51,953 results match your criteria Wound Closure Technique


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

JAMA Dermatol 2019 Jan 16. Epub 2019 Jan 16.

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

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

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

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

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

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

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

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

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

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

Dural Sandwich Technique for Hemicraniectomy and Benefits During Cranioplasty.

World Neurosurg 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurosurgery, Augusta University Medical Center, Augusta, Georgia, United States.

Object: Hemicraniectomy is a commonly performed neurosurgical procedure used in the setting of medically refractory malignant intracranial hypertension. Complications from cranioplasty following hemicraniectomy can be significant, including infection and wound issues. Difficulty with scar tissue during exposure for cranioplasty can be challenging and can lead to prolonged surgical time and increased bleeding. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.162DOI Listing
January 2019
1 Read

Scalpel versus diathermy skin incision in Caesarean section.

J Obstet Gynaecol 2019 Jan 11:1-5. Epub 2019 Jan 11.

a Obstetrics and Gynecology Department , Faculty of Medicine, Menoufia University , Mansoura, Egypt.

Surgical scalpels are traditionally used for skin incisions during a Caesarean delivery; the great evolutions in electrosurgical devices bring an alternative method for skin incision by the usage of cutting diathermy. This was a prospective randomised comparative study conducted during the period from March 2016 to February 2017 on 200 patients, 100 patients had skin incisions using the surgical scalpel, while 100 patients had skin incisions with a diathermy, in order to judge the variations in the postoperative pain, the incision time, the incision blood loss, the operative time, the wound healing and the wound complications. We observed a significant difference between the two groups regarding the incision time (p < . Read More

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http://dx.doi.org/10.1080/01443615.2018.1527298DOI Listing
January 2019
1 Read

A case report of successful treatment of necrotizing fasciitis using negative pressure wound therapy.

Medicine (Baltimore) 2019 Jan;98(2):e13283

Residência Multiprofissional em Cuidados Continuados Integrados.

Rationale: Necrotizing fasciitis is a destructive tissue infection with rapid progression and high mortality. Thus, it is necessary that high-performance dressings be introduced as possibilities of treatment.

Patient Concerns: Female patient, 44 years of age, admitted to hospital unit complaining of lesion in the gluteal region and drainage of purulent secretion in large quantity followed by necrosis. Read More

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http://dx.doi.org/10.1097/MD.0000000000013283DOI Listing
January 2019

Outcomes of transversus abdominis release in non-elective incisional hernia repair: a retrospective review of the Americas Hernia Society Quality Collaborative (AHSQC).

Hernia 2019 Jan 9. Epub 2019 Jan 9.

Comprehensive Hernia Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.

Purpose: Elective repair of large incisional hernias using posterior component separation with transversus abdominis release (TAR) has acceptable wound morbidity and long-term recurrence rates. The outcomes of using this reconstructive technique in the non-elective setting remains unknown. We aim to report 30-day outcomes of TAR in non-elective settings. Read More

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http://dx.doi.org/10.1007/s10029-019-01878-zDOI Listing
January 2019

The Vertical Contour Calcanectomy: An Alternative Surgical Technique to the Conventional Partial Calcanectomy.

J Foot Ankle Surg 2019 Jan 3. Epub 2019 Jan 3.

Senior Surgeon, Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC. Electronic address:

Heel ulcers have a significant impact on lower extremity morbidity and confer a high risk for major amputations. Although there are many conservative treatment options, once calcaneal osteomyelitis occurs or a heel ulcer becomes chronic or recalcitrant, more invasive management is required. The partial calcanectomy is a surgical solution that can address both pathologies-the ulceration and the infected bone. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.040DOI Listing
January 2019
1 Read

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

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

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

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

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

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http://dx.doi.org/10.1016/j.joms.2018.12.001DOI Listing
December 2018

Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs.

Acta Vet Scand 2019 Jan 5;61(1). Epub 2019 Jan 5.

Department of Veterinary Sciences, University of Turin, Largo P. Braccini 2-5, Grugliasco, TO, Italy.

Background: Hand-sewn intestinal anastomoses are a fundamental procedure in both open and laparoscopic intestinal surgery. Self-retaining barbed suture devices have been tested for a variety of surgical applications. With the exception of clinical reports and various experimental studies on enterotomy, little has been published so far on the use of barbed suture for end-to-end intestinal anastomoses. Read More

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http://dx.doi.org/10.1186/s13028-018-0437-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321647PMC
January 2019
1 Read

Lower Incidence of Postoperative Pain after Open Inguinal Hernia Surgery with the Usage of Synthetic Glue-Coated Mesh (Adhesix®).

Am Surg 2018 Dec;84(12):1932-1937

Chronic groin pain after inguinal hernia mesh repair is a common problem. Mesh fixation without sutures has been suggested to have several advantages over the traditional suture fixation. The aim of this study was to compare two self-adhering meshes, the glued Adhesix® (AH) and the gripping Parietene ProGrip® (PP), and evaluate their impact on postoperative chronic pain and overall recovery. Read More

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December 2018
1 Read

Free fillet lower leg flap for coverage after hemipelvectomy or hip disarticulation.

Orthop Traumatol Surg Res 2018 Dec 27. Epub 2018 Dec 27.

Département de chirurgie orthopédique 2, centre hospitalo-universitaire Tours - faculté de medecine, université de Tours, 37000 Tours, France; Inserm UN UMR 1238, PhyOs, bone sarcomas and remodeling of calcified tissues, faculté de médecine de Nantes, 44000 Nantes, France.

Introduction: Tumor resection is the gold standard treatment for soft tissue and bone sarcomas. In the pelvis, this may require a hemipelvectomy that can compromise primary skin closure. Flaps are essential in this context; however the vascularization of potential pedicled flaps may have been removed during tumor excision. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.10.018DOI Listing
December 2018

Breast Cerclage: An Innovative Expedient for Perimammary Dehiscence Healing.

J Am Coll Clin Wound Spec 2017 1;9(1-3):10-13. Epub 2018 Jun 1.

IRCCS Istituto Ortopedico Galeazzi - Università degli Studi di Milano, Plastic Surgery Department, Via Galeazzi 4, 20161 Milan, Italy.

The perimammary zone is a critical area for healing, due to high incidence of dehiscences, expecially sternal ones. Although deep sternal wound complications are nowadays less common after cardiac surgery, in some at risk patients, dehiscences still represent important complications of major cardiac or vascular surgeries and they are directly correlated to an increased risk of patient's morbidity and mortality. A heavy breast represents a source of tension on the perimammary wound, inhibiting or delaying a complete recovery. Read More

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http://dx.doi.org/10.1016/j.jccw.2018.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304288PMC

[Application of modified purse-string closure in the wound following loop stoma reversal].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Dec;21(12):1403-1407

Department of General Surgery, Beijing Chaoyang Hosptial, Capital Medical University, Beijing 100020, China.

Objective: To compare the safety and feasibility between modified circumferential purse-string closure and conventional primary linear closure of the wound following loop stoma reversal.

Methods: Clinical data of 88 consecutive patients who underwent loop colostomy or loop ileostomy closures at our hospital from July 2011 to June 2013 were retrospectively analyzed. Among them, 43 cases underwent modified purse-string technique (modified purse-string group), 45 cases underwent direct suture (direct suture group). Read More

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December 2018
6 Reads

A new laparoscopic triangle fixation technique for gastrostomy: a safe and effective procedure for reduction of the wound infection rate.

Nagoya J Med Sci 2018 Nov;80(4):497-503

Department of Pediatric surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Gastrostomy is often performed with fundoplication in handicapped children. We devised a new laparoscopic triangle fixation technique for gastrostomy. In this study, 100 patients underwent gastrostomy with fundoplication between January 2008 and January 2016. Read More

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http://dx.doi.org/10.18999/nagjms.80.4.497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295438PMC
November 2018

Surgical Site Infection after Primary Closure of High-Risk Surgical Wounds in Emergency General Surgery Laparotomy and Closed Negative-Pressure Wound Therapy.

J Am Coll Surg 2018 Dec 23. Epub 2018 Dec 23.

Department of Trauma and Acute Care Surgery, Baylor Scott & White Memorial Hospital, Temple, TX. Electronic address:

Background: We hypothesized that the universal adoption of closed wounds with negative pressure wound therapy (NPWT) in emergency general surgery patients would result in low superficial surgical infection (SSI) rates.

Study Design: We performed a retrospective observational study using primary wound closure with external NPWT, from May 2017 to May 2018. Patients with active soft tissue infection of the abdominal wall were excluded. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515183223
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http://dx.doi.org/10.1016/j.jamcollsurg.2018.12.006DOI Listing
December 2018
12 Reads

Robotic total gastrectomy with π-shaped esophagojejunostomy using a linear stapler as a novel technique.

World J Surg Oncol 2018 Dec 21;16(1):238. Epub 2018 Dec 21.

Department of Gastrointestinal Surgery, Department of General Surgery, First Affiliated Hospital of Anhui Medical University, 218 JiXi Avenue, Hefei, 230022, Anhui, China.

Objective: To evaluate the intraoperative and short-term postoperative outcomes of a novel robotic intracorporeal π-shaped esophagojejunostomy (EJS) after D2 total gastrectomy (TG) using the Da Vinci robotic surgical system for intracorporeal anastomosis after TG.

Background: Intracorporeal π-shaped EJS, using a linear stapler, was recently reported for laparoscopic total gastrectomy in patients with gastric cancer. However, robotic intracorporeal π-shaped EJS using a linear stapler has not been reported. Read More

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http://dx.doi.org/10.1186/s12957-018-1542-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303991PMC
December 2018
1 Read

Vacuum-assisted wound closure and permanent onlay mesh-mediated fascial traction: A Novel Technique for the Prevention of Incisional Hernia after Open Abdomen Therapy Including Results From a Retrospective Case Series.

Scand J Surg 2018 Dec 21:1457496918818979. Epub 2018 Dec 21.

1 Department of Clinical Sciences, Malmö, Faculty of Medicine, Lund University, Lund, Sweden.

Background And Aims:: Incisional hernia development is a frequent long-term sequel after open abdomen treatment. This report describes a novel technique, the vacuum-assisted wound closure and permanent onlay mesh-mediated fascial traction for temporary and final closure of the open abdomen, with the intention to decrease incisional hernia rates. Primary aim was to evaluate incisional hernia development and secondary aims to describe short-term complications and patient-reported outcome. Read More

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http://dx.doi.org/10.1177/1457496918818979DOI Listing
December 2018
1 Read

[Littré's strangled umbilical hernia in children: a rare complication due to a common malformation of the small bowel].

Pan Afr Med J 2018 17;30:214. Epub 2018 Jul 17.

Clinique Universitaire de Chirurgie Pédiatrique CNHU-HKM, Cotonou, Bénin.

Meckel's diverticulum is the most common congenital anomaly of the small bowel. Although it is a common anomaly in the general population, its occurrence in a hernial sac, in particular at the umbilicus, is uncommon and it is known as Littré's hernia. We here report the case of a 6-month female infant, admitted with painful irreducible umbilical swelling. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.214.14486DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294977PMC
January 2019
1 Read

Z-plasty as an alternative choice for the treatment of recurrent local sternal wound infections.

Gen Thorac Cardiovasc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Cardiovascular Surgery, Karabük Training and Research Hospital, Karabük, Turkey.

Objective: Sternal wound infections after sternotomy are associated with high morbidity, high mortality, and prolonged hospital stay. The recurrence rate of sternal wound infections after single-stage closure is greater than expected. The aim of the study is to present our results of a consecutive series of Z-plasty for the treatment of recurrent sternal wound infections. Read More

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http://link.springer.com/10.1007/s11748-018-1052-5
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http://dx.doi.org/10.1007/s11748-018-1052-5DOI Listing
December 2018
6 Reads

Negative Pressure Wound Therapy with Instillation in the Septic Open Abdomen Utilizing a Modified Negative Pressure Therapy System.

Ann Med Surg (Lond) 2018 Dec 10;36:246-251. Epub 2018 Oct 10.

Christus Trinity Mother Frances Health System, Tyler, Texas, USA.

Background: Various treatment modalities are utilized to treat the open abdomen. The use of negative pressure wound therapy(NPWT)has been a great advancement and has become the preferred modality for temporary abdominal closure technique (TAC). Programmed instillation of the abdominal cavity with saline solution in conjunction with a commercial negative pressure system showed positive results in the management of severe abdominal sepsis in patients that were treated with an open abdomen. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.10.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287374PMC
December 2018

The impact of standardized protocol implementation for surgical damage control and temporary abdominal closure after emergent laparotomy.

J Trauma Acute Care Surg 2018 Dec 18. Epub 2018 Dec 18.

University of Florida Health, Department of Surgery, Gainesville, Florida.

Background: To standardize care and promote early fascial closure among patients undergoing emergent laparotomy and temporary abdominal closure (TAC), we developed a protocol addressing patient selection, operative technique, resuscitation strategies, and critical care provisions. We hypothesized that primary fascial closure rates would increase following protocol implementation with no difference in complication rates.

Study Design: We performed a retrospective cohort analysis of 138 adult trauma and emergency general surgery patients who underwent emergent laparotomy and TAC, comparing protocol patients (n=60) to recent historic controls (n=78) that would have met protocol inclusion criteria. Read More

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http://Insights.ovid.com/crossref?an=01586154-900000000-9845
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http://dx.doi.org/10.1097/TA.0000000000002170DOI Listing
December 2018
3 Reads

Muscle-Splitting Augmentation-Mastopexy: Implant Protection With an Inferior Dermoglandular Flap.

Ann Plast Surg 2019 Feb;82(2):137-144

Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.

Simultaneous augmentation-mastopexy can achieve excellent patient and surgeon satisfaction but continues to pose a challenge, with revision rates of up to 25%. Recurrent ptosis and poor overall breast shape are 2 common reasons for reoperation, whereas some of the most feared complications is breast implant exposure, infection, and loss secondary to wound breakdown; excessively large implants or too much tension during closure are possible contributing factors. We describe a technique for augmentation-mastopexy combining a muscle-splitting pocket for implant placement along with an inferior flap, which helps secure the implant in place and provides coverage in case of wound dehiscence. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001689DOI Listing
February 2019
5 Reads
1.458 Impact Factor

The contemporary hybrid operative procedure for incapacitating post-thrombotic iliofemoral and vena caval obstruction improves procedural outcomes.

J Vasc Surg Venous Lymphat Disord 2019 Jan 24;7(1):65-73. Epub 2018 Oct 24.

Interventional Radiology, ProMedica Toledo Hospital, Toledo, Ohio.

Objective: Chronic, post-thrombotic iliofemoral and inferior vena caval obstruction is associated with debilitating morbidity. Venoplasty and stenting are often successful; however, in the presence of a diseased or occluded common femoral vein (CFV), failure is common. A hybrid operative procedure of open surgical CFV endovenectomy and endoluminal recanalization or bypass of the obstructed iliofemoral and vena caval segments has been developed and modified. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.07.012DOI Listing
January 2019

A chronic sinus tract infection developing after suture anchoring of the ankle: A case report.

Medicine (Baltimore) 2018 Dec;97(50):e13738

Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University, Nowongu.

Rationale: Suture anchors are increasingly used to fix soft tissue to bone. Favorable outcomes of the modified Brostrom operation (MBO) using suture anchors have been reported. However, to the best of our knowledge, few complications of suture anchors used in ankle surgery have been described. Read More

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http://dx.doi.org/10.1097/MD.0000000000013738DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320139PMC
December 2018
9 Reads

A Prospective Comparative Study Between Subcuticular and Sutureless Technique of Skin Closure Following External Dacryocystorhinostomy.

Ophthalmic Plast Reconstr Surg 2018 Dec 7. Epub 2018 Dec 7.

Orbit Oculoplasty Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata, India.

Purpose: To compare the cosmetic outcome of the surgical scar of external dacryocystorhinostomy by the subcuticular versus sutureless technique.

Methods: This was a prospective interventional randomized control study conducted at tertiary level hospital. Fifty patients of primary-acquired nasolacrimal duct obstruction were included in this study. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001235DOI Listing
December 2018
2 Reads

Management of Postoperative Ocular Hypotony after Tube Surgery by Stenting Using Two 5-0 Nylon Threads.

Korean J Ophthalmol 2018 Dec;32(6):523-524

Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul, Korea.

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http://dx.doi.org/10.3341/kjo.2018.0092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288013PMC
December 2018

Obstructive ileus caused by metal staples 6 years after the initial surgery: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13426

Department of Colorectal Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Complete small bowel obstruction (SBO) is a common surgical emergency often resulting from adhesive bands installed after a surgical procedure. However, SBO caused by surgical staples used in a previous operation is unusual. Herein, we report a rare case of adhesive ileus induced by surgical staples. Read More

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http://dx.doi.org/10.1097/MD.0000000000013426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310562PMC
December 2018

Kyphectomy in neonates with meningomyelocele.

Childs Nerv Syst 2018 Dec 11. Epub 2018 Dec 11.

School of Medicine, Department of Neonatology, Celal Bayar University, Manisa, Turkey.

Purpose: Kyphosis is the most severe spinal deformity associated with meningomyelocele (MMC) and is seen in approximately 15% of neonates. Our purpose is to present our clinical experience, to discuss the technique and deformity correction in kyphectomy in neonates with MMC, and to assess its long-term outcomes.

Method: In this prospective study, the authors reviewed eight cases submitted to surgery between 2013 and 2015. Read More

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http://link.springer.com/10.1007/s00381-018-4006-4
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http://dx.doi.org/10.1007/s00381-018-4006-4DOI Listing
December 2018
3 Reads

Promotion of skin wound healing using prevascularized oral mucosal cell sheet.

Head Neck 2018 Dec 7. Epub 2018 Dec 7.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: This study examined the potential use of our newly developed prevascularized oral mucosal cell sheet for the treatment of skin wounds.

Methods: Mucosal cell sheets containing cultured keratinocytes and plasma fibrin without (K sheet) or with a mixture of fibroblasts and endothelial progenitor cells (PV sheet) were transplanted into full-thickness skin excisional wounds of nude mice.

Results: This technique was successful for in vitro culture; expanding keratinocytes, fibroblasts, and endothelial progenitor cells; and generating prevascularized mucosal cell sheets. Read More

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http://dx.doi.org/10.1002/hed.25432DOI Listing
December 2018
5 Reads

Anal Fistula Laser Closure: the length of fistula is the Achilles' heel.

Tech Coloproctol 2018 Dec 8. Epub 2018 Dec 8.

Department of Surgery, ASS-5 Friuli Venezia Giulia, San Vito al Tagliamento, 33078, Italy.

Background: Laser closure is a novel sphincter-saving technique for the treatment of anal fistula. The aim of this study was to report middle term results of laser treatment without closure of the internal orifice and to identify prognostic factors to improve selection criteria and maximize healing.

Methods: A retrospective observational study was conducted on patients treated with laser for transphinteric anal fistula. Read More

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http://dx.doi.org/10.1007/s10151-018-1885-zDOI Listing
December 2018
13 Reads

New Approach to Oncoplastic Breast Conservation: Combining Autologous Volume Replacement and the Wise-pattern Mammaplasty.

Plast Reconstr Surg Glob Open 2018 Oct 16;6(10):e1987. Epub 2018 Oct 16.

Georgia Breast Surgery, Lawrenceville, Ga.

Background: Oncoplastic breast-conserving surgery describes a set of techniques that allow for generous oncological resection with immediate tumor-specific reconstruction. These techniques are classically divided into either volume displacement (local breast flaps and or reduction mammaplasty/mastopexy strategies) versus volume replacement strategies (transfer of autologous nonbreast tissue from a local or distant site and, less commonly, implant placement). There have been few descriptions of merging these 2 classical approaches to facilitate breast-conserving surgery. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001987DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250486PMC
October 2018
1 Read

Comparison of Primary Midline Closure, Limberg Flap, and Karydakis Flap Techniques in Pilonidal Sinus Surgery.

Med Sci Monit 2018 Dec 11;24:8959-8963. Epub 2018 Dec 11.

Department of General Surgery, Hitit University School of Medicine, Çorum, Turkey.

BACKGROUND Pilonidal sinus (PS) is a common disease of the sacrococcygeal-natal region. There are many treatment options, but there is still no consensus on the ideal treatment. We compared the results of our PS patients who were treated with primary midline closure (PMC), Limberg flap repair (LFR), and Karydakis flap (KF). Read More

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http://dx.doi.org/10.12659/MSM.913248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299795PMC
December 2018
1 Read

Comparing safety and efficiency of two closed-chamber techniques for iridodialysis repair - a retrospective clinical study.

BMC Ophthalmol 2018 Dec 7;18(1):311. Epub 2018 Dec 7.

Chongqing Key Laboratory of Ophthalmology and Chongqing Eye Institute, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.

Background: This study aims to compare the safety and effectiveness of two closed-chamber techniques for repairing iridodialysis.

Methods: Seventy five patients with iridodialysis undergoing surgery from February 2008 to October 2017 were included in this study. Patients were divided into two Groups, Group A (32 eyes) and Group B (35 eyes), with Group A using a 26-gauge hypodermic needle guided 10-0 nylon suture, and Group B using a double-armed polypropylene suture. Read More

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http://dx.doi.org/10.1186/s12886-018-0984-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286550PMC
December 2018
1 Read

Wound Closure and Management.

Authors:
David M Krpata

Surg Infect (Larchmt) 2018 Dec 11. Epub 2018 Dec 11.

Comprehensive Hernia Center, Digestive Disease and Surgical Institute , Cleveland Clinic, Cleveland, Ohio.

Background: The management of incisions and decisions on closure techniques for surgical wounds are driven by expected incisional morbidity and the severity of the potential morbidity for the patient.

Methods: This article reviews current literature on the potential strategies to be considered in closing the skin and fascia of incisions.

Results: The review of the literature indicates that low-risk wounds for infection should be closed primarily with subcuticular suture, and adjunctive local measures should be avoided. Read More

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http://dx.doi.org/10.1089/sur.2018.235DOI Listing
December 2018

Absorbable suture. Best aesthetic outcome in cesarian scar1.

Acta Cir Bras 2018 Nov;33(11):1027-1036

PhD, Associate Professor, Translational Surgery Post Graduate Program, Universidade Federal de São Paulo (UNIFESP), and Professional Masters in Sciences Applied to Health, UNIVÁS, Pouso Alegre-MG, Brazil. Interpretation and analysis of data, critical revision.

Purpose: To compare two suture threads, poliglecaprone 25 and nylon, used as intradermal suture for skin closure in women undergoing their first cesarean section.

Methods: This is a randomized clinical trial. A total of 60 women undergoing their first cesarean section were enrolled and prospectively assessed. Read More

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http://dx.doi.org/10.1590/s0102-865020180110000009DOI Listing
November 2018
8 Reads

Results of 4-strand modified Kessler core suture and epitendinous interlocking suture followed by modified Kleinert protocol for flexor tendon repairs in Zone 2.

Acta Orthop Traumatol Turc 2018 Sep 29;52(5):382-386. Epub 2018 Jun 29.

Emot Hospital, Kahramanlar, İzmir, Turkey.

Objective: There has been no consensus in literature for the ideal flexor tendon repair technique. The results of zone 2 flexor tendon lacerations repaired primarily by 4 strand Modified Kessler core suture and epitendinous interlocking suture technique followed by Modified Kleinert protocol were investigated.

Methods: 128 fingers of 89 patients who had flexor tendon laceration in zone 2 built the working group. Read More

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http://dx.doi.org/10.1016/j.aott.2018.06.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204440PMC
September 2018
5 Reads

Staged inset of free flaps for complex microsurgical head and neck reconstruction to ensure total flap survival.

Microsurgery 2018 Nov;38(8):844-851

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

Introduction: Microsurgical reconstruction of complex head and neck defects often requires reliable tissue in multiple spatial configurations to achieve good functional and aesthetic outcomes. In addition to robust perforators, flap inset and wound closure require great caution to minimize complications especially in the presence of trismus with limited space for inset. This report describes the technique and results of our staged approach to flap inset which increases the chance of total flap survival in complex head and neck reconstructions. Read More

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http://dx.doi.org/10.1002/micr.30370DOI Listing
November 2018

Wound Coverage of Infected Open Fracture of Distal Third of Tibia by Distally Based Medial Hemi-Soleus Muscle Flap.

Mymensingh Med J 2018 Oct;27(4):798-804

Dr Md Saiful Islam, Associate Professor, Orthopedic Surgery, Community Based Medical College Bangladesh, Mymensingh.

We conducted a study to evaluate the reliability of the medial hemi-soleus muscle flap for wound coverage of infected open fracture of distal third of tibia. Wound coverage of exposed lower third tibia and ankle region remains a difficult task. Muscle flaps are preferred for infected wounds especially where there are exposed bone, joint and/or tendons. Read More

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October 2018
1 Read

Stapleless laparoscopic left lateral sectionectomy for hepatocellular carcinoma: reappraisal of the Louisville statement by a young liver surgeon.

BMC Gastroenterol 2018 Nov 28;18(1):178. Epub 2018 Nov 28.

Department of Surgery, Linkou Chang Gung Memorial Hospital, No.5, Fuxing St, Guishan Dist, Taoyuan City, 33305, Taiwan, Republic of China.

Background: Laparoscopic liver resection has been regarded as the standard treatment for liver tumors located at the left lateral liver sector. However, few studies have reported the results of laparoscopic left lateral sectionectomy (LLS) for HCC, not to mention the feasibility of this emerging technique for the less experienced liver surgeons. The current study would reappraise the Louisville statement by examining the outcome of LLS performed by a young liver surgeon. Read More

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http://dx.doi.org/10.1186/s12876-018-0903-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264597PMC
November 2018
2.365 Impact Factor

Autologous platelet concentrates for treating periodontal infrabony defects.

Cochrane Database Syst Rev 2018 11 26;11:CD011423. Epub 2018 Nov 26.

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.

Background: Periodontal disease is a condition affecting tooth-supporting tissues (gingiva, alveolar bone, periodontal ligament, and cementum), with the potential of introducing severe adverse effects on oral health. It has a complex pathogenesis which involves the combination of specific micro-organisms and a predisposing host response. Infrabony defects are one of the morphological types of alveolar bone defects that can be observed during periodontitis. Read More

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http://doi.wiley.com/10.1002/14651858.CD011423.pub2
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http://dx.doi.org/10.1002/14651858.CD011423.pub2DOI Listing
November 2018
1 Read

Effectiveness of fascial closure technique following percutaneous endovascular aneurysm repair.

Ann R Coll Surg Engl 2019 Jan 28;101(1):14-16. Epub 2018 Nov 28.

Northwick Park Hospital , London , UK.

Introduction: Percutaneous access and closure is commonly performed for patients undergoing endovascular aneurysm repair (EVAR). It has proven to be a safe and successful method of closure associated with fewer complications when compared with the traditional open technique. Fascial closure is an alternative technique that can be used for closure reducing the risks associated with the open technique. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303821PMC
January 2019

Hip hemi-arthroplasty for neck of femur fracture: What is the current evidence?

World J Orthop 2018 Nov 18;9(11):235-244. Epub 2018 Nov 18.

Orthopaedic Department, Leeds General Infirmary, Great George St, Leeds LS1 3EX, United Kingdom.

This editorial reviews and summarises the current evidence (meta-analyses and Cochrane reviews) relating to the use of hip hemi-arthroplasty for neck of femur fractures. Regarding the optimal surgical approach, two recent meta-analyses have found that posterior approaches are associated with: higher rates of dislocation compared to lateral and anterior approaches; and higher rates of re-operation compared to lateral approaches. Posterior approaches should therefore be avoided when performing hip hemi-arthroplasty procedures. Read More

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http://www.wjgnet.com/2218-5836/full/v9/i11/235.htm
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http://dx.doi.org/10.5312/wjo.v9.i11.235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242732PMC
November 2018
8 Reads

[Anterolateral stabilization using the modified Lemaire technique for ACL deficiency].

Oper Orthop Traumatol 2018 Nov 26. Epub 2018 Nov 26.

Klinik für Unfall‑, Hand und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland.

Objective: Treatment of persistent anterolateral knee instability.

Indications: Subjective/objective (rotational) instability of the knee after anatomic anterior cruciate ligament (ACL) reconstruction. ACL re-rupture including special demands (e. Read More

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http://link.springer.com/10.1007/s00064-018-0579-z
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http://dx.doi.org/10.1007/s00064-018-0579-zDOI Listing
November 2018
8 Reads

Severe Burn Injury in a Swine Model for Clinical Dressing Assessment.

J Vis Exp 2018 Nov 6(141). Epub 2018 Nov 6.

Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center;

Wound healing is a dynamic repair process and is the most complex biological process in human life. In response to burn injury, alterations in biological pathways impair the inflammation response, resulting in delayed wound healing. Impaired wound healing frequently occurs in patients with diabetes leading to unfavorable outcomes such as amputation. Read More

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https://www.jove.com/video/57942/severe-burn-injury-in-a-swi
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http://dx.doi.org/10.3791/57942DOI Listing
November 2018
8 Reads

Wound Disruption Following Caesarean Delivery in Women With Class III Obesity: A Retrospective Observational Study.

J Obstet Gynaecol Can 2018 Nov 23. Epub 2018 Nov 23.

Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON. Electronic address:

Background: This study sought to identify risk factors associated with wound disruption following CS in women with class III obesity and to determine the value of individualized perioperative care plans in reducing its incidence.

Methods: The study included women with class III obesity who underwent CS after 24 weeks of gestation at Mount Sinai Hospital, Toronto, Ontario between 2011 and 2015 and collected data on demographics, clinical history, and perioperative details. Multivariable logistic regression analysis was performed to identify factors likely to contribute to a higher incidence of wound disruption (level of evidence II-3B). Read More

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http://dx.doi.org/10.1016/j.jogc.2018.08.018DOI Listing
November 2018
1 Read

Modification and crosslinking of gelatin-based biomaterials as tissue adhesives.

Colloids Surf B Biointerfaces 2018 Nov 16;174:316-323. Epub 2018 Nov 16.

Department of Chemical Engineering, National Taiwan University, No. 1, Sec. 4, Roosevelt Rd., Taipei 106, Taiwan.

Tissue adhesives have been developed to overcome the difficulties of conventional wound closure techniques (e.g. sutures and staples), such as the potential for collateral damage and difficulty of stopping body fluid and gas. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09277765183077
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http://dx.doi.org/10.1016/j.colsurfb.2018.10.077DOI Listing
November 2018
6 Reads

Transvaginal Suture-Based Repair.

Urol Clin North Am 2019 Feb;46(1):97-102

Department of Urology, Stanford University, 300 Pasteur Drive, Grant Building, 2nd Floor, S287, Stanford, CA 94304, USA; Department of Obstetrics & Gynecology, 300 Pasteur Drive- HG332 Stanford, CA 94305, USA. Electronic address:

An estimated 300,000 women undergo pelvic organ prolapse (POP) surgery in the United States every year at a cost of more than 1 billion dollars per year. The prevalence of POP is approximately 2.9% to 8%, and increases with age. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.004DOI Listing
February 2019
1 Read

Posterior Vaginal Wall Prolapse: Suture-Based Repair.

Urol Clin North Am 2019 Feb;46(1):79-85

Glickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Pelvic organ prolapse is common in parous women, although few report symptoms. The incidence of posterior compartment prolapse, or rectocele, is less well-reported. Posterior vaginal wall prolapse is associated with pain, constipation, and splinting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143183006
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http://dx.doi.org/10.1016/j.ucl.2018.08.007DOI Listing
February 2019
11 Reads

Surgery for Anterior Compartment Prolapse Synthetic Graft-Augmented Repair.

Urol Clin North Am 2019 Feb;46(1):71-78

Department of Obstetrics and Gynecology, Soroka University Medical Center, Rager Boulevard, PO Box 151, Beer Sheva 85025, Israel; Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. Electronic address:

Pelvic organ prolapse is a common and bothersome problem that affects women's work, traveling, physical exercise, sleep, and sexual function. Synthetic implants show superiority in reducing recurrence of pelvic organ prolapse. However, inserting foreign materials carries an increased risk of complications. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.009DOI Listing
February 2019
7 Reads

Surgery for Anterior Compartment Vaginal Prolapse: Suture-Based Repair.

Urol Clin North Am 2019 Feb;46(1):61-70

Female Pelvic Medicine and Reconstructive Surgery, Section of Urology, Virginia Mason Medical Center, 1100 9th Avenue, C7-URO, Seattle, WA 98101, USA. Electronic address:

Native tissue anterior compartment prolapse repair remains an important surgical procedure for pelvic prolapse. Native tissue repair has been well-studied and is successful in relieving vaginal bulge symptoms and reducing prolapse within the vagina. Native tissue cystocele repair has been performed safely since the advent to modern vaginal surgery for prolapse. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.008DOI Listing
February 2019
8 Reads