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    Minimally Invasive, spring-assisted correction of sagittal suture synostosis. Technique, outcome and complications in 83 cases.
    Plast Reconstr Surg 2017 Oct 12. Epub 2017 Oct 12.
    1Department of Neurosurgery, 2Department of Biostatistics, 3Department of Plastic and Reconstructive Surgery, Erasmus University Medical Center Rotterdam, Dutch Craniofacial Center, The Netherlands 4 Australian Craniofacial Unit, Women's and Children's Hospital, Adelaide, Australia.
    Background: This series describes the results of minimally invasive strip craniotomy with additional spring distraction.

    Methods: Included are the first 83 consecutive patients who underwent this procedure (Jan 1, 2010-Jan 1, 2014). Outcome parameters were collected prospectively and included surgical parameters and complications, the occurrence of papilledema, skull growth, cephalic index and photographic scores RESULTS:: Duration of surgery was 63 min: 19% required blood transfusion and complications were minor. Read More

    Aqueous shunt implantation in glaucoma.
    Taiwan J Ophthalmol 2017 Jul-Sep;7(3):130-137
    NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital, London, UK.
    Aqueous shunts or glaucoma drainage devices are increasingly utilized in the management of refractory glaucoma. The general design of the most commonly-used shunts is based on the principles of the Molteno implant: ie. a permanent sclerostomy (tube), a predetermined bleb area (plate) and diversion of aqueous humour to the equatorial region and away from the limbal subconjunctival space. Read More

    A Review of Evolutionary and Cyclical Changes in the Surgical Approach to Aortic Valve Disease.
    Rev Recent Clin Trials 2017 Oct 9. Epub 2017 Oct 9.
    Cardiac Surgery Department, San Camillo-Forlanini Hospital, Rome. Italy.
    Introduction: Aortic valve surgery is no exception to the general rule that history is a cycle in many fields. This manuscript aims to assist readers in transitioning from past to present and on into the future within the field of aortic valve surgery.

    Methods: The existing literature has been examined, including old and modern articles published on pubmed, old articles non visible on pubmed, old and recent books on the history of medicine, looking for similarities and repetitions in techniques and surgical approaches to the aortic valve in the past and the current times. Read More

    Biomechanical properties of different techniques used in vitro for suturing mid-substance Achilles tendon ruptures.
    Clin Biomech (Bristol, Avon) 2017 Oct 9;50:78-83. Epub 2017 Oct 9.
    Laboratory of Neuromechanics, Universidade Federal do Pampa, Campus Uruguaiana, #97508000 Uruguaiana, Brazil. Electronic address:
    Background: The Dresden technique preserves the paratenon during Achilles tendon repair and may improve the plantarflexor mechanism when combined with mobilization during early rehabilitation. However, the surgical repair design for Achilles tendon ruptures can affect rates of re-rupture or lengthening. Therefore, the aim of this study was to determine the biomechanical properties of the Krackow, Double-Kessler, Double-Dresden, and Triple-Dresden techniques used for repairing mid-substance Achilles tendon ruptures during cyclical and maximum traction. Read More

    Electrospun biphasic tubular scaffold with enhanced mechanical properties for vascular tissue engineering.
    Mater Sci Eng C Mater Biol Appl 2018 Jan 12;82:10-18. Epub 2017 Aug 12.
    School of Dentistry and Oral Health, Griffith University - Gold Coast Campus, Griffith, Health Centre, G40_7.81, Parklands Drive, QLD 4222, Australia. Electronic address:
    Polymer scaffolds produced through an electrospinning process are frequently explored as tissue substitutes for regenerative medicine. Despite offering desirable surface area to volume ratios and tailorable pore sizes, their poor structural mechanical properties limit their applicability in load-bearing regions. In this study, we present a simple strategy to improve the mechanical properties of a vascular graft scaffold. Read More

    Variability in Minimally Invasive Surgery for Sagittal Craniosynostosis.
    J Craniofac Surg 2017 Oct 11. Epub 2017 Oct 11.
    *Division of Plastic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI †Division of Pediatric Plastic Surgery, Children's Hospital of Pittsburgh ‡University of Pittsburgh School of Medicine, Pittsburgh, PA.
    Minimally invasive approaches to the surgical correction of sagittal craniosynostosis are gaining favor as an alternative to open cranial vault remodeling. In this systematic review, the reviewers evaluate the variability in described surgical techniques for minimally invasive correction of sagittal craniosynostosis. Articles were selected based on predetermined inclusion and exclusion criteria from an online literature search through PubMed, EMBASE, and the Cochrane library. Read More

    Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery.
    BMC Ophthalmol 2017 Oct 10;17(1):187. Epub 2017 Oct 10.
    Department of Ophthalmology, Dongguk University, Ilsan Hospital, 814, Siksadong, Ilsan-dong-gu, Goyang, Kyunggido, 410-773, South Korea.
    Background: To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery.

    Methods: Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8-0 polyglactin (41 eyes) or 10-0 nylon (69 eyes). Read More

    Retained pacemaker and implantable cardioverter-defibrillator components after heart transplantation are common and may lead to adverse events.
    Europace 2017 Jul 19. Epub 2017 Jul 19.
    Transplant Unit, Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge, CB23 3RE, UK.
    Aims: Many patients have a cardiac implantable electronic device (CIED) extracted at the time of heart transplantation. CIED components may be retained after heart transplantation, but their frequency, nature, and clinical significance is uncertain.

    Methods And Results: Consecutive patients that underwent heart transplantation over 10 years from 1 January 2007 until 1 January 2017 were identified from the unit database. Read More

    Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique.
    J Vis Exp 2017 Oct 1(128). Epub 2017 Oct 1.
    Department of Neurosurgery, Kantonsspital Aarau; Neuro Lab, Research Group for Experimental Neurosurgery and Neurocritical Care, Department of Intensive Care Medicine, University Hospital and University of Bern.
    The steady progess in the armamentarium of techniques available for endovascular treatment of intracranial aneurysms requires affordable and reproducable experimental animal models to test novel embolization materials such as stents and flow diverters. The aim of the present project was to design a safe, fast, and standardized surgical technique for stent assisted embolization of saccular aneurysms in a rat animal model. Saccular aneurysms were created from an arterial graft from the descending aorta. Read More

    Technique of Minimally Invasive Transverse Aortic Constriction in Mice for Induction of Left Ventricular Hypertrophy.
    J Vis Exp 2017 Sep 25(127). Epub 2017 Sep 25.
    Laboratoire d'Innovation Thérapeutique, UMR7200, Université de Strasbourg - CNRS.
    Transverse aortic constriction (TAC) in mice is one of the most commonly used surgical techniques for experimental investigation of pressure overload-induced left ventricular hypertrophy (LVH) and its progression to heart failure. In the majority of the reported investigations, this procedure is performed with intubation and ventilation of the animal which renders it demanding and time-consuming and adds to the surgical burden to the animal. The aim of this protocol is to describe a simplified technique of minimally invasive TAC without intubation and ventilation of mice. Read More

    Current Controversies in Metopic Suture Craniosynostosis.
    Oral Maxillofac Surg Clin North Am 2017 Nov;29(4):447-463
    Department of Maxillofacial Surgery, New Hanover Regional Medical Center, 2131 South 17th Street, Wilmington, NC 28401, USA. Electronic address:
    Metopic craniosynostosis is being reported with an increasing incidence and is now the second most common type of isolated suture craniosynostosis. Numerous areas of controversy exist in the work-up and management, including defining the diagnosis in the less severe phenotype, the association with neurodevelopmental delay, the impact of surgical treatment, and the applicability of various techniques and their timing on outcomes. Read More

    Arthroscopic Treatment of Osseous Instability of the Shoulder.
    HSS J 2017 Oct 22;13(3):292-301. Epub 2017 May 22.
    Division of Sports Medicine, Department of Orthopaedic Surgery, Lenox Hill Hospital, 100 East 77th Street, 11th Floor, New York, NY USA.
    Background: Bony deficiency of the anteroinferior glenoid rim as a result of a dislocation can lead to recurrent glenohumeral instability. These lesions, traditionally treated by open techniques, are increasingly being treated arthroscopically as our understanding of the pathophysiology and anatomy of the glenohumeral joint becomes clearer. Different techniques for arthroscopic management have been described and continue to evolve. Read More

    Cuff-less J Pouch Anal Stapling Anastomosis for Ulcerative Colitis.
    Anticancer Res 2017 10;37(10):5743-5745
    Department of Surgery, Jikei University School of Medicine, Tokyo, Japan.
    Background/aim: For ulcerative colitis, J pouch anal anastomosis with preserved rectal cuff had been popularized with its acceptable defecation function. However, some complications associated with rectal cuff after surgery have been reported. We are performing a novel procedure, laparoscopic cuff-less J pouch anal stapling anastomosis. Read More

    The Role of Extra-Articular Tenodesis in Combined ACL and Anterolateral Capsular Injury.
    J Bone Joint Surg Am 2017 Oct;99(19):1654-1660
    1Orthopaedic Robotics Laboratory (D.G., S.I., K.M.B., A.A.R.-A., F.H.F., R.E.D., and V.M.) and Departments of Orthopaedic Surgery (D.G., S.I., A.A.R.-A., F.H.F., and V.M.) and Bioengineering (K.M.B. and R.E.D.), University of Pittsburgh, Pittsburgh, Pennsylvania 2Trauma Department, Hannover Medical School (MHH), Hannover, Germany.
    Background: The "gold standard" treatment of anterolateral capsular injuries in anterior cruciate ligament (ACL)-deficient knees has not been determined. The purpose of this study was to determine the effects of ACL reconstruction and extra-articular reconstruction on joint motion in the ACL-deficient knee and in the combined ACL and anterolateral capsule-deficient knee.

    Methods: An anterior tibial load of 134 N and internal tibial torque of 7 Nm were applied to 7 fresh-frozen cadaveric knees using a robotic testing system continuously throughout the range of flexion. Read More

    Ex vivo comparison of single-layer and double-layer laparoscopic closure of equine bladders with 2 types of barbed sutures.
    Vet Surg 2017 Oct 3. Epub 2017 Oct 3.
    Department of Large Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, Texas.
    Objective: To compare laparoscopic single-layer versus double-layer closure of experimental, full-thickness incisions in adult equine urinary bladders using unidirectional and bidirectional barbed suture.

    Study Design: Experimental, ex vivo, surgical study.

    Sample Population: Thirty adult equine cadaver urinary bladders. Read More

    Crossing Suture Technique for the Osteochondral Fractures Repair of Patella.
    Arthrosc Tech 2017 Aug 17;6(4):e1035-e1039. Epub 2017 Jul 17.
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
    Osteochondral fracture of the patella is a common concomitant injury of the knee, especially in lateral patellar instability, and the importance of early stable fixation with minimal complication and early mobilization should be emphasized. Screws and Kirschner wires both absorbable and nonabsorbable have been the common mode of fixation of these fractures. Nevertheless, these fixation techniques require larger osteochondral fragments and are associated with cartilage abrasion, hardware prominence, synovitis, and foreign body reaction. Read More

    Single-Incision Anatomic Repair Technique for Distal Biceps Tendon Rupture Using Tunneling Device.
    Arthrosc Tech 2017 Aug 3;6(4):e945-e950. Epub 2017 Jul 3.
    Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, U.S.A.
    Distal biceps tendon ruptures are uncommon and generally occur in men aged 30 to 50 years in their dominant arm as a result of a strong eccentric load. Numerous surgical exposures and methods of fixation exist for repair of a ruptured distal biceps tendon. The goal of surgical management is to restore the anatomic footprint of the biceps tendon on the radial tuberosity to maximize flexion strength, supination strength, and muscle endurance. Read More

    Biceps Tenodesis: Biomechanical Assessment of 3 Arthroscopic Suprapectoral Techniques.
    Orthopedics 2017 Oct 2:1-8. Epub 2017 Oct 2.
    Biceps tenodesis maintains the cosmetic appearance and length-tension relationship of the biceps with an associated predictable clinical outcome compared with tenotomy. Arthroscopic suprapectoral techniques are being developed to avoid the disadvantages of the open subpectoral approach. This study biomechanically compared 3 arthroscopic suprapectoral biceps tenodesis techniques performed with a suture anchor with lasso loop technique, an interference screw, and a compressive rivet. Read More

    The Directive Growth Approach for Nonsyndromic, Unicoronal Craniosynostosis: Patient and Clinical Outcomes.
    J Craniofac Surg 2017 Sep 29. Epub 2017 Sep 29.
    *Michigan State University College of Human Medicine †Grand Rapids Medical Education Partners Plastic and Reconstructive Surgery Residency ‡Helen DeVos Children's Hospital Pediatric Plastic Surgery, Grand Rapids, MI §Advanced Dermatology and Cosmetic Surgery, Clearwater, FL.
    Deformities of the cranium in patients with nonsyndromic single-suture synostosis occur because of growth restriction at fused sutures and growth over compensation at normal sutures. Traditional surgery includes ostectomies of the synostotic suture to release these restricted areas and osteotomies to enable immediate cranial remodeling. In the process of reshaping the cranium, traditional approaches usually involve obliteration of both the normal functioning suture and the pathologic suture. Read More

    Cyclic Testing of the 6-Strand Tang and Modified Lim-Tsai Flexor Tendon Repair Techniques.
    J Hand Surg Am 2017 Sep 26. Epub 2017 Sep 26.
    Department of Hand Surgery, Singapore General Hospital, Singapore; Biomechanics Laboratory, Singapore General Hospital, Singapore; Duke-NUS Medical School, Singapore. Electronic address:
    Purpose: In this study, we compared the Tang repair technique with the 6-strand modified Lim-Tsai repair technique under cyclic testing conditions.

    Methods: Twenty fresh-frozen porcine flexor tendons were randomized into 2 groups for repair with either the modified Lim-Tsai or the Tang technique using Supramid 4-0 core sutures and Ethilon 6-0 epitendinous running suture. The repaired tendons were subjected to 2 stage cyclic loading. Read More

    Laparoscopic Transperitoneal Para-Aortic Lymphadenectomy in 10 Steps.
    J Minim Invasive Gynecol 2017 Sep 28. Epub 2017 Sep 28.
    Gynecology unit, Hautepierre Universitary Hospital, avenue Molière 67200 Strasbourg, France.
    Objective: Laparoscopic transperitoneal lymphadenectomy has a few advantages. First, it is a minimally invasive approach, and transperitoneal approach is also the best option when an intra abdominal surgery is indicated. Although the procedure was described more than two decades ago, there is a lack of diffusion of the technique. Read More

    "Airborne" suture tying technique: Simple steps to make it easy.
    Head Neck 2017 Sep 30. Epub 2017 Sep 30.
    China Medical University Hospital, Department of Plastic Surgery, Taichung, Taiwan.
    A multitude of microsurgical suture techniques have been described. Although accurate apposition and eversion of the vessel ends is paramount for the patency of anastomosis, rapidity is usually of secondary importance. However, in situations in which either multiple anastomoses are required or timely revascularization is crucial, speed becomes a determinant factor for eventual success. Read More

    Twenty-Year Review of a Single Surgeon's Experience Using a Unique Surgical Technique to Correct Lambdoidal Synostosis.
    J Craniofac Surg 2017 Oct;28(7):1761-1765
    *Department of Plastic Surgery, Vanderbilt University, Nashville, TN †Division of Plastic and Reconstructive Surgery, University of Washington, Seattle, Washington.
    Background: Numerous techniques for the surgical management of lambdoidal synostosis have been previously described; however, no best practice technique currently exists. Surgical procedures range from complete posterior calvarial reconstruction to distraction osteogenesis techniques. Our primary purpose is to describe a novel approach to correct unilateral or bilateral lambdoidal synostosis. Read More

    Intradermal Scalp Closure Using Barbed Suture in Cranial Tumor Surgeries: A Technical Note.
    Oper Neurosurg (Hagerstown) 2017 Sep 15. Epub 2017 Sep 15.
    Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida.
    Background And Importance: Traditional scalp closure technique following elective craniotomy involves placement of staples or a continuous running suture. Despite low complication rates, these techniques are often considered to be disfiguring by patients, contribute to the psychosocial trauma of brain surgery, and are associated with discomfort during postoperative staple or suture removal. Some authors have described scalp closure using intradermal absorbable suture, but this technique likely does not reach the tensile strength of closure using traditional methods, and requires knots at the apices of the incision, which can act as a nidus for infection. Read More

    Operative Outcomes after Open Abdominal Wall Reconstruction with Retromuscular Mesh Fixation Using Fibrin Glue versus Transfascial Sutures.
    Am Surg 2017 Sep;83(9):937-942
    Ideal fixation techniques have not been fully elucidated at the time of complex open abdominal wall reconstruction (AWR). We compared operative outcomes and quality of life with retromuscular mesh fixation using fibrin glue (FG) versus transfascial sutures (TS). Retrospective review identified complex hernia patients who underwent open AWR with mesh from November 2012 through April 2016. Read More

    Comparison of Clinical Failure Rates After 2 Techniques of Subpectoral Mini-Open Biceps Tenodesis: Sequence and Suture Passage Technique Matter.
    Orthop J Sports Med 2017 Sep 19;5(9):2325967117729356. Epub 2017 Sep 19.
    University of Colorado School of Medicine, Department of Orthopedics, Aurora, Colorado, USA.
    Background: A number of techniques are available for performing biceps tenodesis, the majority of which result in good or excellent outcomes. However, failure may result in pain and/or dissatisfying biceps deformity.

    Purpose: To compare the clinical failure rates of 2 methods of suture passage in subpectoral biceps tenodesis with suture anchors performed by the senior author. Read More

    The Mid-term Results of Thoracoscopic Closure of Atrial Septal Defects.
    Korean Circ J 2017 Sep 18;47(5):769-775. Epub 2017 Sep 18.
    Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
    Background And Objectives: Recently, minimally invasive surgical (MIS) techniques including robot-assisted operations have been widely applied in cardiac surgery. The thoracoscopic technique is a favorable MIS option for patients with atrial septal defects (ASDs). Accordingly, we report the mid-term results of thoracoscopic ASD closure without robotic assistance. Read More

    Wound natural healing in treatment of tumor-like hypertrophic scar.
    An Bras Dermatol 2017 Jul-Aug;92(4):474-477
    Department of Plastic Surgery, Changzheng Hospital, The Second Military Medical University - Shanghai, China.
    Background:: Surgical sutures, wound tension, additional skin incisions and other factors may result in recurrence of tumor-like scar.

    Objective:: To investigate the role of wound natural healing therapy in tumor-like hypertrophic scar.

    Methods:: In this study, tumor-like hypertrophic scars of 47 cases were excised completely and the residual wounds were treated with natural healing. Read More

    Rhinoplasty Refinements: The Role of the Open Approach.
    Plast Reconstr Surg 2017 Oct;140(4):716-719
    Dallas, Texas From the Dallas Plastic Surgery Institute.
    The open rhinoplasty technique facilitates accurate visualization of deformities and aesthetic disharmonies in addition to visualization for precise correction. Through a series of videos, this case represents the evolution of the open rhinoplasty technique, demonstrating a wide range in complexity of maneuvers to achieve the desired correction in rhinoplasty. The video demonstrates reduction of the nasal dorsum by way of a component dorsal reduction, reconstitution of the cartilaginous midvault, and suture techniques for reshaping the nasal tip. Read More

    Extended Alar Contour Grafts: An Evolution of the Lateral Crural Strut Graft Technique in Rhinoplasty.
    Plast Reconstr Surg 2017 Oct;140(4):559e-567e
    Dallas, Texas; and San Francisco, Calif. From the Dallas Rhinoplasty Center; the Departments of Plastic Surgery and Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center; and Sieber Plastic Surgery.
    Modification of the lower lateral cartilage complex is the sine qua non of modern rhinoplasty, and the open approach to rhinoplasty has expanded the number of techniques available to help achieve an aesthetically pleasing tip. The ideal tip has been described as having a diamond-shaped configuration, with the lateral points formed by the tip-defining points, the superior point by the supratip, and the inferior point by the columellar break point. Over the years, various techniques have been described to minimize isolation of the tip and to help achieve the ideal tip configuration: lateral crural strut grafts, alar contour grafts (i. Read More

    One trocar needlescopic assisted inguinal hernia repair in children: a novel technique.
    J Pediatr Surg 2017 Aug 31. Epub 2017 Aug 31.
    Pediatric Surgery Department, Al-Azhar University, Cairo, Egypt.
    Background: Inguinal hernia repair using a percutaneous internal ring suturing technique is an effective alternative technique to conventional laparoscopic hernia repair. It is one of the most commonly used approaches for laparoscopic hernia repair in children. However, most percutaneous techniques have utilized extracorporeal knotting of the suture and burying the knot subcutaneously. Read More

    Managing Complications in Abdominoplasty: A Literature Review.
    Arch Plast Surg 2017 Sep 15;44(5):457-468. Epub 2017 Sep 15.
    Pastic Surgery Department, BGU Klinik Ludwigshafen, Ludwigshafen, Germany.
    Background: Abdominoplasty, with or without liposuction, is among the most frequently performed aesthetic procedures. Its main objective is to improve the body contour by means of excising redundant skin and fat tissue. Although abdominoplasty is considered a safe procedure with high satisfaction rates, intraoperative and postoperative complications can become a challenge for the surgical team. Read More

    Arthroscopic Single-Row Versus Double-Row Suture Bridge Technique for Rotator Cuff Tears in Patients Younger Than 55 Years: A Prospective Comparative Study.
    Am J Sports Med 2017 Sep 1:363546517728718. Epub 2017 Sep 1.
    Department of Radiology, Faculty of Medicine, School of Health Sciences, University of Thessalia, Larissa, Greece.
    Background: When arthroscopic rotator cuff repair is performed on a young patient, long-lasting structural and functional tendon integrity is desired. A fixation technique that potentially provides superior tendon healing should be considered for the younger population to achieve long-term clinical success. Hypothesis/Purpose: The purpose was to compare the radiological and clinical midterm results between single-row and double-row (ie, suture bridge) fixation techniques for arthroscopic rotator cuff repair in patients younger than 55 years. Read More

    Recurrence Rate of Melanoma in Situ when Treated with Serial Disk Staged Excision: A Case Series.
    J Clin Investig Dermatol 2017 Feb 27;5(1). Epub 2017 Feb 27.
    Department of Dermatology, Dermatologic and Mohs Micrographic Surgery Center, San Diego School of Medicine, University of California.
    Background: Cutaneous melanoma is one of the fastest rising cancer diagnoses in recent years. Melanoma in situ (MIS) constitutes a large proportion of all diagnosed melanomas. While surgical excision is considered the standard of therapy, the literature is not clear on which surgical technique minimizes local recurrence. Read More

    Suprasternal Aortic Valve Replacement: Key Technology and Techniques.
    Ann Thorac Surg 2017 Oct;104(4):1417-1422
    Division of Cardiothoracic Surgery, New York-Presbyterian Hospital, Columbia University, New York, New York.
    Purpose: Suprasternal transcatheter aortic valve replacement offers patients, with unsuitable femoral artery anatomy, an alternative to transapical, direct aortic, and subclavian approaches.

    Description: The Transit System (Aegis Surgical, Galway, Ireland) enables transcatheter aortic valve replacement directly into the ascending aorta or innominate artery through a small, suprasternal incision. The valve introducer sheath is inserted through a standard pursestring suture, which facilitates secure arterial closure. Read More

    Outpatient vaginal hysterectomy: Comparison of conventional suture ligature versus electrosurgical bipolar vessel sealing.
    J Gynecol Obstet Hum Reprod 2017 May 31;46(5):399-404. Epub 2017 Mar 31.
    Department of Gynecological Surgery, Jeanne-de-Flandre Hospital, Regional University Hospital of Lille, avenue Eugène-Avinée, 59000 Lille, France.
    Objective: The aim of our study was to evaluate the feasibility of vaginal hysterectomy in an ambulatory care system and the best way to perform it between conventional and bipolar vessel sealing system ligatures.

    Patients And Methods: This was a prospective study of 32 patients with vaginal hysterectomy at Lille University Hospital between December 2013 and May 2015. Two surgical techniques were compared: conventional suture ligature (CSL) and electrosurgical bipolar vessel sealing (BVS). Read More

    Role for laparoscopy in the management of bile duct injuries.
    Can J Surg 2017 Sep;60(5):300-304
    From the Division of General Surgery, University of Toronto, Toronto, Ont.
    Common bile duct (CBD) injury is the most serious complication of laparoscopic cholecystectomy. Recently, laparoscopic techniques have been used in the management of postoperative bile leak and CBD injury; this literature has not been reviewed. We reviewed the literature on CBD injury, the approach to its diagnosis and management, and reports of laparoscopic management techniques. Read More

    Tonsillectomy in adults: Analysis of indications and complications.
    Auris Nasus Larynx 2017 Sep 16. Epub 2017 Sep 16.
    Department of Anatomy and Histology, University of Zaragoza, Spain.
    Objective: Tonsillectomy is one of the surgical techniques most practiced by otolaryngologists, and despite being a relatively simple technique; it presents a considerable percentage of complications, such as postoperative bleeding. The aim of this study is to describe the surgical indications and most frequent complications, analyze whether surgical suture of the tonsillar pillars has an influence on bleeding, and study the data of hospital stay and its importance for the control of complications.

    Methods: A retrospective study of 326 patients who underwent a tonsillectomy in our Department of Otolaryngology from 2006 to 2014 was conducted. Read More

    Comparison of laparoscopic gastropexy performed via intracorporeal suturing with knotless unidirectional barbed suture using a needle driver versus a roticulated endoscopic suturing device: 30 cases.
    Vet Surg 2017 Oct 16;46(7):1002-1007. Epub 2017 Sep 16.
    Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado.
    Objective: To compare two suturing techniques for prophylactic laparoscopic gastropexy in healthy dogs.

    Study Design: Retrospective case series.

    Animals: Thirty healthy client-owned dogs from breeds predisposed to gastric dilation volvulus. Read More

    Politetrafluorene suture used as artificial mitral chord: mechanical properties and surgical implications.
    J Cardiovasc Surg (Torino) 2017 Dec;58(6):895-903
    Department of Health Sciences, University Eastern Piedmont, UPO, Novara, Italy.
    Background: Novel surgical approach to repair degenerative mitral regurgitation such as transapical chordae tendineae replacement and "loop in loop" in loop techniques, need of artificial chordae longer than that used in the older techniques of chordae tendineae replacement. This difference in length has been reported as potential critical point for durability of artificial chordae. In the present paper we have investigated the elastic behavior of different diameter and length politetrafluorene (PTFE) suture threads as substitute of native chordae, to identify their reliability to use as long artificial chordae. Read More

    Securing extraocular muscles in strabismus surgery: biomechanical analysis of knot-tying technique.
    J AAPOS 2017 Sep 13. Epub 2017 Sep 13.
    Department of Ophthalmology, Columbia University Medical Center, New York, NY. Electronic address:
    Background: The safe and precise reattachment of extraocular muscles requires a technical approach that minimizes any opportunity for the muscle to slip intraoperatively or postoperatively while minimizing surgical risk. Biomechanical testing can provide important quantitative information about the tensile properties of different knot configurations that may inform surgical technique.

    Methods: A precision digital force gauge was used to assess the tensile strength created by different knot tying techniques and configurations in human sclera using 6-0 polyglactin 910 suture. Read More

    Knee ligament injury and the clinical application of tissue engineering techniques: a systematic review.
    Curr Stem Cell Res Ther 2017 Sep 15. Epub 2017 Sep 15.
    University College London Institute of Orthopaedic and Musculoskeletal Sciences, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP. United Kingdom.
    Background The incidence of knee ligament injury is increasing and represents a significant cost to healthcare providers. Current interventions include tissue grafts, suture repair and non-surgical management. These techniques have demonstrated good patient outcomes but have been associated graft rejection, infection, long term immobilization and reduced joint function. Read More

    Fixation of the short-term central venous catheter. A comparison of two techniques.
    Acta Cir Bras 2017 Aug;32(8):680-690
    PhD, Chairwoman, Head, Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), Brazil. Critical revision, final approval.
    Purpose:: To compare the fixation of the central venous catheter (CVC) using two suture techniques.

    Methods:: A clinical, analytical, interventional, longitudinal, prospective, controlled, single-blind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross-tied sutures around the device). Read More

    Wound closure and tissue adhesives in clear corneal incision cataract surgery.
    Curr Opin Ophthalmol 2017 Sep 11. Epub 2017 Sep 11.
    Department of Ophthalmology, Duke University, Durham, North Carolina, USA.
    Purpose Of Review: Achieving secure wound closure in clear corneal incision cataract surgery remains highly desired for its role in reducing infection risk and leak-related complications, including hypotony, corneal edema, and lens dislocation. Although classic techniques of stromal hydration or wound suturing represent traditional approaches, the introduction of newer and more effective ocular surface adhesives has increased the options that are available. This review aims to provide an update on the peer-reviewed literature regarding wound closure and the currently available and investigational tissue adhesives used to seal clear corneal incisions in cataract surgery. Read More

    Complications of Scleral-Fixated Intraocular Lenses.
    Semin Ophthalmol 2017 Sep 12:1-6. Epub 2017 Sep 12.
    a Department of Ophthalmology, Cornea and Refractive Surgery Service, Massachusetts Eye and Ear , Harvard Medical School , Boston , MA , USA.
    Introduction: Understanding the evolution of complications after scleral-fixated lens placement demonstrates advantageous surgical techniques and suitable candidates.

    Materials/methods: A literature search in PubMed for several terms, including "scleral intraocular lens complication," yielded 17 relevant articles.

    Results: Reviewing complication trends over time, lens tilt and suture erosion have decreased, cystoid macular edema has increased, and retinal detachment has remained the same after scleral-fixated lens placement. Read More

    Hysteroscopic Isthmoplasty: Step by Step Technique.
    J Minim Invasive Gynecol 2017 Sep 8. Epub 2017 Sep 8.
    Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Naples, Italy.
    Background: Isthmocele is a characteristic semi-diverticular anomaly of the anterior isthmic wall of the uterus, located at the site of a previous cesarean delivery scar. The etiopathogenesis of isthmocele is still poorly understood, and several hypotheses have been proposed. Possible factors that could play a role in niche development include a very low incision through cervical tissue, an inadequate suturing technique during the closure of the uterine scar surgical interventions that increase adhesion formation or patient-related factors that impair wound healing, or increase inflammation or adhesion formation. Read More

    A new approach to umbilical hernia repair: the Circular suture technique for defects less than 2 cm.
    Ann Ital Chir 2017 May 18;6. Epub 2017 May 18.
    Background: Umbilical hernia, unlike other abdominal wall hernias, occurs when the umbilical ring opens and expands. Its' symptoms and complications show similarities with other hernias. Although there are various repair techniques, there is not a standard technique yet. Read More

    Clinical and biological analysis in graftless maxillary sinus lift.
    J Korean Assoc Oral Maxillofac Surg 2017 Aug 24;43(4):214-220. Epub 2017 Aug 24.
    Center of Excellence in Surgical and Morphological Studies (CEMYQ), Universidad de La Frontera, Temuco, Chile.
    Maxillary sinus lift for dental implant installation is a well-known and versatile technique; new techniques are presented based on the physiology of intrasinus bone repair. The aim of this review was to determine the status of graftless maxillary sinus lift and analyze its foundations and results. A search was conducted of the literature between 1995 and 2015 in the Medline, ScienceDirect, and SciELO databases using the keywords "maxillary sinus lift," "blood clot," "graftless maxillary sinus augmentation," and "dental implant placement. Read More

    A New Indication for Barbed Threads: Static Reanimation of the Paralyzed Face.
    J Oral Maxillofac Surg 2017 Aug 5. Epub 2017 Aug 5.
    Associate Professor, Department of Implantology/Rehabilitation Medicine, Balneology and Physical Therapy, Gr. T. Popa University of Medicine and Pharmacy, Iasi, Romania.
    Purpose: The objective of this study was to present the authors' experience in static facial reanimation using a straightforward incisionless procedure adapted from techniques commonly used for performing minimally invasive facelifts.

    Materials And Methods: Seventeen patients were treated by static suspension using barbed sutures and all resulting changes were reviewed. The technique used for suture placement is described in detail, as are the author's tips for achieving the best esthetic and functional results. Read More

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