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AORN J 2022 Jul;116(1):71-77

Surgical hand antisepsis recommendations Key words: surgical hand scrub, alcohol-based hand rub, dry scrub, wet scrub, antimicrobial. Surgical hand rub preparation Key words: surgical hand antiseptic, hand wash, nail pick, hand hygiene, scrub personnel. Use of a closing tray Key words: clean-contaminated, isolation technique, gastrointestinal tract, wound class, wound closure. Read More

BMC Oral Health 2022 Jun 26;22(1):256. Epub 2022 Jun 26.

Service de Chirurgie Orale, Department of Oral Surgery, CHU Nîmes, CHRU de Nîmes - Hôpital Universitaire Carémeau, University of Montpellier, Place du Professeur Debré, 30029, Nîmes Cedex 9, France.

Background: Although wisdom-tooth extraction is a routine intervention, the postoperative period remains marked by local inflammation classically manifesting as pain, edema and trismus. Furthermore, there is no consensus on the best operative techniques, particularly for the mucosal closure stage on impacted mandibular wisdom teeth.

Methods: This parallel, randomized, non-blinded study compared pain following removal of impacted third molars, with and without sutures. Read More

Int Ophthalmol Clin 2022 Jul 22;62(3):93-102. Epub 2022 Jun 22.

J Orthop Surg Res 2022 Jun 25;17(1):327. Epub 2022 Jun 25.

Department of Orthopaedics, People's Liberation Army Joint Logistic Support Force 920Th Hospital, No. 212 Daguan Road, Xi Shan District, Kunming, 650032, Yunnan, China.

Background: Avulsion fracture of the tibial intercondylar eminence is a rare injury, which mainly occurs in adolescents aged 8-14 years and in those with immature bones. The current commonly used surgery may result in severe surgical trauma, affecting knee joint function and accompanied by serious complications. In this study, we described an all-inside and all-epiphyseal arthroscopic suture fixation technique for a patient to treat tibial intercondylar eminence fracture. Read More

Zhongguo Gu Shang 2022 Jun;35(6):555-9

Senior Department of Orthopaedics, the Forth Medical Center of People's Liberation Army General Hospital, Beijing 100037, China.

Objective: To evaluate clinical efficacy of single-tunnel double-line technique with tendoscopy in treating tibial intercondylar eminence fractures.

Methods: From January 2016 to April 2020, 22 patients with tibial intercondylar eminence fractures were admitted, including 14 males and 8 females with a mean age of (34.8±5. Read More

Zhongguo Gu Shang 2022 Jun;35(6):506-11

Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China.

Objective: To compare difference in clnical efficacy between arthroscopic double posterior internal approach and incisional surgery for acute simple posterior cruciate ligament tibial avulsion fractures.

Methods: Totally 52 patients with acute simple posterior cruciate ligament tibial avulsion fractures treated from June 2016 to June 2020 were retrospectively analyzed and divided into two groups according to different surgical protocols, 27 patients in arthroscopic group were treated with arthroscopic double posterior internal approach, including 16 males and 11 females, aged from 19 to 52 years old, with an average age of (34.9±9. Read More

Orthop Clin North Am 2022 Jul 27;53(3):297-310. Epub 2022 May 27.

Department of Orthopedic Surgery, Medical College of Georgia at Augusta University, 1120 15th St., BA 3300, Augusta, GA 30912, USA. Electronic address: https://twitter.com/janadavisMD.

Soft tissue reconstructive techniques are powerful tools for the orthopedic surgeon caring for lower extremity trauma. This article seeks to inform orthopedic surgeons about useful techniques for skin closure, secondary wound closure techniques, and rotational flaps of the lower leg. Split thickness skin grafting, piecrusting, and the use of negative pressure wound therapy for skin closure, as well as rotational gastrocnemius, soleus, and reverse sural artery flaps are discussed with emphasis on techniques for the nonvascular and nonmicrovascular orthopedic surgeon. Read More

Orthop Clin North Am 2022 Jul;53(3):267-276

Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.

In the multiply operated on knee replacement, no one soft tissue procedure is vastly superior to another. The most extensive literature available is in relation to muscle flaps, which will continue to be the workhorse technique for orthopedic and plastic reconstructive surgeons for the foreseeable future. Closed incision negative pressure wound therapy may prove to be a superior method in time but further large-scale studies are required to expand our understanding of this technique. Read More

Middle East Afr J Ophthalmol 2021 Oct-Dec;28(4):208-210. Epub 2022 Apr 30.

Department of Ophthalmology, Dr. Somervell Memorial CSI Medical College, Thiruvananthapuram, Kerala, India.

Purpose: Conjunctivolimbal autograft is proposed to be the best treatment for pterygium and autograft can be fixed either with sutures or without. This study was undertaken to assess and compare the efficacy of sutureless versus suture techniques for conjunctivolimbal autografting in primary pterygium.

Methods: A prospective observational study was conducted in the department of ophthalmology in a tertiary care center from March 2018 to September 2019. Read More

Burns 2022 May 13. Epub 2022 May 13.

Burn Centre, Red Cross Hospital, Vondellaan 13, Beverwijk 1942 LE, the Netherlands; Department of Pediatric Surgery, Amsterdam UMC, AMC, Meibergdreef 9, Amsterdam 1105 AZ, the Netherlands; Department Surgery, Red Cross Hospital, Vondellaan 13, Beverwijk 1942 LE, the Netherlands. Electronic address:

Introduction: Autologous split thickness skin grafting is the standard-of-care for the majority of deep dermal and full thickness burns: Meshed grafting is most commonly used. Patients with extensive burn injuries have limited donor site availability. Meek micrografting is a well-known technique to enable larger expansions. Read More

J Plast Reconstr Aesthet Surg 2022 May 2. Epub 2022 May 2.

Section of Plastic and Reconstructive Surgery, University of Chicago Medicine; Chicago, IL, USA. Electronic address:

Background: The use of progressive tension sutures (PTSs) for drain-free abdominoplasty closure has been well published in the esthetic literature and found to be effective at reducing abdominal drainage without a worse complication profile. This research aims to evaluate the outcomes of incorporating PTS into donor-site closures for abdominal-based breast reconstruction.

Methods: A retrospective chart review was performed evaluating patients at the University of Chicago Medicine, who underwent autologous breast reconstruction and either PTS closure or standard abdominal closure between 2018 and 2021. Read More

Trials 2022 Jun 18;23(1):507. Epub 2022 Jun 18.

Department of Orthopedic Surgery, University Hospital of Copenhagen, Rigshospitalet, Inge Lehmanns Vej 6, 2100, Copenhagen, Denmark.

Background: Sarcomas are a heterogeneous group of rare malignant tumors of mesenchymal origin in the musculoskeletal system. The main treatment is surgery often supplemented with pre-or postoperative radiotherapy. A retrospective study by Bedi et al. Read More

BMC Womens Health 2022 06 18;22(1):243. Epub 2022 Jun 18.

Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, 20 Chazhong Road, Fujian, 350004, Fuzhou, People's Republic of China.

Background: The purpose of this study was to compare the outcomes of vacuum sealing drainage (VSD) and conventional incision and drainage (I&D) for treating acute suppurative mastitis.

Methods: Hospital medical records were searched for patients 20-50 years of age who were diagnosed with acute suppurative mastitis from January 2014 to December 2018, and treated with traditional I&D or VSD. Patients were divided into those treated with VSD and I&D, and outcomes including pain, healing time, length of hospital stay, and length of antibiotic course were compared between the groups. Read More

Int Wound J 2022 Jun 17. Epub 2022 Jun 17.

Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Continuous sutures and interrupted sutures have been widely applied to skin closure after non-obstetric surgery or traumatic wounds. Usually, continuous sutures were divided into transdermal or subcuticular sutures according to whether the stitches were placed through or below the epidermal layer. Interrupted sutures, on the other hand, involved penetration of the loose connective tissue beneath the skin layers, with stitches placed through the external skin layer. Read More

Br J Surg 2022 Jun 16. Epub 2022 Jun 16.

Ludwig-Maximilians-Universität (LMU) Munich, LMU University Hospital, Department of General, Visceral and Transplantation Surgery, Munich, Germany.

Background: Incisional hernia remains a frequent problem after midline laparotomy. This study compared a short stitch to standard loop closure using an ultra-long-term absorbent elastic suture material.

Methods: A prospective, multicentre, parallel-group, double-blind, randomized, controlled superiority trial was designed for the elective setting. Read More

Semin Plast Surg 2022 Feb 31;36(1):26-32. Epub 2021 Dec 31.

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

The unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage for the mobile elements of the cheek and the lip in patients with multiple co-morbidities. These agents are successfully used where the standard cheek closure techniques including cervicofacial advancement flap are contraindicated due to its anesthetic requirement. Read More

Semin Plast Surg 2022 Feb 9;36(1):17-25. Epub 2022 Mar 9.

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Oncologic reconstruction of the nose and scalp following Mohs micrographic surgery poses a significant challenge for plastic surgeons. While these defects are traditionally reconstructed using primary closure techniques, skin grafts, local flaps, pedicled flaps, and free tissue transfer, the incorporation of biologic healing wound agents such as Integra and Cytal provides patients and surgeons with alterative reconstructive options without additional donor site morbidity. Herein, we review the use of biologic agents used in soft tissue reconstruction of the nose and scalp following Mohs surgery. Read More

J Orthop Surg Res 2022 Jun 15;17(1):317. Epub 2022 Jun 15.

Department of Orthopedics, The First Hospital of China Medical University, 155 Nanjing North Street, Shenyang, 110000, China.

Purpose: To evaluate the effectiveness of combining a customized mold with frozen conventional clamps against other freezing and non-freezing methods.

Methods: Forty-five porcine and 45 chicken tendons were evenly divided into five groups (n = 9 + 9/group): control group, non-freezing with gauze placed between tendon and clamp (gauze), non-freezing with suture fixation at tendon ends (suture), freezing with dry ice pocket placed at the clamps (pocket), and freezing using a templated liquid nitrogen clamp with a customized mold (mold). Tension tests were used to measure failure modes and loads. Read More

Health Sci Rep 2022 Jul 8;5(4):e667. Epub 2022 Jun 8.

Department of Surgery Sarah Bush Lincoln Health Center Mattoon Illinois USA.

There are several stitch techniques used for surgical wound closing. Each stitch has its own benefits and drawbacks that a surgeon must balance before use. In this paper, we highlight some of the more common techniques utilized in operative wound closure and briefly discuss benefits and caveats one must be aware of before using. Read More

SICOT J 2022 14;8:23. Epub 2022 Jun 14.

Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Lyon University Hospital, 103 Grande Rue de la Croix Rousse, 69004 Lyon, France - Univ Lyon, Claude Bernard Lyon 1 University, IFSTTAR, LBMC UMR_T9406, 69622 Lyon, France.

Introduction: Patella instability post total knee arthroplasty (TKA) is a rare complication. Tibial tubercle osteotomy (TTO) with medial patellofemoral ligament reconstruction (MPFLr) has not been well described for this indication. This paper describes a surgical technique to address the unique challenges faced when performing TTO and MPFLr in the prosthetic knee. Read More

J Cardiothorac Surg 2022 Jun 13;17(1):153. Epub 2022 Jun 13.

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou City, 450052, Henan Province, China.

Objective: To evaluate the clinical results of the vacuum sealing drainage (VSD) combined with a naso-intestinal nutritional tube (NIT) and a gastric decompression tube (GDT) for the treatment of esophagogastrostomy neck fistula (ENF).

Methods: From January 2018 to October 2020, twenty patients (13 men and 7 women, ages 46-72) with ENF secondary to esophagogastrostomy were treated with VSD combined with NIT and GDT. Technical and clinical success rates, the incidence of early/late complications, the time of fistula closure (TFC) and therapy-related indicators were analyzed. Read More

Surg Endosc 2022 Jun 13. Epub 2022 Jun 13.

Department of Anesthesiology, Hsinchu MacKay Memorial Hospital, No.690, Sec. 2, Guangfu Road, Hsinchu City, Taiwan.

Background: We developed laparoscopic transfistulous bile duct exploration (LTBDE) for Mirizzi syndrome (MS) McSherry type II in September 2011. Then, single-incision LTBDE (SILTBDE) was adopted as a preferred technique since August 2013. This retrospective study aims to analyze the outcome of LTBDE in 7. Read More

JBJS Essent Surg Tech 2022 Jan-Mar;12(1). Epub 2022 Mar 3.

Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, United Kingdom.

Posterior-wall acetabular fractures have been reported to be associated with marginal impaction characteristics in approximately 16% to 38% of cases. Early recognition of this special entity of joint impaction is essential for effective preoperative planning, intraoperative execution, and favorable outcomes. The 2-level reconstruction technique is safe and effective in experienced hands. Read More

J Surg Oncol 2022 Jul;126(1):161-167

Department of Surgery, Hospital Estadual Mario Covas, Santo André, Sao Paulo, Brazil.

This review aims to evaluate the surgical outcomes of hand-sewn esophageal anastomosis compared to mechanical anastomosis to reconstruct total gastrectomy. A systematic review and meta-analysis of comparative studies evaluating hand-sewn and stapled anastomosis were performed. A total of 12 studies were selected, comprising 1761 individuals. Read More

BJU Int 2022 Jun 10. Epub 2022 Jun 10.

British Urology Researchers in Surgical Training (BURST) Collaborative.

Objectives: To produce a best practice consensus guideline for the conduct of scrotal exploration for suspected testicular torsion using formal consensus methodology.

Materials And Methods: A panel of 16 expert urologists, representing adult, paediatric, general, and andrological urology used the RAND/UCLA Appropriateness Consensus Methodology to score a 184 statement pre-meeting questionnaire on the conduct of scrotal exploration for suspected testicular torsion. The collated responses were presented at a face-to-face online meeting and each item was rescored anonymously after a group discussion, facilitated by an independent chair with expertise in consensus methodology. Read More

Eur J Surg Oncol 2022 May 25. Epub 2022 May 25.

Oncoplastic Breast Surgeon at "L'Institut Du Sein-The Paris Breast Centre", Paris, France.

Background: Lateral dog ear after mastectomy in overweight or large breasted patients is a source for patient discomfort and is aesthetically unpleasing. Although many different techniques have been proposed, none of them have emerged as standard. In 2012, the authors published their mastectomy technique based on an inverted L-scar incision and closure with a lateral skin flap advanced supero-medially onto the chest wall. Read More

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):178-186. Epub 2022 Jun 10.

Katholisches Kinderkrankenhaus Wilhelmstift gGmbH Handchirurgie.

With the same clinical picture, different pathological changes must be expected in congenital malformations of the hand. Therefore, knowledge of these pathologies is crucial for planning the surgical approach. The approaches to common malformations are dealt with as examples. Read More

J Coll Physicians Surg Pak 2022 Jun;32(6):811-813

Department of Medical Nutrition, Nanjing Lishui District People's Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China.

This case sought to manage a duodenal fistula patient who underwent an open abdomen with vacuum-assisted temporary abdominal closure (VAC) by evaluating his tolerance to early enteral nutrition therapy (ENT). A review of the patient suggested that he developed an abdominal infection as a result of a high duodenal fistula, which necessitated an open abdomen and VAC. Prior to the initiation of ENT, the patient had a patient-generated subjective global assessment (PG-SGA) score of 8 (1st day) suggesting the need for nutritional intervention. Read More

Colorectal Dis 2022 Jun 9. Epub 2022 Jun 9.

Sechenov University.

Surgical treatment for recurrence of pilonidal sinus disease is the gold standard. There are a lot of surgical techniques proposed for recurrence, for example Limberg flap, V-Y plasty flap or Z plasty. They take into consideration many features: deficiency of soft tissue, lack of tissue tension etc. Read More

Braz J Cardiovasc Surg 2022 Jun 8. Epub 2022 Jun 8.

Department of Cardiovascular Surgery, Afyonkarahisar Health Sciences University Hospital, Afyonkarahisar, Turkey.

Introduction: The aim of our study was to compare the primary closure (PRC) and patch angioplasty closure (PAC) of carotid artery following carotid endarterectomy (CEA).

Methods: Data of patients who underwent CEA in the period from January 2005 to June 2020 were reviewed through files. Demographic characteristics, information about the operation, and postoperative follow-up outcomes of the patients were compared. Read More