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https://www.readbyqxmd.com/read/28089469/does-barbed-suture-lower-cost-and-improve-outcome-in-total-knee-arthroplasty-a-randomized-controlled-trial
#1
Vincent W K Chan, Ping-Keung Chan, Kwong-Yuen Chiu, Chun-Hoi Yan, Fu-Yuen Ng
BACKGROUND: Wound closure is key to prevent infection, facilitate immediate rehabilitation, and improve efficiency of total knee arthroplasty (TKA). Continuous knotless suturing with barbed suture can potentially save time and distribute tension more evenly. However, its role in TKA in terms of cost-effectiveness and wound complications is not clear. This study aims at comparing barbed and traditional sutures' wound closure time and cost in primary TKA. METHODS: One hundred nine knees were randomized into either barbed or traditional group...
December 21, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27966305/efficacy-of-mitomycin-c-and-infliximab-in-reducing-adhesionand-fibrosis-following-strabismus-surgery
#2
Emin Serbülent Güçlü, Ayşe Ayça Sarı, Erdem Dinç, Tuba Özcan Metin, Banu Çoşkun Yılmaz, Bahar Taşdelen
BACKGROUND/AIM: The present study aimed to investigate the efficacy of mitomycin-C (MMC) and infliximab (INF) in reducing adhesion and fibrosis following strabismus surgery. MATERIALS AND METHODS: Forty eyes of 20 albino rabbits were separated into MMC and INF groups. Right and left eyes of rabbits were assigned to the drug and control groups, respectively. The superior rectus muscle was disinserted, the drug was administered to the surgical area for 5 min in the drug eyes (MMC 0...
November 17, 2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27933278/a-simple-method-for-closure-of-urethrocutaneous-fistula-after-tubularized-incised-plate-repair-preliminary-results
#3
Mehdi Shirazi, Ali Ariafar, Amir Hossein Babaei, Abdosamad Ashrafzadeh, Ali Adib
BACKGROUND: Urethrocutaneous fistula (UCF) is the most prevalent complication after hypospadias repair surgery. Many methods have been developed for UCF correction, and the best technique for UCF repair is determined based on the size, location, and number of fistulas, as well as the status of the surrounding skin. OBJECTIVES: In this study, we introduced and evaluated a simple method for UCF correction after tubularized incised plate (TIP) repair. METHODS: This clinical study was conducted on children with UCFs ≤ 4 mm that developed after TIP surgery for hypospadias repair...
November 2016: Nephro-urology Monthly
https://www.readbyqxmd.com/read/27928670/tensile-strength-and-failure-load-of-sutures-for-robotic-surgery
#4
Ahmad Abiri, Omeed Paydar, Anna Tao, Megan LaRocca, Kang Liu, Bradley Genovese, Robert Candler, Warren S Grundfest, Erik P Dutson
BACKGROUND: Robotic surgical platforms have seen increased use among minimally invasive gastrointestinal surgeons (von Fraunhofer et al. in J Biomed Mater Res 19(5):595-600, 1985. doi: 10.1002/jbm.820190511 ). However, these systems still suffer from lack of haptic feedback, which results in exertion of excessive force, often leading to suture failures (Barbash et al. in Ann Surg 259(1):1-6, 2014. doi: 10.1097/SLA.0b013e3182a5c8b8 ). This work catalogs tensile strength and failure load among commonly used sutures in an effort to prevent robotic surgical consoles from exceeding identified thresholds...
December 7, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27923167/long-term-outcomes-for-different-vaginal-cuff-closure-techniques-in-robotic-assisted-laparoscopic-hysterectomy-a-randomized-controlled-trial
#5
Ziv Tsafrir, Matthew Palmer, Marisa Dahlman, A Karim Nawfal, Joelle Aoun, Andrew Taylor, Jay Fisher, Evan Theoharis, David Eisenstein
OBJECTIVE: This randomized controlled trial aimed to evaluate the outcomes of different vaginal cuff closure techniques in robotic-assisted total laparoscopic hysterectomy. STUDY DESIGN: Ninety women undergoing robotic-assisted total laparoscopic hysterectomy for benign disease were randomized to three vaginal cuff closure techniques: running 2.0 V-Lock™ (Arm 1), 0 Vicryl™ figure-of-eight (Arm 2), and running 0 Vicryl™ with Lapra-Ty(®) (Arm 3). Patients' records were reviewed for age, body mass index, smoking status and relevant co-morbidities...
November 16, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27885513/the-comparison-of-the-quality-of-life-and-intranasal-edema-between-the-patients-with-or-without-nasal-packing-after-septoplasty
#6
B Kayahan, S Ozer, A E Suslu, O Ogretmenoglu, M Onerci
Septoplasty is one of the most common operations performed in otolaryngology and anterior nasal packing is done routinely to prevent postoperative bleeding, septal hematoma or nasal synechia. Currently, transseptal sutures have gained a broader application area, not only for preventing the complications such as septal hematoma and bleeding but also closing any accidental tears of septal mucosa and providing additional support for the cartilage pieces retained in septoplasty. We evaluated the quality of life of the patients in early postoperative period (in the first postoperative week), intranasal edema with endoscopic examination and the intranasal changes with acoustic rhinometry...
November 24, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27860431/ureteral-reconstruction-with-reinforced-collagen-scaffolds-in-a-porcine-model
#7
Paul de Jonge, Vasileios Simaioforidis, Paul Geutjes, Egbert Oosterwijk, Wout Feitz
Repair of long ureteral defects often requires extensive surgical procedures and graft tissue which is associated with various complications, e.g. graft site morbidity or lack of suitable tissue. Tissue engineering might provide an alternative therapeutic approach in these cases. Reinforced tubular collagen-Vicryl scaffolds (l = 5 cm, lumen Ø = 6 mm, thickness = 3 mm) were developed with or without vascular endothelial growth factor and basic fibroblast growth factor and evaluated in a pre-clinical porcine model...
November 16, 2016: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/27847641/poly-n-isopropylacrylamide-pnipam-a-reversible-bioadhesive-for-sclerotomy-closure
#8
Luiz H Lima, Yael Morales, Thiago Cabral
PURPOSE: To determine the safety and efficacy of poly-N-isopropylacrylamide, a thermoresponsive adhesive, for sutureless sclerotomy closure in rabbits. METHODS: Eight rabbits were randomized into three groups: short-term acute, mid-term chronic, and long-term chronic studies. A corresponding control group in which the scleral wounds were sutured by 6-0 vicryl sutures was assigned for each study group. A 20-gauge sclerotomy was performed following a core vitrectomy and 0...
2016: International Journal of Retina and Vitreous
https://www.readbyqxmd.com/read/27822231/comparative-efficacy-of-prolene-and-prolene-vicryl-composite-mesh-for-experimental-ventral-hernia-repair-in-dogs
#9
H Anjum, S G Bokhari, M A Khan, M Awais, Z U Mughal, H K Shahzad, F Ijaz, M I Siddiqui, I U Khan, A S Chaudhry, R Akhtar, S Aslam, H Akbar, M Asif, M K Maan, M A Khan, A Noor, W A Khan, A Ullah, M A Hayat
In this study, efficacy of two hernia mesh implants viz. conventional Prolene and a novel Prolene-Vicryl composite mesh was assessed for experimental ventral hernia repair in dogs. Twelve healthy mongrel dogs were selected and randomly divided into three groups, A, Band C (n=4). In all groups, an experimental laparotomy was performed; thereafter, the posterior rectus sheath and peritoneum were sutured together, while, a 5 × 5 cm defect was created in the rectus muscle belly and anterior rectus sheath. For sublay hernioplasty, the hernia mesh (Prolene: group A; Prolene-Vicryl composite mesh: group B), was implanted over the posterior rectus sheath...
2016: Iranian journal of veterinary research
https://www.readbyqxmd.com/read/27817915/evicel-versus-tisseel-versus-sutures-for-attaching-conjunctival-autograft-in-pterygium-surgery-a-prospective-comparative-clinical-study
#10
Ofira Zloto, Eran Greenbaum, Ido Didi Fabian, Guy J Ben Simon
PURPOSE: To evaluate the outcome of pterygium surgery with conjunctival autograft using Vicryl sutures (Ethicon, NJ), Evicel fibrin glue (Omrix Biopharmaceuticals Ltd, Ramat-Gan, Israel), or Tisseel fibrin glue (Baxter Corp., Deerfield, IL). DESIGN: Prospective, randomized study. PARTICIPANTS: Eighty-nine adult patients with primary pterygium. METHODS: Patients undergoing pterygium surgery with conjunctival autografting were randomized into groups receiving 10-0 Vicryl sutures, Evicel fibrin glue, or Tisseel fibrin glue...
January 2017: Ophthalmology
https://www.readbyqxmd.com/read/27761380/clinical-use-of-the-resorbable-bioscaffold-poly-lactic-co-glycolic-acid-plga-in-post-extraction-socket-for-maintaining-the-alveolar-height-a-prospective-study
#11
Nadeemul Hoda, Aamir Malick Saifi, Girish B Giraddi
BACKGROUND: A common sequel of tooth extraction is alveolar bone resorption. It makes the placement of dental implants difficult and creates an esthetic problem for the fabrication of conventional prostheses. Therefore, alveolar bone following tooth extraction should be preserved. AIMS AND OBJECTIVES: The present prospective study was conducted to evaluate the efficacy of the resorbable bioscaffold poly lactic co-glycolic acid (PLGA) in maintaining the alveolar height in post-extraction socket...
September 2016: Journal of Oral Biology and Craniofacial Research
https://www.readbyqxmd.com/read/27729082/two-month-longitudinal-study-of-mechanical-properties-of-absorbable-sutures-used-in-orthopedic-surgery
#12
Daniel A Müller, Jess G Snedeker, Dominik C Meyer
BACKGROUND: This is the first study assessing the properties of large-diameter degradable sutures relevant for orthopedic applications over the course of in vitro incubation for 2 months. The data we present here provide guidance to the orthopedic surgeon in predicting the long-term performance of suture materials used everyday in surgical practice. METHODS: Five different absorbable (Vicryl, Maxon, Monocryl, PDS II, Vicryl rapide) and one non-absorbable (Ethibond) suture materials were tested...
October 12, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27684850/barbed-versus-conventional-2-layer-continuous-running-sutures-for-laparoscopic-vaginal-cuff-closure
#13
Jin Hwi Kim, Seung Won Byun, Jae Yeon Song, Yeon Hee Kim, Hee Joong Lee, Tae Chul Park, Keun Ho Lee, Soo Young Hur, Jong Sup Park, Sung Jong Lee
We compared results using unidirectional barbed sutures and conventional sutures for vaginal cuff closure during total laparoscopic hysterectomy (TLH).The electronic medical records and surgical videos of 170 patients who underwent TLH between January 2013 and March 2015 at Uijeong-bu St. Mary's Hospital of Catholic University of Korea were reviewed. Vaginal cuffs were closed using the 2-layer continuous running technique with unidirectional barbed sutures (V-Loc; Covidien, Mansfield, MA) in 64 patients and with polycolic acid Vicryl; Ethicon, Somerville, NJ sutures in 106 patients...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27664893/strength-and-histology-of-a-nanofiber-scaffold-in-rats
#14
Laura M Fluke, Ryan D Restrepo, Shyam Patel, Benjamin D Hoagland, Lori M Krevetski, Jacob T Stephenson
BACKGROUND: Full-thickness soft tissue defects from congenital absence or traumatic loss are difficult to surgically manage. Healing requires cell migration, organization of an extracellular matrix, inflammation, and wound coverage. PLCL (70:30 lactide:caprolactone, Purac), poly(propylene glycol) nanofibrous scaffolds enhance cell infiltration in vitro. This study compares strength and tissue ingrowth of aligned and unaligned nanofibrous scaffolds to absorbable and permanent meshes. We hypothesize that PLCL nanofibrous grafts will provide strength necessary for physiological function while serving as a scaffold to guide native tissue regeneration in vivo...
October 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27649653/study-on-the-use-of-focus-harmonic-scalpel-in-thyroidectomies-is-it-useful-also-in-preserving-voice-function
#15
A Minni, D Rosati, C Cavaliere, A De Carlo, G Illuminati, V Scarano Catanzaro, M Bodoni
OBJECTIVE: The aim of this randomized study is to evaluate the real benefits of the FOCUS Harmonic Scalpel in total thyroidectomies compared with conventional ligation, regarding operative time, postoperative blood loss, length of stay and complications. Furthermore, as never seen in other studies, we studied the effects of using the FOCUS during thyroidectomy analyzing the vocal production of patients before and after surgery. PATIENTS AND METHODS: We enrolled 361 patients who underwent total thyroidectomy from 2008 to 2014...
September 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27647957/experimental-model-of-intervertebral-disk-mediated-postoperative-epidural-fibrosis
#16
Sergey N Larionov, V A Sorokovikov, K C Erdyneyev, S A Lepekhova, O A Goldberg
BACKGROUND: Postoperative epidural fibrosis (EF) after lumbar discectomy is the most common and at the same time controversial issue. PURPOSE: The etiology and pathogenesis creates a lot of discussion and selection of methods of treatment and prevention continues. METHODS: LIV laminectomy with dura mater (DM) exposition was done in 24 rats, and then, 0.3 ml of elements of suspension of autologous intervertebral disk was implicated on DM. As autologous intervertebral disk, we used the intervertebral disk from amputated tail...
July 2016: Annals of Neurosciences
https://www.readbyqxmd.com/read/27612892/early-outcome-of-primary-repair-in-colonic-injury
#17
M A Uddin, E R Reza, M S Islam, M R Hoque, M F Hussain, I Alam, M F Sazzad, N Biswas, M S Kader, M S Malek, F Sultana, K S Rahman
The management of the colon injury remains controversial in spite of a number of divergent reports during the past decade. Previously surgeons were reluctant to do primary anastomosis but now-a-days they are doing primary repair with good results. The present study is designed to see the early outcomes of primary repair in colonic injury. This prospective observational study performed at Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2013 to June 2013 with allocation of 50 patients with colonic injury who underwent laparotomy with primary repair of that injury in the department of Casualty Surgery...
July 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/27590620/antimicrobial-coated-sutures-to-decrease-surgical-site-infections-a-systematic-review-and-meta-analysis
#18
X Wu, N Z Kubilay, J Ren, B Allegranzi, P Bischoff, B Zayed, D Pittet, J Li
To investigate the effectiveness of antimicrobial-coated sutures compared with non-coated sutures in reducing surgical site infection (SSI) and develop recommendations for World Health Organization (WHO) SSI prevention guidelines. We searched Medline, Embase, Cinahl, Cochrane Central Register of Controlled Trials, and WHO Global Health from 1990-16/02/2015 with language restricted to English, Spanish, and French. Meta-analysis was performed with a random-effects model. Meta-regression analysis assessed whether the effect of antimicrobial coating changed according to the type of suture and surgery...
January 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/27549385/an-alternative-to-the-wire-scalpel-for-nasolabial-fold-subcision-a-preliminary-study-using-a-tuohy-epidural-needle-and-vicryl-sutures
#19
Sang-Yeul Lee, Kun-Yong Sung
BACKGROUND: Subcision techniques involving wire scalpels are used to correct prominent nasolabial folds, depressed scars, and wrinkles. However, these instruments are not universally available. METHODS: We devised a substitute device, consisting of a Tuohy epidural needle and Vicryl sutures, which are easily accessible and inexpensive. We used these novel devices to perform nasolabial fold subcisions in six female patients (mean age 43 years, range 28-65 years) The follow-up period ranged from 4 to 11 months (mean 7 months)...
December 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27547691/retrospective-analysis-of-a-vacm-vacuum-assisted-closure-and-mesh-mediated-fascial-traction-treatment-manual-for-temporary-abdominal-wall-closure-results-of-58-consecutive-patients
#20
Christian Beltzer, Alexander Eisenächer, Steffen Badendieck, Dietrich Doll, Markus Küper, Stefan Lenz, Björn Dirk Krapohl
INTRODUCTION: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. MATERIAL AND METHODS: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
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