49,545 results match your criteria Suturing Techniques


Biomechanical comparison of the three techniques for arthroscopic suprapectoral biceps tenodesis: implant-free intraosseous tendon fixation with Cobra Guide, interference screw and suture anchor.

Musculoskelet Surg 2019 Feb 14. Epub 2019 Feb 14.

Arbor-Mea d.o.o., Savska cesta 10, 1000, Ljubljana, Slovenia.

Purpose: A new arthroscopic technique with Cobra Guide (CG) was developed to enable fast, controlled and strong intraosseous biceps tenodesis while avoiding an implant. The purpose of this study was to compare the newly developed suture-only biceps tenodesis technique [arthroscopic suprapectoral intraosseous implant-free biceps tenodesis (ASIIBT) with the new CG] to classical interference screws (IS) and suture anchors (SA) in terms of construct resistance to failure.

Materials And Methods: Fifty-eight human cadaveric shoulders were randomized into three treatment groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12306-019-00591-5DOI Listing
February 2019

Clinical Outcomes of Zone 2 Flexor Tendon Repairs Using the Modified Lim/Tsai Technique.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):83-88

* Duke-NUS Medical School, Singapore General Hospital, Singapore.

Background: The single looped suture modified Lim/Tsai technique is widely used for flexor tendon repairs. It has been shown to possess better biomechanical properties and require less repair time per tendon as compared to the double looped suture original Lim/Tsai technique. However, there is no clinical data on the modified technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835519500152DOI Listing

Comparative Biomechanical Characteristics of Modified Side-to-Side Repair and Modified Pulvertaft Weaving Repair - In vitro Study.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):76-82

1 Department of Orthopaedic Surgery, Leicester General Hospital, Leicester, UK.

Background: Strong surgical repair is the mechanical basis of early mobilization and prerequisite for biological healing following tendon grafting. Side to side and pulvertaft repairs were developed to meets these demands. However, these techniques have later been modified to improve the strength of repair but their characteristics have not been compared. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835519500140DOI Listing

Bony Fixation of the Nasal Framework.

Facial Plast Surg 2019 Feb 13;35(1):23-30. Epub 2019 Feb 13.

Clinic for Facial Plastic Surgery, Marienhospital Stuttgart, Stuttgart, Germany.

The importance of a straight and stable central framework is beyond dispute. Many authors allude to technical aspects how to achieve the above-mentioned requirements. Far less is said about the contact zones of the framework and how to achieve a long-lasting and solid fixation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677767DOI Listing
February 2019

Application of a Purified Protein From Natural Latex and the Influence of Suture Type on Achilles Tendon Repair in Rats.

Am J Sports Med 2019 Feb 13:363546518822836. Epub 2019 Feb 13.

Department of Anatomy, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.

Background:: The prolonged tendon-healing process, the high costs associated with treatment, the increase in the number of injuries over the past decades, and the lack of consensus on the optimal treatment of tendon injuries are a global problem. Restoring the normal tendon anatomy and decreasing the healing time are key factors for treatment advancement.

Hypothesis:: Application of a purified protein from natural latex (PPNL) accelerates the healing process, increasing collagen synthesis and decreasing metalloproteinases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546518822836DOI Listing
February 2019

Tricuspid Valve Annular Mechanics: Interactions with and Implications for Transcatheter Devices.

Cardiovasc Eng Technol 2019 Feb 12. Epub 2019 Feb 12.

Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology & Emory University, Technology Enterprise Park, 387 Technology Circle NW, Atlanta, GA, 30313-2412, USA.

In the interventional treatment of tricuspid valve regurgitation, the majority of prosthetic devices interact with or are implanted to the tricuspid valve annulus. For new transcatheter technologies, there exists a growing body of clinical experience, literature, and professional discourse related to the difficulties in delivering, securing, and sustaining the function of these devices within the dynamic tricuspid annulus. Many of the difficulties arise from circumstances not encountered in open-heart surgery, namely; a non-arrested heart, indirect visualization, and a reliance on non-suture-based methods. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s13239-019-00405-6DOI Listing
February 2019

Frozen-thawed Abdominal Flap Remnant as an education material for a Medium Group Surgical Skills Education Workshop.

Ann Surg Treat Res 2019 Feb 30;96(2):53-57. Epub 2018 Jan 30.

Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Purpose: Residents' duty-hour regulations and the evolution of minimally invasive surgical techniques require more effective and efficient surgical skill teaching models. We used frozen-thawed human tissue remnants harvested during abdominoplasty or abdominal tissue-based breast reconstruction to allow for a medium-sized group workshop program, simulating a realistic surgical environment and visual/haptic feedback.

Methods: Full-thickness abdominal tissue (skin and subcutaneous fat) were donated from patients who underwent autologous breast reconstruction and gave consent to use their tissue for comprehensive research and medical educational purposes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4174/astr.2019.96.2.53DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358597PMC
February 2019

Trigonocephaly: Case Report, Review of Literature and a Technical Note.

Open Access Maced J Med Sci 2019 Jan 10;7(1):117-120. Epub 2019 Jan 10.

Special Hospital for Orthopedic Surgery and Traumatology "St. Erazmo", Ohrid, Republic of Macedonia.

Background: Premature fusion of the metopic suture results in a type of craniosynostosis known as trigonocephaly. The treatment of trigonocephaly is surgical and is likely to remain so. Surgical methods and techniques for correction of craniosynostosis-related skull deformities have evolved, and a single best procedure is yet to be presented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3889/oamjms.2019.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352482PMC
January 2019
1 Read

Hernia prevention: practice patterns and surgeons' attitudes about abdominal wall closure and the use of prophylactic mesh.

Hernia 2019 Feb 8. Epub 2019 Feb 8.

Department of Surgery, New Hanover Regional Medical Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC, 28401, USA.

Purpose: The penetration of hernia prevention techniques into surgical practice remains unknown.

Methods: A survey about knowledge/attitudes on hernia prevention was sent to the members of hernia societies.

Results: The 497 respondents were mostly from the US (47%) or Europe (40%). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10029-019-01894-zDOI Listing
February 2019

Intraoperative adjunctive techniques to reduce seroma formation in laparoscopic inguinal hernioplasty: a systematic review.

Authors:
J Li W Gong Q Liu

Hernia 2019 Feb 8. Epub 2019 Feb 8.

Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009, China.

Background: Seroma formation is the most common postoperative complication after laparoscopic inguinal hernia repair. Recurrence and seroma formation may be difficult to distinguish. Many adjunctive techniques with which to reduce the incidence of seroma formation after laparoscopic inguinal repair have been described in the literature; however, the evidence for using intraoperative adjunctive techniques is limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10029-019-01903-1DOI Listing
February 2019
1 Read

Single- Versus Double-Row Repair of Hip Abductor Tears: A Biomechanical Matched Cadaver Study.

Arthroscopy 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.; Department of Biomechanics, Hospital for Special Surgery, New York, New York, U.S.A.

Purpose: The purposes of this study were (1) to evaluate the percentage of gluteus medius and minimus tendon footprint restoration that can be achieved with fixation using single-row repair versus double-row repair and (2) to evaluate the yield load of a repair of the gluteus medius and minimus tendon using single-row versus double-row repair techniques.

Methods: Twelve human fresh-frozen cadaveric hip specimens (6 matched pairs, 4 female, mean age 47.5 ± 14. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2018.10.146DOI Listing
February 2019

[Female urology: review of the development in the past 5 decades].

Aktuelle Urol 2019 Feb 7;50(1):39-55. Epub 2019 Feb 7.

Charité - Universitätsmedizin Berlin, Klinik für Urologie, Berlin.

Urogynaecology is a highly specialised interdisciplinary medical field. It aims to investigate and treat functional, static, endocrine and sexual disorders of the genitourinary system and pelvic area in a sustainable and holistic manner.The "Urological Functional Diagnostics and Female Urology" working group of the German Urologist Academy was founded in 1977. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-0826-4089DOI Listing
February 2019
1 Read

Underappreciated Utility of the Purse-String Suture in Head and Neck Skin Cancer Defect Reconstruction.

Dermatol Surg 2019 Feb;45(2):216-222

Departments of Otolaryngology, Head and Neck Surgery, and.

Background: The purse-string suture (PSS) is a simple, reversible method for reconstructing skin cancer defects. Its utility may be underappreciated in head and neck reconstructive surgery.

Objective: To evaluate the utility of the PSS as an adjunct to the reconstructive ladder when reconstructing head and neck skin cancer defects. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000001700DOI Listing
February 2019

Deep anterior lamellar keratoplasty for keratoconus: multi-surgeon results.

Am J Ophthalmol 2019 Feb 2. Epub 2019 Feb 2.

Department of Corneal and External Eye Diseases, Moorfields Eye Hospital, London EC1V 2PD, United Kingdom. Electronic address:

Purpose: To examine clinical outcomes in deep anterior lamellar keratoplasty (DALK) for keratoconus using contemporary techniques in a multi-surgeon public healthcare setting.

Design: Consecutive, retrospective case series.

Setting: Moorfields Eye Hospital, London STUDY POPULATION: Consecutive cases of keratoconus treated with non-laser assisted DALK from September 1, 2012, to September 31, 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajo.2019.01.022DOI Listing
February 2019
1 Read

Long-Term Survival Analysis and Outcomes of Meniscal Allograft Transplantation With Minimum 10-Year Follow-Up: A Systematic Review.

Arthroscopy 2019 Feb;35(2):659-667

Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.. Electronic address:

Purpose: To investigate the long-term survivorship rates and functional outcomes of meniscal allograft transplantation (MAT) in patients with minimum 10-year postoperative follow-up.

Methods: Two reviewers independently searched EMBASE, MEDLINE, and PubMed from database inception for literature related to MAT according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Data are reported in a narrative summary fashion with descriptive statistics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2018.08.031DOI Listing
February 2019
1 Read

Transoral Robotic Surgery for Obstructive Sleep Apnea: Past, Present, and Future.

Sleep Med Clin 2019 Mar 30;14(1):67-72. Epub 2018 Nov 30.

Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni - L. Pierantoni Hospital, ASL of Romagna, Via Carlo Forlanini 34, Forlì 47100, Italy. Electronic address:

Nocturnal upper airway collapse often involves the obstruction at the tongue base. Several surgical procedures have been developed in recent years to address this area in continuous positive airway pressure-nonadherent patients and include hyolingual advancement, tongue suture suspension, and various lingual resection techniques. Traditional tongue base resection is generally done either via a transcervical technique or transorally with an endoscope for visualization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jsmc.2018.10.008DOI Listing
March 2019
1 Read

Comparison of Curved and Straight Anchor Insertion for Bankart Repair.

Orthopedics 2019 Jan 30:1-5. Epub 2019 Jan 30.

The quality of Bankart repair may be compromised by the presence of glenoid perforation during suture anchor placement. The purpose of this study was to compare the rate of glenoid perforation and biomechanical strength of antero-inferior suture anchors placed with a curved vs a traditional straight technique through an anteroinferior portal. Ten bilateral pairs of fresh human cadaveric shoulders were randomized to either a curved or a straight suture anchor insertion technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3928/01477447-20190125-04DOI Listing
January 2019

Capsular plication in the non-deformity hip: impact on post-operative joint stability.

J Exp Orthop 2019 Jan 29;6(1). Epub 2019 Jan 29.

Department of Kinesiology, Faculty of Medicine, Université Laval, Quebec city, QC, Canada.

Purpose And Hypothesis: The aim of this study was to evaluate the hip joint range of motion after different capsular plication. The study hypothesis proposed that capsular plication after hip arthroscopy may reduce hip external rotation and thus prevent the hip joint instability created by arthroscopic capsulotomies.

Methods: Six fresh frozen human cadavers were studied in the intact state (5 males, 1 females) for a total of 12 non-deformity hips tested. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40634-019-0172-xDOI Listing
January 2019

Evaluation of common suturing techniques to secure implantable cardiac electronic device leads: Which strategy best reduces the lead dislodgement risk?

Can J Surg 2019 Feb;62(1):E7-

From the Libin Cardiovascular Institute of Alberta, Department of Cardiac Sciences, University of Calgary, Calgary, Alta. (Rezazadeh, Rizkallah); and the Division of Electrophysiology, Saint John Regional Hospital, Saint John, NB (Wang).

Summary: Implantable cardiac electronic device lead dislodgment is a relatively common complication and carries significant comorbidities. A potential cause of lead dislodgement includes inadequate anchoring along the lead suture sleeve at the venous insertion site. We assessed which of the 3 commonly applied knot-tying techniques results in the most effective anchoring of a pacing lead along its suture sleeve, which could be associated with minimized lead motion postimplant. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1503/cjs.002418DOI Listing
February 2019

Detecting Mental Workload in Surgical Teams Using a Wearable Single-Channel Electroencephalographic Device.

J Surg Educ 2019 Jan 25. Epub 2019 Jan 25.

Mind, Brain, and Behavior Research Center, University of Granada, Granada, Spain; Joint Center University of Granada-Spanish Army Training and Doctrine Command, Spain.

Objective: To assess the sensitivity of an electroencephalographic (EEG)-based index, the prefrontal beta power, to quantify the mental workload in surgeons in real scenarios. Such EEG-based index might offer unique and unbiased measures of overload, a crucial factor when designing learning and training surgical programs.

Design: The experiment followed a 2 × 2 × 2 within subjects design with 3 factors: (1) Surgical Role during the surgery (primary surgeon vs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jsurg.2019.01.005DOI Listing
January 2019

Comparison of wound closure techniques in median sternotomy scars in children: subcuticular suture versus Steri-Strip™ S.

J Plast Surg Hand Surg 2019 Jan 27:1-6. Epub 2019 Jan 27.

a Department of Plastic, Reconstructive and Hand Surgery , Amsterdam University Medical Centers, location AMC , Amsterdam , The Netherlands.

Objectives: The aim of this retrospective study was to compare subcuticular sutures and Steri-Strip™ S in closing median sternotomy incisions in children with regard to wound healing and scar formation.

Methods: Fifty-three children and adolescents were enrolled in this study who all underwent a median sternotomy at age 0-18 years and had their presternal cutaneous wounds closed with either a running subcuticular suture (Group 1) or Steri-Strip™ S (Group 2). Their scars were assessed using the Patient and Observer Scar Assessment Scale (POSAS). Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/2000656X.2019.1
Publisher Site
http://dx.doi.org/10.1080/2000656X.2019.1566737DOI Listing
January 2019
3 Reads

Dual-hemostat port closure technique with customized surgical suture after laparoscopic cholecystectomy: Single-center experience.

Asian J Endosc Surg 2019 Jan 27. Epub 2019 Jan 27.

Department of Surgery, Aoyama Hospital, Funabashi, Japan.

Introduction: Dual-hemostat techniques for port closure have previously been reported, but their safety and efficacy have not been evaluated. Here, we describe the dual-hemostat port closure technique employed at our institution, which uses a customized surgical suture for safe and certain port closure, and we assess the incidence rate of trocar-site hernia (TSH) after laparoscopic cholecystectomy.

Methods: From March 1999 to March 2017 at our institution, 316 patients underwent elective laparoscopic cholecystectomy performed by a single experienced surgeon. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/ases.12690
Publisher Site
http://dx.doi.org/10.1111/ases.12690DOI Listing
January 2019
2 Reads

Reduced rate of incisional hernia after standardized fascial closure in emergency laparotomy.

Hernia 2019 Jan 25. Epub 2019 Jan 25.

Department of Gastrointestinal Surgery, Zealand University Hospital, Koege, Denmark.

Purpose: Emergency laparotomy is a high-risk procedure, and incisional hernia is a common complication. This study aimed to investigate whether a standardized fascial closure technique, using slowly absorbable monofilament suture in a ratio of at least 1:4, could reduce the long-term occurrence of incisional hernia after emergency laparotomy.

Methods: The single-center study was conducted as a questionnaire study including all patients who had an emergency laparotomy at Copenhagen University Hospital Herlev from May 2009 to May 2013 and June 2014 to November 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10029-019-01893-0DOI Listing
January 2019

Use of flexible sensor to characterize biomechanics of canine skin.

BMC Vet Res 2019 Jan 25;15(1):40. Epub 2019 Jan 25.

Department of Civil, Construction, and Environmental Engineering, Iowa State University, Ames, Iowa, United States.

Background: Suture materials and techniques are frequently evaluated in ex vivo studies by comparing tensile strengths. However, the direct measurement techniques to obtain the tensile forces in canine skin are not available, and, therefore, the conditions suture lines undergo is unknown. A soft elastomeric capacitor is used to monitor deformation in the skin over time by sensing strain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12917-018-1755-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347828PMC
January 2019
1 Read

Microsurgical approach for hemodialysis access: A pilot study of Brescia-Cimino fistulas constructed under microscopic guidance.

Medicine (Baltimore) 2019 Jan;98(4):e14202

Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine.

The distal forearm is the preferred site for hemodialysis access. However, forearm vessels have small diameter, which may lead to complications of arteriovenous fistulas constructed at this site. Indeed, the mean patency rate of such fistulas has been reported at 65. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014202DOI Listing
January 2019
2 Reads

Comparison of channel-assisted minimally invasive repair and 3 common Achilles tendon restoration techniques.

Exp Ther Med 2019 Feb 7;17(2):1426-1434. Epub 2018 Dec 7.

Department of Orthopaedics, Chinese People's Liberation Army General Hospital, Beijing 100853, P.R. China.

The present study aimed to investigate the biomechanical comparison of channel-assisted minimally invasive restoration and three common Achilles tendon restoration techniques in an model via a progressive rehabilitation program. The 42 porcine tendons were randomly assigned to the following six groups of tendons (n=7/group): Achillon, percutaneous Achilles repair system (PARS), Krackow, channel-assisted minimally invasive repair (CAMIR), CAMIR augmentation (CAMIR), CAMIR-5 (repair with No. 5 Ethibond suture). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3892/etm.2018.7075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327607PMC
February 2019
1 Read

Surgical technique for arthroscopic onlay suprapectoral biceps tenodesis with an all-suture anchor.

JSES Open Access 2018 Mar 13;2(1):69-73. Epub 2018 Mar 13.

Department of Orthopedic Surgery, Rush University, Chicago, IL, USA.

The long head of the biceps is a frequent pain generator in the shoulder. Tendinopathy of the long head of the biceps may be treated with biceps tenodesis. There has been great debate about the optimal technique for biceps tenodesis, without a clear distinction between different techniques. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jses.2017.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334878PMC
March 2018
5 Reads

Double-arterial cannulation during aortic arch reconstruction in pediatric patients.

Multimed Man Cardiothorac Surg 2018 Dec 17;2018. Epub 2018 Dec 17.

Division of Pediatric Cardiac Surgery Children's Heart Center Linz Linz, Austria.

Aortic arch reconstruction is a highly demanding procedure in congenital heart surgery. The 2 conventional options for cardiopulmonary bypass - deep hypothermic circulatory arrest or antegrade cerebral perfusion - both result in lack of perfusion of the entire or lower body.  In 2003, the Children's Heart Center Linz started to use a double-arterial cannulation technique for aortic arch reconstructions in order to provide whole body perfusion during the entire operation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1510/mmcts.2018.040DOI Listing
December 2018
1 Read

Successful en bloc endoscopic full-thickness resection of a giant cervical esophageal leiomyoma originating from muscularis propria.

J Cardiothorac Surg 2019 Jan 21;14(1):16. Epub 2019 Jan 21.

Department of Gastroenterology, People's Hospital of Lianshui, 6 Hongri Road, Huaian, China.

Background: Esophageal leiomyomas, the most common benign primary tumors of the esophagus, are esophageal subepithelial lesions treated by surgery traditionally. In recent years, endoscopic submucosal dissection and related endoscopic treatment techniques are adopted by endoscopists to resect gastrointestinal submucosal tumors. But if a giant esophageal leiomyoma approaches the esophagus entrance and originates from the deep layer of muscularis propria, it will be difficult for both endoscopic resection and surgical treatment. Read More

View Article

Download full-text PDF

Source
https://cardiothoracicsurgery.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13019-019-0847-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341741PMC
January 2019
4 Reads

Surgical management of esophageal perforation: role of primary closure.

Asian Cardiovasc Thorac Ann 2019 Jan 21:218492319827439. Epub 2019 Jan 21.

Department Thoracic Surgery, Cho Ray Hospital, Ho Chi Minh City, Vietnam.

Objective: Esophageal perforation is a life-threatening condition associated with high mortality and morbidity. Ambiguous clinical presentation is one of the most common causes of delayed and difficult diagnosis of esophageal perforation. In this retrospective single-center study, we reviewed the outcome of primary closure in patients with esophageal perforation between 2009 and 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0218492319827439DOI Listing
January 2019

A Systematic Review of Suture Technologies in Total Knee Arthroplasty.

Surg Technol Int 2019 Jan 18;34. Epub 2019 Jan 18.

Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.

Over time, various materials and techniques have been developed for superficial and deep wound closure. However, potential complications, such as infections and dehiscences, can still occur, driving the development of new closure modalities. As wound closure technology continues to advance and change, the need to continuously evaluate the current techniques and materials persists. Read More

View Article

Download full-text PDF

Source
January 2019
9 Reads

A novel robot-guided minimally invasive technique for brain tumor biopsies.

J Neurosurg 2019 Jan 18:1-9. Epub 2019 Jan 18.

1Department of Neurosurgery, Medical University of Vienna.

OBJECTIVEAs decisions regarding tumor diagnosis and subsequent treatment are increasingly based on molecular pathology, the frequency of brain biopsies is increasing. Robotic devices overcome limitations of frame-based and frameless techniques in terms of accuracy and usability. The aim of the present study was to present a novel, minimally invasive, robot-guided biopsy technique and compare the results with those of standard burr hole biopsy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3171/2018.8.JNS182096DOI Listing
January 2019
2 Reads

The Suture Tab Technique: Securing Implant Position in Prepectoral Breast Reconstruction.

Plast Reconstr Surg Glob Open 2018 Dec 12;6(12):e2005. Epub 2018 Dec 12.

Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, D.C.

Human acellular dermal matrix (ADM) can augment prepectoral prosthetic-based direct-to-implant breast reconstruction by providing an additional soft-tissue layer between breast implant and skin, as well as to reinforce the inframammary fold and breast pocket. Utilizing ADM in this way has helped reduce rates of implant rippling, capsular contracture, and implant extrusion. Difficulty in securing ADM-wrapped implants has caused many surgeons to improvise techniques for secure implantation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GOX.0000000000002005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326603PMC
December 2018
10 Reads

Different suture anchor fixation techniques affect contact properties in humeral greater tuberosity fracture: a biomechanical study.

BMC Musculoskelet Disord 2019 Jan 17;20(1):26. Epub 2019 Jan 17.

Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No.138, Sheng-Li Road, 70428, Tainan City, Taiwan.

Background: Suture anchor-based fixations of humeral greater tuberosity (GT) fractures have yielded good outcomes in both clinical and biomechanical studies. Be that as it may, the interface contact properties of these fixations have yet to be elaborated. In response, the contact characteristics of two double-row suture anchor fixations for the management of GT fracture were compared. Read More

View Article

Download full-text PDF

Source
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12891-019-2412-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337758PMC
January 2019
4 Reads

Spanish consensus document on bariatric endoscopy. Part 2: specific endoscopic treatments.

Rev Esp Enferm Dig 2019 Feb;111(2):140-154

Aparato Digestivo, Clínica Universidad de Navarra.

During the last years we have been witnessing a significant increase in the number and type of bariatric endoscopic techniques: we have different types of balloons, suture systems, injection of substances and malabsorptive prosthesis, etc. Also, some endoscopic revisional procedures for patients with weight regain after bariatric surgery have been incorporated. This makes it necessary to protocolize, position and regularize all these techniques, through a consensus that allows their clinical application with the maximum medical rigor and scientific evidence available. Read More

View Article

Download full-text PDF

Source
https://online.reed.es/fichaArticulo.aspx?iarf=684769746235-
Publisher Site
http://dx.doi.org/10.17235/reed.2019.4922/2017DOI Listing
February 2019
4 Reads

Clipping Technique for the Repair of the Intraoperative Cerebrospinal Fluid Leakage during Transsphenoidal Pituitary Tumor Surgery.

Oper Neurosurg (Hagerstown) 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: During transsphenoidal surgery (TSS) for a pituitary adenoma with a large suprasellar extension, cerebrospinal fluid (CSF) leakage commonly develops from a defect in the arachnoid recess or the arachnoid membrane.

Objective: To evaluate the usefulness of a newly developed clipping technique for the repair of intraoperative CSF leakage.

Methods: Between September 2012 and November 2016, 698 patients with pituitary adenoma were operated on with TSS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ons/opy408DOI Listing
January 2019
1 Read

Comparison of Running Cutaneous Suture Spacing During Linear Wound Closures and the Effect on Wound Cosmesis of the Face and Neck: A Randomized Clinical Trial.

JAMA Dermatol 2019 Jan 16. Epub 2019 Jan 16.

Department of Dermatology, University of California, Davis, School of Medicine, Sacramento.

Importance: Surgeons have varying opinions on the ideal cutaneous suture spacing for optimal cosmetic outcomes. To date, no studies concerning the effect of suture spacing on cosmetic outcomes exist in the literature.

Objective: To compare outcomes and wound cosmesis achieved with running cutaneous sutures spaced 2 vs 5 mm apart. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamadermatol.2018.5057DOI Listing
January 2019

A very easy technique of stenting for laparoscopic pyeloplasty: penbegul intravenous cannula (PICA) technique.

Int Braz J Urol 2018 Dec 15;45. Epub 2018 Dec 15.

Department of Urology, Dicle University School of Medicine, Diyarbakir, Turkey.

Introduction: Double-J stent insertion during laparoscopic pyeloplasty is a difficult and time-consuming process and several techniques were defined to perform a double-J stent with an antegrade approach. In this study we present the technique (PICA) of antegrade double-J placement during laparoscopic pyeloplasty by using 14 gauge intravenous cannula. Surgıcal technıque: After we complete the suturing of the posterior wall of the anastomosis during laparoscopic pyeloplasty, we first puncture the abdominal wall with a 14-gauge "intravenous cannula" from a location that provides most suitable angle for inserting the double-J stent into the ureter. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0303DOI Listing
December 2018

Retrospective analysis of the impact of sternum closure technique on postoperative comfort and rehabilitation.

Kardiochir Torakochirurgia Pol 2018 Dec 31;15(4):233-237. Epub 2018 Dec 31.

Department of Cardiac, Vascular and Endovascular Surgery and Transplantology in Zabrze, Medical University of Silesia in Katowice, Silesian Center for Heart Diseases, Poland.

Introduction: Sternum closure techniques have been compared regarding biomechanics, efficacy in high-risk patients and prevention of mediastinitis or sternal dehiscence. There are no papers concerning patients' comfort and postoperative rehabilitation rate.

Aim: To establish the best surgical closure technique after midline sternotomy regarding the lowest pain level in the postoperative period and the highest rate of postoperative rehabilitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5114/kitp.2018.80919DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329884PMC
December 2018
1 Read

Latex balloons: an alternative, low-cost model for vascular anastomosis training in medical education.

J Vasc Bras 2018 Jul-Sep;17(3):267-272

Universidade Federal da Paraíba - UFPB, Departamento de Cirurgia, João Pessoa, PB, Brasil.

Simulators are increasingly being used in medical education, but accessibility is restricted by their elevated cost. A accessible and low-cost model was developed for teaching and learning vascular sutures and anastomoses at a Basic Surgical Techniques Laboratory. Latex balloons of varying colors, polypropylene 6. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1677-5449.170111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326138PMC
January 2019

Endovascular and Microsurgical Aneurysm Training in a Chicken Thigh and Leg Pulsatile Model.

World Neurosurg 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurosurgery, New York University School of Medicine, NY, USA.

Background: Neurovascular training models include animal models, synthetics, or computer simulation. In vivo models are expensive and require significant resources. Synthetic/computer models do not reflect the elasticity of fresh vessels. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.12.166DOI Listing
January 2019
1 Read

Short- and Long-Term Outcomes by Procedure Type for Nonsagittal Single-Suture Craniosynostosis.

J Craniofac Surg 2019 Jan 10. Epub 2019 Jan 10.

Section of Plastic Surgery, University of Michigan, Ann Arbor, MI.

Background: Minimally invasive approaches for the treatment of single-suture craniosynostosis are sometimes touted as equivalent to cranial vault reconstruction. While techniques for sagittal synostosis have been reviewed previously, evidence regarding open and less invasive surgical techniques for metopic, coronal, and lambdoid synostosis has yet to be reviewed.

Methods: Systematic searches were performed using Embase. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000005129DOI Listing
January 2019
3 Reads

Laparoscopic Myomectomy in 10 Steps.

J Minim Invasive Gynecol 2019 Jan 11. Epub 2019 Jan 11.

Department of Gynecological Surgery, CHU Estaing, Clermont-Ferrand, France (Drs. Fava, Gremeau, Pouly, Chauvet, Botchorishvili, and Bourdel). Electronic address:

Study Objective: Laparoscopic myomectomy has the advantages of a minimally invasive approach for the surgical treatment of myomas. The standardization and description of the technique are the main objectives of this video. We described laparoscopic myomectomy in 10 steps, which could help make this procedure easier and safer [1]. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S15534650193003
Publisher Site
http://dx.doi.org/10.1016/j.jmig.2018.12.021DOI Listing
January 2019
2 Reads

Is Shouldice the best NON-MESH inguinal hernia repair technique? A systematic review and network metanalysis of randomized controlled trials comparing Shouldice and Desarda.

Int J Surg 2019 Jan 9;62:12-21. Epub 2019 Jan 9.

Department of Surgical Sciences, University of Genoa, Italy. Electronic address:

Background: Current guidelines state that the Shouldice technique has lower recurrence rates than other suture repairs and therefore is strongly recommended in non-mesh inguinal hernia repair. Recently a new tissue repair technique has been proposed by Desarda and studied in trials against Lichtenstein technique.

Methods: The present study was performed according to the PRISMA Statement for Network Meta-analysis and the AMSTAR 2 checklist. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S17439191193000
Publisher Site
http://dx.doi.org/10.1016/j.ijsu.2019.01.001DOI Listing
January 2019
9 Reads

Comparison between poliglecaprone and chitosan absorbable sutures in laparorrhaphy and cecorrhaphy in rabbits.

J Biomed Mater Res B Appl Biomater 2019 Jan 12. Epub 2019 Jan 12.

Department of Veterinary Surgery, Federal University Goiás, Goiânia, Brazil.

Despite improvements in the development of sutures and surgical techniques of laparorrhaphy and enterorrhaphy, complications resulting from the process of intestinal and muscular healing after simple enterorrhaphy or enteroanastomoses followed by laparorrhaphy are still frequent. The poliglecaprone 25 (PG) suture is commonly used in this type of surgical procedure due to the induction of little tissue reaction, rapid absorption by hydrolysis, and the absence of capillarity. The chitosan (CG) yarn, despite promising results in in vivo tests, is still rarely used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jbm.b.34303DOI Listing
January 2019

Knotless Modified Arthroscopic-Broström Technique for Ankle Instability.

Foot Ankle Int 2019 Jan 11:1071100718820341. Epub 2019 Jan 11.

1 Department of Orthopaedic Surgery, Hospital Clinico Universidad de Chile, Clinica Universidad de Los Andes, Santiago, Chile.

Instability is a common sequela after repeated ankle sprains. When nonoperative treatment fails, open lateral ligament complex repair and reinforcement with the inferior extensor retinaculum has been the gold standard procedure. The recent advancements in arthroscopic techniques have created comparable biomechanical and functional results to open procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1071100718820341DOI Listing
January 2019

Bowel and Bladder Injury Repair and Follow-up After Gynecologic Surgery.

Obstet Gynecol 2019 Feb;133(2):313-322

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Bowel and bladder injuries are relatively rare, but there can be serious complications of both open and minimally invasive gynecologic procedures. As with most surgical complications, timely recognition is key in minimizing serious patient morbidity and mortality. Diagnosis of such injuries requires careful attention to surgical entry and dissection techniques and employment of adjuvant diagnostic modalities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/AOG.0000000000003067DOI Listing
February 2019
5.175 Impact Factor

Biomechanical Comparison of 3 Novel Repair Techniques for Radial Tears of the Medial Meniscus: The 2-Tunnel Transtibial Technique, a "Hybrid" Horizontal and Vertical Mattress Suture Configuration, and a Combined "Hybrid Tunnel" Technique.

Am J Sports Med 2019 Jan 9:363546518816949. Epub 2019 Jan 9.

Steadman Philippon Research Institute, Vail, Colorado, USA.

Background:: Historically, radial meniscal tears were treated with partial or near-total meniscectomy, which usually resulted in poor outcomes. Radial meniscal tears function similar to a total meniscectomy and are challenging to treat. Repair of radial meniscal tears should be performed to prevent joint deterioration and the need for salvage procedures in the future. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546518816949DOI Listing
January 2019
1 Read

Effect of One-Suture and Sutureless Techniques on Postoperative Healing After Third Molar Surgery.

J Oral Maxillofac Surg 2018 Dec 11. Epub 2018 Dec 11.

Professor and Chair, The National Maxillofacial Unit, St James's Hospital, Dublin, Ireland; and Department of Oral and Maxillofacial Surgery, Dublin Dental University Hospital, Dublin, Ireland.

Purpose: The wound closure technique for lower third molar surgery (LTMS) is an operative factor that influences wound healing and the occurrence of early postoperative complications. The present study investigated 2 closure techniques (partial closure using 1 suture and the suture-less technique) after use of a modified buccal envelope flap for LTMS.

Materials And Methods: We performed a prospective, randomized, double-blind, split-mouth, controlled trial. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S02782391183129
Publisher Site
http://dx.doi.org/10.1016/j.joms.2018.12.001DOI Listing
December 2018
7 Reads