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https://www.readbyqxmd.com/read/28436361/robotic-repair-of-vesicovaginal-fistulas-using-fibrin-sealant
#1
G Luke Machen, Leah R Chiles, John Joyce, Kristofer R Wagner
INTRODUCTION: Although infrequent, when encountered vesicovaginal fistulas (VVF) are a difficult condition for both patients and physicians alike. After the first robotic repair was described in 2005, this has been an increasingly common treatment modality. At our institution between 2009 and 2014, eleven of these patients were evaluated and treated with robotic repair. However, fibrin sealant was used in place of the traditional tissue flap. Included are six patients who had previously undergone operative repair...
April 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28385501/percutaneous-embolization-of-delayed-external-carotid-artery-pseudoaneurysm-eight-years-after-partial-parathyroidectomy
#2
Antonella Laurito, Holta Kasemi, Andrea Monti, Mauro Maselli, Paola Manzo, Valeria Tavolini, Andrea Gaggiano
External carotid artery pseudoaneurysm (ECAP) is very rare. The usual mechanism is trauma or iatrogenic. We report a case of a patient with an asymptomatic, chronic ECAP secondary to partial parathyroidectomy. Percutaneous injection of the two-component Fibrin Sealant (Tisseel, Baxter int., Deerfield, IL) with the two active ingredients (Sealer Protein Solution and Thrombin Solution) was carried out with successful occlusion of the pseudoaneurysmal sac. The six-month follow up CT scan confirmed the ECAP thrombosis...
April 3, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28365107/recurrent-and-acquired-tracheoesophageal-fistulae-tef-minimally-invasive-management
#3
Zafar Nazir, Muhammad Arif Mateen Khan, Javaria Qamar
OBJECTIVE: Recurrent and acquired fistulae are a serious complication of congenital esophageal atresia and tracheoesophageal fistula (TEF) repair and foreign body ingestion (FBI) (e.g., button battery). We report our experience with a minimally invasive approach to recurrent and acquired TEF. METHODS: Medical records of patients referred for management of recurrent and acquired TEF between 2003 and 2015 were reviewed retrospectively. Patients underwent endoscopic procedures (de-epithelization of fistulous tract and fibrin tissue adhesive-Tisseel(R)) under general anesthesia...
March 23, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28360862/iodixanol-as-a-contrast-agent-in-a-fibrin-hydrogel-for-endodontic-applications
#4
Gabriel Hertig, Matthias Zehnder, Anna Woloszyk, Thimios A Mitsiadis, Anja Ivica, Franz E Weber
The application of biomaterials used in regenerative endodontics should be traceable. In this study, we checked some basic effects of rendering a fibrin hydrogel radiopaque using an iodine-based contrast agent (iodixanol) approved for systemic application. Fibrin hydrogels were prepared from a fibrin sealant (Tisseel) using either an isotonic iodixanol solution (Visipaque 320, test) or Tris buffer (control) as a diluent. Gelation kinetics, radiopacity, and swelling of lyophilized hydrogels were tested using standard methods...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28350654/a-prospective-randomized-trial-of-the-efficacy-of-fibrin-glue-triamcinolone-acetonide-and-quilting-sutures-in-seroma-prevention-after-latissimus-dorsi-breast-reconstruction
#5
Alexandra M Hart, Clarie Duggal, Ximena Pinell-White, Albert Losken
BACKGROUND: Donor-site seroma is the most common complication following latissimus dorsi flap breast reconstruction. Various agents and techniques have attempted to minimize seroma formation. The purpose of this study was to compare the efficacy of different products and quilting sutures at seroma prevention. METHODS: This is a single-center, double-blinded, randomized, controlled trial of a consecutive series of breast cancer patients (n = 96) undergoing latissimus dorsi flap reconstruction performed by a single surgeon...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28320573/bleeding-related-complications-and-readmission-rates-associated-with-fibrin-sealant-use-in-patients-undergoing-coronary-artery-bypass-graft-surgery-in-the-united-states
#6
Yin Wan, Sangtaeck Lim, Xin Gao, Walter A Danker, Richard Kocharian, Gaurav Gangoli, Ashley P DeAnglis, James Hart
OBJECTIVES: To compare the clinical and economic outcomes of EVICEL (Ethicon, Inc., Somerville, NJ) and TISSEEL (Baxter Healthcare Corporation, Westlake Village, CA) use in patients undergoing primary coronary artery bypass graft (CABG) surgery. DESIGN: Retrospective database analysis. SETTING: Premier prospective hospital database (June 2009 through March 2014) covering approximately 20% of hospital discharges in the United States. PARTICIPANTS: Adults undergoing primary CABG surgery who received either EVICEL or TISSEEL on the day of surgery (index date)...
November 10, 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27817915/evicel-versus-tisseel-versus-sutures-for-attaching-conjunctival-autograft-in-pterygium-surgery-a-prospective-comparative-clinical-study
#7
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/27759861/dehydrated-allogenic-human-amniotic-membrane-graft-for-conjunctival-surface-reconstruction-following-removal-of-exposed-scleral-buckle
#8
Dilraj S Grewal, Tamer H Mahmoud
A 54-year-old male developed symptomatic scleral buckle exposure 16 years after placement and presented with large conjunctival defects with fibrosed edges. Following surgical removal of the buckle elements, primary conjunctival closure could not be achieved due to significant wound tension despite undermining the conjunctival edges to mobilize the conjunctiva. A dehydrated amniotic membrane graft (Ambio5; IOP Ophthalmics, Costa Mesa, CA) was placed on the scleral bed and secured in place with fibrin sealant (TISSEEL; Baxter International, Westlake Village, CA)...
October 1, 2016: Ophthalmic Surgery, Lasers & Imaging Retina
https://www.readbyqxmd.com/read/27658949/magnetic-resonance-imaging-appearance-and-mechanism-of-action-of-five-hemostatic-agents-used-in-neurosurgery
#9
Cord M Brundage, Rebecca A Packer, Matthew D Jones
OBJECTIVE: To describe the magnetic resonance (MR) image appearance of 5 hemostatic agents placed in the brain, and to review their clinical application. STUDY DESIGN: Descriptive ex vivo and in vivo study. ANIMALS: Canine cadavers (n=4), client-owned dogs (n=4). METHODS: Heads from 4 canine cadavers were used, each with 5 hemostatic agents placed in specific locations in the brain. Hemostatic agents were used in their native form in 2 cadaveric brains, and in 2 others the materials were saturated with fresh whole blood prior to placement to mimic application in a field of active hemorrhage...
November 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27619561/seed-migration-to-the-spinal-canal-after-postresection-brachytherapy-to-treat-a-large-brain-metastasis
#10
Cole B Hirschfeld, Theodore H Schwartz, Bhupesh Parashar, A Gabriella Wernicke
PURPOSE: Seed migration after interstitial prostate brachytherapy has been well documented in the literature. However, there have been no detailed reports of seed migration after permanent interstitial brachytherapy to treat cerebral malignancies. In this article, the authors report a rare case of seed migration after adjuvant cesium-131 ((131)Cs) brachytherapy was used to treat a large paraventricular brain metastasis. METHODS AND MATERIALS: The patient was a 63-year-old man with a 5...
September 2016: Brachytherapy
https://www.readbyqxmd.com/read/27593819/to-what-extent-topical-application-of-cova%C3%A2-and-tisseel%C3%A2-cause-spinal-peridural-fibrosis-comparison-with-adcon%C3%A2-gel-an-experimental-study-in-rat-model
#11
Atilla Kazanci, Oktay Gurcan, Ahmet Gurhan Gurcay, Evrim Onder, Burak Kazanci, Mesut Emre Yaman, Murad Bavbek
AIM: Leptomeningeal adhesions and fibrosis in spinal peridural space are the most common causes of post-laminectomy syndrome. Fibrin sealant agents and membrane barriers are commonly used for hemostasis and sealing purposes in spinal surgery. Peridural fibrosis may be a risk of usage of these topical agents. In our study we aimed to compare the effects of Cova™, Tisseel® and Adcon® Gel on spinal epidural fibrosis in an experimental rat model. MATERIAL AND METHODS: 32 Sprague Dawley female rats were divided into 4 groups randomly...
April 20, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27444826/short-term-strength-of-non-penetrating-mesh-fixation-lifemesh%C3%A2-tisseel%C3%A2-and-progrip%C3%A2
#12
Charles P Shahan, Nathaniel N Stoikes, Esra Roan, James Tatum, David L Webb, Guy R Voeller
BACKGROUND: Non-penetrating mesh fixation is becoming widely accepted even though little is known about the short-term fixation strength of these techniques. Although clinical outcomes are the ultimate measure of effectiveness, ex vivo biomechanical evaluation provides insights about the load-carrying capacity of the mesh-tissue complex in vivo. As such, the purpose of this study was to compare the short-term fixation strength of three unique non-penetrating methods of fixation: LifeMesh™, ProGrip™, and Tisseel™...
March 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/27277389/failure-pressures-after-repairs-of-2-cm-%C3%A3-2-5-cm-rhinologic-dural-defects-in-a-porcine-ex-vivo-model
#13
Ryan P Lin, Erik Kent Weitzel, Philip G Chen, Kevin Christopher McMains, Daniel R Chang, Ernest E Braxton, Jacob Majors, Leon Bunegin
BACKGROUND: The objective of this study was to determine failure pressures of 6 rhinologic repair techniques of large skull base/dural defects in a controlled, ex vivo model. METHODS: Failure pressures of 6 dural repairs in a porcine model were studied using a closed testing apparatus; 24-mm × 19-mm dural defects were created; 40-mm × 34-mm grafts composed of porcine Duragen (Integra), fascia lata, and Biodesign (Cook) were used either with or without Tisseel (Baxter International Inc...
June 9, 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/27257609/effect-of-fibrin-glue-on-corneal-lamellar-healing-and-how-it-correlates-to-biomechanical-properties-biomechanical-wavefront-analysis-and-confocal-study
#14
Almamoun Abdelkader
BACKGROUND: To evaluate, using a rabbit model, the influence of the wound healing process at the flap edge on corneal biomechanics after sutured, glued, and non-augmented microkeratome flaps. METHODS: Unilateral 160 μm thick laser in situ keratomileusis (LASIK) flaps using a mechanical microkeratome were performed on the corneas of the left eyes of 36 rabbits. Animals were then divided into 3 groups of 12 rabbits each: A: the flaps were glued with human fibrin tissue adhesive (Tisseel); B: the flaps were sutured; and C: the flaps were allowed to heal without the use of sutures or glue (non-augmented)...
2016: Eye and Vision (London, England)
https://www.readbyqxmd.com/read/27235179/use-of-fibrin-glue-as-an-adjunct-in-the-repair-of-lingual-nerve-injury-case-report
#15
Nicholas P Theberge, Vincent B Ziccardi
This report describes a case of lingual nerve injury repair using a novel technique in which Tisseel fibrin glue was used to stabilize an Axoguard nerve conduit placed around the site of primary neurorrhaphy to decrease the number of sutures required for stabilization. Five months postoperatively, the patient subjectively had increased sensation and improved taste in the left lingual nerve distribution. At neurosensory examination, the patient exhibited functional neurosensory recovery (S3+ on the Medical Research Council Scale)...
September 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26930337/repair-of-a-posterior-perforation-of-the-trachea-following-thyroidectomy-with-a-muscle-transposition-flap
#16
Alistair B Escott, Rosalynd S Pochin
Tracheal perforation is a rare postoperative complication of total thyroidectomy. While previously documented cases have been reported in the anterior aspect of the trachea after a total thyroidectomy, we report what we believe is the first documented case of a perforation in the posterior aspect of the trachea. Our patient was a 29-year-old woman who presented with symptoms of tracheal impingement in the context of a right-sided goiter that subsequent investigation found to be three benign colloid nodules...
February 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/26898493/an-experimental-study-of-histopathologic-effects-of-hemostatic-agents-used-in-spinal-surgery
#17
Idiris Altun
OBJECTIVE: To evaluate and compare the histopathologic effects of various hemostatic agents used in spinal surgery on an experimental laminectomy model in rats. METHODS: There were 110 rats randomly allocated into 11 groups, including sham, control, AnkaferdBlood Stopper (herbal hemostatic), SeraSeal (agar and bovine factor proteins), FLOSEAL (gelatin granules and thrombin), SURGIFLO (gelatin paste), HELITENE (absorbable collagen), Beriplast (fibrin sealant containing fibrinogen, factor XIII, and thrombin), TISSEEL (fibrin sealant), BLOODCARE (hemostatic powder), and SURGICEL (oxidized cellulose polymer) groups...
June 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26793579/a-novel-use-of-tisseel-in-the-setting-of-uncontrolled-bleeding-in-a-thrombocytopenic-patient-with-idiopathic-thrombocytopenia
#18
John S Fisher, Ricardo Gonzalez, Philippe E Spiess
We present a case of an 87-year-old female who was evaluated for an 8.5 cm left sided renal mass concerning for malignancy. The patient was transiently thrombocytopenic over the previous 4 months with platelet counts ranging from 50,000 to 125,000 plt/mcL and experienced diffuse hemorrhage during radical nephrectomy with failure to achieve mechanical hemostasis or fulguration. Following Surgicel (Ethicon; Somerville, New Jersey) application, we applied Tisseel (Baxter; Deerfield, IL) to the nephrectomy bed with complete hemostasis of bleeding foci...
January 2016: Urology Case Reports
https://www.readbyqxmd.com/read/26668519/endoscopic-fibrin-sealant-closure-of-duodenal-perforation-after-endoscopic-retrograde-cholangiopancreatography
#19
Hsin-Yeh Yang, Jui-Hao Chen
Traditionally, perivaterian duodenal perforation can be managed conservatively or surgically. If a large volume of leakage results in fluid collection in the retroperitoneum, surgery may be necessary. Our case met the surgical indication for perivaterian duodenal perforation after endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and endoscopic papillary balloon dilatation. The patient developed a retroperitoneal abscess after the procedures, and a perivaterian perforation was suggested on computed tomography (CT)...
December 7, 2015: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/26605107/incidence-and-management-of-cerebrospinal-fluid-fistulas-in-336-multilevel-laminectomies-with-noninstrumented-fusions
#20
Nancy E Epstein
BACKGROUND: The incidence (e.g., 3-27%) and the types of cerebrospinal fluid (CSF) fistulas occurring during multilevel lumbar laminectomy with noninstrumented spinal fusions varies. METHODS: From 2000 to 2015, we retrospectively evaluated the incidence/etiologies of CSF fistulas occurring for 336 patients undergoing average 4.7 laminectomies with average 1.4 level noninstrumented fusions over a 15 year period. The varied etiologies of CSF leaks included; ossification of the yellow ligament (OYL) extending through the dura, postoperative surgical scar, iatrogenic traumatic leak, epidural steroid injections (ESI), resection of synovial cysts, and the removal of intradural tumors...
2015: Surgical Neurology International
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