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J Orthop Res 2021 May 15. Epub 2021 May 15.

Ghent University Faculty of Veterinary Medicine, Surgery and Anaesthesiology of Domestic Animals, Merelbeke, BE.

A reinforced tubular, medicated electrospun construct was developed for deep flexor tendon repair. This construct combines mechanical strength with the release of anti-inflammatory and anti-adhesion drugs. In this study, the reinforced construct was evaluated using a rabbit model. Read More

Arch Orthop Trauma Surg 2021 May 13. Epub 2021 May 13.

Perth Orthopaedic and Sports Medicine Centre, 31 Outram Street, West Perth, WA, 6005, Australia.

Introduction: Advanced hip imaging and surgical findings have demonstrated that a common cause of greater trochanteric pain syndrome (GTPS) is hip abductor tendon (HAT) tears. Traditionally, these patients have been managed non-operatively, often with temporary pain relief. More recently, there has been an increase in published work presenting the results of surgical intervention. Read More

Arthrosc Tech 2021 Apr 12;10(4):e1039-e1046. Epub 2021 Mar 12.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Arthroscopic reduction-internal fixation (ARIF) is an increasingly popular option for surgical management of displaced tibial eminence fractures. Although a variety of ARIF techniques have been described, anatomic reduction and stable fixation remain challenging. As a result, complications such as malunion, nonunion, anterior instability, arthrofibrosis, and hardware issues persist. Read More

Arthrosc Tech 2021 Apr 12;10(4):e1017-e1024. Epub 2021 Mar 12.

Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Medial meniscus posterior root tear is a disruptive injury causing significant sequelae. Several techniques to repair and maintain the native function of the medial meniscus have been introduced, but limitations have been reported in terms of their results. In this current note, the authors introduce the arthroscopic transtibial pull-out repair with whip running suture technique, which may not only avoid the potential risk of meniscus cut-through by the suture material but also optimize the reduction of the extruded meniscus. Read More

World J Surg Oncol 2021 May 12;19(1):148. Epub 2021 May 12.

Breast Cancer Center, Department of General Surgery, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan, People's Republic of China, 410008.

Background: The aim of this study was to compare conventional suture with prolonged timing of drainage with quilting suture on the formation of seroma at pectoral area after mastectomy (ME) with sentinel lymph node biopsy (SLN) or axillary lymph node dissection (ALND) for breast cancer.

Methods: Three hundred and eighty-eight consecutive breast cancer patients were retrospectively analyzed and categorized into three groups. Patients in group 1 were with quilting suture, group 2 with conventional suture and 13-15 days drainage in situ, and group 3 with conventional suture and 20-22 days drainage. Read More

Acta Biomater 2021 May 9. Epub 2021 May 9.

Materials Research Centre, Indian Institute of Science, Bangalore-560012, India; Center for Biosystems Science and Engineering, Indian Institute of Science, Bangalore-560012, India. Electronic address:

A large population of patients is reported to suffer from urinary bladder-associated irreversible physiological disorders, rationalizing a continuous surge for structural and functional substitutes of urinary tissues, including ureters, bladder-wall, and urethra. The current gold standard for bladder reconstruction, an autologous gastrointestinal graft, is proven not to be an ideal substitute in the clinic. While addressing this unmet clinical need, a unique set of antimicrobial polydimethyl siloxane-modified polyurethanes (TPU/PDMS) is designed and assessed for its potential application as a urological implant. Read More

Minerva Obstet Gynecol 2021 May 12. Epub 2021 May 12.

Latifa Hospital, Dubai, Unated Arab Emirates.

Endometriosis and pelvic pain are associated. However, only half of the subtle and typical, and not all cystic and deep lesions are painful. The mechanism of the pain is explained by cyclical trauma and repair, an inflammatory reaction, activation of nociceptors up to 2. Read More

Clinics (Sao Paulo) 2021 5;76:e2358. Epub 2021 May 5.

Dalian Municipal Central Hospital Affiliated of Dalian Medical University, Shahekou district, Dalian, Liaoning, China.

Objectives: In the present study, a novel single knot tenorrhaphy was developed by combining the modified Kessler flexor tendon suture (MK) with the loop lock technique.

Methods: A total of 48 porcine flexor digitorum profundus tendons were collected and randomly divided into six groups. The tendons were transversely cut and then repaired using six different techniques, the MK method, double knot Kessler-loop lock flexor tendon suture (DK), and single knot Kessler-loop lock flexor tendon suture (SK), each in combination with the epitendinous suture (P), and the same three techniques without P. Read More

Eur Arch Otorhinolaryngol 2021 May 10. Epub 2021 May 10.

Otorhinolaryngology Department, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.

Purpose: This clinical trial aimed to investigate the effects of different nasal packing methods and transseptal suture technique on swallowing after septoplasty.

Methods: This randomized prospective study consists of 180 consecutive patients with septal deviation. All the patients underwent septoplasty. Read More

Cardiovasc Diagn Ther 2021 Apr;11(2):503-517

Department of Cardiovascular Surgery, University Heart & Vascular Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Unicuspid aortic valve disease (UAVD) is a frequent and long-lasting challenge for adult congenital heart disease centers. UAVD patients become usually symptomatic in their twenties or thirties and require a surgical treatment plan which should respect their complete lifespan combined with an adequate quality of life. Unfortunately, all current surgical strategies of congenital aortic valve disease bear some important limitations: (I) Aortic valve replacement using bioprosthetic valves is associated with early structural degeneration and leads frequently to re-operations. Read More

Hum Reprod Open 2021 1;2021(2):hoab019. Epub 2021 May 1.

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.

Study Question: What are the important risk factors for having a caesarean scar pregnancy (CSP)?

Summary Answer: Independent risk factors were smoking in the first trimester, higher parity, and previous caesarean section (CS) before the index caesarean delivery.

What Is Known Already: A spectrum of risk factors for CSP has been suggested but not proven: parity, number of previous caesarean section, elective as opposed to emergency CS, IVF-pregnancy, breech presentation, previous gynaecological surgery as well as suture technique.

Study Design Size Duration: This retrospective case-control study included 31 women with a CSP during the period 2003-2018 treated at a tertiary care centre for gynaecology and reproduction. Read More

Arthroscopy 2021 May 3. Epub 2021 May 3.

Department of Orthopaedic Surgery, Daini Osaka Police Hospital, Osaka, Japan.

Purpose: The purpose of the study is to compare the structural and clinical results between the knotless suture bridge (SB) and triple-row (TR) techniques.

Methods: This study is a retrospective study and included 212 shoulders with repairable rotator cuff tears treated with the SB technique and 206 shoulders treated with the TR technique. In the TR technique, medial and lateral anchors were placed as they would be for the SB technique, with a middle row anchor was added on the edge of footprint to reduce the torn tendons. Read More

JBJS Rev 2021 05 6;9(5). Epub 2021 May 6.

Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York-Presbyterian, Weill Medical College of Cornell University, New York, NY.

»: Recently, there has been a resurgence of interest in primary anterior cruciate ligament (ACL) repair that has the potential to preserve native tissue using a more minimally invasive approach. Multiple repair techniques for different tear types have been reported over the last decade.

»: From a healing perspective, proximal tears can be reapproximated directly to the femoral wall because they have better intrinsic healing capacity than midsubstance tears. Read More

Orthop J Sports Med 2021 Apr 19;9(4):23259671211002482. Epub 2021 Apr 19.

Department of Orthopedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Background: Knot-tying suture-bridge (SB) rotator cuff repair may compromise the vascularity of the repaired tendon, causing tendon strangulation and medial repair failure. The knotless SB repair technique has been proposed to overcome this possibility and decrease retear rates.

Purpose: To compare clinical and structural outcomes and retear patterns between the knot-tying and knotless SB techniques. Read More

Orthop Rev (Pavia) 2021 Mar 31;13(1):9058. Epub 2021 Mar 31.

Orthopaedics and Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.

Avulsions of the volar plate of the finger proximal interphalangeal joint (PIPJ) following sprains are often undiagnosed in the acute setting. Therefore, the chronic outcomes of this injury are most frequently the object of study and treatment. Different techniques for volar plate chronic avulsion repair are described in the literature. Read More

J Dtsch Dermatol Ges 2021 May 5;19(5):694-705. Epub 2021 May 5.

Department of Dermatology, Venereology and Allergology, University Hospital Schleswig-Holstein, Campus Kiel, Medical Faculty of CAU Kiel, Kiel, Germany.

Background: The transfer of practical knowledge and skills is the focus of modern medical teaching (master plan medical studies 2020). The aim of the teaching project is to provide medical students with important dermatological learning goals and contents by using innovative methods.

Methods: As part of a teaching project funded by the Federal Ministry of Education and Research (BMBF) at the Department of Dermatology, University Hospital Schleswig-Holstein in Kiel, various new, partly media-supported teaching modules were developed in addition to curricular teaching and optimized by regular acceptance evaluations during the development process. Read More

J Hip Preserv Surg 2020 Aug 22;7(3):410-422. Epub 2020 Dec 22.

Department of Orthopaedic Surgery, Maroondah Hospital, Ringwood, Victoria, Australia.

This study aims to present a systematic review and synthesized evidence on the epidemiological factors, diagnostic methods and treatment options available for this phenomenon. A multi-database search (OVID Medline, EMBASE and PubMed) was performed according to PRISMA guidelines on 18 June 2019. All studies of any study design discussing on the epidemiological factors, diagnostic methods, classification systems and treatment options of the wave sign were included. Read More

J Foot Ankle Surg 2021 Mar 31. Epub 2021 Mar 31.

Rosalind Franklin University, Scholl College, Chicago IL.

We report on the outcome of acute Achilles tendon ruptures by a single surgeon using open and percutaneous techniques was performed. This prospective study included 186 patients with 188 ruptured Achilles tendons. A traditional open technique was primarily performed on patients from January 2001 to December 2011. Read More

J Int Med Res 2021 May;49(5):3000605211010730

Department of Obstetrics & Gynecology, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

Compression sutures are primarily used to treat atonic postpartum hemorrhage. We herein describe three cases of selective arterial ligation combined with B-Lynch or modified B-Lynch suture for the treatment of intractable postpartum hemorrhage unresponsive to available conservative interventions. Three pregnant women underwent a cesarean section for a macrosomic fetus, fetal distress, and oligohydramnios, respectively. Read More

World J Pediatr Congenit Heart Surg 2021 May;12(3):414-417

Department of Cardiothoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Substantial improvements in techniques of tracheal surgery for children have occurred in the past 20 years. Precise preoperative imaging with computed tomography clearly defines the anatomy for surgical planning and is assisted by on-the-table needle localization. The use of cardiopulmonary bypass greatly facilitates creation of an airtight, widely patent trachea. Read More

Eur J Ophthalmol 2021 May 2:11206721211014386. Epub 2021 May 2.

Department of Neurosciences, Biomedicine and Movement, University Eye Clinic, University of Verona, AOUI - Borgo Roma Hospital, Verona, Veneto, Italy.

Purpose: To evaluate the safety and efficacy of double compared to single intraluminal suture stenting in reducing early postoperative hypertensive spikes (HS) and hypotony after Baerveldt glaucoma implant surgery.

Methods: For this retrospective study, we reviewed the medical charts of 60 patients (60 eyes) who underwent Baerveldt drainage device surgery between 2017 and 2019. Two groups were formed according to whether a single suture stent was placed within the tube (5-0 polypropylene, 30 eyes, group 1) or a double suture (5-0 and 6-0 polypropylene, 30 eyes, group 2). Read More

Asian J Endosc Surg 2021 May 2. Epub 2021 May 2.

Department of General Thoracic, Breast, Pediatric Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.

Long-gap esophageal atresia (EA) remains a challenging operative procedure. Several techniques have been reported to resolve the problem of distance between the proximal and distal esophagus. We report a thoracoscopic intraoperative esophageal close technique for long-gap EA. Read More

OTA Int 2021 Mar 18;4(1):e097. Epub 2021 Feb 18.

Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.

Objectives: To compare peri-incisional perfusion, perfusion impairment and wound closure time between the conventional interrupted Allgöwer-Donati (IAD) technique and a modified running Allgöwer-Donati (RAD) technique in ankle fracture surgery.

Design: Prospective, randomized controlled clinical trial.

Setting: Level I and II trauma centers. Read More

Bone Joint J 2021 May;103-B(5):939-945

University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Aims: The purpose was to evaluate early clinical, patient-reported, and radiological outcomes of the scapholunate ligament 360° tenodesis (SL 360) technique for treatment of scapholunate (SL) instability.

Methods: We studied the results of nine patients (eight males and one female with a mean age of 44.7 years (26 to 55)) who underwent the SL 360 procedure for reducible SL instability between January 2016 and June 2019, and who were identified from retrospective review of electronic medical records. Read More

J Minim Invasive Gynecol 2021 Apr 29. Epub 2021 Apr 29.

Division of Minimally Invasive Gynecologic Surgery, Baylor College of Medicine, Houston, TX, USA.

Objective: To demonstrate a novel "in-bag" ovarian cystectomy technique for a large adnexal mass in pregnancy.

Design: Stepwise demonstration with narrated video.

Setting: An academic tertiary care hospital. Read More

Burns 2021 Feb 3. Epub 2021 Feb 3.

Department of General Surgery, School of Medicine, Burn Research Center, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Introduction: Skin autografting is performed widely for deep burn wounds as an ideal coverage. Scaring at the site of grafting has been always a challenge for surgeons. Many methods have been proposed to lessen the probability of scaring, but conflicting results have been obtained. Read More

BMC Med Educ 2021 May 1;21(1):250. Epub 2021 May 1.

Departamento de Anatomia Humana. Francisco I. Madero and Jose E. Gonzalez sin número, Colonia Mitras Centro Monterrey, Universidad Autónoma de Nuevo León, Facultad de Medicina, 64460, Monterrey, Nuevo León, Mexico.

Background: Acquisition of Basic Surgical Skills (BSS) are essential for medical students. The objective was to determine it's fidelity impact.

Methods: Using four suturing models (SM) (pigskin, sponge, commercial pad, and orange), SM-quality and student-SM interaction were evaluated. Read More

BMC Surg 2021 May 1;21(1):227. Epub 2021 May 1.

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, No. 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China.

Background: Preperitoneal herniation is a rare complication after transabdominal preperitoneal patch plasty (TAPP) and may be caused by inadequate peritoneal closure. We herein report two cases of postoperative small bowel obstruction due to preperitoneal herniation through a disrupted peritoneum.

Case Presentation: Two men in their 70s were admitted to our center because of small bowel obstruction after TAPP. Read More

BMC Musculoskelet Disord 2021 Apr 30;22(1):399. Epub 2021 Apr 30.

Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: For active patients with a tear of the anterior cruciate ligament (ACL) who would like to return to active level of sports, the current surgical gold standard is reconstruction of the ACL. Recently, there has been renewed interest in repairing the ACL in selected patients with a proximally torn ligament. Repair of the ligament has (potential) advantages over reconstruction of the ligament such as decreased surgical morbidity, faster return of range of motion, and potentially decreased awareness of the knee. Read More

BMC Surg 2021 Apr 30;21(1):223. Epub 2021 Apr 30.

Department of Thoracic Surgery, Binzhou Medical University Hospital, No. 661 Huanghe 2nd Road, Binzhou, 256603, Shandong, People's Republic of China.

Background: Due to improvements in operative techniques and medical equipment, video-assisted thoracoscopic surgery has become a mainstay of thoracic surgery. Nevertheless, in multiport thoracoscopic surgery, there have been no substantial advances related to the improvement of the esthetics of the site of the chest tube kept for postoperative drainage of intrathoracic fluid and decompression of air leak after thoracoscopic surgery. Leakage of fluid and air around the site of the chest tube can be extremely bothersome to patients. Read More