49,846 results match your criteria Suturing Techniques


Efficacy and safety of figure-of-eight suture versus manual pressure for venous access closure: a systematic review and meta-analysis.

J Interv Card Electrophysiol 2019 Apr 18. Epub 2019 Apr 18.

Kansas City Heart Rhythm Institute and Research Foundation, Kansas City, KS, USA.

Background: Vascular hemostasis after venous access in cardiovascular procedures remains a challenge. Figure-of-eight (FoE) emerged as an alternative technique to manual pressure. However, its feasibility and safety is unknown. Read More

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http://dx.doi.org/10.1007/s10840-019-00547-6DOI Listing

Distal femoral hemiepiphysiodesis with screws and suture versus 8-plate for the treatment of genu valgum in children.

Orthop Traumatol Surg Res 2019 Apr 15. Epub 2019 Apr 15.

Department of Traumatology and Orthopedics, Clinical Hospital of Pontificia Universidad Católica de Chile, Santiago, Chile.

Introduction: There are different techniques for gradual correction of angular deformities in lower limbs. The use of screws and non-absorbable filament have been described as an effective alternative for transitory hemiepiphysiodesis in pediatric population.

Hypothesis: In pediatric population with genu valgum there are no differences in outcome between hemiepiphysiodesis, using screws and non-absorbable filament (SNAF) versus 8-plate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568193011
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http://dx.doi.org/10.1016/j.otsr.2019.02.019DOI Listing
April 2019
5 Reads

"Refinements in Otoplasty Surgery: Experience of 200 Consecutive Cases Using Cartilage Sparing Technique".

Plast Reconstr Surg 2019 Apr 9. Epub 2019 Apr 9.

Background: Many techniques have been described to correct prominent ears including cartilage suturing, cartilage scoring and cartilage breaking techniques. Understanding the topography and anatomy of the auricular cartilage is crucial to perform safe otoplasty with consistent results.

Patients And Methods: 200 consecutive patients with prominent ears were operated on using a modified Mustarde and Furnas technique with some refinements and without performing any cartilage scoring or excision. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005704DOI Listing

Does Arthroscopic Suture-Spanning Augmentation of Single-Row Repair Reduce the Retear Rate of Massive Rotator Cuff Tear?

Am J Sports Med 2019 Apr 18:363546519836419. Epub 2019 Apr 18.

Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.

Background: Several surgical techniques have been proposed for massive rotator cuff tears (MRCTs), but the failure rates remain high. The suture-spanning augmentation technique of single-row (SSA-SR) repair was shown to reduce failure rates in cadaveric studies, but the outcome in vivo remains unclear.

Purpose: To determine if adding spanning sutures to SR repair during MRCT repairs can improve functional outcome and reduce failure rates. Read More

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http://dx.doi.org/10.1177/0363546519836419DOI Listing

Flexible and comprehensive patient-specific mitral valve silicone models with chordae tendineae made from 3D-printable molds.

Int J Comput Assist Radiol Surg 2019 Apr 17. Epub 2019 Apr 17.

Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, Germany.

Purpose: Given the multitude of challenges surgeons face during mitral valve repair surgery, they should have a high confidence in handling of instruments and in the application of surgical techniques before they enter the operating room. Unfortunately, opportunities for surgical training of minimally invasive repair are very limited, leading to a situation where most surgeons undergo a steep learning curve while operating the first patients.

Methods: In order to provide a realistic tool for surgical training, a commercial simulator was augmented by flexible patient-specific mitral valve replica. Read More

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http://link.springer.com/10.1007/s11548-019-01971-9
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http://dx.doi.org/10.1007/s11548-019-01971-9DOI Listing
April 2019
3 Reads

Establishing a non-intubated thoracoscopic surgery programme for bilateral uniportal sympathectomy.

Swiss Med Wkly 2019 Apr 17;149:w20064. Epub 2019 Apr 17.

Department of Thoracic Surgery, University Hospital Zurich, Switzerland.

Aim Of The Study: Non-intubated, video-assisted thoracoscopic surgery (NiVATS) has been successfully developed in several centres worldwide. Local anaesthesia techniques and techniques to perform thoracoscopic surgery on a spontaneously breathing lung are the two key elements which must be adopted to establish a NiVATS programme. We established NiVATS by performing bilateral, uniportal sympathectomies, and compared it to classical video-assisted thoracoscopic surgery (VATS) under general anaesthesia with double-lumen intubation. Read More

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http://dx.doi.org/10.4414/smw.2019.20064DOI Listing
April 2019
1 Read

Barbed suspension pharyngoplasty for treatment of lateral pharyngeal wall and palatal collapse in patients affected by OSAHS.

Eur Arch Otorhinolaryngol 2019 Apr 16. Epub 2019 Apr 16.

IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Purpose: The aim of this study is to analyze the efficacy of a new modified pharyngoplasty technique with barbed sutures: barbed suspension pharyngoplasty (BSP).

Methods: We enrolled patients affected by obstructive sleep apnea-hypopnea syndrome (OSAHS), having the main site of obstruction at the palatal and lateral pharyngeal walls, who refused or failed to tolerate CPAP therapy and underwent non-resective pharyngoplasty with barbed sutures between January 2014 and October 2017. Two surgical techniques with barbed sutures were used: barbed reposition pharyngoplasty (BRP) and BSP; the main characteristics of the latter are a double passage of the needle, each side, through the soft palate. Read More

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http://dx.doi.org/10.1007/s00405-019-05426-4DOI Listing
April 2019
1 Read

Biomechanical comparison of meniscus-suture constructs for pullout repair of medial meniscus posterior root tears.

J Exp Orthop 2019 Apr 15;6(1):17. Epub 2019 Apr 15.

Sports Orthopaedic Center, Yukioka Hospital, 2-2-3 Ukita, Kita-ku, Osaka, Osaka, 530-0021, Japan.

Background: Transtibial pullout repair for posterior meniscus root tear is widely performed to restore meniscal function. However, it is sometimes technically difficult to pass the suture through the posterior medial meniscus root in narrow joint space. To address this limitation, a new suture technique using an all-inside meniscal suture device through the tibial tunnel was proposed. Read More

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https://jeo-esska.springeropen.com/articles/10.1186/s40634-0
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http://dx.doi.org/10.1186/s40634-019-0186-4DOI Listing
April 2019
1 Read

Teaching Surgical Model Development in Research by Using Situated Learning and Instructional Scaffolding.

J Am Assoc Lab Anim Sci 2019 Apr 15. Epub 2019 Apr 15.

Resources detailing the scope, details, and duration for teaching and learning surgical model development in research are poorly described. Situated learning and instructional scaffolding are useful skill-building tools. Herein, we discuss educational theory in the context of a training paradigm for surgical researchers, using our experience with a nonunion femoral fracture model as an example. Read More

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http://dx.doi.org/10.30802/AALAS-JAALAS-18-000090DOI Listing

Vascular suture line wrapping for Aortoiliac anastomoses following open surgical repair of Infrarenal Behçet's Aortoiliac aneurysms.

Orphanet J Rare Dis 2019 Apr 15;14(1):81. Epub 2019 Apr 15.

Medical Student, Faculty of Medicine, Helwan University, Cairo, Egypt.

Background: This study was conducted to evaluate our local experiences of adjunctive mechanical prosthetic wrapping for aortoiliac vascular anastomoses as a prophylactic measure following surgical repair of Behçet's aortoiliac aneurysms. The goal of prosthetic wrapping to reinforce the vascular anastomoses by mechanical protection to reduce the bleeding complications, and consequently pseudoaneurysm formation. This was aided by the administration of pre- and postoperative immunosuppressive therapy as an adjuvant treatment. Read More

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http://dx.doi.org/10.1186/s13023-019-1048-yDOI Listing

Comprehensive and innovative techniques for laparoscopic choledocholithotomy: A surgical guide to successfully accomplish this advanced manipulation.

Authors:
Tomohide Hori

World J Gastroenterol 2019 Apr;25(13):1531-1549

Department of Hepato-Biliary-Pancreatic Surgery, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan.

Surgeries for benign diseases of the extrahepatic bile duct (EHBD) are classified as lithotomy (., choledocholithotomy) or diversion (., choledochojejunostomy). Read More

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http://dx.doi.org/10.3748/wjg.v25.i13.1531DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452235PMC

Management of cleft lip and palate in Egypt: A National survey.

Indian J Plast Surg 2018 Sep-Dec;51(3):290-295

Department of Plastic Surgery, Faculty of Medicine, Sohag University, Sohag, Egypt.

Background: Variable protocols for the management of cleft lip and/or palate (CLP) patients are currently used. However, to our knowledge, there are no previously published data about cleft management and practice in Egypt.

Materials And Methods: One-hundred questionnaires were distributed to cleft surgeons attending the annual meeting of the Egyptian Society of Plastic and Reconstructive Surgeons in March 2016 to investigate timing, techniques and complications of cleft surgery. Read More

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http://www.ijps.org/text.asp?2018/51/3/290/253547
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http://dx.doi.org/10.4103/ijps.IJPS_104_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440341PMC
April 2019
2 Reads

Reconstruction of Moderate-Sized Scalp Defects: A 1-2-3 Rule.

Authors:
F Russo

Actas Dermosifiliogr 2019 Apr 11. Epub 2019 Apr 11.

Servicio de Dermatología, Hospital Punta de Europa, Algeciras, Cádiz, España. Electronic address:

Background And Objective: Excision of cutaneous scalp tumors results in surgical defects that are difficult to repair because of poor distensibility in this area of the body. The main aim of this study was to develop a structured algorithm to help choose the best technique for reconstructing scalp defects.

Material And Methods: Retrospective study of patients who required surgical reconstruction following excision of a cutaneous scalp tumor. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00017310193006
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http://dx.doi.org/10.1016/j.ad.2019.01.002DOI Listing
April 2019
1 Read

The rate of postoperative pancreatic fistula after distal pancreatectomy is independent of the pancreatic stump closure technique - A retrospective analysis of 284 cases.

Asian J Surg 2019 Apr 11. Epub 2019 Apr 11.

Medical Center - University of Freiburg, Center for Surgery, Department of General and Visceral Surgery, Germany.

Background: Many techniques have been developed to prevent postoperative pancreatic fistula (POPF) after distal pancreatectomy, but POPF rates remain high. The aim of our study was to analyze POPF occurrence after closure of the pancreatic remnant by different operative techniques.

Methods: Between 2006 and 2017, 284 patients underwent distal pancreatectomy in our institution. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10159584193003
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http://dx.doi.org/10.1016/j.asjsur.2019.03.009DOI Listing
April 2019
3 Reads

The Buffalo Trunk Technique for Aortic Arch Reconstruction.

Ann Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

Cardiothoracic Surgery Division, Department of Surgery, University of Colorado School of Medicine.

Background: The frozen elephant trunk technique facilitates repair of aortic arch and proximal descending aortic pathologies. Commercially available hybrid grafts may simplify this approach by allowing for a single suture line, potentially streamlining the distal anastomosis and improving operative times. However, these devices are currently not readily available in United States. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975193051
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http://dx.doi.org/10.1016/j.athoracsur.2019.03.034DOI Listing
April 2019
1 Read

Biomechanical Properties of Posterior Meniscal Root Repairs: A Systematic Review.

Arthroscopy 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedics, Wexner Medical Center, The Ohio State University, Columbus, Ohio, U.S.A.. Electronic address:

Purpose: To systematically review the literature regarding the biomechanical properties of various meniscal root repair techniques.

Methods: A systematic review of multiple databases was performed. The inclusion criteria included English language, studies relevant to meniscal root repairs, studies comparing 2 or more different discrete techniques, posterior root repairs, controlled laboratory studies, and human cadaveric or animal studies. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.01.018DOI Listing

COMPARISON OF PATIENT'S SATISFACTION AND LONG-TERM RESULTS OF TWO PENILE PLICATION TECHNIQUES: LESSONS LEARNED FROM 387 PATIENTS WITH PENILE CURVATURE.

Urology 2019 Apr 4. Epub 2019 Apr 4.

Ankara University School of Medicine, Department of Urology, Ankara, Turkey.

Objective: To compare the patient's satisfaction and long-term results of two penile plication procedures in patients with penile curvature.

Methods: This retrospective study included 387 patients with congenital penile curvature (n=260) and Peyronie's disease (n= 127) who underwent surgical correction of penile curvature with penile plication procedures. Of the patients, 202 underwent plication of tunica albuginea with the Lue's 16-dot technique, while 185 underwent highly superficial excision of tunica albuginea with the modified Nesbit corporoplasty. Read More

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http://dx.doi.org/10.1016/j.urology.2019.02.039DOI Listing
April 2019
1 Read

Comparison of the efficacy of venous coupler and hand-sewn anastomosis in maxillofacial reconstruction using microvascular fibula free flaps: a prospective randomized controlled trial.

Int J Oral Maxillofac Surg 2018 Jul 26;47(7):854-857. Epub 2018 Feb 26.

Department of Oral and Maxillofacial Surgery, SRM Dental College, Bharathi Salai, Ramapuram, Chennai, India.

The venous coupler has emerged as a suitable alternative to hand suturing in the microvascular anastomosis of blood vessels; however, no prospective comparative studies have been performed to date. The aim of this study was to prospectively compare the efficacy of venous anastomosis using a coupler device with hand-sewn anastomosis during reconstruction surgery for maxillofacial defects. A prospective, randomized controlled trial was conducted. Read More

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http://dx.doi.org/10.1016/j.ijom.2018.01.016DOI Listing
July 2018
2 Reads

Editorial Commentary: All-Inside Meniscal Repair Devices: Should We Cease and De-Cyst?

Authors:
Kenneth M Oates

Arthroscopy 2019 Apr;35(4):1230-1231

All-inside meniscal repair devices have the potential to simplify a technically difficult procedure, reduce the need for a skilled surgical assistant, reduce surgical times, improve cosmetic results, and decrease postoperative pain for the patient. On the other hand, the devices are more expensive than sutures, have technical issues of their own, and may have complications that are not associated with suture repair techniques. It remains up to the surgeon to choose and practice techniques that maximize patient benefit and minimize risk. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.12.024DOI Listing

Quantitative ultrasound and apoptotic death in the neonatal primate brain.

Neurobiol Dis 2019 Apr 2;127:554-562. Epub 2019 Apr 2.

Department of Neurology, University of Wisconsin, School of Medicine, Madison, WI, USA. Electronic address:

Apoptosis is triggered in the developing mammalian brain by sedative, anesthetic or antiepileptic drugs during late gestation and early life. Whether human children are vulnerable to this toxicity mechanism remains unknown, as there are no imaging techniques to capture it. Apoptosis is characterized by distinct structural features, which affect the way damaged tissue scatters ultrasound compared to healthy tissue. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09699961193008
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http://dx.doi.org/10.1016/j.nbd.2019.03.032DOI Listing
April 2019
5 Reads

A biomechanical comparison of two arthroscopic suture techniques in biceps tenodesis: whip-stitch vs. simple suture techniques.

J Shoulder Elbow Surg 2019 Apr 1. Epub 2019 Apr 1.

Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA. Electronic address:

Background: The aim of this study was to compare the biomechanical performance of whip-stitch (WS) and simple suture techniques (SST) of the long head of the biceps tendon in suprapectoral intraosseous tenodesis with interference screw fixation.

Methods: A total of 10 paired cadavers (61.1 ± 4. Read More

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http://dx.doi.org/10.1016/j.jse.2019.01.004DOI Listing
April 2019
2 Reads

Suture Suspension Arthroplasty for the Treatment of Thumb Carpometacarpal Arthritis.

J Hand Surg Am 2019 Apr;44(4):296-303

Department of Orthopaedics, Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI.

Purpose: Most studies have demonstrated little difference in the outcome of the various techniques proposed for the surgical treatment of thumb carpometacarpal (CMC) arthritis. However, the difficulty and time required to perform each technique vary widely. In addition, the introduction of recent implants has increased the cost of the overall procedure. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.02.005DOI Listing
April 2019
1 Read

Lumbar Incisional Hernia Repair: Complete Reconstruction of the Deficient Myofascial Component Using Christmas Tree Bone Anchors.

Am Surg 2019 Mar;85(3):280-283

Lumbar incisional hernias are difficult to repair because one of the hernia margins is bone, namely, the iliac crest. Previous studies have described the use of orthopedic bone anchors that fix a mesh onto the iliac crest. We present a novel technique for open repair of large lumbar incisional hernias using a double-mesh technique in combination with suture-loaded bone anchors to reattach the abdominal wall musculature onto the iliac crest. Read More

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March 2019
2 Reads

Development of a novel histological and histomorphometric evaluation protocol for a standardized description of the mid-palatal suture - An ex vivo study.

J Anat 2019 Apr 4. Epub 2019 Apr 4.

Frankfurt Orofacial Regenerative Medicine (FORM) Lab, Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Centre of the Goethe University, Frankfurt/Main, Germany.

The hard palate and mid-palatal suture are highly important for orthodontic treatment. In cases of transverse maxillary deficiency, palatal expansion is the treatment of choice. As nowadays a growing number of adult patients receive orthodontic treatment, an understanding of suture development throughout life is important to derive tailored orthodontic treatment techniques for each age group. Read More

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http://dx.doi.org/10.1111/joa.12985DOI Listing

Ischial tuberosity avulsion fracture nonunions in the adolescent population treated with a posterior column screw: A case series of two patients.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019839022

Department of Orthopaedic Surgery, Baylor Scott and White Medical Center-Temple, Temple, Texas, USA.

Various surgical techniques exist to approach an ischial tuberosity avulsion fracture, including open reduction and internal fixation with screws and suture anchors, augmentation with allograft tendon, and excision of the fragment. However, the majority of these techniques approached acute fractures, and nonunions were not addressed nor studied. This case series describes two adolescent patients treated for ischial tuberosity nonunions with a posterior column screw through a subgluteal approach. Read More

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http://dx.doi.org/10.1177/2309499019839022DOI Listing
April 2019
1 Read

A Web-Based Survey of Oculoplastic Surgeons Regarding the Management of Lower Lid Retraction.

Semin Ophthalmol 2019 Mar 30:1-6. Epub 2019 Mar 30.

g Department of Oculoplastics , King Khaled Eye Specialist Hospital , Riyadh , Saudi Arabia.

Purpose: To survey the opinion of oculoplastic surgeons on the assessment and management of lower eyelid retraction (LLR).

Methods: A web-based survey queried oculoplastic surgeon members of Ojoplast, Spanish and Brazilian Oculoplastic Societies on the management of LLR. The frequency and percentage proportions of the responses were analyzed. Read More

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http://dx.doi.org/10.1080/08820538.2019.1596290DOI Listing
March 2019
1.196 Impact Factor

A comparison of endoscopic strip craniectomy and pi craniectomy for treatment of sagittal craniosynostosis.

J Neurosurg Pediatr 2019 03 29:1-7. Epub 2019 Mar 29.

Divisions of1Neurosurgery and.

OBJECTIVE Sagittal craniosynostosis is managed with a wide variety of operative strategies. The current investigation compares the clinical outcomes of two widely performed techniques: pi craniectomy and minimally invasive endoscopic strip craniectomy (ESC) followed by helmet therapy. METHODS This IRB-approved retrospective study examined patients diagnosed with nonsyndromic, single-suture sagittal craniosynostosis treated with either pi craniectomy or ESC. Read More

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http://dx.doi.org/10.3171/2019.1.PEDS18203DOI Listing
March 2019
1 Read

Simulation of Dural Repair in Minimally Invasive Spine Surgery With the Use of a Perfusion-Based Cadaveric Model.

Oper Neurosurg (Hagerstown) 2019 Mar 29. Epub 2019 Mar 29.

Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Background And Importance: In an era of curtailed work hours and concerns over achieving technical proficiency in the repertoire of procedures necessary for independent practice, many residencies have turned to model simulation as an educational adjunct. Cerebrospinal fluid (CSF) leak repair after inadvertent durotomy in spine surgery is a fundamental skillset for any spine surgeon. While primary closure with suture is not always necessary for small durotomies, larger defects, on the other hand, must be repaired. Read More

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http://dx.doi.org/10.1093/ons/opz041DOI Listing

Comparing 3 Suture Techniques After Muscle Laceration Repair.

Hand (N Y) 2019 Mar 29:1558944719837021. Epub 2019 Mar 29.

2 University of Texas Southwestern, Dallas, USA.

Background: Skeletal muscle lacerations are a relatively common injury. Compared with nonrepaired lacerations, surgically repaired muscle lacerations regenerate faster, develop less scar tissue, have a higher return to baseline strength, and have lower incidence of hematomas. Despite the benefits of repair, the optimal repair technique is still unknown. Read More

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http://dx.doi.org/10.1177/1558944719837021DOI Listing
March 2019
9 Reads

[Video Assisted Left Ventricular Pseudoaneurysm Repair].

Kyobu Geka 2019 Mar;72(3):178-181

Department of Cardiovascular Surgery, Ogaki Municipal Hospital, Ogaki, Japan.

An 80-year-old male was admitted to our hospital because of subacute myocardial infarction with moderate mitral regurgitation. Though he recovered well and went home within 2 weeks, the transthoracic echocardiography revealed rapid growing aneurysmal changes at the left ventricular posterior wall. We made diagnose of a pseudoaneurysm by the multi detector-row computed tomography, and planed a surgical treatment. Read More

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March 2019
1 Read

Biomechanical comparison of a modified three-loop pulley technique and a three-level self-locking technique for repair of patellar tendon rupture in dogs.

Am J Vet Res 2019 Apr;80(4):335-341

Objective: To compare use of a 3-level self-locking suture (3LSLS) technique with use of a previously described modified 3-loop pulley (M3LP) technique to repair rupture of the proximal aspect of patellar tendons in limbs from canine cadavers.

Sample: Paired hind limbs of 6 adult mixed-breed dogs.

Procedures: A limb from each pair was randomly assigned to be repaired by the 3LSLS technique or M3LP technique with size-2 ultrahigh-molecular-weight polyethylene and size-0 monofilament polypropylene suture, respectively. Read More

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http://dx.doi.org/10.2460/ajvr.80.4.335DOI Listing

[Last critical step for transanal total mesorectal excision: anastomosis].

Authors:
Jianzhi Chen

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Mar;22(3):238-241

Department of Surgery, Koo Foundation, Sun Yat-Sen Cancer Center, Taipei, Taiwan 112, China, Email:

Colorectal anastomosis remains a key aspect in mid- and lower-rectal surgery, particularly in patients who are male, obese, status post neoadjuvant chemoradiation, or possess narrow pelvic anatomy. Transanal total mesorectal excision (taTME) and transabdominal total mesorectal excision (TME) both primarily allow position of the tumor to dictate whether circular stapling or hand-sewing is utilized to achieve anastomosis. Given that taTME only requires a single circular stapler to achieve anastomosis, it consequently decreases the risk of jeopardizing blood supply to the anastomotic site. Read More

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March 2019
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[The crucial techniques and anatomic markers in transanal total mesorectal excision].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Mar;22(3):220-223

Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.

Transanal total mesorectal excision (taTME) for rectal cancer is a hot spot in the field of colorectal surgery in recent years, because this technique has the advantages of clear distal margin, early separation of tumor leision, in the treatment of low rectal cancer. However, this technique is not popularized yet, and there are only a few colorectal surgeons who have enough experience. This article shares the experience of taTME in our hospital, including the details of purse string suture, spiral dissection of rectum, and the anatomic markers of anterior and posterior of rectum, conjoined longitudinal muscle and capillary of pelvic nerves locating in pelvic fascia. Read More

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March 2019
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Extraperitoneal radical trachelectomy with pelvic lymphadenectomy.

Int J Gynecol Cancer 2019 Mar 26. Epub 2019 Mar 26.

Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Japan

Radical trachelectomy combined with pelvic lymphadenectomy has been used to treat patients with early-stage cervical cancer who wish to preserve their fertility. Vaginal, abdominal, laparoscopic, and robotic approaches have been employed during this procedure, but all cause peritoneal damage, which could result in periadnexal adhesion. As periadnexal adhesion can lead to female infertility due to restricted sweeping of the fimbria over the ovary, it is important to minimize peritoneal damage during the fertility-preserving surgery. Read More

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http://dx.doi.org/10.1136/ijgc-2018-000196DOI Listing
March 2019
1 Read

Biomechanical Comparison of Suture-External Button Fixation vs Internal Suspension Fixation for Tendon Transfers of the Feet.

Foot Ankle Int 2019 Mar 27:1071100719839691. Epub 2019 Mar 27.

2 Hospital for Special Surgery, New York, NY, USA.

Background:: Fixation of tendon transfers in pediatric feet typically involves passing a suture that is secured to a tendon, through an intraosseous tunnel, and tying it over an external button on the plantar foot, with appropriate tension. After adequate time is allowed for bone-tendon healing, the suture and button are removed. This construct can be complicated by suture breakage with loss of fixation, and/or skin ulceration under the button. Read More

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http://journals.sagepub.com/doi/10.1177/1071100719839691
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http://dx.doi.org/10.1177/1071100719839691DOI Listing
March 2019
5 Reads

Ultrasonography as first line imaging for the diagnosis of positional plagiocephaly: our experience and literature review.

Minerva Pediatr 2019 Mar 21. Epub 2019 Mar 21.

Department of Radiology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Background: In the last years, numerous studies evaluated different tools for the diagnosis of positional plagiocephaly (PP). The purpose of this study was to evaluate ultrasonography (US) as a first line screening test of lambdoid sutural patency in child with PP and to compare our results with the literature.

Materials And Methods: All consecutive patients who referred to our Institute from January 2016 to October 2017 with the suspicion of PP, were included in the study and performed US examination of the lambdoid sutures. Read More

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http://dx.doi.org/10.23736/S0026-4946.19.05424-0DOI Listing

Gap formation after single lateral row versus dual-row suture bridge cuff repair: An ovine biomechanical model.

J Orthop Sci 2019 Mar 23. Epub 2019 Mar 23.

School of Mechanical and Aerospace Engineering, Nanyang Technological University, 50 Nanyang Ave, 639798, Singapore. Electronic address:

Background: The aim of this study is to compare two types of suture bridging constructs; a laterally based bridging single row (SR) construct and a classic dual row (DR) suture bridge construct. The hypothesis is that the DR construct will demonstrate superior biomechanical properties.

Methods: Six matched pairs of sheep infraspinatus tendon tears repaired with these two different types of suture bridging techniques were tested for gap formation, ultimate failure load and mode of failure. Read More

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http://dx.doi.org/10.1016/j.jos.2019.03.005DOI Listing
March 2019
2 Reads

Vertical Strabismus - Indication of Surgical Techniques on the Inferior Rectus Muscle.

Authors:
J Krásný

Cesk Slov Oftalmol 2019 ;74(4):132-139

Aid: Familiarize themselves with the operating techniques in their own modulation to solve hypotropic states with elevation or hypotropic states with depression.

Methods: Surgery technique “cul-de-sac” is a procedure with fixed adjustable sutures (non-absorbable suture), which are guided in parallel on both peaks original insertion of inferior rectus muscle. The node itself of suture is done in cutting the muscle and through the original insertion only leads arc suture. Read More

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http://dx.doi.org/10.31348/2018/1/2-4-2018DOI Listing
January 2019
1 Read

Barbed sutures versus conventional tenorrhaphy in flexor tendon repair: An ex vivo biomechanical analysis.

Arch Plast Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital, Ankara, Turkey.

Background: The management of flexor tendon injuries has evolved in recent years through industrial improvements in suture materials, refinements of repair methods, and early rehabilitation protocols. However, there is no consensus on the ideal suture material and technique. This study was conducted to compare the tensile strength, repair time, and characteristics of 4-strand cruciate, modified Kessler, and 4-strand horizontal intrafiber barbed sutures for flexor tenorrhaphy with a 12-mm suture purchase length in an animal model. Read More

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http://dx.doi.org/10.5999/aps.2018.00962DOI Listing
March 2019
1 Read

Prophylactic laparoscopic omentopexy: a new technique for peritoneal dialysis catheter placement.

Ren Fail 2019 Nov;41(1):113-117

a Department of Nephrology , The First Affiliated Hospital of KangDa College of Nanjing Medical University, The First People's Hospital of Lianyungang , Lianyungang , China.

Background: Prophylactic laparoscopic omentopexy is a safe technique to prevent catheter obstruction during peritoneal dialysis (PD). Here we described a technique through which the omentopexy was accomplished by Hem-o-loks before PD catheter insertion.

Methods: The procedures of omentopexy were described. Read More

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http://dx.doi.org/10.1080/0886022X.2019.1583580DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442096PMC
November 2019
0.775 Impact Factor

Biocomposite Suture Anchors Remain Visible Two Years After Rotator Cuff Repair.

Clin Orthop Relat Res 2019 Mar 14. Epub 2019 Mar 14.

M. Sgroi, T. Friesz, M. Schocke, H. Reichel, T. Kappe, Department for Orthopaedic Surgery, University of Ulm, RKU, Ulm, Germany.

Background: Biocomposite suture anchors containing osteoconductive materials have gained popularity in rotator cuff repairs. However, little is known about the influence of the addition of osteoconductive materials on implant resorption, bone reaction, tendon healing, and clinical outcomes scores.

Questions/purposes: (1) What percentage of suture anchors were not completely resorbed 2 years after implantation? (2) What are the diameters of the bone bed in relation to the implant? (3) Is tendon integrity correlated with bone tunnel diameter? (4) Is there an association between tunnel widening, periimplant fluid film grade, biodegradation grade, and retear with clinical outcomes scores, such as the Western Ontario Rotator Cuff Index (WORC) and the Oxford Shoulder Score (OSS)?

Methods: Thirty-six patients were enrolled from August 2012 to January 2014. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000665DOI Listing
March 2019
2 Reads

How to reduce the probability of a pollybeak deformity in primary rhinoplasty: a single-center experience.

Plast Reconstr Surg 2019 Mar 7. Epub 2019 Mar 7.

Department of Facial Plastic Surgery, Marienhospital Stuttgart, Germany.

Being a very common and highly stigmatizing deformity following primary rhinoplasty, a pollybeak deformity should be avoided during any primary rhinoplasty, especially in patients with thick nasal skin. Two surgical techniques used in our department to decrease the probability of a pollybeak in patients at risk of developing the deformity are described in this article: our modification of the supratip suture initially described by Guyuron, as well as a direct excision of excessive skin which we termed supratip excision, reserved for rare cases with massive skin excess. Additionally, a brief overview of the results of our case series of 74 patients treated with the supratip suture technique, as well as 21 patients treated with the supratip excision technique over a five-year period, is given. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005653DOI Listing

Tissue-Sparing Uvulopalatopharyngoplasty for OSA: Conservative, Compassionate and Possibly just as Effective.

Indian J Otolaryngol Head Neck Surg 2019 Mar 6;71(1):5-6. Epub 2015 Oct 6.

5Sleep Surgery Division, Department of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Stanford, CA USA.

A common surgical treatment for obstructive sleep apnea (OSA) is uvulopalatopharyngoplasty (UPPP). Unfortunately, traditional UPPP can cause a foreign body sensation, chronic discomfort and in rare cases, nasopharyngeal stenosis or velopharyngeal insufficiency. Modifications to traditional UPPP have been developed over the years to help decrease side effects, while trying to maintain or improve OSA outcomes. Read More

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http://dx.doi.org/10.1007/s12070-015-0915-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401053PMC
March 2019
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The X-Pulley Technique for Subpectoral Long Head of the Biceps Tenodesis Using All-Suture Anchors.

Arthrosc Tech 2019 Feb 28;8(2):e189-e197. Epub 2019 Jan 28.

Rowley Bristow Orthopaedic Unit, Ashford & St Peter's Hospitals National Health Service Foundation Trust, Chertsey, England.

Subpectoral long head of the biceps tenodesis is gaining popularity as a technique for treating patients with various pathologies of the tendon or its anchor to the superior labrum. It has the added advantage of addressing bicipital groove pathologies. Various techniques for performing it have been described, but none is without problems. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411516PMC
February 2019
3 Reads

Robotic bronchial sleeve lobectomy for central lung tumors: technique and outcome.

Ann Thorac Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Thoracic Surgery, the Affiliated Hospital of Qingdao University, 16 Jiangsu Road, 266003, Qingdao, China.

Background: The use of the surgical robot for standard lobectomy has widely spread worldwide. However, there have been relatively few studies of robotic bronchial sleeve lobectomy for central lung tumors.

Methods: We retrospectively evaluated 67 consecutive patients who underwent robotic brochial sleeve lobectomy, a procedure without pulmonary vessel end-to-end anastomosis, performed by a single surgeon between October 2014 and March 2018. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.02.028DOI Listing

Pullout repair using modified Mason-Allen suture induces better meniscal healing and superior clinical outcomes: A comparison between two surgical methods.

Knee 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopaedic Surgery, Okayama University Hospital, Okayama, Japan.

Background: Pullout repairs of medial meniscus posterior root tears (MMPRTs) have many surgical options. However, there has been no reliable clinical study conducted to compare the superiority of each pullout repair technique. The current study hypothesized that pullout repairs using a modified Mason-Allen suture with FasT-Fix (F-MMA) would have several advantages in postoperative clinical outcomes and meniscal healing compared with single FasT-Fix. Read More

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http://dx.doi.org/10.1016/j.knee.2019.02.007DOI Listing
March 2019
2 Reads

Treatment of Extensor Tendon Disruption After Total Knee Arthroplasty: A Systematic Review.

J Arthroplasty 2019 Feb 27. Epub 2019 Feb 27.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH.

Background: Patellar or quadriceps tendon ruptures after total knee arthroplasty constitute a devastating complication with historically poor outcomes. With advances in soft tissue reconstruction and repair techniques, treatment has become more nuanced. Numerous graft options for reconstruction and suture techniques for repair have been described but there is no consensus regarding optimal treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193020
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http://dx.doi.org/10.1016/j.arth.2019.02.046DOI Listing
February 2019
3 Reads

Open anterograde anatomic radical retropubic prostatectomy technique: description of the first fiftyfive procedures.

Int Braz J Urol 2019 Mar 20;45. Epub 2019 Mar 20.

Departamento de Urologia, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brasil.

Introduction: Robotic-assisted radical prostatectomy is the leading surgical technique and was discussed in Pasadena Consensus Panel (1). The goal of this study is to present the results of the first fifty-five patients submitted to Anterograde Anatomic Radical Retropubic Prostatectomy technique (R2PA2), without adding complexity or cost.

Materials And Methods: Fifty-five eligible men with localized prostate cancer underwent R2PA2 from January, 2016 to December, 2017. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0421DOI Listing
March 2019
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Endoscopic robotic suturing: The way forward.

Saudi J Gastroenterol 2019 Mar 20. Epub 2019 Mar 20.

Department of Medicine, National University Hospital, Singapore.

Traditionally, suturing is performed in open surgery using a needle holder and forceps. The aim is to achieve accurate approximation of both edges of the wound and to tie a secure knot. With the development of laparoscopic surgery, traditional suturing methods have been adapted to meet the constraints of rigid laparoscopic instruments with limited degrees of freedom. Read More

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http://dx.doi.org/10.4103/sjg.SJG_12_19DOI Listing
March 2019
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Optimal refinement of residents' surgical skills by training on induced goat's eye corneoscleral perforation.

Indian J Ophthalmol 2019 Apr;67(4):547-548

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Surgical skill enhancement for the residents under training can be performed through various efforts. Here in this report, the authors describe a technique of corneoscleral perforation repair on goat's eye, as the tissue resemblance and the reality of experience while performing crucial steps are similar to human eyes. Beginning from tissue handling, optimal suture placement was taught with an intention to impart quality techniques of traumatic globe injury repair. Read More

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http://dx.doi.org/10.4103/ijo.IJO_1474_18DOI Listing