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    Biomechanical, Histologic, and Molecular Evaluation of Tendon Healing in a New Murine Model of Rotator Cuff Repair.
    Arthroscopy 2018 Feb 16. Epub 2018 Feb 16.
    Orthopaedic Soft Tissue Research Program, Hospital for Special Surgery, New York, New York, U.S.A.. Electronic address:
    Purpose: To develop a clinically relevant, robust murine model of rotator cuff tendon repair to examine cellular and molecular mechanisms of healing.

    Methods: Sixty C57BL/6 male mice underwent rotator cuff transection and repair using microsurgical techniques. A modified Kessler suturing technique was used prior to tendon detachment. Read More

    Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial.
    Lancet 2018 Feb 16. Epub 2018 Feb 16.
    Department of Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.
    Background: Both mesh and suture repair are used for the treatment of umbilical hernias, but for smaller umbilical hernias (diameter 1-4 cm) there is little evidence whether mesh repair would be beneficial. In this study we aimed to investigate whether use of a mesh was better in reducing recurrence compared with suture repair for smaller umbilical hernias.

    Methods: We did a randomised, double-blind, controlled multicentre trial in 12 hospitals (nine in the Netherlands, two in Germany, and one in Italy). Read More

    Perioperative Complications of Congenital Diaphragmatic Hernia Repair.
    Eur J Pediatr Surg 2018 Feb 19. Epub 2018 Feb 19.
    Department of Pediatric Surgery, Hospital de Braga, Braga, Portugal.
    Although improvements have been made, the management of congenital diaphragmatic hernia (CDH) remains a major challenge for perinatologists and neonatal surgeons. Many aspects of the disease remain unknown and, being a rare entity, evidence-based data are hard to find. Surgical morbidity is considerable and affects long-term quality of life. Read More

    Triple-Loaded Suture Anchors Versus a Knotless Rip Stop Construct in a Single-Row Rotator Cuff Repair Model.
    Arthroscopy 2018 Feb 15. Epub 2018 Feb 15.
    Southern Oregon Orthopedics, Medford, Oregon, U.S.A.; Department of Orthopedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, U.S.A.. Electronic address:
    Purpose: To compare the biomechanical properties of single-row repair with triple-loaded (TL) anchor repair versus a knotless rip stop (KRS) repair in a rotator cuff repair model.

    Methods: Rotator cuff tears were created in 8 cadaveric matched-pair specimens and repaired with a TL anchor or KRS construct. In the TL construct, anchors were placed in the greater tuberosity and then all suture limbs were passed through the rotator cuff as simple sutures and tied. Read More

    Step-by-Step Aortic Valve Replacement With a New Rapid Deployment Valve.
    Ann Thorac Surg 2018 Mar;105(3):966-971
    Swedish Heart and Vascular Institute, Department of Cardiac Surgery, Seattle, Washington.
    Purpose: Rapid deployment/sutureless aortic valve replacement is aimed at minimizing the invasiveness of surgical aortic valve replacement. We describe the implantation techniques of a new rapid deployment aortic valve, focusing on its unique and challenging features.

    Description: The EDWARDS INTUITY Elite aortic valve (Edwards Lifesciences, Irvine, CA) represents a hybrid between the surgical PERIMOUNT Magna Ease (Edwards Lifesciences) pericardial valve, but with advanced features of the percutaneous SAPIEN valve system (Edwards Lifesciences). Read More

    Hybrid Retrograde Celiac Artery Stenting for Acute Mesenteric Ischemia after Gastric Surgery.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Angiology and Vascular Surgery Department of Centro Hospitalar do Porto - Hospital de Sto. António.
    Introduction: Celiac artery (CA) occlusions/stenosis are infrequently associated with liver ischemia due to its unique vascularization where portal vein provides about 75% of liver's perfusion. Collateral flow from gastroduodenal artery also provides, in most cases, enough blood supply to prevent ischemic hepatitis. In cases where these collateral pathways are compromised severe liver ischemia can occur. Read More

    Endoscopic Management of Transmural Defects (Leaks/Perforations/Fistulae).
    Gastroenterology 2018 Feb 15. Epub 2018 Feb 15.
    Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill North Carolina, USA. Electronic address:
    Transmural defects of the gastrointestinal tract can be classified into three distinct entities that include leaks, perforations, and fistulae. Each arise from different mechanisms and are managed accordingly. Leaks occur most often following surgery, while perforations occur most often following flexible endoscopic maneuvers. Read More

    Experimental modelling of cardiac pressure overload hypertrophy: Modified technique for precise, reproducible, safe and easy aortic arch banding-debanding in mice.
    Sci Rep 2018 Feb 16;8(1):3167. Epub 2018 Feb 16.
    Hospital Universitario Marqués de Valdecilla, Avda. Valdecilla s/n, Santander, E-39008, Cantabria, Spain.
    Pressure overload left ventricular hypertrophy is a known precursor of heart failure with ominous prognosis. The development of experimental models that reproduce this phenomenon is instrumental for the advancement in our understanding of its pathophysiology. The gold standard of these models is the controlled constriction of the mid aortic arch in mice according to Rockman's technique (RT). Read More

    Simplifying Arterial Coupling in Microsurgery-A Preclinical Assessment of an Everter Device to Aid with Arterial Anastomosis.
    J Reconstr Microsurg 2018 Feb 16. Epub 2018 Feb 16.
    Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan.
    Background:  A novel arterial everter device was engineered to simplify microvascular coupling of arteries by reliably securing the stiff, muscular wall of arteries over coupler pins. We compare microvascular coupling with the everter device to manual suturing for arterial anastomoses in a live large animal model.

    Methods:  In this preliminary study, bilateral external femoral arteries of five male swine were exposed and sharply divided. Read More

    Knotless Tape Suture Fixation of Quadriceps Tendon Rupture: A Novel Technique.
    Am J Orthop (Belle Mead NJ) 2018 Jan;47(1)
    Department of Orthopaedic Surgery, Stony Brook University School of Medicine, Stony Brook, NY.
    Quadriceps tendon ruptures disrupt the extensor mechanism of the knee and require urgent surgical management. Traditional repair techniques have had mixed biomechanical and clinical results risking weakness and extensor lag. We describe a novel technique using tape suture and knotless anchors, which has performed superiorly during biomechanical testing and yielded terrific early clinical results. Read More

    Use of the 5-mm Endoscopic Stapler for Ligation of Fistula in Laparoscopic-Assisted Repair of Anorectal Malformation.
    J Laparoendosc Adv Surg Tech A 2018 Feb 15. Epub 2018 Feb 15.
    Rocky Mountain Hospital for Children , Denver, Colorado.
    Objective: Laparoscopic anorectoplasty (LARRP) for the treatment of select anorectal malformations has gained popularity due to enhanced visualization of the fistula and the ability to place the rectum within the sphincter complex while minimizing division of muscles and the perineal incision. However, given the technical challenges and reported complications of ligation, a number of techniques have been described, including using clips, suture ligation, endoloops, or division without closure. We aimed to evaluate fistula closure and division for high imperforate anus using a 5-mm stapler (JustRight Surgical, Boulder, CO). Read More

    Robot-assisted bronchoplasty using continuous barbed sutures.
    J Vis Surg 2018 4;4. Epub 2018 Jan 4.
    Department of General and Thoracic Surgery, University Hospital of Rouen, Rouen, France.
    We describe in this article our bronchoplastic robot-assisted techniques. This consists of using continuous barbed sutures. Our aim is to show the feasibility and the interest of using robotics and this kind of suture material for complex bronchial procedures. Read More

    Evaluation of intradermal absorbable and mattress sutures to close pilonidal sinus wounds with Limberg flap: a prospective randomized comparative study.
    Ann Surg Treat Res 2018 Feb 30;94(2):88-93. Epub 2018 Jan 30.
    Dr. Lutfi Kirdar Kartal Research and Education Hospital, Department of General Surgery, Istanbul, Turkey.
    Purpose: We aimed to compare skin closure techniques, standard (intermittent mattress) and continuous subcuticular sutures, following Limberg flap procedure.

    Methods: From July 2013 to July 2015, 92 patients with sacrococcygeal pilonidal disease were prospectively randomized into 2 groups consisting of 46 patients for both. Patients underwent sinus excision and closure with Limberg flap; continuous subcuticular suture was used in subcuticular group (SG) and intermittent mattress sutures were used in mattress group (MG) for skin closure. Read More

    The effect of three different surgical techniques for colon anastomosis on regional postoperative microperfusion: Laser Doppler Flowmetry study in pigs.
    Clin Hemorheol Microcirc 2018 ;68(1):61-70
    Academic Department of Surgery, Medical Faculty, Charles University and Teaching Hospital, Hradec Kralove, Czech Republic.
    Background: The optimal surgical approach to reconnecting bowel ends safely after resection is of great importance.

    Objectives: This project is focused on assessment of the perianastomotic microcirculation quality in the short postoperative period when using three different anastomosis techniques in experimental animal.

    Methods: The experimental study involved 27 young female domestic pigs divided into three subgroups of 9 animals according to each surgical method of anastomosis construction in the sigmoid colon region: by manual suture, by stapler, or by gluing. Read More

    Biomechanical Evaluation of a Single- Versus Double-Tunnel Coracoclavicular Ligament Reconstruction With Acromioclavicular Stabilization for Acromioclavicular Joint Injuries.
    Am J Sports Med 2018 Feb 1:363546517752673. Epub 2018 Feb 1.
    Kerlan-Jobe Orthopaedic Clinic, Los Angeles, California, USA.
    Background: An anatomic double-tunnel (DT) reconstruction technique has been widely adopted to reconstruct the ruptured coracoclavicular (CC) ligaments seen with high-grade acromioclavicular (AC) joint injuries. However, the anatomic DT reconstruction has been associated with the risk of clavicle fractures, which may be problematic, particularly for contact athletes. Purpose/Hypothesis: The purpose was to compare a single-tunnel (ST) CC ligament reconstruction for AC joint injuries with the native state as well as with the more established anatomic DT CC ligament reconstruction. Read More

    Surgical Outcome After Less "Rigid" Fixation in Open Cranial Vault Remodeling for Craniosynostosis.
    J Craniofac Surg 2018 Feb 12. Epub 2018 Feb 12.
    Department of Plastic and Reconstructive Surgery, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur.
    : Open cranial vault remodeling techniques require rigid fixation with hardware such as plates and screws; however, complications can occur. The purpose of this study was to assess the surgical outcome after open reconstruction for craniosynostosis with less rigid fixation using nonabsorbable suture.

    Methods: Retrospective review of patients who underwent open craniofacial reconstruction for craniosynostosis at the Hospital Kuala Lumpur between January 2011 and December 2016 were performed. Read More

    Initial Load Stability of Different Trachea Suture Techniques: Tests on an Ex Vivo Model.
    Otolaryngol Head Neck Surg 2018 Feb 1:194599818757723. Epub 2018 Feb 1.
    2 Department of Cardiac Surgery, University Hospital Marburg, Marburg, Germany.
    Objective Tracheal anastomosis can be performed with different suture techniques. In this experimental work, the resilience of anastomotic techniques to pressure and tensile stress was studied. Study Design Ex vivo pig model. Read More

    Arthroscopic soft tissue reconstruction in anterior shoulder instability.
    Orthopade 2018 Feb;47(2):121-128
    Department of Orthopaedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Suite 300, 60612, Chicago, IL, USA.
    Anterior glenohumeral instability remains a difficult problem in the athletic and working patient populations. Treatment strategies are variable and range from nonoperative approaches incorporating immobilization and rehabilitation to surgical management. Surgical decision-making can be challenging, especially with a high-level patient who wishes to return to high-demand activities. Read More

    Modified Internal Fixation Technique for Acromio-Clavicular (AC) joint dislocation: The "Hidden Knot Technique".
    Arch Bone Jt Surg 2018 Jan;6(1):81-84
    Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.
    Acromioclavicular (AC) joint injuries are common and often seen in contact athletes, resulting from a fall on the shoulder tip with adducted arm. This joint is stabilized by both static and dynamic structures including the coracoclavicular (CC) ligament. Most reconstruction techniques focus on CC ligament augmentation as the primary stabilizer of the AC joint. Read More

    Arthroscopic Posterior Glenoid Fracture Fixation Using Knotless Suture Anchors.
    Arthrosc Tech 2017 Oct 23;6(5):e1933-e1936. Epub 2017 Oct 23.
    Orthopaedic Department, St George's Hospital, London, England.
    Shoulder instability after a posterior glenoid rim fracture is rare and potentially difficult pathology to treat. Operative techniques often involve a large dissection to view the fragments resulting in local soft tissue injury. Internal fixation is often achieved with interfragmentary screws; however, this may not be possible with small or multifragmentary fracture patterns. Read More

    Arthroscopic Labral Repair in the Setting of Recurrent Posterior Shoulder Instability.
    Arthrosc Tech 2017 Oct 9;6(5):e1789-e1794. Epub 2017 Oct 9.
    Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
    Posterior shoulder instability, although relatively rare in the general population, is more commonly seen in athletes, especially those in contact sports. Although nonoperative treatment has been associated with satisfactory results in the setting of posterior shoulder instability, conservative management may ultimately fail and lead to recurrence particularly in young, male patients. Both arthroscopic and open repair techniques to address posterior instability have been described, with each showing positive patient-reported outcomes, low risk of recurrence, and considerably high return-to-sport rates. Read More

    The State of Prophylactic Mesh Augmentation.
    Am Surg 2018 Jan;84(1):99-108
    Prophylactic mesh augmentation (PMA) is the implantation of mesh during closure of an index laparotomy to decrease a patient's risk for developing incisional hernia (IH). The current body of evidence lacks refined guidelines for patient selection, mesh placement, and material choice. The purpose of this study is to summarize the literature and identify areas of research needed to foster responsible and appropriate use of PMA as an emerging technique. Read More

    Enhanced tendon-to-bone repair through adhesive films.
    Acta Biomater 2018 Feb 7. Epub 2018 Feb 7.
    Department of Orthopedic Surgery, Columbia University, New York, NY 10032, United States; Department of Biomedical Engineering, Columbia University, New York, NY 10027, United States. Electronic address:
    Tendon-to-bone surgical repairs have unacceptably high failure rates, possibly due to their inability to recreate the load transfer mechanisms of the native enthesis. Instead of distributing load across a wide attachment footprint area, surgical repairs concentrate shear stress on a small number of suture anchor points. This motivates development of technologies that distribute shear stresses away from suture anchors and across the enthesis footprint. Read More

    Algorithm of Laparoscopic Technique in Pediatric Inguinal Hernia: Results from Experience of 10 Years.
    J Laparoendosc Adv Surg Tech A 2018 Feb 9. Epub 2018 Feb 9.
    Pediatric Surgery, Department of Surgery, Faculty of Medicine, Tanta University , Tanta, Egypt .
    Background: Many laparoscopic techniques have been evolved along years for pediatric inguinal hernia (PIH) with no standardization of technique. No single technique suits all varieties of hernia.

    Purpose: To propose an algorithm for allocation of PIH to laparoscopic technique based on internal ring (IR) diameter to improve outcomes. Read More

    Sub-epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome.
    J Investig Clin Dent 2018 Feb 9. Epub 2018 Feb 9.
    Department of Periodontics, Dr D. Y. Patil Dental College and Hospital, Pune, Maharashtra, India.
    The aim of the present systematic review was to analyze the factors that affect the outcome of subepithelial connective tissue graft (SCTG) for managing Miller's class I and class II isolated gingival recession defect. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for systematic reviews were used. Quality assessments of selected articles were performed. Read More

    Arthroscopic Technique to Reduce Suture Button Migration During Anterior Cruciate Ligament Reconstruction Procedure.
    Arthrosc Tech 2017 Oct 23;6(5):e1927-e1931. Epub 2017 Oct 23.
    Department of Orthopaedic Surgery, Wakamatsu Hospital for the University of Occupational and Environmental Health, Kitakyushu, Japan.
    Suture button-based femoral cortical suspension constructs of anterior cruciate ligament grafts can facilitate a fast and secure fixation. However, there are several case reports showing button malpositioning resulting from the inability to visualize the "flipped" button. Many current surgical techniques do not allow direct visualization of EndoButtons (Smith & Nephew, Andover, MA) in their final position, making it difficult to ensure that both buttons are fully flipped and that there is no soft-tissue interposition between the button and femur. Read More

    The "Parachute" Technique: A Simple and Effective Single-Row Procedure to Achieve an Increased Contact Area Between the Cuff-Tendon and Its Footprint.
    Arthrosc Tech 2017 Oct 16;6(5):e1903-e1909. Epub 2017 Oct 16.
    Reading Shoulder Unit, Royal Berkshire Hospital and Berkshire Independent Hospital Reading, Berkshire, United Kingdom.
    Many techniques of arthroscopic rotator cuff repair have been described. No significant differences in clinical outcomes or rerupture rates have been observed when comparing single-row with double-row methods. Not all single- and double-row repairs are the same. Read More

    "In-Round" Labral Repair After Acetabular Recession Using Intermittent Traction.
    Arthrosc Tech 2017 Oct 9;6(5):e1807-e1813. Epub 2017 Oct 9.
    Department of Orthopaedic Surgery, Massachusetts General Hospital-Harvard Medical School, Boston, Massachusetts, U.S.A.
    The prevalence of hip arthroscopy has increased exponentially with the advent of arthroscopic labral repair techniques for femoroacetabular impingement. The goal of arthroscopic labral repair is to re-create the anatomic suction seal of the labrum against the femoral head. This important anatomic relationship has been demonstrated in several biomechanical studies. Read More

    Suture Repair of Full Radial Posterior Lateral Meniscus Tears Using a Central Midline Portal.
    Arthrosc Tech 2017 Oct 9;6(5):e1801-e1806. Epub 2017 Oct 9.
    Centre Orthopédique Santy, FIFA Medical Center of Excellence, Group Ramsay-Générale de Santé, Lyon, France.
    Full radial posterior lateral meniscus root tears are frequently associated with injuries to the anterior cruciate ligament. Left unrepaired, they result in loss of the meniscus hoop stress function and can lead to overload of the lateral compartment and early degenerative changes. Arthroscopic suture repairs show successful results with long-term follow-up. Read More

    Vertical Lasso and Horizontal Lasso Sutures for Repair of Horizontal Cleavage and Horizontal Oblique Meniscal Tears: Surgical Technique and Indications.
    Arthrosc Tech 2017 Oct 2;6(5):e1767-e1773. Epub 2017 Oct 2.
    Houston Methodist Orthopedics and Sports Medicine, Houston Methodist St. John Hospital, Nassau Bay, Texas, U.S.A.
    Horizontal cleavage and horizontal oblique meniscal tears have traditionally been treated with partial meniscectomy. Recent research has shown the deleterious long-term effects of meniscectomy in these patients regarding the development of osteoarthritis. Meniscal preservation is thus the preferred method of surgical treatment in patients with these tears. Read More

    Etiology of Cesarean Uterine Scar Defect (Niche): Detailed Critical Analysis of Hypotheses and Prevention Strategies and Peritoneal Closure Debate.
    J Clin Med Res 2018 Mar 26;10(3):166-173. Epub 2018 Jan 26.
    Department of Obstetrics and Gynaecology, Royal United Hospital, Combe Park, Bath, BA1 3NG, UK. Email:
    There is an increasing incidence of cesarean scar (CS) defect/niche and its sequelae, probably not entirely explained by better diagnosis or rising cesarean rate. Discussion of possible etiological factors has received scant attention but would be important to formulate preventive strategies. Meaningful informative studies on long-term sequelae of cesarean section are very difficult and none are available for causation of CS defect. Read More

    Audit of 117 otoplasties for prominent ear by one surgeon using a cartilage-cutting procedure.
    ANZ J Surg 2018 Feb 7. Epub 2018 Feb 7.
    Auckland Regional Centre for Plastic Reconstructive and Hand Surgery, Middlemore Hospital, Auckland, New Zealand.
    Background: The plethora of surgical procedures for prominent ear correction reflects lack of satisfaction with outcomes achieved. This paper describes a cartilage-cutting otoplasty procedure and reports an audit of its outcomes.

    Methods: Discharge coding was used to retrospectively identify patients who had undergone the otoplasty of interest at Middlemore Hospital, Auckland, during the 5 years from March 2010 to the end of February 2015. Read More

    Laparoscopic vs. Transvaginal Cuff Closure After Total Laparoscopic Hysterectomy: A Randomized Trial by the Italian Society of Gynecologic Endoscopy.
    Am J Obstet Gynecol 2018 Jan 31. Epub 2018 Jan 31.
    Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy.
    Background: Vaginal cuff dehiscence following hysterectomy is considered an infrequent but potentially devastating complication. Different possible techniques for cuff closure have been proposed to reduce this threatening adverse event.

    Objective: Aim of the present randomized study has been to compare laparoscopic and transvaginal suture of the vaginal vault at the end of a total laparoscopic hysterectomy (TLH), in terms of incidence of vaginal dehiscence and vaginal cuff complications. Read More

    Oral mucosa grafting in periorbital reconstruction.
    Orbit 2018 Feb 6:1-18. Epub 2018 Feb 6.
    a Corneoplastic Unit , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.
    To provide an extensive literature review on the clinical indications of oral mucosa grafts (OMG) and minor salivary gland grafts (MSGG) in periorbital reconstruction together with safe practice graft harvesting techniques to minimize donor-site morbidity. A literature review was performed by searching the databases of PUBMED, EMBASE, and COCHRANE library using the keywords: minor salivary glands; oral mucosal graft; orbit; and eye. The bibliographies of the pertinent articles were examined for additional papers. Read More

    Transcatheter pledget-assisted suture tricuspid annuloplasty (PASTA) to create a double-orifice valve.
    Catheter Cardiovasc Interv 2018 Feb 6. Epub 2018 Feb 6.
    Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.
    Objectives: Pledget-assisted suture tricuspid valve annuloplasty (PASTA) is a novel technique using marketed equipment to deliver percutaneous trans-annular sutures to create a double-orifice tricuspid valve.

    Background: Tricuspid regurgitation is a malignant disease with high surgical mortality and no commercially available transcatheter solution in the US.

    Methods: Two iterations of PASTA were tested using trans-apical or trans-jugular access in swine. Read More

    Surgical approach to limiting skin contracture following protractor myectomy for essential blepharospasm.
    Digit J Ophthalmol 2017 5;23(4):8-12. Epub 2017 Nov 5.
    Department of Ophthalmology and Visual Sciences, Kentucky Lions Eye Center, University of Louisville, Louisville, Kentucky.
    Purpose: To report our experience with protractor myectomy in patients with benign essential blepharospasm who did not respond to serial botulinum toxin injection, and to describe intra- and postoperative techniques that limited skin contracture while also providing excellent functional and cosmetic results.

    Methods: The medical records of patients with isolated, benign, essential blepharospasm who underwent protractor myectomy from 2005 to 2008 by a single surgeon were reviewed retrospectively. The technique entailed operating on a single eyelid during each procedure, using a complete en bloc resection of all orbicularis tissue, leaving all eyelid skin intact at the time of surgery, and placing the lid under stretch with Frost suture and applying a pressure dressing for 5-7 days. Read More

    Alternative approaches to surgical hemostasis in patients with morbidly adherent placenta undergoing fertility-sparing surgery.
    J Matern Fetal Neonatal Med 2018 Feb 5:1-7. Epub 2018 Feb 5.
    a Federal State Budget Institution National Medical Research Center for Obstetrics , Gynecology and Perinatology named after Academician V.I. Kulakov of the Ministry of Healthcare of Russian Federation , Moscow , Russia.
    Aim: To evaluate the efficacy of different methods of surgical hemostasis, including the ligation of internal iliac arteries (IIA), temporary occlusion of the common iliac artery (CIA) and combined compression hemostasis, during cesarean section in patients with morbidly adherent placenta (MAP).

    Materials And Methods: The study included 54 patients with MAP. All patients underwent cesarean section with application of surgical hemostasis techniques. Read More

    Patellar Tendon Repair Augmentation With a Knotless Suture Anchor Internal Brace: A Biomechanical Cadaveric Study.
    Am J Sports Med 2018 Feb 1:363546517751916. Epub 2018 Feb 1.
    Department of Orthopedic Surgery, Stony Brook University School of Medicine, Stony Brook, New York, USA.
    Background: Patellar tendon repair with braided polyethylene suture alone is subject to knot slippage and failure. Several techniques to augment the primary repair have been described. Purpose/Hypothesis: The purpose was to evaluate a novel patellar tendon repair technique augmented with a knotless suture anchor internal brace with suture tape (SAIB). Read More

    Endoscopic All-inside Repair of the Flexor Hallucis Longus Tendon in Posterior Ankle Impingement Patients.
    Arthrosc Tech 2017 Oct 9;6(5):e1829-e1835. Epub 2017 Oct 9.
    Department of Orthopaedic and Sports Medicine, Graduate School of Medicine, Mie University, Tsu, Mie, Japan.
    Longitudinal flexor hallucis longus (FHL) tendon tears are sometimes complicated by posterior ankle impingement syndrome (PAIS), especially in ballet dancers. In recent years, PAIS has been treated endoscopically, but it is difficult to suture FHL tendon tears endoscopically. In this report, we describe how to suture the FHL tendon endoscopically with the Meniscal Viper Repair system (Arthrex, Naples, FL). Read More

    Arthroscopic Intramuscular Side-to-Side Repair of an Isolated Infraspinatus Tear.
    Arthrosc Tech 2017 Oct 2;6(5):e1743-e1748. Epub 2017 Oct 2.
    Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
    Intramuscular, full-thickness rotator cuff tears are uncommon and present a challenging clinical scenario for repair because traditional suture anchor or transosseous repair techniques are less feasible. The goal of repair is to achieve a tension-free reduction of both ends of the muscle to allow for adequate healing over time. Intramuscular tears of the infraspinatus specifically have rarely been reported. Read More

    Repair of an Isolated Coracoid Fracture With Suture Anchor Fixation.
    Arthrosc Tech 2017 Oct 25;6(5):e1715-e1719. Epub 2017 Sep 25.
    Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
    Coracoid fractures are rare injuries, which may occur in isolation or in association with other shoulder pathology. The mechanism of trauma consists of a strong contraction of the conjoint tendon as a result of direct trauma. The diagnosis is usually difficult and many times overlooked, thereby requiring a high level of suspicion. Read More

    Mini-open Subpectoral Biceps Tenodesis Using a Suture Anchor.
    Arthrosc Tech 2017 Oct 18;6(5):e1625-e1631. Epub 2017 Sep 18.
    Department of Orthopaedic Surgery, Milton S. Hershey Medical Center, Penn State Health, Hershey, Pennsylvania, U.S.A.
    The long head of the biceps (LHB) tendon is a potential source of shoulder pain encountered by orthopaedic surgeons. A multitude of approaches to addressing LHB tendinopathy have been described. These include various surgical techniques such as tenodesis versus tenotomy, an arthroscopic versus an open approach, and differing methods of tenodesis fixation. Read More

    Evaluation of cesarean scar after single- and double-layer hysterotomy closure: a prospective cross-sectional study.
    Arch Gynecol Obstet 2018 Feb 3. Epub 2018 Feb 3.
    Department of Obstetrics and Gynecology, İstanbul Kanuni Sultan Süleyman Training and Research Hospital, Altınşehir, 34303, Halkalı, İstanbul, Turkey.
    Background: We aimed to determine if there is a difference in the size of the cesarean scar defect using saline infusion sonography (SIS) performed on the postoperative third month in patients who underwent single- or double-layered unlocked closure of their uterine incision during their first cesarean delivery.

    Methods: This study was conducted as a prospective cross-sectional study between February 2015 and January 2016 in patients admitted to the labour ward of the Kanuni Sultan Suleyman Training and Research Hospital who subsequently underwent their first delivery by cesarean section. Patients with a previous history of cesarean delivery, preterm pregnancies less than 34 gestational weeks, patients lost to follow-up or those who had an IUD inserted after delivery were excluded from the study. Read More

    Arthroscopic Fixation of Tibial Eminence Fractures: A Biomechanical Comparative Study of Screw, Suture, and Suture Anchor.
    Arthroscopy 2018 Jan 31. Epub 2018 Jan 31.
    Department of Orthopedics, General Hospital of PLA, Haidian District, Beijing, China. Electronic address:
    Purpose: To compare biomechanical outcomes of 4 different arthroscopic techniques for fixation of tibial eminence fractures.

    Methods: Twenty-four skeletally mature, fresh-frozen cadaveric knees were divided into 4 comparison groups based on the fixation method: screw fixation (group A), traditional sutures fixation with 2 FiberWire sutures (group B), a modified suture technique with 2 FiberWire sutures that created neckwear knots to firmly trap the fracture fragment (group C), or suture anchors which was based on the suture bridge technique primarily used in the shoulder for repair of rotator cuff tears and greater tuberosity fractures (group D). A tibial eminence fracture was created in each knee for subsequent fixation. Read More

    Dynamic augmentation restores anterior tibial translation in ACL suture repair: a biomechanical comparison of non-, static and dynamic augmentation techniques.
    Knee Surg Sports Traumatol Arthrosc 2018 Feb 3. Epub 2018 Feb 3.
    Biomechanics Group, Mechanical Engineering Department, Imperial College London, London, UK.
    Purpose: There is a lack of objective evidence investigating how previous non-augmented ACL suture repair techniques and contemporary augmentation techniques in ACL suture repair restrain anterior tibial translation (ATT) across the arc of flexion, and after cyclic loading of the knee. The purpose of this work was to test the null hypotheses that there would be no statistically significant difference in ATT after non-, static- and dynamic-augmented ACL suture repair, and they will not restore ATT to normal values across the arc of flexion of the knee after cyclic loading.

    Methods: Eleven human cadaveric knees were mounted in a test rig, and knee kinematics from 0° to 90° of flexion were recorded by use of an optical tracking system. Read More

    Effects of Laparascopic Hernia Repair by PIRS (Percutan Internal Ring Suturing) Technique on Testicular Artery Blood Supply.
    J Invest Surg 2018 Feb 2:1-5. Epub 2018 Feb 2.
    a Department of Pediatric Surgery , Ataturk University School of Medicine , Erzurum , Turkey.
    Purpose: Percutaneous internal ring suturing technique (PIRS) is a minimally invasive technique in pediatric inguinal hernia repair. In the present study, a negative effect on testicular blood flow using PIRS technique has been investigated.

    Methods: Forty male patients were included in the study prospectively. Read More

    Studies on reconstruction of large skin defects following mammary tumor excision in dogs.
    Vet World 2017 Dec 27;10(12):1521-1528. Epub 2017 Dec 27.
    Department of Veterinary Surgery and Radiology, Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University, Chennai-600007, Tamil Nadu, India.
    Aim: The main objective of the study was to describe the use of skin fold advancement flaps (SFAFs) and other reconstructive techniques for closure of large skin defects following mammary tumor excision in dogs.

    Materials And Methods: Twelve dogs underwent reconstruction of large ventral skin defects following mammary tumor excision with wide margins. Skin fold flaps (flank fold flap and elbow fold flap) were elevated from the flank and elbow region, respectively, and transposed and sutured onto the large ventral skin defect following mastectomy in all the dogs. Read More

    Comparison of diode laser trans-scleral cyclophotocoagulation versus implantation of a 350-mmBaerveldt glaucoma drainage device for the treatment of glaucoma in dogs (a retrospective study: 2010-2016).
    Vet Ophthalmol 2018 Jan 31. Epub 2018 Jan 31.
    Ophthalmology Department, Small Animal Specialist Hospital, Sydney, NSW, 2113, Australia.
    Objective: To compare outcomes following trans-scleral cyclophotocoagulation (TSCP) and 350-mmBaerveldt implantation in the treatment of canine refractory glaucoma.

    Design: Retrospective case study.

    Case Selection: Client owned dogs undergoing surgical treatment of glaucoma within a veterinary referral hospital. Read More

    The hypospadias classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in hypospadias reoperation: An observational study.
    Medicine (Baltimore) 2017 Nov;96(47):e8238
    Department of Urology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
    The staged graft urethroplasty is a recommended technique for repairing complex hypospadias. This retrospective study aimed to investigate the outcomes of this technique in hypospadias patients undergoing reoperation and to analyze the underlying contributing factors including age, meatus location, and graft and suture type.We retrospectively analyzed 40 hypospadias patients undergoing reoperation who received a staged oral graft urethroplasty, including 15 buccal mucosal grafts and 25 lingual mucosal grafts. Read More

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