3,532 results match your criteria suture dehiscence

Laparoscopic ovariohysterectomy for dogs under 5 kg body weight.

Tokio Matsunami

Vet Surg 2021 Sep 17. Epub 2021 Sep 17.

Matsunami Animal Medical Center, Nagoya, Japan.

Objective: To describe the surgical method, operative time, safety, and usefulness of 3-port laparoscopic ovariohysterectomy (LOHE) using an ultrasonic coagulation and incision device in dogs <5 kg.

Study Design: Retrospective study.

Animals: Female dogs (n = 147). Read More

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September 2021

Multilayer Watertight Closure to Address Adverse Events From Primary Total Knee and Hip Arthroplasty: A Systematic Review of Wound Closure Methods by Tissue Layer.

Arthroplast Today 2021 Aug 8;10:180-189.e7. Epub 2021 Jul 8.

Value & Evidence Services, CRG-EVERSANA Canada Inc, Burlington, Ontario, Canada.

Background: Wound closure is a key, and often underrecognized, component of hip and knee arthroplasty. Methods for wound closure are an important consideration to better avoid wound-related adverse events; however, there is a lack of consensus on optimal methods. The objective of the following review was twofold: to characterize the wound closure methods used by layer in the total knee arthroplasty and total hip arthroplasty literature and summarize optimal wound-healing strategies to address the risk of adverse events. Read More

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The Butterfly Technique: A Retrospective Study for Labia Minora Reduction Using an Integrated Approach.

Plast Reconstr Surg Glob Open 2021 Sep 13;9(9):e3810. Epub 2021 Sep 13.

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals (HUG), University of Geneva, Geneva, Switzerland.

In recent years, the demand for genital plastic procedures has increased. Of those, the reduction of the labia minora has become very popular. Several techniques are described, with all its advantages and disadvantages. Read More

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September 2021

Randomized experimental study of two novel techniques for transanal repair of dehiscent low rectal anastomosis.

Surg Endosc 2021 Sep 8. Epub 2021 Sep 8.

Institute of Animal Physiology and Genetics, Czech Academy of Science, Libechov, Czech Republic.

Background: Anastomotic leak after low anterior rectal resection is a dreadful complication. Early diagnosis, prompt management of sepsis followed by closure of anastomotic defect may increase chances of anastomotic salvage. In this randomized experimental study, we evaluated two different methods of trans-anal anastomotic repair. Read More

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September 2021

Barbed Suture in Total Laparoscopic Hysterectomy: A Comparative Study of the Safety in Vaginal Cuff Closure with that of Polyglactin 910 Suture.

Gynecol Minim Invasive Ther 2021 Jul-Sep;10(3):154-158. Epub 2021 Aug 3.

Department of Obstetrics and Gynecology, JSS Medical College, JSS Academy of Higher Education & Research, Mysore, Karnataka, India.

Objectives: To evaluate whether the use of barbed sutures during laparoscopic hysterectomy for vaginal cuff closure has reduced the surgical difficulty and incidence of post-operative complications as compared to polyglactin 910 suture.

Materials And Methods: This is a randomized comparative study conducted at a tertiary care hospital and research institute where 100 patients were divided into two groups (50 each) and underwent vault closure using barbed suture/Polyglactin 910. Data collected include demographic details, indication for surgery, mean suturing time, degree of surgeon difficulty, and the incidence of postoperative complications when followed up to 12 weeks and were compared statistically using Chi square test and Independent-t test. Read More

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Suture Anchor Repair of Pectoralis Major Muscle Dehiscence After Modified Ravitch.

Innovations (Phila) 2021 Aug 23:15569845211034523. Epub 2021 Aug 23.

3802 Department of Surgery, Division of General Thoracic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.

During repair of pectus excavatum by the modified Ravitch procedure, the major pectoral muscles are detached from their sternal insertion to obtain adequate surgical exposure. Following repair, the muscles are approximated in midline and reinserted through scarring. Dehiscence of the major pectoral muscles after the modified Ravitch procedure is a rare phenomenon, not previously reported in literature. Read More

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No Additional Benefits of Tissue Adhesives for Skin Closure in Total Joint Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

J Arthroplasty 2021 Jul 31. Epub 2021 Jul 31.

Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.

Background: This systematic review is aimed to compare the performance of tissue adhesives (TA) as an adjunct or closure method with traditional wound closure methods for cutaneous closure in arthroplasty and evaluate whether they have any added benefits in terms of decreasing wound complications and increasing postoperative patient satisfaction.

Methods: Cochrane Library, PubMed, and EMBASE were searched until February 2021. Randomized controlled trials (RCTs) comparing outcomes of TA with emphasis on skin closure time, in-hospital stay, complication rates, cosmetic scoring systems, and patient satisfaction scores (PSS) compared to subcuticular sutures (SCS) and skin staples (ST) in arthroplasty. Read More

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Acute abdominal dehiscence following laparotomy: A multicentre, international retrospective study.

Equine Vet J 2021 Aug 21. Epub 2021 Aug 21.

Department of Equine Clinical Science, Institute of Veterinary Science, University of Liverpool, Leahurst Campus, Neston, UK.

Background: Incisional complications are a common cause of morbidity following laparotomy. Although uncommon, acute abdominal dehiscence (AAD) is a potentially fatal post-operative complication. However, few AAD cases are described in the literature. Read More

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Optimizing pediatric histrelin implantation to improve success rates in clinic without sedation.

J Pediatr Endocrinol Metab 2021 Aug 18. Epub 2021 Aug 18.

Department of Surgery, UCLA and Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-7098, USA.

Objectives: The purpose of this study was to review our success rate performing the histrelin implant procedure in clinic without sedation.

Methods: A retrospective study was performed for histrelin implant procedures done at our institution from 2008 to 2020. Wilcoxon rank-sum test or Fisher's exact test was utilized to identify significant differences (p<0. Read More

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Effect of Wendler glottoplasty on voice and quality of life of transgender women.

Braz J Otorhinolaryngol 2021 Aug 4. Epub 2021 Aug 4.

Universidade Federal de Pernambuco, Hospital das Clínicas, Departamento de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço, Recife, PE, Brazil.

Objective: To investigate the effect of Wendler glottoplasty on voice feminization, voice quality and voice-related quality of life.

Methods: Prospective interventional cohort of transgender women submitted to Wendler glottoplasty. Acoustic analysis of the voice included assessment of fundamental frequency, maximum phonation time formant frequencies (F1 and F2), frequency range, jitter and shimmer. Read More

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The contribution of preconditioning hyperbaric oxygen for complex re-operative surgery of bladder exstrophy and epispadias. A case study of 11patients.

Moneer K Hanna

J Pediatr Urol 2021 Jul 23. Epub 2021 Jul 23.

New York Presbyterian Weill-Cornell Medical Center, New York, USA. Electronic address:

Introduction: Multiple surgeries on patients born with bladder exstrophy and epispadias (BEE) especially when complicated by postoperative infections results in varying degrees of scarring of the tissues and decreased vascularity. When further surgery for these patients is contemplated the tissue ischemia may result in poor healing and additional complications. Problem wounds due to arterial insufficiency mainly in diabetic ulcers and following therapeutic radiation are commonly treated with hyperbaric oxygen therapy (HBOT). Read More

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Retrocalcaneal Enthesophyte Resection With Functional Lengthening of the Achilles Tendon and Buried Knot Technique: A Case Series.

J Foot Ankle Surg 2021 Jul 21. Epub 2021 Jul 21.

Teaching Faculty, MedStar Washington Hospital Center Podiatric Surgery Residency, Mechanicsville, VA.

Retrocalcaneal exostosis can be debilitating and in severe cases, surgical resection is indicated. Complications can arise from surgical resection of the exostosis and reattachment of the Achilles tendon, including irritation of the suture knot, recurrence of the bony prominence, and dehiscence. The use of a buried knot technique with functional lengthening of the Achilles tendon and gastroc-soleal muscle complex can minimize these complications. Read More

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Intraoperative surgeon probe inspection compared to leak testing for detecting gaps in canine jejunal continuous anastomoses: A cadaveric study.

Vet Surg 2021 Aug 10. Epub 2021 Aug 10.

Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado, USA.

Objective: To compare the detection of gaps in jejunal continuous anastomoses by probing (PT) versus leak testing (LT).

Study Design: Experimental study.

Animals: Normal jejunal segments (n = 24) from two fresh canine cadavers. Read More

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Incisional Surgical Site Infections After Mass and Layered Closure of Upper Abdominal Transverse Incisions: First Results of a Randomized Controlled Trial.

Ann Surg 2021 Aug 4. Epub 2021 Aug 4.

Department of General, Transplant and Liver Surgery Second Department of Clinical Radiology Department of Epidemiology and Biostatistics, Medical University of Warsaw, Warsaw, Poland.

Objective: To compare the early results of mass and layered closure of upper abdominal transverse incisions.

Summary Background Data: Contrary to midline incisions, data on closure of transverse abdominal incisions are lacking.

Methods: This is the first analysis of a randomized controlled trial primarily designed to compare mass with layered closure of transverse incisions with respect to incisional hernias. Read More

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Analysis of decannulation time and oral intake recovery in oral cancer patients.

Codas 2021 2;33(4):e20190236. Epub 2021 Aug 2.

Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.

Purpose: to analyze the time of decannulation and oral diet release of patients undergoing oral cancer surgery at the Hospital Alberto Cavalcante and to verify which factors are associated with the time of decannulation and oral diet release.

Methods: an observational study of the database of 33 adult patients surgically treated with oral cancer and served between 2012 and 2017. The socio-demographic variables (age and gender) and clinical variables (type of surgery, surgical extension, type of reconstruction, clinical conditions and times of decannulation and reintroduction of the oral route) were collected through electronic medical records analysis. Read More

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Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias.

Hernia 2021 Aug 28;25(4):827-853. Epub 2021 Jul 28.

Department of Plastic and Reconstructive Surgery, Ohio State University Wexner Medical Center, 915 Olentangy River Road, Suite 2100, Columbus, OH, 43212, USA.

Purpose: Rectus diastasis (RD) associated with abdominal hernias present a surgical challenge associated with a paucity in treatment guidelines. The objective of this systematic review is to review surgical techniques and assess complication and recurrence rates of RD in patients with concurrent abdominal hernias.

Methods: PubMed and EMBASE databases were systematically searched, and data extraction was performed on articles which met the inclusion criteria. Read More

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Partial primary closure in sacrococcygeal pilonidal sinus: Modified with suture technique.

Abdullah Yildiz

Asian J Surg 2021 Jul 21. Epub 2021 Jul 21.

Department of General Surgery, University of Health Sciences Umraniye Training and Research Hospital, İstanbul, Turkey. Electronic address:

Aim And Background: The primary purpose of pilonidal sinus treatment is to minimize complications, accelerate wound healing, and minimize recurrence. However, invasive and minimally invasive methods are being developed to reduce these problems. Early and late postoperative complications remain significant problems in pilonidal surgery. Read More

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Stapled VTEP (sVTEP), diastasis and the "swollen abdomen".

Surg Endosc 2021 Jul 23. Epub 2021 Jul 23.

Institut de La Hernie, 15 Rue du Cirque, 75008, Paris, France.

Background: In the VTEP series, some patients declared that their abdomen was "somewhat swollen", and the authors suggested that this might be related to disruption of the posterior sheath due to the crossing. Following this observation, we decided to evaluate the systematic repair of the posterior sheath.

Methods: In 50 consecutive patients operated for ventral hernias, the VTEP procedure was modified, using the linear stapler to perform simultaneous division and closure of the posterior sheath. Read More

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Angularis oris axial pattern flap as a reliable and versatile option for rostral facial reconstruction in cats.

Vet Surg 2021 Jul 22. Epub 2021 Jul 22.

School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil.

Objective: To evaluate outcomes associated with the use of an angularis oris axial pattern flap (AOAPF) for rostral facial reconstruction in cats.

Animals: Nine adult client-owned cats.

Study Design: Short case series. Read More

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Prophylactic subcutaneous retention sutures in the prevention of superficial wound separation of midline laparotomy.

Int J Gynecol Cancer 2021 09 21;31(9):1260-1267. Epub 2021 Jul 21.

Department of Gynecology and Obstetrics, Antalya Training and Research Hospital, Antalya, Turkey.

Objectives: This prospective study aimed to determine the effectiveness of prophylactic subcutaneous retention sutures in the prevention of superficial wound separation in women with a confirmed or suspected cancer who had gynecological surgery by midline laparotomy.

Methods: This was a non-randomized, controlled intervention study including patients who underwent cancer surgery between May 2018 and August 2019. Patients who underwent midline laparotomy with confirmed or suspected cancer were included and patients who had an early post-operative complication or who underwent surgery again before the removal of stitches were excluded. Read More

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September 2021

Surgical Lip Remodeling Following Permanent Filler Injection: A Scoping Review.

J Craniofac Surg 2021 Jul 13. Epub 2021 Jul 13.

Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit Medical Oncology, Precision Medicine Department, University of Campania "Luigi Vanvitelli" Naples Dermatology Department, University of Insubria, Varese Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, University of Campania "Luigi Vanvitelli" Department of Neurosciences, Reproductive and Odontostomatological Sciences, Maxillofacial Surgery Unit, University of Naples "Federico II" Naples, Italy.

Abstract: Over the years, several techniques have been introduced to obtain permanent lip enhancement, such as the use of silicone lip implants or the off-label use of permanent fillers. Although some reports indicate that permanent lip filler is safe, many others describe early- and late-onset complications. The main issue with permanent lip fillers is the lack of a standard technique to correct undesirable results. Read More

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Two-Layer Compared With One-Layer Vaginal Cuff Closure at the Time of Total Laparoscopic Hysterectomy to Reduce Complications.

Obstet Gynecol 2021 Jul;138(1):59-65

Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital of UPMC, Pittsburgh, Pennsylvania; Obstetrics and Gynecology, Mercy Medical Center, Baltimore, Maryland; IVF and Minimally Invasive Gynecological Surgery, Moulana Hospital, Perinthalmanna, India; the Uniformed Services University, Bethesda, Maryland; and the Clinical and Translational Science Institute, Office of Clinical Research, University of Pittsburgh, Pittsburgh, Pennsylvania.

Objective: To explore whether two-layer laparoscopic vaginal cuff closure at the time of laparoscopic hysterectomy is associated with a lower rate of postoperative complications compared with a standard one-layer cuff closure.

Methods: A retrospective cohort study of total laparoscopic hysterectomies performed by fellowship-trained minimally invasive gynecologic surgeons between 2011 and 2017 was performed. Surgeons sutured the vaginal cuff laparoscopically, either in a two- or one-layer closure. Read More

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Cardiocutaneous fistula secondary to left ventricular pseudo-aneurysm rupture.

Folia Med (Plovdiv) 2021 Jun;63(3):457-459

Kermanshah University of Medical Sciences, Kermanshah, Iran.

Cardiocutaneous fistula (CF) is a potentially serious and catastrophic complication. Infection the suture line after left ventricular aneurysm repair, presenting with the CF. We present an unusual case of CF due to staphylococcus infection 6 months after repair of a myocardial rupture secondary to dehiscence repair. Read More

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TGFβ expression on different suturing technique for abdominal skin wound closure in rats.

Ann Med Surg (Lond) 2021 Jul 20;67:102521. Epub 2021 Jun 20.

Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, 55281, Indonesia.

Background: The method of closing the abdominal wall, as well as, the choice of material for stitching are important aspects of efficient incision closure. Generally, transforming growth factor-beta (TGF-β) is involved in the wound healing process. Suturing procedures also play a part in the wound dehiscence occurrence. Read More

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A different approach to distal hypospadias repair: The GUD (glandular urethral disassembly) technique.

J Pediatr Urol 2021 Jun 6. Epub 2021 Jun 6.

Department of Urology, CACAU-NUPEP, São Paulo, Brazil. Electronic address:

Introduction: Distal hypospadias represent the most frequent clinical presentation of hypospadias. In spite of more than 300 techniques available, there is not an ideal approach. We have proposed an alternative procedure based on the combination of minor urethral mobilization and major glans deconstruction and partial disassembly from the corpora, the GUD technique. Read More

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Percutaneous suture-mediated Patent Fossa Ovalis (PFO) closure: two-year clinical follow-up.

Minerva Cardiol Angiol 2021 Jun 17. Epub 2021 Jun 17.

Santa Maria Goretti Hospital, Latina, Italy.

Background: Percutaneous suture-mediated patent fossa ovalis (PFO) closure has been recently introduced in clinical practice showing a favorable efficacy and safety profile in most PFO cases. The aim of this study was to assess the long-term outcomes of PFO closure by direct suture in a large consecutive series of patients.

Methods: We extracted all consecutive patients who underwent percutaneous closure of the PFO by suture technique (HeartStitch, Fountain Valley, CA, USA) from June 2016 with a follow up of at least 2 years. Read More

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The use of Ologen Collagen Matrix implants to treat ocular hypotony developing after trabeculectomy: A case series.

Eur J Ophthalmol 2021 Jun 12:11206721211023314. Epub 2021 Jun 12.

HCLOE Oftalmologia Especializada, São Paulo, São Paulo, Brazil.

Purpose: Late hypotony is an undesirable and challenging complication of glaucoma surgery. We describe our use of the Ologen Collagen Matrix to treat late hypotony developing after trabeculectomy.

Study Design: A retrospective study performed at three eye surgery centers in Brazil. Read More

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Anastomosis near to the ileocecal valve in neonates with focal intestinal perforation, is it safe.

J Matern Fetal Neonatal Med 2021 Jun 6:1-4. Epub 2021 Jun 6.

Neonatal Surgery Unit, Pediatric Surgery Division, Vall d'Hebron University Hospital, Barcelona, Spain.

Background: Anastomosis near the ileocecal valve (ICV) are controversial due to the increased pressure on the suture; in this situation, the valve could be removed at a first stage or at the moment of stoma closure. However, preservation of the ICV has proved important benefits in the long term. The aim of this study is to evaluate its feasibility in neonates with focal intestinal perforation (FIP). Read More

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Unique hybrid double apposing flap in a Z-plasty technique to reconstruct major perianal defect resulting from chondyloma acuminatum resection - Case report.

Adnan G Gelidan

Int J Surg Case Rep 2021 Jun 21;83:106002. Epub 2021 May 21.

Department of Surgery, King Khalid University Hospital, King Saud University, Saudi Arabia.

Perianal area is anatomically challenging location to reconstruct after wide extensive local excision especially when preserving the anus anatomy anal sphincter continence is a requirement. That is the case in many benign locally aggressive conditions, due to high risk of suture line disruption, wound dehiscence, and wound infection. Many surgical options like primary closure, loco reginal flaps, distant or pedicled flaps, or even free flaps are available for such reconstruction. Read More

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A step-by-step approach to endorectal proctopexy (ERPP): how we do it.

Tech Coloproctol 2021 07 28;25(7):879-886. Epub 2021 May 28.

Department of Colorectal Surgery, S. Rita Clinic, Vercelli, Italy.

There are many surgical treatments aimed at correcting internal mucosal prolapse and rectocele associated with obstructed defecation syndrome (ODS). Perineal procedures can be considered as first options in young men in whom an abdominal approach poses risks of sexual dysfunction and in selected women with isolated posterior compartment prolapse who failed conservative treatment. About 20 years ago, we described endorectal proctopexy (ERPP) also known as internal Delorme procedure. Read More

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