54,831 results match your criteria Suturing Techniques

Meta-analysis of interrupted versus continuous suturing for Roux-en-Y hepaticojejunostomy and duct-to-duct choledochocholedochostomy.

Langenbecks Arch Surg 2022 May 13. Epub 2022 May 13.

Hepatobiliary and Pancreatic Surgery and Liver Transplant Unit, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

Aims: To compare outcomes of interrupted (IS) and continuous (CS) suturing techniques for Roux-en-Y hepaticojejunostomy and duct-to-duct choledochocholedochostomy.

Methods: The study protocol was prospectively registered in PROSPERO (registration number: CRD42021286294). A systematic search of MEDLINE, CENTRAL, and Web of Science and bibliographic reference lists were conducted (last search: 14th March 2022). Read More

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Systematic Review and Meta-Analysis on Colorectal Anastomotic Techniques.

Ther Clin Risk Manag 2022 4;18:523-539. Epub 2022 May 4.

Technical University of Munich, TUM School of Medicine, Chair of Research Group Minimally Invasive Interdisciplinary Therapeutical Intervention (MITI), Munich, Germany.

Purpose: Anastomosis creation after resective gastrointestinal surgery is a crucial task. The present review examines the techniques and implants currently available for anastomosis creation and analyses to which extent they already address our clinical needs, with a special focus on their potential to enable further trauma minimization in visceral surgery.

Methods: A multi-database research was conducted in MEDLINE, Scopus, and Cochrane Library. Read More

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Pancreaticojejunostomy Conducive to Biological Healing in Minimally Invasive Pancreaticoduodenectomy.

J Gastrointest Surg 2022 May 11. Epub 2022 May 11.

Department of General Surgery, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang City, 110004, Liaoning Province, China.

Background: Pancreaticojejunostomy, an independent risk factor for pancreatic fistula, is the cause of several postoperative complications of pancreaticoduodenectomy. As suturing in minimally invasive surgery is difficult to perform, more simplified methods are needed to guarantee a safe pancreatic anastomosis. The concept of "biological healing" proposed in recent years has changed the conventional understanding of the anastomosis, which recommends rich blood supply, low tension, and loose sutures in the reconstruction of the pancreatic outflow tract. Read More

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Minimally invasive nasal valve treatment.

Facial Plast Surg 2022 May 11. Epub 2022 May 11.

Otolaryngology, Baylor College of Medicine, Houston, United States.

Nasal valve insufficiency can be addressed using endonasal and open structure surgical techniques. However, some patients may prefer or be better suited for minimally invasive techniques that allow for more expedient treatment in the clinical setting. Techniques include internal dilators, external dilators, suture suspension, lateral wall implants, and radiofrequency remodeling. Read More

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Round ligament suspension and vaginal purse-string suture: Newly optimized techniques to prevent tumor spillage in laparoscopic radical trachelectomy for cervical cancer.

J Obstet Gynaecol Res 2022 May 10. Epub 2022 May 10.

Department of gynecological oncology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.

Aim: The purpose of this study was to investigate the surgical techniques and clinical feasibility of nonuterine manipulator and enclosed colpotomy to avoid cancer cell spillages in laparoscopic radical trachelectomy (LRT) for patients with early-stage cervical cancer.

Methods: We performed the newly optimized surgical techniques of round ligament suspension and vaginal purse-string suture in LRT in 12 patients with early-stage cervical cancer from May 2019 to October 2020. Surgical information and postoperative results were recorded. Read More

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Long-term outcomes of transsclerally sutured intraocular lens correctly fixed in the ciliary sulcus.

BMJ Open Ophthalmol 2022 Apr;7(1)

Department of Ophthalmology, University of Tsukuba, Clinical Medicine, Ibaraki, Japan.

Objective: To report the long-term postoperative outcomes of transsclerally sutured intraocular lenses (IOLs), in which the haptics were correctly fixated into the ciliary sulcus using an auxiliary device and endoscope.

Methods And Analysis: Data were collected from eyes that were followed up for at least 12 months after ciliary sulcus suture fixation of an IOL using an auxiliary device for securely placing the IOL haptics to the ciliary sulcus, which was confirmed using intraoperative endoscopy in all cases. The corrected distance visual acuity (CDVA), refractive error, anterior chamber depth (ACD), IOL decentration and tilt, corneal endothelial cell density (CECD) and postoperative complications were recorded. Read More

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H-loop Knotless Double-Row Repair Versus Knotted Suture Bridge for Rotator Cuff Tears: A Biomechanical and Histological Study in an Animal Model [Formula: see text].

Am J Sports Med 2022 May 10:3635465221090605. Epub 2022 May 10.

Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangdong, China.

Background: Knotted suture bridge repair (KSBR) has been widely proven to be an effective method for rotator cuff repairs. However, the occurrence of type 2 failure after suture bridge repair remains a frequent problem because of the stress concentration and disturbance of tendon perfusion in the medial row. The authors have developed the H-loop knotless double-row repair (HLDR) to counteract these problems. Read More

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The Features of Stomach Vascularisation Pattern and Their Impact on Oesophageal Reconstruction with a Gastric Pull-up.

Chirurgia (Bucur) 2022 Apr;117(2):143-153

Regardless of the reconstruction surgery used, the fundamental concepts of visceral reconstruction are based on the vascular support needed for the substituting graft. The vascular factor is the main element of any reconstruction technique, as an underlying condition for the visceral material stretch and, along with other factor, for the suture safety. In the case of the stomach, a consistent vascular flow and the minimal vascular anatomy variations are the first theoretical argument. Read More

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Biomechanical Evaluation of a Tubular Braided Construct for Primary Deep Flexor Tendon Surgery.

J Hand Surg Am 2022 May 3. Epub 2022 May 3.

Faculty of Medicine and Health Sciences, Department of Orthopaedic Surgery and Traumatology, Ghent University, Ghent, Belgium.

Purpose: Immediate postoperative mobilization has been shown to avoid adhesion formation and improve range of motion after flexor tendon repair. A tubular braided construct was designed to allow for these rehabilitation protocols.

Methods: In this ex vivo study, 92 ovine flexor tendons were divided randomly into 2 equal groups. Read More

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Biomechanical properties of a suture anchor system from human allogenic mineralized cortical bone matrix for rotator cuff repair.

BMC Musculoskelet Disord 2022 May 5;23(1):422. Epub 2022 May 5.

Michael Ogon Laboratory for Orthopaedic Research, Vienna, Austria.

Background: Suture anchors (SAs) made of human allogenic mineralized cortical bone matrix are among the newest developments in orthopaedic and trauma surgery. Biomechanical properties of an allogenic mineralized suture anchor (AMSA) are not investigated until now. The primary objective was the biomechanical investigation of AMSA and comparing it to a metallic suture anchor (MSA) and a bioabsorbable suture anchor (BSA) placed at the greater tuberosity of the humeral head of cadaver humeri. Read More

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Comparison of two alar cinch base suture in orthognathic surgery: a randomized clinical trial.

Braz Dent J 2022 Mar-Apr;33(2):44-51

Department of Clinical and Preventive Dentistry, Federal University of Pernambuco, Pernambuco, Brazil.

Le Fort I osteotomy is widely used in orthognathic surgery to correct maxillary deformities. However, this osteotomy may be related with the increase of alar base width. The aims of the present study were to compare two alar cinch suture after Le Fort I osteotomy and observe which type presents a better result in controlling the enlargement of the alar base after maxillary repositioning in orthognathic surgery. Read More

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No Difference in Clinical Outcomes for Arthroscopic Suprapectoral Versus Open Subpectoral Biceps Tenodesis at Midterm Follow-up: A Randomized Prospective Analysis.

Am J Sports Med 2022 May;50(6):1486-1494

Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA.

Background: We have previously reported the 1-year outcomes of arthroscopic suprapectoral biceps tenodesis (ASPBT) versus open subpectoral biceps tenodesis (OSPBT) for the management of long head of the biceps tendon (LHBT) pathology. While patients had similar 1-year biceps muscle strength and pain, longer-term functional outcomes are unknown.

Purpose: To directly compare clinical outcomes of ASPBT versus OSPBT with interference screw fixation, distal to the bony bicipital groove, at a minimum of 2 years' follow-up. Read More

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Defining Wider Indications for Stoppa Repair Other Than Recurrent Hernias.

Cureus 2022 Mar 31;14(3):e23671. Epub 2022 Mar 31.

Department of Urology, Deccan College of Medical Sciences, Hyderabad, IND.

Managing complex inguinal hernias has been a constant challenge for surgeons and its treatment is not without challenges with the routine current techniques. Complex inguinal hernias especially recurrent have been managed by the Rives-Stoppa technique which is an established suture-less, tension-free, and absolute method of treatment with minimal recurrence rates. Traditionally, this surgical technique is most indicated in recurrent inguinal hernias, but we aim to assess the usefulness of this procedure for the treatment of complex inguinal hernias in individuals presenting for the first time. Read More

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Current practice of trabeculectomy in a cohort of experienced glaucoma surgeons in Australia and New Zealand.

Eye (Lond) 2022 May 3. Epub 2022 May 3.

University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Background/objectives: To evaluate current routine trabeculectomy technique preferences among Australian and New Zealand Glaucoma Society surgeons regularly performing trabeculectomy surgery.

Subjects/methods: Survey of experienced surgeons who perform trabeculectomy.

Results: Forty-nine surgeons (33 male:16 female) participated in the survey. Read More

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The effect of suture techniques on the outcome of tracheal reconstruction: An observational study and review of literature.

Surgeon 2022 Apr 30. Epub 2022 Apr 30.

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran; Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Tracheal resection and anastomosis surgery is a safe operation and is used to treat various benign and malignant diseases of the trachea. However, tracheal stenosis is among the main anastomotic complications following this procedure. Surgeons use both the continuous and the interrupted suture techniques for tracheal anastomosis, but contradicting results in each technique's complications have been reported in various studies. Read More

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Management of isolated anterior talofibular ligament lesion in patients suffering from chronic ankle instability: comparison of two minimally invasive surgical techniques.

Eur Rev Med Pharmacol Sci 2022 Apr;26(8):2944-2948

IRCCS Istituto Ortopedico Galeazzi, Sport Traumatology and Minimally Invasive Surgery Center, Milan, Italy.

Objective: The aim of the present study was to retrospectively compare the outcomes of two minimally invasive surgical techniques in patients with isolated anterior talofibular ligament (ATFL) lesion suffering from chronic ankle instability (CAI).

Patients And Methods: Thirty-six patients with ATFL lesion suffering from CAI were treated at our department from 2010 to 2017 and retrospectively reviewed after an average time of 4 years (2 to 9 years). Eighteen patients underwent a four-step operative protocol, including: synovectomy, debridement of ATFL lesion borders, capsular shrinkage, and 21-day immobilization and non-weightbearing. Read More

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Comparison between barbed and conventional sutures for longitudinal thelotomy closure in an bovine model.

Can Vet J 2022 May;63(5):535-539

Department of Large Animal Clinical Sciences, University of Tennessee College of Veterinary Medicine, Knoxville, Tennessee, USA.

Objective: To determine differences in suture time and bursting strength on a longitudinal thelotomy closure using innovative barbed conventional smooth suture materials.

Sample Population: Twenty-four teats from 6 udders of culled beef cows.

Study Design: Experimental surgical study. Read More

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The Twizzler: a modified primary closure for distal lower extremity wound reconstruction utilizing a dynamic winch stitch.

Dermatol Online J 2021 Dec 15;27(12). Epub 2021 Dec 15.

University of Guam, Mangilao, Guam, USA.

Management of lower extremity wounds following successful tumor excision presents multiple challenges. Distal lower extremity integument is highly prone to edema often lacks adequate skin laxity for standard primary closures. The closure must be resilient enough to withstand mobility. Read More

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December 2021

Fixation Type Does not Affect the Learning Curve and Short-Term Radiographic Outcomes for Arthroscopic Anatomic Glenoid Reconstruction with Distal Tibia Allograft.

Arthrosc Sports Med Rehabil 2022 Apr 29;4(2):e371-e379. Epub 2021 Nov 29.

Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia Canada.

Purpose: The purpose of this study was to compare the learning curves and radiographic variables between screw and suture button fixation of the allograft for surgeons learning the all-arthroscopic anatomic glenoid reconstruction (AAGR) technique for anterior shoulder instability. We compared the surgical times of these two fixation techniques, as well as the graft placement in the vertical and medial-lateral directions.

Methods: This was a retrospective review of patients who underwent AAGR for recurrent anterior shoulder instability. Read More

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Biomechanical Analysis of Unstable Osteochondral Fragment Fixation Using Three Different Techniques: Osteochondral Plug, Bioabsorbable Pin, and Suture Anchor with Tape.

Arthrosc Sports Med Rehabil 2022 Apr 1;4(2):e387-e392. Epub 2022 Feb 1.

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Purpose: To compare the initial fixation strength of osteochondral fragment fixations using osteochondral plugs, bioabsorbable pins, and knotless suture anchors.

Methods: Eighteen fresh-frozen immature (6 month old) porcine knees were used. An osteochondral fragment, cut from the articular surface of the medial femoral condyle to achieve a thickness of 5 mm, was used to mimic the unstable osteochondral fragment. Read More

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The Addition of Suture Tape to the Hamstring Graft Construct Does Not Reduce Instrumented Knee Laxity Following ACL Reconstruction.

Arthrosc Sports Med Rehabil 2022 Apr 31;4(2):e545-e551. Epub 2021 Dec 31.

Sydney Knee Specialists, Kogarah New South Wales, Australia.

Purpose: To establish the effect of the addition of suture tape to the hamstring graft construct through measurement of instrumented sagittal plane knee laxity at 6 months after anterior cruciate ligament reconstruction (ACLR).

Methods: A retrospective analysis was undertaken of a consecutive series of primary ACLR performed between May 2017 and June 2019. Patients with concomitant or historic contralateral knee injury were excluded. Read More

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Endoscopic Gluteus Medius Repair Replicates Open, Knotless Repair With Similar Cyclic Loading Properties: A Cadaveric Study.

Arthrosc Sports Med Rehabil 2022 Apr 21;4(2):e617-e622. Epub 2022 Jan 21.

American Sports Medicine Institute, Birmingham, Alabama, U.S.A.

Purpose: To compare the repair strength, gap formation, and mode of failure between endoscopic and open double-row gluteus medius repairs in a cadaveric model.

Methods: Six pairs of fresh-frozen human cadavers were used in this study. Gluteus medius tears were created in an open fashion and then repaired with either open or endoscopic techniques. Read More

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Primary Repair, Reconstruction, and Suture Tape Augmentation All Provide Excellent Outcomes for Lateral Ligament Instability: A Systematic Review.

Arthrosc Sports Med Rehabil 2022 Apr 1;4(2):e747-e762. Epub 2022 Mar 1.

Medical Center, Department of Sports Medicine and Orthopaedics, Kansas City, Kansas, U.S.A.

Purpose: To analyze the literature to compare outcomes and complications following primary lateral ankle ligament repair compared with lateral ankle ligament reconstruction and the suture tape augmentation in patients with lateral ankle instability.

Methods: Following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) criteria, a systematic literature review using the PubMed/Ovid Medline database was performed (October 11, 1947, to October 1, 2019). Clinical trials that included all the following criteria were considered eligible; published in the English language; patients undergoing primary lateral ankle repair or reconstruction with/without autograft or allograft (anterior talofibular ligament, anterior talofibular ligament + calcaneofibular ligament) or suture tape augmentation; a follow-up at least 1 year; reported least 1 of the measured outcomes (The American Orthopaedic Foot Ankle Score, Karlsson Score, return to sport [RTS], complications, skin wound complications, reoperation). Read More

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Subpectoral Biceps Tenodesis Using an All-Suture Anchor.

Arthrosc Tech 2022 Apr 16;11(4):e555-e562. Epub 2022 Mar 16.

Advanced Orthopedics and Sports Medicine, San Francisco, California.

Long head biceps tendon pathology is a substantial contributor to anterior shoulder pain and often requires surgical intervention to offer a return to normal functionality. Surgical treatment options consist of both open and arthroscopic tenodesis or tenotomy of the long head biceps brachii. Several techniques exist for tenodesis and tenotomy of the biceps, although current debate continues regarding which surgical approach is the optimal intervention for symptomatic bicep pathology. Read More

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Arthroscopic Remplissage Using Knotless, All-Suture Anchors.

Arthrosc Tech 2022 Apr 19;11(4):e615-e621. Epub 2022 Mar 19.

Mayo Clinic Arizona Department of Orthopedic Surgery, Phoenix, Arizona, U.S.A.

Glenohumeral bone loss is a significant risk factor for recurrent instability after shoulder dislocation. The Hill-Sachs lesion is an osseous defect of the posterior humeral head that is commonly recognized after anterior shoulder dislocation. Several procedures exist to address humeral-sided bone loss, including soft tissue filling procedures, osteoarticular allografts, bone plugs, rotation osteotomies, and humeral head replacements. Read More

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Anterior Talofibular Ligament Augmentation With Internal Brace in the Office Setting.

Arthrosc Tech 2022 Apr 16;11(4):e545-e550. Epub 2022 Mar 16.

NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York.

The anterior talofibular ligament (ATFL) is the most frequently injured lateral ligament of the ankle, and up to 20% of patients with ankle sprains may require surgical intervention to correct chronic lateral ankle instability. There has been increased interest in arthroscopic lateral ankle ligament repair techniques to minimize postoperative pain and expedite recovery. Additionally, the use of suture-tape augmentation may allow for improved recovery in those with ATFL reconstruction. Read More

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Arthroscopic Medial Meniscus Posterior Root Repair with Centralization Using Knotless Suture Anchors.

Thomas Y Wu

Arthrosc Tech 2022 Apr 28;11(4):e661-e668. Epub 2022 Mar 28.

Ventura County Medical Center, Ventura, California, U.S.A.

Medial meniscus posterior root tears can lead to rapid progression of knee arthritis because of loss of the stress distribution function of the meniscus. Medial meniscus root repair can restore stress distribution and improve clinical outcome. In cases of medial meniscus root tears with meniscal extrusion, centralization may help reduce extrusion and protect the root repair. Read More

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Ultraflexible and Stretchable Intrafascicular Peripheral Nerve Recording Device with Axon-Dimension, Cuff-Less Microneedle Electrode Array.

Small 2022 May 1:e2200311. Epub 2022 May 1.

Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI, 48109, USA.

Peripheral nerve mapping tools with higher spatial resolution are needed to advance systems neuroscience, and potentially provide a closed-loop biomarker in neuromodulation applications. Two critical challenges of microscale neural interfaces are 1) how to apply them to small peripheral nerves, and 2) how to minimize chronic reactivity. A flexible microneedle nerve array (MINA) is developed, which is the first high-density penetrating electrode array made with axon-sized silicon microneedles embedded in low-modulus thin silicone. Read More

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Critical Steps to Performing a Successful Single Site Laparoscopic Myomectomy for Large Pedunculated Fibroid during Pregnancy.

J Minim Invasive Gynecol 2022 Apr 28. Epub 2022 Apr 28.

Division of Minimally Invasive Gynecological Surgery, Baylor College of Medicine, Houston, Texas, U.S.A.. Electronic address:

Study Objective: To demonstrate tips and tricks for the successful use of single site laparoscopic surgery (SILS) for pedunculated myomectomy during pregnancy.

Design: Stepwise demonstration with narrated video footage SETTING: An academic tertiary care hospital affiliated with Baylor College of Medicine. Our patient is a 39-year-old pregnant G1P0 with a symptomatic 12 centimeter degenerating pedunculated fibroid refractory to conservative pain management. Read More

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