1,784 results match your criteria additional sutures


Toe-First Technique for End to Side Microvascular Anastomosis - A Technical Note.

World Neurosurg 2021 Jul 26. Epub 2021 Jul 26.

Professor, Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India. Electronic address:

Introduction: The use of the classic two-ends anchoring technique is common in end-to side (ES) microvascular anastomosis. The literature on the Toe-first (TF) technique is limited. In the current study we present the successful outcomes with the TF technique in ES anastomoses in rat femoral vessels model. Read More

View Article and Full-Text PDF

Single-arm, open-label, multicentre first in human study to valuate the safety and performae of dur sealant patch in reducing CF leakag following elective cranial surgery: the ENCASE trial.

BMJ Open 2021 Jul 28;11(7):e049098. Epub 2021 Jul 28.

Department of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.

Objective: The dural sealant patch (DSP) is designed for watertight dural closure after cranial surgery. The goal of this study is to assess, for the first time, safety and performance of the DSP as a means of reducing cerebrospinal fluid (CSF) leakage in patients undergoing elective cranial intradural surgery with a dural closure procedure.

Design: First in human, open-label, single-arm, multicentre study with 360-day (12 months) follow-up. Read More

View Article and Full-Text PDF

Augmented Medial Rectus Recession with Non-Absorbable Suture Loops is Effective in the Treatment of Convergence Excess Esotropia.

Semin Ophthalmol 2021 Jul 27:1-5. Epub 2021 Jul 27.

Haydarpasa Numune Research and Training Hospital, Caaddebostan, İstanbul- Turkey.

Aim: To evaluate the surgical outcomes of augmented medial rectus recession with non-absorbable 5.0 white braided polyester suture (Alcon Laboratories, Forth Worth, Texas, USA) loops in patients diagnosed with convergence excess esotropia. Methods: Clinical records of 21 patients with convergence excess esotropia who have been operated with symmetric medial rectus recessions augmented with non-absorbable suture loops were reviewed. Read More

View Article and Full-Text PDF

Mutually improved endoscopic image synthesis and landmark detection in unpaired image-to-image translation.

IEEE J Biomed Health Inform 2021 Jul 26;PP. Epub 2021 Jul 26.

The CycleGAN framework allows for unsupervised image-to-image translation of unpaired data. In a scenario of surgical training on a physical surgical simulator, this method can be used to transform endoscopic images of phantoms into images which more closely resemble the intra-operative appearance of the same surgical target structure. This can be viewed as a novel augmented reality approach, which we coined Hyperrealism in previous work. Read More

View Article and Full-Text PDF

Reversal of thoracic sympathectomy through robot-assisted microsurgical sympathetic trunk reconstruction with sural nerve graft and additional end-to-side coaptation of the intercostal nerves: A case report.

Microsurgery 2021 Jul 22. Epub 2021 Jul 22.

Division of Thoracic Surgery, Chang Gung Memorial Hospital-Linkou, Chang Gung University, Taoyuan, Taiwan.

Thoracic sympathectomy to treat palmar hyperhidrosis (PH) has widely been performed. Many patients regret the surgery due to compensatory hyperhidrosis (CH), gustatory hyperhidrosis, arrhythmia, hypertension, gastrointestinal disturbances, and emotional distress. Robotic applications in microsurgery are very limited. Read More

View Article and Full-Text PDF

[Prevention of colorectal anastomotic leakage using its reinforcement (results of the randomized study)].

Khirurgiia (Mosk) 2021 (7):18-23

Ryzhikh National Medical Research Center of Coloproctology, Moscow, Russia.

Objective: To reduce the incidence of postoperative complications via reinforcement of colorectal anastomosis.

Material And Methods: A randomized prospective study included 115 patients. In the main group (=60), anterior resections were followed by reinforcement of colorectal anastomosis via suturing the muscular and serous layers at 2, 4, 6, 8, 10, 12 o'clock. Read More

View Article and Full-Text PDF

Intracorporeal Esophagojejunostomy during Reduced-port Totally Robotic Gastrectomy for Proximal Gastric Cancer: a Novel Application of the Single-Site Plus 2-port System.

J Gastric Cancer 2021 Jun 23;21(2):132-141. Epub 2021 Jun 23.

Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Purpose: Intracorporeal esophagojejunostomy during reduced-port gastrectomy for proximal gastric cancer is a technically challenging technique. No study has yet reported a robotic technique for anastomosis. Therefore, to address this gap, we describe our reduced-port technique and the short-term outcomes of intracorporeal esophagojejunostomy. Read More

View Article and Full-Text PDF

Primary Grynfeltt's hernia combined with intermuscular lipoma: A case report.

Authors:
Tae Gil Heo

Int J Surg Case Rep 2021 Jul 30;84:106163. Epub 2021 Jun 30.

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Gyeonggido, Republic of Korea. Electronic address:

Introduction: Grynfeltt's hernia (superior lumbar hernia) is a rare posterolateral abdominal wall defect and is often misdiagnosed as an abdominal wall lipoma. I recently experienced a case of primary Grynfeltt's hernia combined with intermuscular lipoma that was managed surgically.

Presentation Of Case: A 79-year-old man presented with a left flank mass. Read More

View Article and Full-Text PDF

Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss.

J Ophthalmol 2021 17;2021:6691904. Epub 2021 Jun 17.

Department of Ophthalmology, Rabin Medical Center, Petach Tikva, Israel.

Purpose: The purpose of this study is to find prognostic factors associated with low visual acuity in patients experiencing vitreous loss during cataract surgery.

Methods: A retrospective, noncomparative, interventional, case study of patients experiencing vitreous loss during cataract surgery. Data collected included demographics, best corrected visual acuity (BCVA), axial length (AL), presence of ocular comorbidity affecting central vision, timing of intraocular lens (IOL) implantation, position of the implanted lens, and the presence of corneal sutures. Read More

View Article and Full-Text PDF

Bilateral intracorporeally sutured inguinal herniorrhaphy using 3-dimensional laparoscopy in a dog.

Can Vet J 2021 Jun;62(6):572-576

Department of Surgical and Radiological Sciences at the University of California-Davis, School of Veterinary Medicine, 1 Garrod Drive, Davis, California 95616, USA.

A 7-month-old, intact male, mixed breed dog with bilateral inguinal hernias underwent general anesthesia for laparoscopic bilateral inguinal herniorrhaphy a 3-port approach. A 3-dimensional laparoscopic system was used to perform the procedure immediately following prescrotal open castration. Intracorporeal suturing with polypropylene was performed, and 2 cruciate sutures were placed to close each inguinal ring. Read More

View Article and Full-Text PDF

Bioactivity of Chitosan-Based Particles Loaded with Plant-Derived Extracts for Biomedical Applications: Emphasis on Antimicrobial Fiber-Based Systems.

Mar Drugs 2021 Jun 23;19(7). Epub 2021 Jun 23.

Centre for Textile Science and Technology (2C2T), University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal.

Marine-derived chitosan (CS) is a cationic polysaccharide widely studied for its bioactivity, which is mostly attached to its primary amine groups. CS is able to neutralize reactive oxygen species (ROS) from the microenvironments in which it is integrated, consequently reducing cell-induced oxidative stress. It also acts as a bacterial peripheral layer hindering nutrient intake and interacting with negatively charged outer cellular components, which lead to an increase in the cell permeability or to its lysis. Read More

View Article and Full-Text PDF

Mechanical strength and hydrostatic testing of VIVO adhesive in sutureless microsurgical anastomoses: an ex vivo study.

Sci Rep 2021 Jun 30;11(1):13598. Epub 2021 Jun 30.

Department of Oral and Maxillofacial Surgery, University Hospital of RWTH Aachen, Pauwelsstraße 13, 52074, Aachen, Germany.

Conventional anastomoses with interrupted sutures are challenging and inevitably associated with trauma to the vessel walls. The goal of this study was to evaluate a novel alternative adhesive-based suture-free anastomosis technique that uses an intraluminal stent. Overall, 120 porcine coronary vessels were analyzed in an ex vivo model and were examined for their mechanical (n = 20 per cohort) and hydrostatic strength (n = 20 per cohort). Read More

View Article and Full-Text PDF

Preoperative imaging patterns and intracranial findings in single-suture craniosynostosis: a study from the Synostosis Research Group.

J Neurosurg Pediatr 2021 Jun 25:1-7. Epub 2021 Jun 25.

1Department of Neurosurgery, and.

Objective: The diagnosis of single-suture craniosynostosis can be made by physical examination, but the use of confirmatory imaging is common practice. The authors sought to investigate preoperative imaging use and to describe intracranial findings in children with single-suture synostosis from a large, prospective multicenter cohort.

Methods: In this study from the Synostosis Research Group, the study population included children with clinically diagnosed single-suture synostosis between March 1, 2017, and October 31, 2020, at 5 institutions. Read More

View Article and Full-Text PDF

SUMMER Trial: mesh versus suture repair in small umbilical hernias in adults-a study protocol for a prospective randomized double-blind multicenter clinical trial.

Trials 2021 Jun 22;22(1):411. Epub 2021 Jun 22.

Department of Surgery, Södertälje Hospital, Södertälje, Sweden.

Background: Small umbilical hernia repair is one of the most common surgical performances in general surgery. Yet, a gold standard procedure for the repair is still lacking today. There is an increasing evidence that mesh could be advantageous compared to suture repair in lowering recurrence rates. Read More

View Article and Full-Text PDF

A comparison of modified laparoscopic uterine suspension and vaginal hysterectomy with sacrospinous ligament fixation for treating pelvic organ prolapse.

Am J Transl Res 2021 15;13(5):5672-5678. Epub 2021 May 15.

Department of Gynaecology, The International Peace Maternal and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai, China.

Objectives: To compare the efficacy and adverse events between modified laparoscopic uterine suspension and vaginal hysterectomy and sacrospinous ligament fixation.

Methods: The study reviewed the clinical data of 50 postmenopausal patients who underwent modified laparoscopic uterine suspension (the hysteropexy group) and 50 patients who underwent vaginal hysterectomy with sacrospinous ligament fixation (the hysterectomy group) conducted by the same group of surgeons (2018.1-2019. Read More

View Article and Full-Text PDF

An Axin2 mutation and perinatal risk factors contribute to sagittal craniosynostosis: evidence from a Chinese female monochorionic diamniotic twin family.

Hereditas 2021 Jun 16;158(1):20. Epub 2021 Jun 16.

State Key Laboratory of Reproductive Medicine, Institute of Toxicology, Nanjing Medical University, Nanjing, 211166, China.

Background: Craniosynostosis, defined as premature fusion of one or more cranial sutures, affects approximately 1 in every 2000-2500 live births. Sagittal craniosynostosis (CS), the most prevalent form of isolated craniosynostosis, is caused by interplay between genetic and perinatal environmental insults. However, the underlying details remain largely unknown. Read More

View Article and Full-Text PDF

Evaluation of barbed suture for celiorrhaphy and subcutaneous closure in bitches with pyometra submitted to ovariohysterectomy.

Acta Cir Bras 2021 14;36(5):e360502. Epub 2021 Jun 14.

Resident. School of Veterinary Medicine - Universidade Federal de Mato Grosso - Cuiaba (MT), Brazil.

Purpose: To evaluate the use of barbed sutures over the surgical time, the leukogram, the tissue thickness in which the sutures were employed (ultrasonography), the costs, and the possible complications in bitches with pyometra submitted to ovariohysterectomy (OH).

Methods: Convectional 2.0 polyglyconate suture was used in the control group (CG n = 10) and 2. Read More

View Article and Full-Text PDF

Patellar Bone-Grafting for Severe Patellar Bone Loss During Revision Total Knee Arthroplasty.

JBJS Essent Surg Tech 2020 Jul-Sep;10(3). Epub 2020 Sep 18.

Mayo Clinic, Rochester, Minnesota.

Background: Treatment of severe patellar bone loss during revision total knee arthroplasty (TKA) is difficult. Patellar bone-grafting is a simple procedure that can improve patient outcomes following revision TKA.

Description: The patient is prepared and draped in the usual sterile fashion. Read More

View Article and Full-Text PDF
September 2020

Complete sagittal suture closure evaluation based on post mortem computed tomography.

Leg Med (Tokyo) 2021 Sep 16;52:101907. Epub 2021 May 16.

Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland. Electronic address:

Age assessment at the time of death is of great importance when an unidentified skeleton or corpse is found. Obliteration of cranial sutures has been used for age assessment regarding anthropology as non - metrical method of direct bone inspection. The aim of our study was to assess sagittal suture closure in the contemporary population of Polish men using postmortem computed tomography. Read More

View Article and Full-Text PDF
September 2021

Clinical Outcomes of Low-Cost, Anchorless Repair of the Triceps Tendon Using a Proximal Knot Technique.

Arthrosc Sports Med Rehabil 2021 Apr 2;3(2):e535-e541. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Newton-Wellesley Hospital, Newton, Massachusetts, U.S.A.

Purpose: To use validated outcome measures to evaluate the clinical results of surgical repair of distal triceps tendon ruptures using transosseous tunnels and high-strength sutures with proximally based knots.

Methods: A consecutive series of traumatic distal triceps tendon ruptures at a single institution was studied. All cases were surgically repaired by 1 surgeon using high-strength suture with a bone tunnel-based repair technique. Read More

View Article and Full-Text PDF

Life history, systematics and flight ability of the Early Permian stem-mayflies in the genus Misthodotes Sellards, 1909 (Insecta, Ephemerida, Permoplectoptera).

BMC Ecol Evol 2021 05 24;21(1):97. Epub 2021 May 24.

Department of Zoology, Faculty of Science, Charles University, Viničná 7, Praha 2, CZ, 128 00, Czech Republic.

Background: The stem-group of Ephemeroptera is phylogenetically important for understanding key steps in evolutionary history of early pterygote insects. However, these taxa have been mostly studied from the taxonomy point of view focused on the pattern of wing venation and often using only classical optical microscopy devices. In-depth studies on detailed morphology of the different body structures are scarcely performed, although the results are critical for elucidation of life history traits and their evolutionary pattern among the basal pterygotes. Read More

View Article and Full-Text PDF

The Spiral Trial: A multicenter, randomized, controlled trial of Spiral thread sutures versus conventional thread sutures to prevent thinning of uterine scars following elective cesarean section.

Contemp Clin Trials 2021 May 20;107:106449. Epub 2021 May 20.

Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan.

Background: The aim of this randomized controlled trial (RCT) is to investigate whether Spiral-thread sutures are superior to conventional sutures (0-Vicryl) for preventing uterine scar thinning following elective cesarean section.

Methods: This multicenter, parallel-group RCT will be conducted in four hospitals across three medical regions in Japan to assess 200 women (≥20 years old) with singleton pregnancies who are scheduled to undergo cesarean sections. Eligible women will be randomly assigned (1:1 ratio) to receive either the conventional uterine suture continuous absorption thread, which is most commonly used in Japan, or the Spiral thread. Read More

View Article and Full-Text PDF

Frenuloplasty: from alpha to omega.

Int J Impot Res 2021 May 18. Epub 2021 May 18.

Department of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany.

Frenuloplasty is a common surgical procedure performed on an outpatient basis either for the treatment of frenulum breve alone or as an additional intervention in patients undergoing circumcision. We aimed to provide tips and tricks on performing frenuloplasty, either alone or in combination with circumcision, and to generate a comprehensive review of the available literature on the matter. We suggest that the frenulum should be divided with a scalpel without the use of diathermy and reapproximated with interrupted 4-0 absorbable sutures. Read More

View Article and Full-Text PDF

Impact of Pre- and Intraoperative Factors on Endothelial Cell Density in the Early and Late Stage after Penetrating Keratoplasty.

Klin Monbl Augenheilkd 2021 May 17. Epub 2021 May 17.

Dr. Rolf M. Schwiete Zentrum für Limbusstammzellforschung und kongenitale Aniridie, Universität des Saarlandes, Homburg/Saar, Deutschland.

Aim: This retrospective investigated the impact of donor age, recipient age, donor endothelial cell density, vis-à-tergo, and additional intraoperative lens exchange (triple-procedure) on overall early and late phase postoperative endothelial cell density (ECD) following penetrating keratoplasty (PKP) in various diagnosis groups.

Patients And Methods: In 590 cases with diagnosed keratoconus (KC), Fuchs dystrophy (FD) and herpes simplex virus infection (HSV) who underwent PKP or triple surgery, the ECD in cells/mm was analysed, both preoperatively, with all-sutures-in (early postoperative stage), and after last suture removal. The factors were tested by Mann-Whitney U-test, correlation analysis and linear regression analysis. Read More

View Article and Full-Text PDF

Pilot Randomized Controlled Trial of Virtual Reality vs. Standard-of-Care During Pediatric Laceration Repair.

J Child Adolesc Trauma 2021 Jun 26;14(2):295-298. Epub 2021 Mar 26.

Emergency Medicine, Peace Arch Hospital, White Rock, Canada.

Virtual reality (VR) is an emerging immersive technology with initial documentation of reduction in anxiety and pain when used by children in the hospital setting. The objective of this study was to compare VR to standard of care (SOC) in a pediatric Emergency Department (ED) for pain management and anxiety among children needing a laceration repair procedure. We conducted a prospective randomized controlled trial in a tertiary pediatric ED (NCT03681717) with children 6-16 years of age going through a laceration repair procedure. Read More

View Article and Full-Text PDF

Constructing a Novel 'Uterine Sandwich' with Simultaneous Intrauterine Balloon Tamponade and Uterine Compression Sutures to Manage Postpartum Bleeding.

Hawaii J Health Soc Welf 2021 May;80(5):104-107

Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (GKW).

The uterine sandwich is a relatively new surgical technique for managing postpartum hemorrhage, which is the leading cause of maternal mortality worldwide. The purpose of this case series is to describe a novel method of constructing the uterine sandwich by simultaneously combining intrauterine balloon tamponade and uterine compression sutures. Six patients with postpartum bleeding refractory to medical management were successfully treated with this novel method and avoided hysterectomy. Read More

View Article and Full-Text PDF

Stepped Strabismus Surgery.

Clin Ophthalmol 2021 28;15:1783-1789. Epub 2021 Apr 28.

Department of Ophthalmology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Purpose: To present stepped strabismus surgery as a novel technique in cases of small to moderate angle strabismus.

Methods: Retrospective chart review of cases of stepped strabismus surgery from 2010 untill 2018. In stepped surgery, the first muscle is operated on under rapid induction-recovery IV propofol infusion. Read More

View Article and Full-Text PDF

Uterine necrosis, infection, and subinvolution: complications observed after combined application of modified B-Lynch suture and vascular ligation.

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

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

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

View Article and Full-Text PDF

Meniscal Root Repair Along with Auxiliary Procedures for Joint Preservation: Current Concepts.

Indian J Orthop 2021 Apr 3;55(2):237-251. Epub 2021 Apr 3.

Ganga Hospital, 313, Mettupalayam Road, Coimbatore, 641043 India.

Meniscal root repair and joint preservation surgeries have gained increased interest in the last decade, from a better interpretation of the role of meniscal functions, from the biomechanical studies. Several published results from both biomechanical and clinical studies has proven the effectiveness of meniscal root repairs and has led to a unanimous international consensus for the need for root repair surgery. Meniscal repair by suture pull-out technique is widely followed around the world and leads to adequate healing and good clinical outcome. Read More

View Article and Full-Text PDF

New Perspective for Soft Tissue Closure in Medication-Related Osteonecrosis of the Jaw (MRONJ) Using Barbed Sutures.

J Clin Med 2021 Apr 14;10(8). Epub 2021 Apr 14.

Private Practice for Oral and Maxillofacial Surgery, A-5020 Salzburg, Austria.

The aim of this study was to compare the effectiveness of barbed versus smooth sutures for soft tissue closure of exposed jawbone sites in medication-related osteonecrosis of the jaw (MRONJ) patients. Exposed necrotic jawbone sites surgically managed by intraoral soft tissue closure were evaluated. Either barbed sutures (Stratafix™ or V-Loc™) together with Prolene or Vicryl sutures were used. Read More

View Article and Full-Text PDF