component for the distal radioulnar joint (DRUJ) stability. Traumatic injuries to the TFCC foveal insertion would cause DRUJ instability. Traditionally, arthroscopic techniques of the TFCC repair are suturing the ulnar-sided disruption peripherally to the dorsal or ulnar capsule instead of suturing the TFCC to the fovea and thus fail to restore the DRUJ stability if the TFCC is detached from the fovea. Read More

    The Double Bankart Bridge: A Technique for Restoration of the Labral Footprint in Arthroscopic Shoulder Instability Repair.
    Arthrosc Tech 2017 Feb 9;6(1):e43-e47. Epub 2017 Jan 9.
    Orthopaedic Department, Mansoura University, Mansoura, Egypt.
    It has been proved by many researchers in the last few years that arthroscopic capsulolabral repair is an efficient method for surgical management of anteroinferior shoulder instability. Different arthroscopic techniques using different fixation devices and constructs have been described in the literature, but the suture anchors were the most used implants to shift the inferiorly displaced capsulolabral complex and fix it to the glenoid. In the majority of these techniques, the anchors concentrate the load at specific points (e. Read More

    Arthroscopic Acromioclavicular Joint Reconstruction Using Knotless Coracoclavicular Fixation and Soft-Tissue Anatomic Coracoclavicular Ligament Reconstruction.
    Arthrosc Tech 2017 Feb 9;6(1):e37-e42. Epub 2017 Jan 9.
    Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.
    Acromioclavicular joint injuries are one of the most common shoulder injuries, and there are a variety of treatment options. Recently, there have been newer arthroscopic techniques that have addressed coracoid and clavicle fracture risk by using a knotted suture-button fixation through a single, small bone tunnel with additional looped soft-tissue graft stabilization. Although clinical outcomes have been good to excellent, there have still been instances of knot and hardware irritation. Read More

    Canine cranial cruciate ligament deficient stifle biomechanics associated with extra-articular stabilization predicted using a computer model.
    Vet Surg 2017 Apr 1. Epub 2017 Apr 1.
    Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.
    Objective: To evaluate lateral fabellotibial suture (LFTS) and TightRope CCL (TR) extra-articular stabilization biomechanics in the cranial cruciate ligament (CrCL)-deficient canine stifle joint during the stance phase of gait.

    Study Design: Computer simulations.

    Animals: Healthy 33-kg Golden Retriever. Read More

    Engineered stem cell niche matrices for rotator cuff tendon regenerative engineering.
    PLoS One 2017 3;12(4):e0174789. Epub 2017 Apr 3.
    Institute for Regenerative Engineering, University of Connecticut Health Center, Farmington, Connecticut, United States of America.
    Rotator cuff (RC) tears represent a large proportion of musculoskeletal injuries attended to at the clinic and thereby make RC repair surgeries one of the most widely performed musculoskeletal procedures. Despite the high incidence rate of RC tears, operative treatments have provided minimal functional gains and suffer from high re-tear rates. The hypocellular nature of tendon tissue poses a limited capacity for regeneration. Read More

    Combination of intracostal sutures with muscle flap to decrease post thoracotomy pain: A single blinded randomized clinical trial.
    Pak J Med Sci 2017 Jan-Feb;33(1):42-47
    Seyed Ziaeddin Rasihashemi, Assistant Professor, Dept. of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
    Objective: To assess the efficacy of intercostal nerve protection by intercostal muscle (ICM) flap in post-thoracotomy pain improvement compared to intracostal suturing.

    Methods: In a randomized controlled trial, ninety-four patients undergoing posterolateral thoracotomy surgery were divided into two subgroups. Intracostal sutures in isolation and in combination with ICM flap techniques were used for thoracotomy closure in both groups. Read More

    Three-Dimensional (3D) Columellar Strut Graft in Rhinoplasty.
    Aesthet Surg J 2017 Apr;37(4):398-406
    Dr Topkara is an Assistant Professor, Department of Plastic, Reconstructive, and Aesthetic Surgery, Pamukkale University Hospital, Denizli, Turkey.
    Background: Nasal tip surgery is the most important and most difficult step of an aesthetic rhinoplasty operation. Various suture and grafting techniques have been described for adequate tip rotation and projection in nasal tip surgery.

    Objectives: The author describes his technique of "three-dimensional (3D) columellar strut graft" in nasal tip surgery. Read More

    Sleeve gastrectomy revision by endoluminal sleeve plication gastroplasty: a small pilot case series.
    Surg Endosc 2017 Mar 31. Epub 2017 Mar 31.
    Allegheny Health Network, Temple University, 4727 Friendship Avenue, Suite 140, Pittsburgh, PA, 15224, USA.
    Background: The necessity for reoperation due to insufficient weight loss after bariatric surgery has led to a novel endoluminal plication of the gastric sleeve using a endoscopic suturing device. Advances in endoluminal endoscopy and other minimally invasive bariatric surgeries have inspired innovative techniques and have produced reliable suturing tools for gastric volume reduction.

    Methods: Retrospective pilot case series of 5 patients with an enlarged gastric sleeve. Read More

    Evaluating the use of octyl-2-cyanoacrylate in unilateral cleft lip repair.
    Natl J Maxillofac Surg 2016 Jul-Dec;7(2):153-158
    Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, Haryana, India.
    Background: Facial cosmetic results are one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the postoperative care of the surgical site, the discomfort associated with the suture removal, and additional visit for suture removal are other reasons which encourages one to use any new technologies that may replace the need for suture placement. In this study, we used octyl-2-cyanoacrylate, a tissue adhesive which offers a viable alternative to traditional techniques without compromising optimal wound closure. Read More

    Does the Level of Transection of the Biliary Remnant Affect Outcome After Laparoscopic Kasai Portoenterostomy for Biliary Atresia?
    J Laparoendosc Adv Surg Tech A 2017 Mar 28. Epub 2017 Mar 28.
    Department of Pediatric Surgery, Juntendo University School of Medicine , Tokyo, Japan .
    Background: We assessed postoperative outcome in relation to the level of transection of the biliary remnant at the time of laparoscopic Kasai portoenterostomy (LKP) in biliary atresia (BA) patients.

    Methods: The subjects for this study were 12 consecutive nonsyndromic type III BA patients who had LKP at our institute between 2009 and 2014. All LKPs were video recorded. Read More

    Improvement on the Neo-umbilicoplasty Technique and Review of the Literature.
    Aesthetic Plast Surg 2017 Mar 24. Epub 2017 Mar 24.
    Academic of Medicine of University of Fortaleza, Fortaleza, Ceará, Brazil.
    Introduction: The umbilicus is an important component of body esthetics, and its absence or dysmorphia may give rise to psychological discomfort, making it a common concern in surgical planning. Many techniques of umbilicus reconstruction have been proposed, each with its own limitations in terms of esthetics, risk of stenosis or final positioning. Reconstruction techniques may involve skin grafting, cartilage, purse-string suture and flaps. Read More

    Advantages of Arthroscopic Rotator Cuff Repair With a Transosseous Suture Technique: A Prospective Randomized Controlled Trial.
    Am J Sports Med 2017 Mar 1:363546517695789. Epub 2017 Mar 1.
    IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
    Background: Rotator cuff tear is a common finding in patients with painful, poorly functioning shoulders. The surgical management of this disorder has improved greatly and can now be fully arthroscopic.

    Purpose: To evaluate clinical and radiological results of arthroscopic rotator cuff repair using 2 different techniques: single-row anchor fixation versus transosseous hardware-free suture repair. Read More

    Treatment of cerebrospinal fluid leak after spine surgery.
    Chin J Traumatol 2017 Apr 24;20(2):81-83. Epub 2017 Feb 24.
    Department of Spine Surgery, Tianjin Union Medical Centre, Tianjin 300121, China.
    Owing to the complexity of spinal surgery, there is a great prevalence of dural tear causing cerebrospinal fluid (CSF) leakage. Many studies focused on suture repair for dural tear to stop CSF leak. Now some new treatment strategies have shown a promising effect that is listed as follows: 1) creating watertight dural closure to stop CSF leak with the help of dural substitute material; and 2) retarding CSF leak by changing pressure difference, including reducing the subarachnoid fluid pressure, increasing the epidural space pressure and both. Read More

    Single-Layer Plication for Repair of Diastasis Recti: The Most Rapid and Efficient Technique.
    Aesthet Surg J 2017 Mar 3. Epub 2017 Mar 3.
    Dr Gama is a Graduate Student in Translational Surgery and Dr Czapkowski is a Graduate Student in Clinical Radiology, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Barbosa is an Affiliate Professor and Coordinator of the Morphology Laboratory, University of Franca Medical School, São Paulo, Brazil. Dr Ajzen is a Full Professor, Department of Diagnostic Imaging, UNIFESP, São Paulo, Brazil. Dr Ferreira is a Full Professor and Dr Nahas is an Affiliate Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil.
    Background: Plication of the anterior rectus sheath is the most commonly used technique for repair of diastasis recti, but is also a time-consuming procedure.

    Objectives: The aim of this study was to compare the efficacy and time required to repair diastasis recti using different plication techniques.

    Methods: Thirty women with similar abdominal deformities, who had had at least one pregnancy, were randomized into three groups to undergo abdominoplasty. Read More

    [Evidence-based Lichtenstein technique].
    Chirurg 2017 Apr;88(4):296-302
    Department of Surgery, Lichtenstein-Amid Hernia Clinic, David Geffen School of Medicine at the University of California, Los Angeles, Vereinigte Staaten von Amerika.
    Lichtenstein hernioplasty is the number one technique worldwide for open, mesh-based inguinal hernia repair. The principle of Lichtenstein hernioplasty is the tension-free reinforcement of the abdominal wall by covering the transversalis fascia and the oblique muscles with an artificial patch of mesh. The Lichtenstein technique has been modified since its inception. Read More

    An "in vitro" tensile strength study on suturing technique and material.
    J Oral Implantol 2017 Mar 16. Epub 2017 Mar 16.
    6 Oral Surgery and Implantology. Faculty of Dentistry - University of Barcelona.
    Suture technique and materials are important in preventing complications like wound dehiscences. The purpose of this study was to determine the tensile strength of different suturing techniques, comparing several materials with different diameters. One hundred and sixty sutures were performed using silk, e-PTFE and two types of polyamide (monofilament and Supramid®). Read More

    Effect of Complete Syndesmotic Disruption and Deltoid Injuries and Different Reduction Methods on Ankle Joint Contact Mechanics.
    Foot Ankle Int 2017 Mar 1:1071100717696360. Epub 2017 Mar 1.
    6 Foot and Ankle Service, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA.
    Background: Syndesmotic injuries can be associated with poor patient outcomes and posttraumatic ankle arthritis, particularly in the case of malreduction. However, ankle joint contact mechanics following a syndesmotic injury and reduction remains poorly understood. The purpose of this study was to characterize the effects of a syndesmotic injury and reduction techniques on ankle joint contact mechanics in a biomechanical model. Read More

    Biomechanical Evaluation of Classic Solid and All-Soft Suture Anchors for Medial Patellofemoral Ligament Reconstruction.
    Am J Sports Med 2017 Mar 1:363546517691951. Epub 2017 Mar 1.
    Andrews Institute for Orthopaedics & Sports Medicine, Gulf Breeze, Florida, USA.
    Background: Multiple techniques for patellar fixation with classic solid suture anchors (SAs) in medial patellofemoral ligament (MPFL) reconstruction have been described. Fixation of the graft to the patella with all-soft suture anchors (ASAs) has not been studied. Purpose/Hypothesis: To evaluate the biomechanical performance of 2 different MPFL patellar fixation techniques: ASA fixation and SA fixation. Read More

    Preventing pancreatic fistula after distal pancreatectomy: An invagination method.
    World J Gastroenterol 2017 Feb;23(8):1507-1512
    Nagato Katsura, Takahiko Hoashi, Seijun Fukuda, Kenji Shimizu, Department of Surgery, Misugikai Otokoyama Hospital, Otokoyama Izumi, Yawata, Kyoto 614-8366, Japan.
    Following an increase in the use of the GIA stapler for treating a pancreatic stump, more techniques to prevent postoperative pancreatic juice leakage have been required. We describe one successful case using our new technique of invaginating the cut end of the pancreas into the stomach to prevent a pancreatic fistula (PF) from occurring. A 50-year-old woman with pancreatic cancer in the tail of the pancreas underwent distal pancreatectomy, causing a grade A PF. Read More

    Endoscopic Treatments Following Bariatric Surgery.
    Gastrointest Endosc Clin N Am 2017 Apr;27(2):233-244
    Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02215, USA. Electronic address:
    Weight regain after bariatric surgery is common and can be managed with surgical interventions or less morbid endoscopic techniques. These endoscopic approaches target structural postoperative changes that are associated with weight regain, most notably dilation of the gastrojejunal anastomosis aperture. Purse string suture placement, as well as argon plasma coagulation application to the anastomosis, may result in significant and durable weight loss. Read More

    V-shaped double-row distal triceps tendon repair: a novel technique using unicortical button fixation.
    Eur J Med Res 2017 Mar 14;22(1). Epub 2017 Mar 14.
    Department of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
    Background: This report was designed to present a novel technique combining suture anchor and unicortical button fixation for distal triceps tendon repair.

    Technical Description: For anatomical reinsertion of an acute distal triceps tendon rupture, two suture anchors and one unicortical button forming a V-shaped configuration were used. The operative approach is described in detail. Read More

    [Which surgical strategy to adopt for the management of postpartum haemorrhage and how to improve the effects of hypogastric arteries ligation?]
    Pan Afr Med J 2016 18;25:96. Epub 2016 Oct 18.
    Service A, Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
    The objective were to identify the success factors of bilateral hypogastric arteries ligation and to assess its role in surgical treatment of postpartum hemorrhages. We conducted a retrospective study of all the cases of postpartum hemorrhage requiring surgical treatment between January 2008 and December 2011. The study included 88 patients (0,47% of all births). Read More

    The all-inside meniscal repair technique has less risk of injury to the lateral geniculate artery than the inside-out repair technique when suturing the lateral meniscus.
    Knee Surg Sports Traumatol Arthrosc 2017 Mar 13. Epub 2017 Mar 13.
    Departaments of Traumatology and Orthopaedic Surgery, Ramon and Cajal University Hospital, Madrid, Spain.
    Purpose: To evaluate the risk of injury to the inferior lateral geniculate artery with two different techniques for lateral meniscus repair.

    Methods: Eight cadaveric knees were used. Inside-out sutures and an all-inside suture device were placed at the most lateral edge of the popliteal hiatus, and 15 and 30 mm anterior to this point. Read More

    A different technique in gasless laparoendoscopic single-site hysterectomy.
    J Obstet Gynaecol 2017 Mar 13:1-5. Epub 2017 Mar 13.
    a Department of Obstetrics and Gynecology , Okmeydani Education and Research Hospital , Istanbul , Turkey.
    The aim of this study was to show a different technique for a gasless laparoendoscopic single-site (LESS) hysterectomy and to present advantages and limitations of this technique. Women undergoing gasless LESS hysterectomy with a different technique were evaluated. A total of 14 LESS hysterectomies were performed using this gasless technique and rigid laparoscopic instruments by one surgeon. Read More

    Comparison of Anterior Cruciate Ligament Graft Isometry between Paired Femoral and Tibial Tunnels.
    J Knee Surg 2017 Mar 10. Epub 2017 Mar 10.
    American Sports Medicine Institute, Birmingham, Alabama.
    Accurate tunnel placement is important for a successful anterior cruciate ligament (ACL) reconstruction. Controversy exists concerning the preferred method of femoral tunnel preparation, with proponents of both medial portal and transtibial drilling techniques. Current ACL literature suggests that placement of the femoral ACL attachment site posterior or "low" in the ACL footprint leads to more anatomically correct ACL mechanics and better rotational control. Read More

    The 4-flap Jester's Hat Technique for Nipple Reduction.
    Plast Reconstr Surg Glob Open 2017 Feb 21;5(2):e1233. Epub 2017 Feb 21.
    Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, D.C.
    Macrothelia, or nipple hypertrophy, is a condition that may cause severe psychological distress to those who suffer from it. Although effective in their primary goal of reducing nipple diameter and projection, previously reported techniques in nipple reduction suffer from imperfect aesthetic outcomes with noticeable scarring patterns, anatomically anomalous shape, and a smoothing of the natural ruffles of the nipple. We propose a simple technique to nipple reduction that improves upon previous techniques and creates a more naturally appearing nipple. Read More

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