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https://www.readbyqxmd.com/read/28506490/early-range-of-motion-exercise-in-pediatric-patients-with-olecranon-fractures-treated-with-tension-band-suture-with-double-loops-and-double-knots
#1
Tae Hun Kim, Doo-Hyung Lee, Kyeong Jin Han, Wan Sun Choi, Jae Ho Cho
BACKGROUND: Pediatric patients with olecranon fractures are uncommon. The tension band suture technique was introduced to reduce the burden of implant removal and other complications. However, to our knowledge, early range of motion (ROM) exercise has not been introduced in this population of patients. Double Vicryl loops and knots with 2 cross-pins are used to maintain the benefits of the tension band suture technique and to enhance fixation tensile strength. We believe that early ROM exercises could be achieved without nonunion or fixation failure...
May 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28492428/a-prospective-randomized-trial-comparing-plain-gut-to-polyglactin-910-vicryl-sutures-for-sclerotomy-closure-after-23-gauge-pars-plana-vitrectomy
#2
Jayanth Sridhar, Sundeep Kasi, Joshua Paul, Abtin Shahlaee, Ehsan Rahimy, Allen Chiang, Marc J Spirn, Jason Hsu, Sunir J Garg
PURPOSE: To report a prospective, randomized comparative study assessing clinical outcomes of plain gut versus polyglactin 910 (PG910) sutures for sclerotomy closure after 23-gauge pars plana vitrectomy. METHODS: A single-masked, randomized, prospective study was undertaken with 49 eyes of 49 patients undergoing 23-gauge pars plana vitrectomy randomized to sclerotomy closure with either plain gut suture, PG910 (Vicryl) suture or a combination of the two. Assessment was based on both a postoperative pain scale and a standardized assessment of scleral inflammation at each suture site...
May 10, 2017: Retina
https://www.readbyqxmd.com/read/28468507/the-reduction-in-inflammation-and-impairment-in-wound-healing-by-using-strontium-chloride-hexahydrate
#3
Sibel Berksoy Hayta, Kasım Durmuş, Emine Elif Altuntaş, Esin Yıldız, Mehmet Hisarcıklıo, Melih Akyol
BACKGROUND: Numerous growth factors, cytokine, mitogen, and chemotactic factors are involved in wound healing. Even though inflammation is important for stimulation of proliferative phase, excessive inflammation also causes impairment in wound healing. Strontium salts suppress keratinocyte-induced TNF-alpha and interleukin 1 and 6 in in-vitro cultures. This study was conducted to determine the effects of administration of topical strontium chloride hexahydrate on wound healing through TNF-alpha and TGF-beta in surgical wound healing model of in-vivo rat skin...
May 3, 2017: Cutaneous and Ocular Toxicology
https://www.readbyqxmd.com/read/28465659/comparison-of-fibrin-glue-and-vicryl-sutures-in-conjunctival-autografting-for-pterygium-surgery
#4
Xiu Wang, Yan Zhang, Lei Zhou, Ruihua Wei, Lijie Dong
PURPOSE: To compare clinical parameters and the tear levels of inflammatory cytokines between pterygium surgery using sutures or fibrin glue. METHODS: Fifty-six patients with primary pterygium were divided into the suture group and the glue group, in which the autograft was secured with 10-0 Vicryl sutures and fibrin glue, respectively. A questionnaire, slit-lamp examination, Schirmer test, and visual acuity test were performed in all participants. Real-time quantitative PCR (q-PCR) was used to analyze the expression of genes in pterygium and healthy conjunctival tissues...
2017: Molecular Vision
https://www.readbyqxmd.com/read/28463526/long-term-surgical-outcomes-for-vertical-deviations-in-thyroid-eye-disease
#5
Lucy Barker, Kelly Mackenzie, Gill Gw Adams, Joanne Hancox
INTRODUCTION: Vertical deviations in thyroid eye disease (TED) can present a surgical challenge due to the difficulty and unpredictability of surgery and the high risk of postoperative drift towards overcorrection. This study reports the postoperative outcomes of patients who underwent adjustable vertical strabismus surgery with Vicryl sutures for thyroid eye disease. METHODS: We reviewed the records of patients seen for vertical TED strabismus surgery from January 2005 through December 2009...
May 2, 2017: Strabismus
https://www.readbyqxmd.com/read/28439171/lingual-based-four-cornered-flap-for-third-molar-surgery
#6
Anshul Rai, Monika Rai
PURPOSE: The aim of this prospective randomized clinical study was to compare the efficacy of lingual based four cornered flap with the commonly used triangular flap for impacted third molar surgery. METHODS: Ten patients with bilateral impacted third molars were randomly treated under local anaesthesia, one side with triangular flap and single layer closure (with 3-0 silk) and other side by raising lingual based four cornered flap and double layer closure, subcutaneously with 5-0 vicryl and mucosa with 3-0 silk...
June 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28431416/caring-for-critically-injured-children-an-analysis-of-56-pediatric-damage-control-laparotomies
#7
Miguel A Villalobos, Joshua P Hazelton, Rachel L Choron, Lisa Capano-Wehrle, Krystal Hunter, John P Gaughan, Steven E Ross, Mark J Seamon
BACKGROUND: Injury is the leading cause of death in children under 18 years. Damage control principles have been extensively studied in adults but remain relatively unstudied in children. Our primary study objective was to evaluate the use of damage control laparotomy (DCL) in critically injured children. METHODS: An American College of Surgeons-verified Level 1 trauma center review (1996-2013) of pediatric trauma laparotomies was undertaken. Exclusion criteria included: age older than 18 years, laparotomy for abdominal compartment syndrome or delayed longer than 2 hours after admission...
May 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28412038/surgical-treatment-of-postintubation-tracheal-stenosis-a-retrospective-22-patient-series-from-a-single-center
#8
Ahmet Ulusan, Maruf Sanli, Ahmet Feridun Isik, İlknur Aytekin Celik, Bulent Tuncozgur, Levent Elbeyli
BACKGROUND/OBJECTIVE: We aimed to present cases of postintubation tracheal stenosis (PITS), all due to long-term intubation and treated surgically in a university hospital, and to discuss them in light of the literature. METHODS: In this retrospective study, 22 patients who were treated with tracheal resection and reconstruction due to PITS were included. Demographics, intubation characteristics, localization of stenosis, surgical technique and material, postoperative complications, and survival of patients were recorded...
April 12, 2017: Asian Journal of Surgery
https://www.readbyqxmd.com/read/28403314/implementation-of-care-practices-to-prevent-and-repair-perineal-trauma-in-childbirth
#9
Rafael Cleison Silva Dos Santos, Maria Luiza Gonzalez Riesco
Objective: To implement care practices for perineal trauma prevention and repairing in normal birth. Method: Quasi-experimental study conducted at Hospital da Mulher Mãe-Luzia, in Macapá, AP, Brazil. Seventy-four (74) nurses and obstetricians and 70 post-partum women were interviewed and the records of 555 patients were analyzed. The study was conducted in three stages: pre-audit and baseline audit (phase 1); educational intervention and implementation of best practices (phase 2); post-implementation audit (phase 3)...
April 6, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28380080/biodegradable-poly-lactic-acid-co-glycolic-acid-scaffolds-as-carriers-for-genetically-modified-fibroblasts
#10
Tatjana Perisic, Ziyang Zhang, Peter Foehr, Ursula Hopfner, Kathrin Klutz, Rainer H Burgkart, Alexei Slobodianski, Moritz Goeldner, Hans-Günther Machens, Arndt F Schilling
Recent advances in gene delivery into cells allow improved therapeutic effects in gene therapy trials. To increase the bioavailability of applied cells, it is of great interest that transfected cells remain at the application site and systemic spread is minimized. In this study, we tested clinically used biodegradable poly(lactic acid-co-glycolic acid) (PLGA) scaffolds (Vicryl & Ethisorb) as transient carriers for genetically modified cells. To this aim, we used human fibroblasts and examined attachment and proliferation of untransfected cells on the scaffolds in vitro, as well as the mechanical properties of the scaffolds at four time points (1, 3, 6 and 9 days) of cultivation...
2017: PloS One
https://www.readbyqxmd.com/read/28379673/hilar-parenchymal-oversew-a-novel-technique-for-robotic-partial-nephrectomy-hilar-tumor-renorrhaphy
#11
Jaya Sai S Chavali, Ryan Nelson, Matthew J Maurice, Onder Kara, Pascal Mouracade, Julien Dagenais, Jeremy Reese, Pilar Bayona, Georges-Pascal Haber, Robert J Stein
INTRODUCTION: A renorrhaphy technique which is effective for hemostasis but does not place undue tension on the branch vessels of the renal sinus remains one of the challenging steps after hilar tumor resection during robotic partial nephrectomy (RPN). The published V-hilar suture (VHS) technique is one option for reconstruction after an RPN involving the hilum. The objective of this video is to show a novel renorrhaphy technique, Hilar Parenchymal Oversew that has been effective for such cases...
April 6, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28328629/clinical-biomechanical-and-anatomic-investigation-of-colles-fascia-and-pubic-ramus-periosteum-for-use-during-medial-thighplasty
#12
Martin J Carney, Tim Matatov, Matthew Freeman, John Miller, Rahul Vemula, Jason Schuster, Michael Dancisak, John Lindsey, Guenevere Rae
INTRODUCTION: The medial thighplasty is a procedure where patients may attain superior mobility, hygiene, and cosmesis. Most surgeons use attachment of the superficial fascial system (SFS) of the thigh flap to the Colles fascia, whereas others attach the SFS to the pubic ramus periosteum. Because of a high complication profile, we aim to elucidate the clinical, biomechanical, and anatomic qualities of the Colles fascia versus the pubic ramus periosteum. MATERIALS AND METHODS: We performed a 17-year retrospective review documenting clinical complications, a biomechanical analysis of sutures placed in different tissue layers of the thigh, and a histologic analysis surrounding the ischiopubic ramus...
June 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28300876/comparative-study-of-polypropylene-versus-parietex-composite%C3%A2-vicryl%C3%A2-and-ultrapro%C3%A2-meshes-regarding-the-formation-of-intraperitoneal-adhesions
#13
Maria de Lourdes Pessole Biondo-Simões, Laísa Brandão Carvalho, Lucas Tavares Conceição, Kassyane Bordignon Piccinelli Dos Santos, Wagner Augusto Schiel, Mayara Arantes, Tatiane da Silveira, Júlio César Magri, Fernanda Fabrini Gomes
PURPOSE: To compare the polypropylene mesh (Marlex®) to Vicryl®, Parietex composite® and Ultrapro® meshes to assess the occurrence of adhesions in the intraperitoneal implantation. METHODS: Sixty Wistar rats were allocated into three groups: PP+V, in which all the animals received a polypropylene and a Vicryl® mesh; PP+PC, with the implantation of polypropylene and Parietex composite® meshes and PP+UP, in which there was implantation of polypropylene and Ultrapro®...
February 2017: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/28299270/6-0-nylon-versus-6-0-vicryl-rapide-in-chieloplasty
#14
J K Dayashankara Rao, Payal Luthra, Varun Arya, Vijay Siwach, Anil K Sheorain, Megha Gupta
CONTEXT: Facial cosmetic result is one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the discomfort associated with the suture removal encourages one to use any new technology that may replace the need for suture placement. The type of suture material used in surgery has been a long-standing debate among surgeons. In this study, we compared rapidly absorbable suture material (Vicryl Rapide™) with nonabsorbable suture material (nylon)...
July 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28281235/the-use-of-unidirectional-knotless-barbed-suture-for-enterotomy-closure-in-roux-en-y-gastric-bypass-a-randomized-comparative-study
#15
Ben Gys, Tobie Gys, Thierry Lafullarde
PURPOSE: In this study, we assessed feasibility, safety, and time efficiency of laparoscopic running enterotomy closure for linear stapled Roux-en-Y Gastric Bypass (RYGB) using unidirectional barbed sutures (Stratafix™ 2/0- Ethicon). MATERIALS AND METHODS: Two hundred patients undergoing laparoscopic RYGB were prospectively randomized regarding running enterotomy closure of the linear stapled gastrojejunal (GJA) and jejunojejunal anastomosis (JJA). Two groups were created: V-group (Vicryl® 2/0-Ethicon) and S-group (Stratafix™ 2/0-Ethicon)...
March 9, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28258456/laparoscopic-repair-of-duodenal-atresia-systematic-review-and-meta-analysis
#16
Anastasia Mentessidou, Amulya K Saxena
PURPOSE: To investigate the outcome of laparoscopic repair of duodenal atresia (LRDA) in relation to different approaches with regard to suture material and anastomosis technique. To identify evidence for the safety and efficacy of LRDA compared with the conventional open repair. METHODS: Systematic search was performed for all studies on LRDA, excluding case reports, and all comparative studies between LRDA and open repair. Chi-square was used to assess associations between complications or conversions rates and different LRDA approaches (suture material, suturing technique)...
March 3, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28243921/reconstruction-of-ligament-and-tendon-defects-using-cell-technologies
#17
R K Chailakhyan, A B Shekhter, S V Ivannikov, V I Tel'pukhov, D S Suslin, Yu V Gerasimov, A M Tonenkov, A G Grosheva, P V Panyushkin, I L Moskvina, N N Vorob'eva, V N Bagratashvili
We studied the possibility of restoring the integrity of the Achilles tendon in rabbits using autologous multipotent stromal cells. Collagen or gelatin sponges populated with cells were placed in a resorbable Vicryl mesh tube and this tissue-engineered construct was introduced into a defect of the middle part of the Achilles tendon. In 4 months, histological analysis showed complete regeneration of the tendon with the formation of parallel collagen fibers, spindle-shaped tenocytes, and newly formed vessels.
February 2017: Bulletin of Experimental Biology and Medicine
https://www.readbyqxmd.com/read/28231653/implantless-fixation-of-a-large-osteocartilaginous-fracture-of-the-lateral-femoral-condyle-in-a-child
#18
Jitendra Maheshwari, Vikram Mhaskar, Parul Maheshwari Mhaskar
We describe for the first time a case of lateral femoral condyle fracture following a fall in a 13-year-old child that was reduced arthroscopically using a probe. It was definitively fixed with 0 vicryl sutures in a cruciate pattern after being initially stabilised with 1.5-mm Kirschner wires. Four beath pins carrying sutures were drilled at four opposing quadrants through the reduced fragment into the femur. The sutures were then tied on the lateral cortex of the femur. After fixation, the child was kept non-weight bearing for 6 weeks, partial weight bearing from 6 weeks to 12 weeks and then full weight bearing thereafter...
March 1, 2017: Knee Surgery & related Research
https://www.readbyqxmd.com/read/28210555/breast-reconstruction-with-absorbable-mesh-sling-dynamic-infrared-thermography-of-skin-envelope
#19
Yoko Hashimoto, Naoki Watanabe, Takeshi Yuasa, Yoshinori Suzuki, Hiroshi Saisho
BACKGROUND: To immediate reconstruct ptosis breasts, we used polyglactin (Vicryl; Ethicon Inc., Somerville, NJ, USA) mesh as an inferolateral sling. However, Vicryl mesh is absorbable and losing function as a supporting structure. We doubt about the stability of the blood supply to the inferior part of the flap when it is in direct contact with inner implant. In this study, we examine the complications and the safety of the skin flap of this absorbable mesh sling (AMS) procedure. METHODS: The outcomes of 80 cases were examined, and the 1-year safety record of 40 cases was assessed...
February 2017: Gland Surgery
https://www.readbyqxmd.com/read/28203200/late-onset-inadvertent-bleb-formation-following-pars-plana-m3-molteno-implant-tube-obstruction
#20
Anmar M Abdul-Rahman, Anthony Molteno
PURPOSE: To report a case of inadvertent bleb formation presenting 18 months after pars plana M3 Molteno implant tube obstruction in a patient with mixed mechanism glaucoma. MATERIALS AND METHODS: An 84-year-old Caucasian male with mixed mechanism glaucoma underwent slit-lamp examination, gonioscopy, colour anterior segment photography and anterior segment optical coherence tomography (AS-OCT). RESULTS: An inadvertent bleb developed 18 months after pars plana implant tube re-positioning with a 6/0 Vicryl tie ligature...
January 2017: Case Reports in Ophthalmology
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