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https://www.readbyqxmd.com/read/29906811/comparison-of-hand-sewn-versus-coupled-venous-anastomoses-in-traumatic-lower-extremity-reconstruction
#1
John T Stranix, William J Rifkin, Z-Hye Lee, Lavinia Anzai, Adam Jacoby, Daniel J Ceradini, Vishal Thanik, Pierre B Saadeh, Jamie P Levine
BACKGROUND:  Microvascular reconstruction of the lower extremity has the highest reported complication and flap failure rates of any anatomical region. Despite widespread adoption of the mechanical anastomotic venous coupler and encouraging results in other anatomical regions, there are limited reports examining its use in the lower extremity. This study compares outcomes between coupled and hand-sewn venous anastomoses in traumatic lower extremity reconstruction. METHODS:  Retrospective review of our institutional flap registry from 1979 to 2016 identified soft tissue free flaps performed for the reconstruction of Gustilo type IIIB/IIIC open tibial fractures...
June 15, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29906810/endoscopic-gastric-reduction-with-an-endoluminal-suturing-device-a-multicenter-prospective-trial-with-1-year-follow-up
#2
Vincent Huberty, Evzen Machytka, Ivo Boškoski, Marie Barea, Guido Costamagna, Jacques Deviere
BACKGROUND:  Obesity is the pandemic disease of this century. Surgery is the only effective treatment but cannot be offered to every patient. Endoscopic sutured gastroplasty is a minimally invasive technique that may potentially fill the gap between surgery and behavioral therapy. In this study, we prospectively investigated the efficacy and safety of a novel suturing device. METHODS:  After a pre-bariatric multidisciplinary work-up, class 1 and 2 obese patients were included...
June 15, 2018: Endoscopy
https://www.readbyqxmd.com/read/29906391/enhanced-rotator-cuff-repair-using-platelet-rich-plasma-adsorbed-on-branched-poly-ester-urea-s
#3
Erin P Childers, Nathan Z Dreger, Alex B Ellenberger, Mary Beth Wandel, Karen Domino, Yanyi Xu, Derek Luong, Jiayi Yu, David Orsini, Robert H Bell, Christopher Premanandan, Stephen D Fening, Matthew L Becker
Platelet-rich plasma (PRP) is a clinically relevant source of growth factors used commonly by surgeons. The clinical efficacy of PRP use as reported in the literature is widely variable which is likely attributed to poorly defined retention time of PRP at the repair site. To overcome this limitation, branched poly(ester urea) (PEU) nanofibers were used to adsorb and retain PRP at the implant site in an acute rotator-cuff tear model in rats. The adsorption of PRP to branched-PEU was characterized using quartz crystal microbalance (QCM) and immuno-protein assay...
June 15, 2018: Biomacromolecules
https://www.readbyqxmd.com/read/29905641/surgical-treatment-of-diplopia-in-graves-orbitopathy-patients
#4
Anja Eckstein, Joachim Esser, Michael Oeverhaus, Peerooz Saeed, Hinke Marijke Jellema
PURPOSE: To review the authors' current understanding of motility dysfunction in patients with thyroid eye disease and to summarize appropriate evaluation and available management options. METHODS: Data were retrieved from a systematic search of the literature. RESULTS: Diplopia is one of the most disabling symptoms for Graves orbitopathy patients. It occurs in moderate-to-severe Graves orbitopathy stages and does not respond well to available anti-inflammatory treatment...
June 13, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29905635/string-technique-for-anterior-orbital-fish-hook-removal
#5
Matthew R Starr, Michael B Choi, Michael A Mahr, Pradeep Mettu, David F Patterson
Removing fish hooks is a common procedure performed by many emergency department providers. There are several techniques that are commonly employed to aid in successful removal. However, when a fish hook becomes embedded within the orbit, there are limited options as to avoid damaging vital surrounding structures. The authors report the removal of a fish hook within the anterior orbit using the string technique in a 25-year-old patient. The procedure was performed under general anesthesia with the aid of size 5 polyglactin suture wrapped around the hook...
June 13, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29905194/endoscopic-suturing-of-esophageal-stent-into-skin-flap-after-laryngectomy
#6
Neil Gupta, Govind Verma, Mukund Venu, Amar Naik, Nikhil Shastri
No abstract text is available yet for this article.
January 2018: VideoGIE
https://www.readbyqxmd.com/read/29905148/the-occasional-vertical-mattress-suture
#7
Gordon Brock, Fanyi Meng
No abstract text is available yet for this article.
2018: Canadian Journal of Rural Medicine
https://www.readbyqxmd.com/read/29905060/therapeutic-options-to-manage-bleeding-in-a-dentist%C3%A2-s-office
#8
Claudio Rostetter, Tim Finkenstädt, Martin Rücker, Heinz-Theo Lübbers
This manuscript provides an overview of therapeutic options for the problem of bleeding in a dentist’s office. Bleeding after tooth extraction is a very common finding in dental medicine and persistent blood in the mouth is obviously uncomfortable and sometimes terrifying for the patient. Most bleedings can be stopped simply with compression, in some cases a homeostatic therapy is necessary. For local compression, a swab with tranexamic acid is useful. If local compression is not sufficient, sutures are often an option...
June 18, 2018: Swiss Dental Journal
https://www.readbyqxmd.com/read/29905051/-new-type-of-sutured-titanium-wire-combined-with-titanium-nail-internal-fixation-for-correction-of-serious-old-medial-canthus-deformity
#9
Ying Zhang, Changhong Zeng, Jun Chen, Bo Guo
Objective: To evaluate the effectiveness of a new type of sutured titanium wire combined with titanium nail internal fixation in correction of serious old medial canthus deformity. Methods: Between March 2012 and June 2015, 18 patients with unilateral serious old medial canthus deformity were treated. There were 14 males and 4 females. The patient's age ranged from 23 to 62 years (mean, 42 years). The causes of deformity included accident injury in 10 cases, boxing injury in 4 cases, sharp device scratching in 3 cases, and animal bite in 1 case...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29905046/-effectiveness-of-high-strength-suture-fixation-in-treatment-of-patellar-transverse-fracture
#10
Jian Wang, Xiaobo Tang, Peilong Dong, Zhiyun Li
Objective: To explore the effectiveness of high strength suture fixation in treatment of patellar transverse fracture. Methods: Between June 2014 and June 2016, 38 patients with the patellar transverse fracture were treated with high strength suture internal fixation. There were 24 males and 14 females with the age of 26 to 64 years (mean, 45 years). There were 6 cases of accident injury and 32 cases of crashing injury. The time interval between injury and surgery was 2-8 days (mean, 5 days)...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29905016/examining-the-july-effect-on-patients-undergoing-pituitary-surgery
#11
Bassel Bashjawish, Shreya Patel, Suat Kılıç, Wayne D Hsueh, James K Liu, Soly Baredes, Jean Anderson Eloy
BACKGROUND: Our aim in this study was to assess the impact of the turnover of residents in July on patients undergoing pituitary surgery. METHODS: This work was a retrospective cohort study of cases from the National Inpatient Sample (NIS). Patients who underwent pituitary surgery from 2005 to 2012 were selected in the NIS. Patients undergoing surgery in July and in non-July months were compared to determine differences in demographics, comorbidities, and complications...
June 15, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29903028/feasibility-of-a-novel-synthetic-self-assembling-peptide-for-suture-line-haemostasis-in-cardiac-surgery
#12
Suresh Giritharan, Kareem Salhiyyah, Geoffrey M Tsang, Sunil K Ohri
BACKGROUD: To assess the feasibility and efficacy of PuraStat®, a novel haemostatic agent, in achieving suture line haemostasis in a wide range of cardiac surgical procedures and surgery of the thoracic aorta. METHODS: A prospective, non-randomised study was conducted at our institution. Operative data on fifty consecutive patients undergoing cardiac surgery where PuraStat® was utilised in cases of intraoperative suture line bleeding was prospectively collected...
June 15, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29902795/chest-drain-fall-out-rate-according-to-suturing-practices-a-retrospective-direct-comparison
#13
Rachelle Asciak, Dinesh Addala, Juzer Karimjee, Maaz Suhail Rana, Stamatoula Tsikrika, Maged Fayed Hassan, Rachel Mary Mercer, Robert John Hallifax, John Matthew Wrightson, Ioannis Psallidas, Rachel Benamore, Najib Mahboob Rahman
BACKGROUND: Chest drains often become displaced and require replacement, adding unnecessary risks to patients. Simple measures such as suturing of the drain may reduce fall-out rates; however, there is no direct data to demonstrate this and no standardized recommended practice that is evidence based. OBJECTIVES: The study aimed to analyze the rate of chest drain fall out according to suturing practice. METHODS: Retrospective analysis of all chest drain insertions (radiology and pleural teams) in 2015-2016...
June 14, 2018: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/29901797/evaluation-of-patients-satisfaction-and-functional-outcome-of-dorsal-hand-unit-reconstruction-in-burn-patients-in-shiraz-southern-iran
#14
Ali Akbar Mohammadi, Ali Foroutan, Soheil Mohammadi, Mitra Zardosht
The aim of this study was to assess patients' satisfaction and functional outcome of dorsal hand unit reconstruction in burn patients in Shiraz, southern Iran.From September 2013 to February 2017, 11 patients (15 hands) with hand aesthetic complaint who were unhappy with their hand appearance were included for dorsal hand unit reconstruction. Under general anesthesia and tourniquet control, the burned tissue on dorsal surface of the hands was excised and a thick partial thickness skin graft was used for coverage, whereas the fingers were fixed by sutures to the palm...
June 13, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29901722/genitourinary-surgical-workload-at-deployed-u-s-facilities-in-iraq-and-afghanistan-2002-2016
#15
Caryn A Turner, Jean A Orman, Zsolt T Stockinger, Steven J Hudak
Introduction: Genitourinary surgery constitutes approximately 1.15% of procedures performed for combat injuries. During forward deployment, surgeons usually deploy without urology support. To better understand the training and skills maintenance needs for genitourinary procedures by describing in detail the genitourinary surgical workload during 15 years of combat operations and compare our findings with those from previously published articles. Material and Methods: A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Roles 2 and 3 medical treatment facilities in Iraq and Afghanistan, from January 2002 to May 2016...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29901606/a-case-report-of-successful-treatment-of-secondary-aortoenteric-fistula-complicated-with-gastrointestinal-bleeding-and-retroperitoneal-abscess-in-an-elderly-patient
#16
Chunyan Jiang, Xueming Chen, Jianshe Li, Hongwei Li
RATIONALE: The treatment of secondary aortoenteric fistula (SAEF) involves maintaining hemodynamic stability, infection control, revascularization, and surgical repair. Conventional open repair is associated with high mortality, whereas endovascular stent-graft repair is associated with recurrent infection or bleeding. PATIENT CONCERNS: We report the case of an 85-year-old man with SAEF who presented with gastrointestinal bleeding and retroperitoneal abscess. DIAGNOSES: He was misdiagnosed for 5 months...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901479/massive-traumatic-skin-defect-successfully-treated-with-autologous-bilayered-tissue-engineered-myderm-skin-substitute-a-case-report
#17
Nor Hazla Mohamed Haflah, Min Hwei Ng, Mohd Heikal Mohd Yunus, Amaramalar Selvi Naicker, Ohnmar Htwe, Kamarul Arifin Abdul Razak, Ruszymah Idrus
CASE: A 22-year-old man sustained a laceration that measured 180 cm, after debridement, over the anterolateral aspect of the right leg following a road traffic accident. The wound was treated with MyDerm (Universiti Kebangsaan Malaysia), a cell-based, bilayered, bioengineered dermal substitute that contains no animal-derived components and is fully autologous. For its construction, only a small area of skin was harvested from the left groin, which was closed primarily with absorbable sutures...
June 13, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29901478/coronal-fracture-of-the-lunate-in-advanced-kienb%C3%A3-ck-disease-reestablishing-midcarpal-congruency-to-enable-osteochondral-reconstruction-a-case-report
#18
Joshua A Gillis, James P Higgins
CASE: We describe a patient with Bain grade-2b Kienböck disease with a coronal fracture of the distal lunate articular surface with proximal structure collapse. To reestablish midcarpal congruity, we used a bone-anchored suture to repair the coronal split in the lunate in preparation for lunate preservation with osteochondral medial femoral trochlea (MFT) reconstruction. CONCLUSION: In Bain grade-2b Kienböck disease, lunate reconstruction of both the proximal and distal joint surfaces can be performed...
June 13, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29900805/endoscopic-wedge-gastrectomy-of-a-gastric-subepithelial-tumor-and-closure-of-the-gastric-wall-defect-with-the-overstitch-suturing-system
#19
Antonino Granata, Marco Bisello, Fabio Cipolletta, Dario Ligresti, Mario Traina
No abstract text is available yet for this article.
June 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29899651/autologous-scleral-flap-technique-to-repair-exposed-sutures-after-transscleral-suture-fixation-of-an-intraocular-lens
#20
Aliyah Hadi Alameri, Donald Ural Stone
Exposure of the suture after transscleral suture fixation of posterior chamber intraocular lenses is a known late complication that typically requires intervention. Patch grafts of sclera, cornea, or pericardium have been described. We describe a novel autologous scleral flap to cover an exposed 10-0 polypropylene suture. This technique requires no exogenous graft material and avoids the risks of intraocular manipulation of the lens. Every effort should be made to avoid external exposure of the suture, but in cases that develop suture erosion, an autologous scleral flap may be a useful intervention...
January 2018: Middle East African Journal of Ophthalmology
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