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Аlexander Khitaryan, Anastasiya Golovina, Arut Mezhunts, Kamil Veliev, Raisa Zavgorodnyaya, Аlexey Orekhov
INTRODUCTION: Complicated esophageal diverticulum is an extremely rare disease. The most widespread surgical tactic in such cases is drainage of the mediastinum and the position of a feeding gastrostomy or enterostomy. Our objective was to demonstrate the possibility of performing a one-step operation in case of giant esophageal diverticulum with necrotic diverticulitis and sepsis on the background of dilatation of the esophagus. PRESENTATION OF CASE: A 57-year-old woman complained of persistent nagging epigastric pain, heartburn, belching, daily vomiting of eaten food and liquid, impaired swallowing, fever up to 39° C...
October 8, 2018: International Journal of Surgery Case Reports
Leonello Tacconi, Roberto Spinelli, Francesco Signorelli
BACKGROUND: Traditional wound closure techniques include skin sutures and metal clips. Cyanoacrylate (2-Octyl-Cyanoacrylate "Dermabond C", by Ethicon, Germany) has good neovascularization, epithelialization and antimicrobial activity properties and a fast application procedure. This study presents our long-term experience. METHODS: We retrospectively selected 362 patients who underwent brain surgery from January 2007 to March 2017. Exclusion criteria was applied for repeat surgeries, emergency/post-traumatic procedures, wound infections, wounds longer than 16 centimeters, skull base cases, post-operative patients who stayed in the ICU more than 1 day...
October 15, 2018: World Neurosurgery
Tugba Dursun Usal, Deniz Yucel, Vasif Hasirci
Damage to the nervous system due to age, diseases or trauma may inhibit signal transfer along the nervous system. Nerve guides are used to treat these injuries by bridging the proximal and the distal end together. The design of the guide is very important for the reconnection of the severed axons. Methacrylated gelatin-poly(2-hydroxyethylmethacrylate) (GelMA-pHEMA) hydrogel was produced as the outer part of the nerve guide. pHEMA was added in various amounts into GelMA and increased the mechanical strength which is needed for the suturability of the guide...
October 15, 2018: International Journal of Biological Macromolecules
Miriam Seitz, Kelly Jirschele, Alexis Tran, Shilpa Iyer, Adam Gafni-Kane, Janet Tomezsko, Sylvia M Botros, Peter K Sand
BACKGROUND: Suture-based hysteropexy is performed for pelvic organ prolapse with varying results. Graft augmentation may improve outcomes. OBJECTIVE: The aim of this study was to determine whether vaginal hysteropexy with mesh reduces recurrence at 1-year postoperative examination compared with hysteropexy with allograft. METHODS: Data were collected for patients who underwent vaginal hysteropexy with either mesh "Uphold" (referred to as "mesh") or a cadaveric allograft "Axis or Repliform" (referred to as "dermal")...
October 17, 2018: Female Pelvic Medicine & Reconstructive Surgery
Saeid Atighechi, Zahra Sarafraz, Mohammadhossein Baradaranfar, Mohammadhossein Dadgarnia, Vahid Zand, Mojtaba Meybodian, Mohammad Mandegari, Shima Shirkhoda, Sedighe Vaziribozorg
INTRODUCTION: Rhinoplasty is a common plastic surgery that potentially has some complications such as postoperative deformities and breathing problems. A humpy nose is among the main reasons for rhinoplasty. Nasal valve (the narrowest part of the nasal airway) collapse may be occurred after nasal hump removal. Spreader graft is essential after more than 3 mm nasal hump removal. But the value of this graft is unknown for patients with nasal hump smaller than 3 mm. Mattress suture is another technique for widening the nasal valve angle...
October 16, 2018: Journal of Craniofacial Surgery
Shin-Hyo Lee, Ki-Seok Koh, Wu-Chul Song
PURPOSE: This study evaluated midfacial asymmetry using an alternative method that involved comparing bilateral patterns of the zygomaticomaxillary prominence in a young adult population. MATERIALS AND METHODS: Three-dimensional reconstructed images based on computed tomography scans of 100 Koreans (mean age, 24.7 years) were evaluated with reference to lines spaced at 30° intervals and radiating from the center of an interporion line in a superior view. The surface inclination of the zygomaticomaxillary region was quantified on the same reference lines using a 3-dimensional ruler...
October 16, 2018: Journal of Craniofacial Surgery
Masaki Yamamoto, Tadashi Isomura, Kazumasa Orihashi, Kohei Miyashita, Hiroaki Kitaoka, Kazuhiro Hanazaki, Naohito Yamasaki
A 79-year-old man underwent repair surgery for a left ventricular free wall rupture after an acute myocardial infarction. The surgical procedure followed for ventricular rupture was according to the rupture type. The patient showed slowly oozing bleeding through small holes. Epicardial echocardiography detected the color signals that crossed the left ventricular wall. Two channels were directly connected from the ventricular cavity to the epicardial hole. Although the bleeding hole was covered with collagen hemostats using a sutureless technique, the bleeding remained, probably because of the pressure exerted by the left ventricle on the channels connected to the epicardial hole...
October 17, 2018: General Thoracic and Cardiovascular Surgery
Cristians Gonzalez, Jung-Myun Kwak, Federico Davrieux, Ryohei Watanabe, Jacques Marescaux, Lee Swanstrom
BACKGROUND: Gastroparesis is a rapidly increasing problem with sometimes devastating consequences. While surgical treatments, particularly laparoscopic pyloroplasty, have recently gained popularity, they require general anesthesia, advanced skills, and can lead to leaks. Peroral pyloromyotomy is a less invasive alternative; however, this technique is technically demanding and not widely available. We describe a hybrid laparo-endoscopic collaborative approach using a novel gastric access device to allow endoluminal stapled pyloroplasty as an alternative treatment option for gastric outlet obstruction...
October 17, 2018: Surgical Endoscopy
Hwa Cheong Kim, Taejong Song
BACKGROUND: To evaluate the efficacy and safety of temporary simultaneous two-arterial occlusions (TESTO) in terms of operative blood loss during laparoscopic myomectomy. METHODS: A total of 62 patients with symptomatic myomas were randomly assigned to either the experimental group or the control group. In the experimental group, the uterine arteries and utero-ovarian arteries were temporarily occluded with laparoscopic bulldog clamps. The primary outcome measures were operative blood loss and change in hemoglobin...
October 17, 2018: Surgical Endoscopy
Yaoyu Fu, Lora Cavuoto, Di Qi, Karthikeyan Panneerselvam, Gene Yang, Venkata Sreekanth Artikala, Andinet Enquobahrie, Suvranu De, Steven D Schwaitzberg
BACKGROUND: Intracorporeal suturing is one of the most important and difficult procedures in laparoscopic surgery. Practicing on a FLS trainer box is effective but requires large number of consumables, and the scoring is somewhat subjective and not immediate. A virtual basic laparoscopic skill trainer (VBLaST©) was developed to simulate the five tasks of the FLS Trainer Box. The purpose of this study is to evaluate the face and content validity of the VBLaST suturing simulator (VBLaST-SS©)...
October 17, 2018: Surgical Endoscopy
Eldert L Advokaat, Nathan T Marshall, Shihu Li, Wim Spakman, Wout Krijgsman, Douwe J J van Hinsbergen
SE Asia comprises a heterogeneous assemblage of fragments derived from Cathaysia (Eurasia) in the north and Gondwana in the south, separated by suture zones representing closed former ocean basins. The western part of the region comprises Sundaland, which was formed by Late Permian-Triassic amalgamation of continental and arc fragments now found in Indochina, the Thai Penisula, Peninsular Malaysia, and Sumatra. On Borneo, the Kuching Zone formed the eastern margin of Sundaland since the Triassic. To the SE of the Kuching Zone, the Gondwana-derived continental fragments of SW Borneo and East Kalimantan accreted in the Cretaceous...
August 2018: Tectonics
Chun-Hui Tang, Gao-Wen Yao, Lin Wang, Wei Luo
OBJECTIVE: To evaluate the feasibility of internal and external fixation after open reduction combined with suture anchors to repair the intercarpal ligaments for the treatment of perilunate injury, and to explore its operative techniques and therapeutic efficacy. METHODS: From September 2012 to September 2016, 11 patients with perilunate injury were surgically treated with Kirschner wires in intercarpal articulations, 3.0 mm cannulated screws for scaphoid fracture, absorbable anchor for intercarpal ligament repair, together with fixators at intercarpal joints, among whom 6 suffered from perilunate dislocations and 5 from trans-scaphoid fracture dislocations...
September 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Eugenia Lee, Tracy Popowics, Susan W Herring
The development of the mandibular symphysis in late fetal and postnatal pigs, Sus scrofa dom. (n = 17), was studied as a model for the early fusing symphysis of anthropoid primates, including humans. The suture-like ligaments occurring in species that retain a mobile symphysis are not present in the pig. Instead, cartilage is the predominant tissue in the mandibular symphysis prior to fusion. In late fetuses the rostrum of the fused Meckel's cartilages forms a minor posterior component of the symphysis whereas the major component is secondary cartilage, developing bilaterally and joined at the midline with mesenchyme...
October 17, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
Giovanni Sorropago, Gurbhej Singh, Antonio Sorropago, Andrea Sole, Jessica Rossi, Valerio Stefano Tolva, Eugenio Stabile, Filippo Scalise
AIMS: Success of transfemoral transcatheter aortic valve implantation (TAVI) and thoraco-abdominal aneurysm repair(TAAR) depends on the hemostatic control of access site, which is usually obtained with suture-based closure devices. Our aim was to study the feasibility and safety of a single-ProGlide/Glubran technique for vascular access site closure after TAVI and TAAR. METHODS AND RESULTS: This technique was used in 250 patients from 2012 to 2017. The primary end-point was success of the closure technique defined as access site hemostasis without complications and not requiring any further intervention within 30 days of index procedure...
October 16, 2018: EuroIntervention
Dominik C Meyer, Elias Bachmann, Alexandre Lädermann, Georg Lajtai, Thorsten Jentzsch
PURPOSE: Surgical knots are particularly challenged by high-strength suture material. It was hypothesized that sutures in a double-stranded looped configuration present mechanical advantages. METHODS: This in vitro biomechanical study repeatedly tested 12 different knots with a static distraction material testing machine with a constant tensile speed. The cow hitch, its altered version, and conventional half hitches were also tested on bovine tendon. Suture material was braided polyblend non-bioresorbable polyester...
October 13, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Giorgio Tamborrini, André Leumann
No abstract text is available yet for this article.
2018: Praxis
Jun Sup Kim, Zoe Beatrice Cheung, Varun Arvind, John Caridi, Samuel Kang-Wook Cho
Study Design: Cadaveric biomechanical study. Purpose: The purpose of this study was to biomechanically evaluate the effect of preserving or augmenting the interspinous ligament (ISL) and supraspinous ligament (SSL; ISL/SSL) complex between the upper instrumented vertebra (UIV) and UIV+1 using a cadaveric model. Overview of Literature: Adult spinal deformity is becoming an increasingly prevalent disorder, and proximal junctional kyphosis (PJK) is a well-known postoperative complication following long spinal fusion...
October 18, 2018: Asian Spine Journal
Eva Lehtonen, Harshadkumar Patel, Sierra Phillips, Martim Correia Pinto, Sameer Naranje, Ashish Shah
INTRODUCTION/AIM: Recent comparisons of suture versus metal staple skin closure on the rates of wound complications in orthopaedic surgeries have yielded conflicting results. Several studies have since started to approach this question based on anatomic location, comparing suture versus staple closure in total hip and knee arthroplasty and acetabulum fracture surgery. Ankle fractures are one of the most commonly treated fractures by orthopaedic surgeons with unique challenges to skin closure due to the lack of subcutaneous support...
August 22, 2018: Foot
Steven D McCarus
The advancement of surgical innovation for both devices and techniques has directly impacted the number of hysterectomy options available to patients. These advancements have led to an expansion of options that has been exceptionally impactful for minimally invasive surgery. For individuals who are diagnosed with a health condition or disease that requires a hysterectomy, these advances allow the surgeon to consider an expanded variety of procedures that may improve patients' outcomes and accommodate patient preferences...
October 16, 2018: Surgical Technology International
Russell G Witt, Michael Zobel, Benjamin Padilla, Hanmin Lee, Tippi C MacKenzie, Lan Vu
Importance: Sutureless gastroschisis repair offers an alternative to the traditional sutured method and has been associated with decreased intubation time. Published study results are inconsistent regarding the advantages of sutureless closure. Objective: To compare the clinical outcomes of sutureless and sutured gastroschisis repair. Design, Setting, and Participants: A single-center cohort review was performed of all consecutive patients (n = 97) who underwent gastroschisis repair from February 1, 2007, to April 30, 2017, at the University of California, San Francisco...
September 19, 2018: JAMA Surgery
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