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surgical sutures

Simone E Dekker, Chad A Glenn, Thomas A Ostergard, Brian D Rothstein, Nicholas C Bambakidis
This operative video illustrates resection of a cervical ependymoma in a 40-yr-old female with numbness of upper and lower extremities and ataxia. Magnetic resonance imaging (MRI) demonstrated an enhancing intramedullary intradural spinal mass at C2-3. The patient underwent a posterior cervical laminoplasty for tumor resection. This video highlights the natural history of this disease, treatment options, surgical procedure, potential risks and complications, and postoperative management of ependymomas. A posterior midline skin incision was made from the inion to the level of C4 which exposed the posterolateral elements of C1-3...
August 13, 2018: Operative Neurosurgery (Hagerstown, Md.)
Samad Rezaee Khiabanloo, Roghieh Jebreili, Ezatollah Aalipour, Nazi Saljoughi, Arian Shahidi
INTRODUCTION: Increased demand for rejuvenation of the aging face has led to the evolution of various plastic surgery techniques. This study was conducted to evaluate the surgical efficacy and outcomes of the absorbable suture suspension system related to eyebrow, midface, mandibular, and neck lifting. MATERIALS AND METHODS: In this prospective review chart clinical study, a total of 193 patients were included in the study from January 2016 to May 2017. All participants underwent thread lifting using the Proma Happy Lift double needle and Silhouette Soft threads...
August 13, 2018: Journal of Cosmetic Dermatology
Takuya Saito, Kohei Yasui, Shintaro Kurahashi, Kenichi Komaya, Seiji Ishiguro, Takashi Arikawa, Shunichiro Komatsu, Kenitiro Kaneko, Masahiko Miyachi, Tsuyoshi Sano
BACKGROUND: Intrapericardial diaphragmatic hernia (IPDH), defined as prolapse of the abdominal viscera into the pericardium, is a rare clinical condition. This case illustrates the possibility of IPDH after esophagectomy with antethoracic alimentary reconstruction, although such hernias are extremely rare. IPDH often presents with symptoms of bowel obstruction such as abdominal discomfort or vomiting. If not properly treated, life-threatening necrosis and/or perforation of the herniated contents may occur...
August 13, 2018: Surgical Case Reports
Alexander Cm Chong, Jordan L Ochs, Rosalee E Zackula, Lisa N MacFadden, Daniel J Prohaska
Purpose: Evidence is lacking on the effect of different combinations of three stacked half-hitches and suture materials on the loop/ knot security of an arthroscopic knot under cyclic loading conditions. The specific aim of this study was to identify variables, such as stacked half-hitch configurations, suture materials, and testing environments, that affect knot strength and loop security under cyclic loading conditions. Methods: Two suture materials (Orthocord and ForceFiber) were used to tie five differently stacked reversing half-hitches on alternating posts (RHAP) in an arthroscopic knot condition...
2018: Iowa Orthopaedic Journal
Stephen Tabiri, Edwin M T Yenli, Frank E Gyamfi, Ali Jalali, Richard E Nelson, Raymond R Price, Micah G Katz
BACKGROUND: Despite the recognition that inguinal hernia (IH) repair is cost-effective, repair rates in low- and middle-income countries remain low. Estimated use of mesh in low- and middle-income countries also remains low despite publications about low-cost, noncommercial mesh. The purpose of our study was to assess the current state of IH repair in the northern and transitional zone of Ghana. MATERIALS AND METHODS: A retrospective review of surgical case logs of IH repairs from 2013 to 2017 in 41 hospitals was performed...
October 2018: Journal of Surgical Research
Francisco Schlottmann, Jason M Long, Sean Brown, Marco G Patti
Acquisition of robotic surgical skills by surgical residents is usually hindered by time pressure and financial imperatives. Robotic simulation training offers an attractive solution because it allows residents to learn in a safe, controlled, and standardized environment. We aimed to determine the confidence levels of senior surgical residents with the robotic platform, and how those levels were affected by simulation training. Twenty senior residents participated in a simulation course using perfused porcine tissue blocks to perform the following robotic procedures: Nissen fundoplication, Heller myotomy, sleeve gastrectomy, colectomy, and lobectomy...
August 11, 2018: Journal of Robotic Surgery
Gilbert Steinbacher, Eduard Alentorn-Geli, Manuel Alvarado-Calderón, David Barastegui, Pedro Álvarez-Díaz, Ramón Cugat
PURPOSE: To report the outcomes (subjective function, return to play, complications and reoperations) of arthroscopic all-inside meniscal fixation in a large sample of soccer players with hypermobile lateral meniscus. METHODS: Between 2010 and 2015, 55 patients undergoing surgical treatment for hypermobile lateral meniscus at Mutualidad Catalana de Futbolistas (Barcelona, Spain) were identified. Patients with open physes, associated injuries, discoid meniscus, or clinical follow-up less than 6 months were excluded...
August 11, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Farhad Javid, Nastaran Shahmansouri, Jorge Angeles, Rosaire Mongrain
Sudden failure and rupture of the tissue is a rare but serious short-term complication after the mitral valve surgical repair. Excessive cyclic loading on the suture line of the repair can progressively damage the surrounding tissue and finally cause tissue rupture. Moreover, mechanical over-tension, which occurs in a diseased mitral valve, gradually leads to tissue floppiness, mitral annular dilation, and leaflet rupture. In this work, the rupture mechanics of mitral valve is studied by characterizing the fracture toughness exhaustion of healthy tissue...
August 10, 2018: Biomechanics and Modeling in Mechanobiology
Abebe Bekele, Sahlu Wondimu, Naod Firdu, Mulat Taye, Amezene Tadesse
INTRODUCTION: While prior studies have evaluated surgical skills simulation and retention in highly resourced environments, there is paucity of data on the retention of surgical skills taught in simulation laboratory to undergraduate students, and virtually none from low-resource settings. We aimed to evaluate the trends in retention/decay of surgical skills among medical students in Ethiopia and determine whether regular intervention in the form of intermittent skills testing can aid retention...
August 10, 2018: World Journal of Surgery
Hao Zhang, Pei-Zhao Liu, Xin Zhang, Chen Ding, Hao-Chen Cui, Wen-Bin Ding, Ren-Kai Wang, Da-Jiang Wu, Qiang Wei, Sheng Qin, Xue-Lin Wu, Da-Ke Tong, Guang-Chao Wang, Hao Tang, Fang Ji
BACKGROUND: Traditional incision repair and minimally invasive repair for acute Achilles tendon repair have limitations. This study aimed to present our series of 23 patients with acute Achilles tendon rupture that was repaired using two small incisions to assist the anchor repair of the tear and a new "circuit" suture technique. METHODS: This was a retrospective study of 23 patients with acute Achilles tendon rupture treated with the new technique at Changhai Hospital between January 2015 and December 2016 and followed up for 14-33 months...
August 10, 2018: Journal of Orthopaedic Surgery and Research
Michael-Alexander Malahias, Dimitrios Chytas, Kaori Nakamura, Vasileios Raoulis, Masashi Yokota, Vasileios S Nikolaou
Recently, four different operative techniques, referring to the primary anterior cruciate ligament (ACL) repair, were described. These are the dynamic intraligamentary stabilization (DIS) with Ligamys™, the Bridge-enhanced repair (BEAR), the use of internal brace, and the refixation with suture anchors. The purpose of this study was to assess the already-published, clinical, and pre-clinical results of those techniques. A literature review was conducted and implemented by three independent researchers. Inclusion criteria were clinical or cadaveric or animal studies about patients suffering from ACL rupture, who were treated with one of those four different arthroscopic techniques of primary ACL repair...
August 9, 2018: Sports Medicine—Open
MaisaA AbdelWahab, Nehal Farouk, Ola I Saleh
BACKGROUND: The goals of surgical treatment of traumatic femoral artery aneurysm are to isolate and excise the aneurysm, prevent distal embolization and allow effective revascularization. During recent years, endovascular surgery has become a valid alternative to open repair. We aimed to compare early outcomes of the stent graft in the treatment of traumatic femoral artery aneurysm (FAA) and open surgical procedures. MATERIAL AND METHODS: This was a prospective study on twenty patients admitted to our hospital during the period from April 2016 to September 2017 with specific criteria of traumatic FAA...
August 6, 2018: Annals of Vascular Surgery
Pierluigi Giampaolino, Luigi Della Corte, Gabriele Saccone, Amerigo Vitagliano, Giuseppe Bifulco, Gloria Calagna, Jose Carugno, Attilio Di Spiezio Sardo
Endometriosis is a benign complex gynecological condition with high morbidity that affects women of reproductive age. Pelvic adhesion formation represents a serious clinical challenge in the management of patients with endometriosis. Several interventions have been proposed over the last few years aiming to reduce post-operative ovarian adhesions formation. The aim of this study is to summarize the evidence of the efficacy of ovarian suspension in the prevention of post-operative ovarian adhesions formation in women undergoing laparoscopic surgery for stage III-IV endometriosis...
August 6, 2018: Journal of Minimally Invasive Gynecology
Kun Wang, Sheng-Bing Wu, Shuai Cui, Shui-Ying Xiang, Xin Wu, Mei-Qi Zhou
OBJECTIVE: We have repeatedly demonstrated that electroacupuncture (EA) stimulation of "Shenmen" (HT 7)- "Tongli" (HT 5) segment of the Heart Meridian can improve acute myocardial ischemia (AMI). This study aimed at observing the effect of EA on contents of hippocampal norepinephrine (NE), and interleukin 6 (IL-6), IL-1 β and tumor necrosis factor- α (TNF-α) in AMI rats, so as to explore its underlying mechanism. METHODS: SD rats were randomly divided into 3 groups: sham operation (sham), model and EA( n =6 rats in each)...
June 25, 2018: Zhen Ci Yan Jiu, Acupuncture Research
Alexandra Penelas, Andreas Gutbrod, Karolin Kühn, Antonio Pozzi
OBJECTIVE: To test the feasibility and safety of an arthroscopic imbrication of the medial glenohumeral ligament (MGHL) and the subscapularis tendon with knotless anchors in dogs. STUDY DESIGN: Cadaveric study. SAMPLE POPULATION: Ten limbs. METHODS: Cranial and caudal arms of the MGHL were imbricated with a 2.9- or a 2.4-mm knotless anchor. A horizontal mattress suture secured with a 3.5-mm knotless anchor was used to imbricate the subscapularis tendon...
August 9, 2018: Veterinary Surgery: VS
Junhao Lei, Chunhua Luo, Xinghuan Wang, Xinjun Su
INTRODUCTION: The buried penis, if not treated before adolescence, will lead to psychological and physical disorders in adulthood. Therefore, early surgical intervention is necessary. At present, the common surgical methods include the penile corpus fixation, the Johnson's operation, the Devine's method, the modified Devine's method, Shiraki's method, etc. However, we found that these traditional surgeries showed various postoperative complications, such as long-term prepuce edema, avascular necrosis of skin flaps, stenotic prepuce, scarring, and poor appearance...
July 30, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Om Prakash Pant, Ji-Long Hao, Dan-Dan Zhou, Fan Wang, Bing-Jie Zhang, Cheng-Wei Lu
Small incision refractive lenticule extraction (SMILE) is a femtosecond laser technique to correct myopia and myopic astigmatism. Herein, we report a technique where intrastromal lenticule obtained from the SMILE procedure served as a graft for lamellar keratoplasty in the management of a limbal dermoid. An 18-year-old woman presented to the clinic with a corneal-limbal mass in the right eye. Slit-lamp examination revealed a vascularized circular mass of approximately 6 mm × 5 mm, which was attached at 7 o'clock in the inferotemporal region of the corneal limbus; this suggested limbal dermoid...
August 8, 2018: Journal of International Medical Research
Aida Mossaad, Amr Kotb, Moustapha Abdelrahaman, Hatem Al Ahmady
BACKGROUND: Postoperative scarring is a common cause of patients dissatisfaction. Several modalities have been developed to overcome such a problem following surgical repair. Despite precise surgical technique, still, some scars would remain over the time, mostly due to the weak formation or inadequately replaced collagen fibres in the underneath dermis especially those following unilateral or bilateral cleft lip repair surgery. AIM: of this study is to evaluate whether a 10,600 nm fractional ablative carbon dioxide (CO2 ) used early during the healing period would result in better postoperative scars...
July 20, 2018: Open Access Macedonian Journal of Medical Sciences
Carlo Fornaini, Elisabetta Merigo, Federica Poli, Jean-Paul Rocca, Stefano Selleri, Giuseppe Lagori, Annamaria Cucinotta
Background and Aim: An important surgical goal is to provide a first intention wound healing without trauma produced by sutures and for this aim in the past several methods have been tested. The aim of this ex vivo preliminary study was to demonstrate the capacity of a 1070 nm pulsed fiber laser to treat the dental fractures by enamel and dentine melting with the apposition of hydroxyapatite nanoparticles as filler. Methods: Out of thirty freshly-extracted human third molars, decay-free, twenty-four cylinders of 5 mm thickness were obtained to perform the test...
June 30, 2018: Laser Therapy
Yukio Yoshioka, Hirotaka Nakatao, Tomoaki Hamana, Atsuko Hamada, Taku Kanda, Koichi Koizumi, Shigeaki Toratani, Tetsuji Okamoto
INTRODUCTION: Suture granuloma is a benign tumor that develops because of the presence of surgical suture materials. It commonly occurs several years after different types of surgeries. Here we report a case involving a 64-year-old man who underwent head and neck surgery for oral squamous cell carcinoma and developed multiple suture granulomas mimicking tumor recurrence in the radiation field just a few days after the completion of adjuvant chemoradiation therapy. PRESENTATION OF CASE: The patient underwent surgery for lymph node metastasis in the neck at 6 months after the resection of primary oral squamous cell carcinoma...
July 27, 2018: International Journal of Surgery Case Reports
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