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Staples vs suture

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https://www.readbyqxmd.com/read/29148019/a-prospective-randomised-comparison-of-2-skin-closure-techniques-in-primary-total-hip-arthroplasty-surgery
#1
Min Rui, Xin Zheng, Shao-Song Sun, Cheng-Yu Li, Xing-Chen Zhang, Kai-Jin Guo, Feng-Chao Zhao, Yong Pang
INTRODUCTION: As an essential step of total hip arthroplasty (THA), an effective and secure skin closure technique after primary THA is important. Metallic staples closure and subcuticular suture are the 2 common techniques for skin closure. However, which closure technique is the optimal skin-closure method remains unclear. The purpose of this prospective randomised clinical study was to compare the clinical outcomes and costs between staples and subcuticular suture techniques. METHODS: In this clinical study, 165 patients who underwent primary unilateral THA through a posterolateral approach from August 2014 to May 2015 were included...
November 13, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29043687/-pleural-cavity-concerns
#2
I Simal, M A García-Casillas, J Cerdà, L Pérez, B Fernández, M De la Torre, M Fanjul, E Molina, J C De Agustín
INTRODUCTION: Persistent air leak (PAL) is a common problem. We asses our experience in the management of these patients. MATERIAL AND METHODS: Retrospective review of patients with chest tubes after bronchopulmonary pneumothorax (due to lung resections, spontaneous pneumothorax, necrotizing pneumonia) from 2010 to 2015. We studied clinical data, PAL incidence, risk factors and treatment, considering PAL ≥ 5 days. RESULTS: Thirty-seven cases (28 patients) between 0-16years: 26 lung resections, 11 pneumothorax...
July 20, 2017: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/28915203/treatment-of-zenker-s-diverticulum-with-endoscopic-stapled-esophago-divertisculostomy-esd-analysis-of-long-term-outcome
#3
Michele Mazza, Alberto N Bergamini, Paolo Parise, Andrea Cossu, Olga Adamenko, Ugo Elmore, Riccardo Rosati
BACKGROUND: Endoscopic Zenker diverticulum (ZD) treatment has become quite common because of the low complication rates, reduced procedure time, and shorter hospital stay. Many endoscopic treatments are available including the endoscopic stapled esophago-diverticulostomy (ESD). Many data regarding ESD are available on the short-term outcomes, but few on the long-term ones. MATERIALS AND METHODS: From March 1998 to July 2016, 126 patients with ZD were candidate for ESD...
September 14, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28790291/-management-of-fluid-and-nutrition-after-lung-resection-to-prevent-complications
#4
Yukio Sato
It is necessary to understand the biological response and characteristic points for the appropriate management in the fluid and nutrition after lung resection. The characteristic points in the management of lung resection are the decrease of pulmonary vascular bed and the existence of bronchial stump. Due to the decrease of pulmonary vascular bed, the pressures of pulmonary artery and pulmonary microvasculature tend to rise, which could cause pulmonary edema. Therefore, the amount of fluid infusion should be less compared to ordinal management in the management after lung resection, especially pneumonectomy...
July 2017: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/28741238/a-randomized-comparison-between-staple-line-oversewing-versus-no-reinforcement-during-laparoscopic-vertical-sleeve-gastrectomy
#5
Osama Taha, Mahmoud Abdelaal, Mohamed Talaat, Mohamed Abozeid
BACKGROUND: Varieties of intraoperative methods such as oversewing of staple lines or other reinforcement products are used for preventing the laparoscopic vertical sleeve gastrectomy (LSG) complications. The aim of this study is to evaluate the complication rates of the gastric stapling alone versus stapling with oversewing invagination of the staple line in the LSG. METHODS: This is a single-center randomized study, Patients were randomized to two groups, 200 patients underwent LSG without reinforcement of the staple line and 200 patients underwent LSG with oversewing of the staple line...
July 24, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28708024/quality-improvement-initiative-preventative-surgical-site-infection-protocol-in-vascular-surgery
#6
David Parizh, Enrico Ascher, Syed Ali Raza Rizvi, Anil Hingorani, Michael Amaturo, Eric Johnson
Objective A quality improvement initiative was employed to decrease single institution surgical site infection rate in open lower extremity revascularization procedures. SUMMARY BACKGROUND DATA: In an attempt to lower patient morbidity, we developed and implemented the Preventative Surgical Site Infection Protocol in Vascular Surgery. Surgical site infections lead to prolonged hospital stays, adjunctive procedure, and additive costs. We employed targeted interventions to address the common risk factors that predispose patients to post-operative complications...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28601567/impact-of-evidence-based-interventions-on-wound-complications-after-cesarean-delivery
#7
RANDOMIZED CONTROLLED TRIAL
Lorene A Temming, Nandini Raghuraman, Ebony B Carter, Molly J Stout, Roxane M Rampersad, George A Macones, Alison G Cahill, Methodius G Tuuli
BACKGROUND: A number of evidence-based interventions have been proposed to reduce post-cesarean delivery wound complications. Examples of such interventions include appropriate timing of preoperative antibiotics, appropriate choice of skin antisepsis, closure of the subcutaneous layer if subcutaneous depth is ≥2 cm, and subcuticular skin closure with suture rather than staples. However, the collective impact of these measures is unclear. OBJECTIVE: We sought to estimate the impact of a group of evidence-based surgical measures (prophylactic antibiotics administered before skin incision, chlorhexidine-alcohol for skin antisepsis, closure of subcutaneous layer, and subcuticular skin closure with suture) on wound complications after cesarean delivery and to estimate residual risk factors for wound complications...
October 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28534327/-modified-stapled-transanal-rectal-resection-combined-with-perioperative-pelvic-floor-biofeedback-therapy-in-the-treatment-of-obstructed-defecation-syndrome
#8
Lei Chen, Fanqi Meng, Tongsen Zhang, Yinan Liu, Shuang Sha, Si Chen, Jiandong Tai
OBJECTIVE: To investigate the clinical efficacy and safety of modified stapled transanal rectal resection (STARR) combined with perioperative pelvic floor biofeedback therapy (POPFBFT) in treating obstructed defecation syndrome (ODS). METHODS: Thirty female ODS patients underwent modified STARR (resection and suture was performed in rectocele with one staple) combined with POPFBFT in Department of Colorectal and Anal Surgery, The First Hospital of Jilin university from October 2013 to March 2015...
May 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28438450/monocryl-and-dermabond-vs-staples-in-total-hip-arthroplasty-performed-through-a-lateral-skin-incision-a-randomized-controlled-trial-using-a-patient-centered-assessment-tool
#9
Raymond A Glennie, Abigail Korczak, Douglas D Naudie, Dianne M Bryant, James L Howard
BACKGROUND: There are various possible methods of skin closure in total hip arthroplasty (THA) through a lateral skin incision. The cost and time required for each can vary between techniques. The objective of this study was to determine whether there is a difference in patient and surgeon rating of scar outcome using a combination of subcuticular suture and skin adhesive (subcuticular MONOCRYL and DERMABOND [SMD]) vs staples for skin closure after THA. METHODS: Patients undergoing THA were recruited from a university hospital...
February 24, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27888280/an-effective-new-intestinal-anastomosis-method
#10
Libin Yao, Chao Li, Xiaocheng Zhu, Yong Shao, Song Meng, Linsen Shi, Hui Wang
BACKGROUND This study aimed to establish an easy, safe, and cost-saving intestinal anastomotic method. MATERIAL AND METHODS Between January 2014 and February 2016, a total of 150 patients with gastric cancer who underwent surgery in the Department of General Surgery of Xuzhou Medical University Affiliated Hospital were divided into 2 groups: the treatment group (80) using new hand-sewn anastomoses, and the control group (70) using stapled anastomoses. Briefly, a new hand-sewn anastomosis of continuous suture without inversion was performed, with the first layer encompassing the entire layer of the intestinal wall...
November 26, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27882274/mechanics-of-wound-closure-emerging-tape-based-wound-closure-technology-vs-traditional-methods
#11
Kemal Levi, Kei Ichiryu, Pelin Kefel, Juergen Keller, Jon Grice, Ori Belson, Eric Storne, Bauback Safa
To date, there is still a lack of understanding of how wound closure methods perform comparatively under daily bodily movement during the course of healing and how they affect the mechanics of healing. The present study is a first step in understanding and objectively quantifying the gap. The study provides both a new method of metrology for noninvasive evaluation of skin mechanics at the onset of wound healing and an emerging tape-based wound closure technology. The latter shows better performance with respect to commonly used staples and sutures, holding the wound intact and providing uniform mechanical support across the incision...
October 12, 2016: Curēus
https://www.readbyqxmd.com/read/27801606/incidence-of-wound-complications-after-cesarean-delivery-is-suture-closure-better
#12
Nicole Tierney, D Yvette LaCoursiere, Steven Hebert, Thomas F Kelly, Emily S Lukacz
BACKGROUND: Wound complications (WC) following cesarean delivery (CD) result in significant morbidity. A randomized trial in 2013, which demonstrated lower WC rates with suture closure compared to staple closure, resulted in a practice change within our academic institution. OBJECTIVE: To determine the impact of this practice change on WC rates and identify other modifiable risk factors for WC. STUDY DESIGN: This is a retrospective cohort study of all women undergoing CD at the University of California, San Diego between 1 March 2011 and 28 February 2012 (primarily staple) and 1 March 2013 and 28 February 2014 (primarily suture)...
August 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27699517/modified-overlap-method-using-knotless-barbed-sutures-mobs-for-intracorporeal-esophagojejunostomy-after-totally-laparoscopic-gastrectomy
#13
Sang-Yong Son, Long-Hai Cui, Ho-Jung Shin, Cheulsu Byun, Hoon Hur, Sang-Uk Han, Yong Kwan Cho
BACKGROUND: Compared to end-to-side anastomosis with a circular stapler, the overlap method is favored for intracorporeal esophagojejunostomy because it facilitates handling of the stapler, even in narrow spaces, and wider anastomosis. However, it associates with technical difficulties during anastomosis, including difficult traction on the esophageal stump that necessitates stay sutures. Here, we introduce a new modified overlap method that employs knotless barbed sutures (MOBS) and report the outcomes of our case series...
June 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/27321982/experience-of-general-surgery-residents-in-the-creation-of-small-bowel-and-colon-anastomoses
#14
Zoltan H Nemeth, Eric L Lazar, Samantha R Paglinco, Addison S Hicks, Jason Lei, Patricia A Barratt-Stopper, Rolando H Rolandelli
BACKGROUND: With the introduction of stapling devices (SDs), the proportion of hand-sewn (HS) intestinal anastomoses (IAs) has declined. As more IAs are constructed with SDs, there are fewer opportunities for general surgery residents (GSRs) to acquire the skills for HS techniques during their training. STUDY DESIGN: Data for this study were extracted from an existing database of all IAs performed at the Department of Surgery of the Morristown Medical Center since 2003...
September 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/26806956/the-influence-of-propofol-and-sevoflurane-on-intestinal-motility-during-laparoscopic-surgery
#15
RANDOMIZED CONTROLLED TRIAL
M Desmet, P Vander Cruyssen, H Pottel, S Carlier, D Devriendt, F Van Rooy, W De Corte
BACKGROUND: Volatile anaesthetics have an influence on small bowel peristalsis during laparoscopic surgery. A recent study concluded that desflurane increased intestinal motility compared to sevoflurane. Hence, a desflurane-based anaesthesia protocol may reduce surgical exposure during intestinal suturing or stapling due to small bowel hyperperistalsis. The effect of propofol on intestinal motility is not well studied. We tested the hypothesis that a propofol-remifentanil anaesthesia increases intestinal contractions in comparison with a sevoflurane-remifentanil anaesthesia...
March 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/26694209/staple-line-bleeding-in-sleeve-gastrectomy-a-simple-and-cost-effective-solution
#16
Saurav Chakravartty, Diwakar R Sarma, Avril Chang, Ameet G Patel
BACKGROUND: Staple line bleeding (SLB) is a common intraoperative complication following resection in laparoscopic sleeve gastrectomy (SG). Opinion is divided on the best measure to deal with SLB which includes expensive reinforcement strategies, suturing the staple line or diathermy. Tranexemic acid is a relatively inexpensive drug known to reduce bleeding in trauma and surgery. The aim of this study was to evaluate whether intraoperative tranexemic acid reduces staple line bleeding...
July 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26530478/placement-of-absorbable-dermal-staples-in-mammaplasty-and-abdominoplasty-a-12-month-prospective-study-of-60-patients
#17
COMPARATIVE STUDY
Thierry Bron, Gilbert Zakine
BACKGROUND: The duration to close an incision is an important consideration in plastic surgery. The placement of Insorb absorbable subcuticular staples (Insorb, Incisive Surgical, Plymouth, MN) may allow for a decreased closure time compared with other modalities. OBJECTIVES: The authors evaluated the utility of Insorb staples for the closure of mammaplasty and abdominoplasty incisions. METHODS: Sixty patients who underwent anterior abdominal dermatolipectomy, total circular abdominal dermatolipectomy, bilateral breast reduction, or bilateral mastopexy were evaluated in a prospective study...
April 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/26525206/single-layer-continuous-versus-double-layer-continuous-suture-in-colonic-anastomoses-a-randomized-multicentre-trial-anatech-trial
#18
RANDOMIZED CONTROLLED TRIAL
F Herrle, M K Diener, S Freudenberg, F Willeke, P Kienle, R Boenninghoff, C Weiss, L I Partecke, J Schuld, S Post
PURPOSE: Apart from stapling methods, single- or double-layer continuous hand sutures are established techniques for colonic anastomoses. It is unclear which hand suture technique has superior anastomotic safety. This randomized trial evaluated the incidence of postoperative complications depending on anastomosis technique. METHODS: This multicentre randomized trial enrolled adult elective patients between February 2004 and June 2012 in four German university hospitals...
February 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/26150225/novel-method-for-hybrid-endo-laparoscopic-full-thickness-gastric-resection-using-laparoscopic-transgastric-suture-passer-device
#19
Seong-Ho Kong, Michele Diana, Yu-Yin Liu, Hyun-Jik Lee, Andras Legner, Renato Soares, Lee Swanström, Bernard Dallemagne, Han-Kwang Yang, Jacques Marescaux
BACKGROUND: Current surgical methods for partial gastric full-thickness resections (FTRs) are limited by long operative times and risk of gastric content spillage, especially for lesions located at the posterior wall. We propose a simplified hybrid approach to FTR with reduced risk of spillage. METHODS: Resection margins were marked by endoscopic electrocautery to simulate a gastric lesion in the upper third of the posterior wall in eight pigs. A custom-made laparoscopic "suture passer" was made of a sharpened bendable dissecting forceps...
April 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/25952323/comparison-of-two-different-mechanical-esophagogastric-anastomosis-in-esophageal-cancer-patients-a-meta-analysis
#20
REVIEW
Dong Zhou, Quan-Xing Liu, Xu-Feng Deng, Jia-Xin Min, Ji-Gang Dai
OBJECTIVE: In this meta-analysis, we conducted a pooled analysis of clinical studies comparing Linear Stapled (LS) versus Circular Stapled (CS) esophagogastric anastomosis for esophageal cancer. METHODS: According to the recommendations of the Cochrane Collaboration, we established a rigorous study protocol. We performed a systematic electronic search of the PubMed, Embase, Cochrane Library, Web of Science, and Chinese Biomedical databases as well as Chinese scientific journals to identify articles to include in our meta-analysis...
2015: Journal of Cardiothoracic Surgery
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