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    A Novel Vesicoscopic Bladder Wall Suture Fixation Technique to Aid Endoscopic Vesicostomy Button Insertion.
    Curr Urol 2018 Mar 20;11(3):157-162. Epub 2018 Feb 20.
    Department of Urology, Helen Joseph Hospital.
    Background: To describe a novel bladder fixation technique for use during endoscopic vesicostomy button insertion.

    Methods: After standard cystoscopic visualization of the bladder, a standard 18 G intravenous cannula was inserted into the bladder. A non-absorbable suture thread was placed through this intravenous cannula under cystoscopic vision. Read More

    An animal tissue simulation assessing three directional displacement forces on five common tracheostomy securing techniques.
    Ann R Coll Surg Engl 2018 Apr 25:1-5. Epub 2018 Apr 25.
    Cardiff and Vale University Health Board , UK.
    Introduction Several methods of securing a tracheostomy tube have been described in the literature including using ties or tapes around the neck and suturing the plastic flange to the neck in various ways. However, there are no wet lab-based studies to objectively determine the force required to displace the tracheostomy tube using different securing techniques. Ours is the first animal tissue simulation study published in the literature. Read More

    Adjustable suture strabismus surgery in infants and children: a 19-year experience.
    J AAPOS 2018 Apr 21. Epub 2018 Apr 21.
    The Krieger Children's Eye Center at The Wilmer Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address:
    Purpose: To evaluate the success rate of adjustable suture techniques in horizontal eye muscle surgery in children ≤15 years of age over a 19-year period by a single surgeon.

    Methods: The medical records of all consecutive patients in this age group who underwent horizontal eye muscle surgery from 1989 through 2012 were reviewed retrospectively. Patients were divided into two groups: those in whom a nonadjustable suture technique was used and those in whom adjustable sutures were used. Read More

    Arthroscopic Management of Tibial Spine Avulsion Fractures: Principles and Techniques.
    J Am Acad Orthop Surg 2018 Apr 23. Epub 2018 Apr 23.
    From the Department of Orthopaedic Surgery, New York University Langone Medical Center, New York, NY.
    Tibial spine fractures are uncommon injuries affecting the insertion of the anterior cruciate ligament on the tibia. They typically occur in skeletally immature patients aged 8 to 14 years and result from hyperextension of the knee with a valgus or rotational force. Diagnosis is based on history, physical examination, and standard radiographs. Read More

    The C-Port Distal Coronary Anastomotic Device Is Comparable With a Hand-Sewn Anastomosis: Human Histological Case Study.
    Innovations (Phila) 2018 Apr 23. Epub 2018 Apr 23.
    Coronary artery bypass surgery is most commonly performed using a hand-sewn technique with a continuous monofilament suture. The C-Port distal anastomotic device is a miniature stapler designed to create an arteriotomy and attach the graft to the coronary artery all in one step. It is the only distal coronary anastomotic device currently approved for clinical use and can be useful in facilitating less invasive coronary surgery. Read More

    Ulnar Nerve Complications After Ulnar Collateral Ligament Reconstruction of the Elbow: A Systematic Review.
    Am J Sports Med 2018 Apr 1:363546518765139. Epub 2018 Apr 1.
    Newton-Wellesley Hospital, Newton, Massachussetts, USA.
    Background: While ulnar collateral ligament reconstruction (UCLR) of the elbow is an increasingly commonly performed procedure with excellent results reported in the published literature, less attention has been paid to specifically on the characterization of postoperative ulnar nerve complications, and it is unclear what operative strategies may influence the likelihood of these complications.

    Purpose: The purpose of this study is to examine the prevalence and type of ulnar nerve complications after UCLR of the elbow based on the entirety of previously published outcomes in the English literature. In addition, this study examined how the rate of ulnar nerve complications varied as a function of surgical exposures, graft fixation techniques, and ulnar nerve management strategies. Read More

    Everted Suturing of the Inferior Vena Cava Is Addressed in the Abdominal Mouse Heart Transplant Model.
    Exp Clin Transplant 2018 Apr 20. Epub 2018 Apr 20.
    From the Center of Hepatobiliary Surgery and Liver Transplantation, 302 Hospital, Beijing, China.
    Objectives: Our objective was to investigate the techniques of vessel suturing in the abdominal mouse cardiac transplant model and animal outcomes.

    Materials And Methods: Our mouse group included 92 female inbred mice, in which 46 abdominal mouse heart transplants were performed. During transplant, the openings for the aorta and the inferior vena cava were not parallel. Read More

    Four-Strand Versus 2-Strand Suture-Button Constructs in First Carpometacarpal Arthroplasty: A Biomechanical Study.
    Hand (N Y) 2018 Apr 1:1558944718769665. Epub 2018 Apr 1.
    1 The Curtis National Hand Center, Baltimore, MD, USA.
    Background: Suture-button fixation is an alternative to no fixation, first metacarpal distraction techniques, or Kirschner wire fixation after trapeziectomy in treatment of first carpometacarpal (CMC) arthritis. A 4-strand suture-button construct requires a 2.7-mm tunnel, whereas a 2-strand construct requires a 1. Read More

    Stomal Closure: Strategies to Prevent Incisional Hernia.
    Front Surg 2018 4;5:28. Epub 2018 Apr 4.
    Department of Colorectal Surgery, University Hospital of Wales, Cardiff, United Kingdom.
    Incisional hernias following ostomy reversal occur frequently. Incisional hernias at the site of a previous stoma closure can cause significant morbidity, impaired quality of life, lead to life-threatening hernia incarceration or strangulation and result in a significant financial burden on health care systems Despite this, the evidence base on the subject is limited. Many recognised risk factors for the development of incisional hernia following ostomy reversal are related to patient factors such as age, malignancy, diabetes, COPD, hypertension and obesity, and are not easily correctable. Read More

    Minimally Invasive Exposure of the Maxillary Artery at the Anteromedial Infratemporal Fossa.
    Oper Neurosurg (Hagerstown) 2018 Apr 12. Epub 2018 Apr 12.
    Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona.
    Background: The maxillary artery (MA) has been described as a reliable donor for extracranial-intracranial high-flow bypass. Existing techniques to harvest MA require brain retraction and drilling of the middle fossa (with or without a zygomatic osteotomy), carrying the potential risks of venous bleeding, injury to the branches of the maxillary or mandibular nerves, muscular transection, or temporomandibular junction disorders.

    Objective: To describe a novel technique to expose the MA without bony drilling and with minimal impact to surrounding structures. Read More

    Current status and future perspectives of endoscopic full-thickness resection.
    Dig Endosc 2018 Apr;30 Suppl 1:25-31
    Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa, Japan.
    Flexible endoscopy has developed from a diagnostic tool for tissue biopsy sampling to a treatment tool for endoscopic resection of neoplasms in the digestive tract. In the near future, one of the advanced endoscopic techniques, endoscopic full-thickness resection (EFTR), is expected to be a feasible endoscopic procedure. In the present review, systematic review of conventional exposed EFTR was carried out. Read More

    Biomechanical evaluation of tendon connection with novel suture techniques.
    Acta Bioeng Biomech 2018 ;20(1):135-141
    Department of Orthopedics, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.
    Purpose: Achilles tendon rupture is a severe injury with poor curative effect due to its anatomical characteristic and mechanical peculiarity. Internal fixation of limited loop (IFLL) with steel-wire has been applied on patients with tendon rupture to fix the broken ends before physical rehabilitation. The purpose of this study is to investigate the biomechanical property and radiological characteristic of such suture technique for the repairment of tendon rupture. Read More

    Earfold: A New Technique for Correction of the Shape of the Antihelix.
    Laryngoscope 2018 Apr 15. Epub 2018 Apr 15.
    Allergan plc, Marlow, United Kingdom.
    An absent or poorly defined antihelix often plays a central role in the perception of the prominent ear. A wide variety of otoplasty techniques have been described over the last 50 years that aim to reshape, create, or enhance the definition of the antihelix, which can, in turn, help to reduce the prominence of an ear. In addition to conventional suture and cartilage-scoring techniques, a permanent implantable clip system (Earfold ) has recently become available that is placed using a minimally invasive approach performed under local anesthesia. Read More

    Computed Tomography-Assisted Auricular Cartilage Graft for Depression of the Alar Base in Secondary Unilateral Cleft Lip Repair: A Preliminary Report.
    Cleft Palate Craniofac J 2018 Jan 1:1055665618770306. Epub 2018 Jan 1.
    4 Department of Pediatrics, The Fourth Affiliated Hospital, School of Medicine, Zhejiang University, Yiwu, People's Republic of China.
    Objectives: To evaluate the feasibility, effectiveness, and safety of computed tomography-assisted auricular cartilage grafting for treating alar base depression secondary to unilateral cleft lip.

    Design And Setting: For patients with obvious depression of the alar base, the difference in heights of the alar base and the piriform margin between the cleft side and the noncleft side were measured with computed tomography. If both were >3. Read More

    Is there difference in chronic pain after Suture and Stapler fixation method of mesh in Ventral Hernia? Is stapler fixation method quicker? A randomized controlled trial.
    Pak J Med Sci 2018 Jan-Feb;34(1):175-178
    Dr. Imrana Zulfiqar, MBBS. Assistant Professor, Department of Surgery, Dow University of Health Sciences, Karachi, Pakistan.
    Background & Objective: Chronic pain occurs in 20-30% of patients after hernia surgery. As a consequence of this chronic pain, almost one third of patients have limitations in daily activities. Frequency and severity of this pain varies with different techniques of hernia repair. Read More

    [Foster Modification of Full Tendon Transposition of Vertical Rectus Muscles for Sixth Nerve Palsy].
    Klin Monbl Augenheilkd 2018 Apr 11. Epub 2018 Apr 11.
    Universitätsklinik für Augenheilkunde, Pius-Hospital Oldenburg.
    Introduction: Since 1907 a variety of muscle transposition procedures for the treatment of abducens nerve palsy has been established internationally. Full tendon transposition of the vertical rectus muscle was initially described by O'Connor 1935 and then augmented by Foster 1997 with addition of posterior fixation sutures on the vertical rectus muscle. Full tendon transposition augmented by Foster belongs to the group of the most powerful surgical techniques to improve the abduction. Read More

    Stapled side-to-side anastomosis might be benefit in intestinal resection for Crohn's disease: A systematic review and network meta-analysis.
    Medicine (Baltimore) 2018 Apr;97(15):e0315
    Department of Cardiology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
    Background And Aim: Intestinal anastomosis is an essential step in the intestinal resection in patients with Crohn's disease (CD). Anastomotic configuration such as handsewn end-to-end anastomosis (HEEA), stapled side-to-side anastomosis (SSSA) and so on may be a predictor of prognosis for postoperative CD patients. However, the association between anastomotic types and surgical outcomes are controversial. Read More

    A New Method for Surgical Abdominal Mass Closure After Abdominal Fascial Dehiscence Using Nasogastric Tube and Hemovac Perforator: A Case-Series Study.
    World J Surg 2018 Apr 6. Epub 2018 Apr 6.
    Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences, Tehran, 1981915851, Iran.
    Background: As the challenge for finding the best abdominal incision closure technique continues, surgeons are aiming to minimize postoperative wound complications such as wound dehiscence and hernia as an acute or late manifestation. In order to achieve this goal, several abdominal opening and closure techniques have been tried. In this article, we describe a method in which we used a nasogastric tube (NGT) in mass closure for patients with fascial dehiscence. Read More

    Treating Proximal Interphalangeal Joint Dislocations.
    Hand Clin 2018 May;34(2):139-148
    Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Hospitals, 5841 South Maryland Avenue, Room P-211, MC 3079, Chicago, IL 60637, USA. Electronic address:
    Proximal interphalangeal (PIP) joint dislocation a common injury. Usually, concentric stable reduction can be achieved with closed reduction. Occasionally, PIP joint dislocations are irreducible and open reduction is necessary. Read More

    A meta-analysis of randomized control trials assessing mesh fixation with glue versus suture in Lichtenstein inguinal hernia repair.
    Medicine (Baltimore) 2018 Apr;97(14):e0227
    Department of Gastrointestinal Surgery.
    Background: The use of glue to fix mesh instead of sutures in Lichtenstein inguinal hernia repair has been accepted worldwide, with the increasing worries about postoperative chronic groin pain and recurrence. The aim of this meta-analysis was to clarify which mesh fixation method was more suitable in Lichtenstein inguinal hernia repair.

    Methods: Articles published up to July 2017 were searched using MEDLINE, the Cochrane Library, Embase, and the Web of Science. Read More

    Retroperitoneal laparoscopic nephroureterectomy with distal and intramural ureter resection for a tuberculous non - functional kidney.
    Int Braz J Urol 2018 Apr 3;44. Epub 2018 Apr 3.
    Department of Urology, The Affiliated Hexian Memorial Hospital of Southern Medical University, Guangzhou, Guangdong, China.
    Objective: To evaluate the safety and feasibility of total retroperitoneal laparoscopic nephroureterectomy with urinary-bladder junction resection for a tuberculous non-functional kidney.

    Materials And Methods: A total of 27 individuals diagnosed with unilateral non-functional kidney secondary to tuberculosis were treated between June 2011 and June 2015. All patients had normal renal function on the contralateral side and underwent the standard four-drug anti-tuberculosis treatment for at least four weeks before surgery. Read More

    Systematic review of type IIIb endoleak after elective endovascular aneurysm repair.
    J Cardiovasc Surg (Torino) 2018 Apr 3. Epub 2018 Apr 3.
    Department of Vascular & Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, UK.
    Introduction: To investigate the presentation, aetiology, management and outcomes of type IIIb endoleak after endovascular aneurysm repair (EVAR).

    Evidence Acquisition: Electronic bibliographic databases were searched to identify published reports of type IIIb endoleak after EVAR, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards.

    Evidence Synthesis: In total 33 articles were identified reporting on a total of 50 patients spanning 19 years of EVAR (1998-2017). Read More

    Transvaginal Natural Orifice Transluminal Endoscopic Surgery Sacrocolpopexy: Tips and Tricks.
    J Minim Invasive Gynecol 2018 Mar 30. Epub 2018 Mar 30.
    Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, U.S.A.. Electronic address:
    Study Objective: To demonstrate helpful tips and tricks for the successful use of transvaginal NOTES for performing sacrocolpopexy and salpingo-oophorectomy surgery.

    Design: Stepwise demonstration with narrated video footage (Canadian Task Force classification III).

    Setting: Academic tertiary care hospital in Guangdong, China. Read More

    A modification to Schneiderian membrane perforation repair technique: The Hammock Approach.
    J Oral Implantol 2018 Apr 2. Epub 2018 Apr 2.
    7 Clinical Expert Diploma in Implant Dentistry and Regeneration. Polytechnic University of Catalonia, Barcelona, Spain.
    Schneiderian membrane perforation is one of the most common intra-surgical complications occurring during maxillary sinus elevation procedures. The management of these perforations is essential to accurate treatment prognosis. Several techniques have been shown to repair sinus membrane perforation using different materials such as connective tissue, fat pads, and resorbable collagen membranes. Read More

    The role of meniscal repair for prevention of early onset of osteoarthritis.
    J Exp Orthop 2018 Apr 2;5(1):10. Epub 2018 Apr 2.
    Department of Trauma Surgery, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
    Background: The meniscus plays an important role in the integrity of the knee joint. Therefore, meniscus tissue preserving techniques for the therapy of meniscus injuries seem to be reasonable. One of the important questions is whether meniscal repair can prevent the knee joint from early onset of osteoarthritis. Read More

    Thoracoscopic right S6 sleeve segmentectomy for squamous-cell carcinoma arising from the B6 central bronchus.
    J Thorac Dis 2018 Feb;10(2):1077-1080
    Department of Thoracic Surgery, Kanagawa Cancer Center, Yokohama, Japan.
    We describe a patient with low respiratory function who underwent thoracoscopic sleeve segmentectomy to preserve lung function as much as possible. The patient had already used home oxygen therapy because of chronic obstructive lung disease. There was a squamous-cell carcinoma at inlet of right B6 bronchus, and cT1aN0M0 disease was diagnosed. Read More

    Endoscopic percutaneous suture lateralization for neonatal bilateral vocal fold immobility.
    Int J Pediatr Otorhinolaryngol 2018 May 21;108:120-124. Epub 2018 Mar 21.
    UCSF-Benioff Children's Hospital, Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, United States. Electronic address:
    Objective: Bilateral vocal-fold immobility (BFVI) is a rare but significant cause of severe respiratory distress in neonates. The primary aim of treatment is to provide an adequate airway while minimizing adverse effects such as aspiration and dysphonia. Our objective here is to describe the outcomes of a series of neonates undergoing percutaneous endoscopic suture lateralization for BVFI using a novel technique. Read More

    Outcomes of Patients Undergoing Surgical Management of Multiple Ventricular Septal Defects.
    Semin Thorac Cardiovasc Surg 2018 Mar 27. Epub 2018 Mar 27.
    Department of Cardiac Surgery, The Royal Children's Hospital, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, Australia. Electronic address:
    Objective: Surgical treatment of multiple ventricular septal defects (VSDs) has advanced significantly in recent years, yet remains technically challenging. With high rates of complications and reoperations, we sought to assess the outcomes of patients undergoing a variety of management techniques for multiple VSDs.

    Methods: From 1988 to 2015, 157 consecutive patients underwent surgical management of multiple VSDs at a median age of 2. Read More

    Repair of angle recession prevents pupillary capture of intrasclerally fixed intraocular lenses.
    Int Ophthalmol 2018 Mar 28. Epub 2018 Mar 28.
    Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennojiku, Osaka, 543-8555, Japan.
    Purpose: We evaluated a new concept for treating pupillary capture of the intraocular lens (IOL) following intrascleral fixation of the IOL. Pupillary capture of the IOL is a common postoperative complication that occurs after suturing and intrascleral fixation of the IOL. In such cases, blunt trauma is often related to zonular dialysis, iris retraction, iridodonesis, and angle recession. Read More

    Periodontal Regenerative Treatment of Intrabony Defects in the Esthetic Zone Using Modified Vestibular Incision Subperiosteal Tunnel Access (M-VISTA).
    Int J Periodontics Restorative Dent 2018 Mar 28. Epub 2018 Mar 28.
    Periodontal regenerative treatment of intrabony defects in the esthetic zone often poses a significant challenge to clinicians. Various materials and techniques have been proposed to achieve periodontal regeneration. This article presents modified vestibular incision subperiosteal tunnel access (M-VISTA) for treatment of intrabony defects in the esthetic zone. Read More

    Laparoscopic treatment of bowel perforation after blunt abdominal trauma (BAT) in children.
    Rozhl Chir 2018 ;97(3):139-144
    Minimally invasive techniques have now become standard for the treatment of many surgical conditions in children. There are a few studies that describe the utility of laparoscopy in BAT in children. In this article, we describe the complete laparoscopic surgical treatment of two patients after a single blunt abdominal trauma, both with bowel perforation. Read More

    Laparoscopic repair for parastomal hernia with ongoing barbed suture followed by sandwich-technique: 'Sandwich-plus-technique'.
    J Minim Access Surg 2018 Mar 23. Epub 2018 Mar 23.
    Department of General and Visceral Surgery, Bodden-Kliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany.
    The incidence of parastomal hernias after a permanent stoma is between 50% and 80% depending on the type of stoma, the definition of the hernia (clinical or radiological), and the length of the follow-up. Surgical therapy is complex and involves several techniques with different recurrence rates. We present three cases where we have closed the hernia gap with continuous, non-resorbable, self-retaining sutures with subsequent use of the sandwich technique ('Sandwich-plus-technique'). Read More

    Prosthetic Mesh Repair in the Emergency Management of Acutely Strangulated Groin Hernias with Grade I Bowel Necrosis: A Rational Choice.
    Am Surg 2018 Feb;84(2):215-219
    The aim of this study was to determine the feasibility of prosthetic mesh repair according to the degree of bowel necrosis in the emergency management of acutely strangulated groin hernias. Emergency prosthetic mesh repair versus primary suture repair was randomly performed in 208 consecutive strangulated groin hernia patients with bowel necrosis between January 2005 and August 2016. The degree of bowel necrosis of each patient was determined according to a modified three-grade classification system. Read More

    New Developments Are Improving Flexor Tendon Repair.
    Plast Reconstr Surg 2018 Mar 19. Epub 2018 Mar 19.
    Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
    New developments in primary tendon repair over the past decades include stronger core tendon repair techniques, judicious and adequate venting of critical pulleys, followed by a combination of passive and active digital flexion and extension. During repair, core sutures over the tendon should have sufficient suture purchase (no shorter than 0.7 to 1 cm) in each tendon end and must be sufficiently tensioned to resist loosening, forming gaps. Read More

    Comparison of functional results of two fixation systems using single-row suturing of rotator cuff.
    Rev Esp Cir Ortop Traumatol 2018 Mar 21. Epub 2018 Mar 21.
    Facultativo especialista, Área de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España.
    Introduction: Arthroscopic repair of rotator cuff disorders is a technically demanding but successful procedure. Many anchor and suture alternatives are now available. The choice of the implant by the surgeon is less important than the configuration of the suture used to fix the tendon, however it is necessary to know if there are differences in the results, using each one of them. Read More

    Transvesical robotic simple prostatectomy with 360° circumferential reconstruction step-by-step technique.
    BJU Int 2018 Mar 23. Epub 2018 Mar 23.
    USC Institute of Urology & the Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, US.
    Objective: To present a step-by-step technique of a 360-degree mucosal reconstruction after robotic transvesical simple prostatectomy (RSP).

    Patient And Methods: We analysed first 23 consecutive patients who underwent RSP using our 360-degree reconstruction between December 2015 to October 2017. Following the transperitoneal intravesical adenoma enucleation, a circumferential 360-degree reconstruction with 2-0 V-loc suture is performed. Read More

    [Arthroscopic double-row reconstruction of high-grade subscapularis tendon tears].
    Oper Orthop Traumatol 2018 Apr 22;30(2):111-129. Epub 2018 Mar 22.
    Centrum für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin, Augustenburgerplatz 1, 13353, Berlin, Deutschland.
    Objective: Reconstruction of tendon integrity to maintain glenohumeral joint centration and hence to restore shoulder functional range of motion and to reduce pain.

    Indications: Isolated or combined full-thickness subscapularis tendon tears (≥upper two-thirds of the tendon) without both substantial soft tissue degeneration and cranialization of the humeral head.

    Contraindications: Chronic tears of the subscapularis tendon with higher grade muscle atrophy, fatty infiltration, and static decentration of the humeral head. Read More

    Visualization of Monocytic Cells in Regressing Atherosclerotic Plaques by Intravital 2-Photon and Positron Emission Tomography-Based Imaging.
    Arterioscler Thromb Vasc Biol 2018 Mar 22. Epub 2018 Mar 22.
    From the Department of Surgery (W.L., H.-M.H., S.T., R.H., J.M.G., A.E.G., D.K.), Department of Radiology (H.P.L., D.S., R.J.G., Y.L.), Department of Medicine (K.J.L., S.L.B.), and Department of Pathology and Immunology (A.E.G., D.K.), Washington University in St. Louis, MO.
    Objective: Aortic arch transplants have advanced our understanding of processes that contribute to progression and regression of atherosclerotic plaques. To characterize the dynamic behavior of monocytes and macrophages in atherosclerotic plaques over time, we developed a new model of cervical aortic arch transplantation in mice that is amenable to intravital imaging.

    Approach And Results: Vascularized aortic arch grafts were transplanted heterotropically to the right carotid arteries of recipient mice using microsurgical suture techniques. Read More

    Evaluation of the effect of the accordion suturing technique on wound lengths in breast cancer surgery: a randomised clinical trial.
    Ir J Med Sci 2018 Mar 21. Epub 2018 Mar 21.
    Cork Breast Cancer Research Centre, Cork University Hospital, Cork, Ireland.
    Background: Cosmetic outcomes and scar lengths remain important considerations in breast cancer surgery. Suturing techniques should decrease scar tissue formation and provide good cosmetic results. The use of an accordion suturing technique may result in decreased surgical wound lengths and better cosmetic outcomes. Read More

    The incidence of hip dislocation and suture failure according to two different types of posterior soft tissue repair techniques in total hip arthroplasty: a prospective randomized controlled trial.
    Int Orthop 2018 Mar 21. Epub 2018 Mar 21.
    Department of Orthopedic Surgery, Hanyang University Guri Hospital, Gyomoon-dong 249-1, Guri city, Gyunggi-do, 471-701, South Korea.
    Purpose: Although the posterolateral approach for hip arthroplasty is popular and has numerous advantages, it has been known to have a propensity for dislocation. The repair of short external rotator muscles with capsule is important for reducing dislocation. The purpose of this study is to investigate the incidence of suture failure, dislocation, and time to failure for two repair techniques for posterior soft tissue repair during total hip arthroplasty. Read More

    Addition of Mesh Reinforcement for Pancreatic Stump and Braun Enteroenterostomy after Pancreaticoduodenectomy: A Single Institution Experience.
    Am Surg 2018 Mar;84(3):371-376
    The morbidity rate after pancreaticoduodenectomy (PD) remains high and a modified digestive reconstruction may affect the postoperative complications. We investigated a new modification of PD by adding mesh reinforcement for the pancreatic stump and Braun enteroenterostomy with the aim of reducing postoperative pancreatic fistula (POPF) and delayed gastric emptying (DGE), respectively. From November 2010 to April 2015, 81 consecutive patients who underwent modified PD were retrospectively reviewed. Read More

    Laparoscopic Experience for Recurrent Inguinal Hernia Repair in a Single Center for 14 Years.
    Am Surg 2018 Mar;84(3):344-350
    Laparoscopic techniques are now well pervading in the treatment of inguinal hernia. This study aims to investigate the laparoscopic strategy for recurrent inguinal hernia repair. Laparoscopic technique was retrospectively applied to 330 patients with 352 recurrent inguinal hernias in the past 14 years. Read More

    The effectiveness of the double B-lynch suture as a modification in the treatment of intractable postpartum haemorrhage.
    J Obstet Gynaecol 2018 Mar 20:1-4. Epub 2018 Mar 20.
    d Izmir Private Gynecology Clinic , Izmir , Turkey.
    A broader range of more effective compression techniques are needed in the patients who have an intractable postpartum haemorrhage due to uterine atony despite medical treatment and B-Lynch sutures. The aim of this study was to report the outcome of a series of patients with haemorrhage who were managed by double B-Lynch suture. Fourteen patients who were treated in a tertiary hospital between July 2010 and February 2015 were included in the study. Read More

    Arthroscopic Repair of the Lateral Ulnar Collateral Ligament of the Elbow Using a Knotless Suture Anchor.
    Arthrosc Tech 2018 Feb 1;7(2):e77-e81. Epub 2018 Jan 1.
    Department of Surgery, Monash Medical Centre, Monash University, Melbourne, Australia.
    The lateral collateral ligament (LCL) complex of the elbow plays a crucial role in the stability of the elbow joint, especially to varus loads. Deficiency of particularly the lateral ulnar collateral component of the LCL can lead to chronic posterolateral rotatory instability, which can be functionally debilitating and can lead to a rapid onset of early degenerative arthritis. Commonly, in the setting of acute rupture of the LCL, the ligament is repaired using an open technique with suture anchor fixation to the lateral epicondyle insertion point. Read More

    Ulnar Collateral Ligament Repair With Suture Augmentation.
    Arthrosc Tech 2018 Jan 25;7(1):e53-e56. Epub 2017 Dec 25.
    Department of Orthopaedics, New York Presbyterian, Columbia University Medical Center, New York, New York, U.S.A.
    Reconstruction of the ulnar collateral ligament (UCL) remains the gold standard for treating overhead throwing athletes with valgus instability secondary to UCL pathology. Although surgical techniques for reconstruction have evolved over time, current methods allow 90% of patients to return to their preinjury level of activity. Despite encouraging results with reconstruction, UCL repair remains a valuable treatment option for patients with UCL pathology fitting specific criteria. Read More

    Sutureless transscleral fixation of secondary intraocular lenses.
    Curr Opin Ophthalmol 2018 May;29(3):210-216
    Department of Ophthalmology, Rutgers Robert Wood Johnson Medical School.
    Purpose Of Review: The surgical approach to eyes needing a secondary intraocular lens have evolved rapidly in recent years. Here, we will focus on techniques for scleral-fixation of intraocular lenses (IOLs), and will review the evidence for their safety and efficacy.

    Recent Findings: Transscleral fixation of IOLs refers the placement of lens haptics within scleral tunnels to stabilize the lens in eyes that lack adequate capsular support. Read More

    Complex Fibular Head Avulsion Fracture: Surgical Management of a Case.
    Surg Technol Int 2018 Mar 12;31. Epub 2018 Mar 12.
    Department of Orthopedic and Traumatology, University of Pisa, Pisa, Italy.
    Fibular head avulsion fractures are rare injuries determined by traction of the fibular attachment of the lateral collateral ligament (LCL). Surgical treatment is often recommended with different techniques such as tension band fixation or lag screws stabilization. In this article, we describe a fixation technique of fibular head fractures obtained through the use of anchors. Read More

    Outcome of Percutaneous Fixation of Acute Achilles Tendon Ruptures.
    Foot Ankle Int 2018 Mar 1:1071100718757971. Epub 2018 Mar 1.
    1 3rd Orthopaedic Department, KAT Hospital, University of Athens, Athens, Greece.
    Background: Conservative treatment of an acute Achilles rupture remains a viable and acceptable option as does surgical fixation, with open and percutaneous repair consisting the main operative techniques. The purpose of this study was to compare the outcomes and complication rates of open versus percutaneous surgical procedures.

    Methods: From 2009 to 2016, 131 patients were admitted to our department with clinically and radiologically confirmed acute Achilles tendon ruptures. Read More

    Adjustable versus non-adjustable sutures for strabismus.
    Cochrane Database Syst Rev 2018 03 12;3:CD004240. Epub 2018 Mar 12.
    University Hospital of Wales, Heath Park, Cardiff, UK, CF14 4XW.
    Background: Strabismus, or squint, can be defined as a deviation from perfect ocular alignment and can be classified in many ways according to its aetiology and presentation. Treatment can be broadly divided into medical and surgical options, with a variety of surgical techniques being available, including the use of adjustable or non-adjustable sutures for the extraocular muscles. There exists an uncertainty as to which of these techniques produces a better surgical outcome, and an opinion that the adjustable suture technique may be of greater benefit in certain situations. Read More

    Effects of a lateral row anchor position on the suture holding strength of a double-row knotless fixation in rotator cuff repair.
    Eklem Hastalik Cerrahisi 2018 Apr;29(1):46-51
    Department of Orthopedics and Traumatology, Muğla Sıtkı Koçman University Training and Research Hospital, 48000 Menteşe, Muğla, Turkey.
    Objectives: This study aims to evaluate the effects of anchor positions on the suture holding strength of a double-row knotless fixation in rotator cuff repair.

    Materials And Methods: Four different double-row fixation techniques were assessed. In group 1, a 15-mm-wide mattress suture was fixed using a knotless lateral row anchor, horizontal to the shaft. Read More

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