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https://www.readbyqxmd.com/read/28197793/single-port-laparoscopic-percutaneous-extraperitoneal-closure-of-femoral-hernia-in-children-and-adolescents-case-series
#1
R-B Tröbs, B Yilmaz, M Bahr, G Cernaianu, R M Vahdad
BACKGROUND: Femoral hernias are an often unexpected groin pathology during childhood. However, the pediatric surgeon has to be aware to diagnose femoral hernia and to repair this condition. This is the first report on laparoscopic percutaneous extraperitoneal closure of femoral hernia (LPEF) in children and adolescents. METHODS: Over a 6-year period in a bi-institutional clinical study, we retrospectively identified six children and one young adult who underwent LPEF repair...
February 14, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28188058/usefulness-of-newly-method-of-central-venous-catheter-securement-using-continuous-suture
#2
Janghyuck Moon, Sung Uk Cho, Jin Woong Lee, Seung Ryu, Yong Chul Cho, Won Joon Jeong, Hong Joon Ahn, Ki Hyuk Joo
INTRODUCTION: To reduce the time required for suture closure for central venous catheterization, a new procedure was developed using a continuous suture technique. The present study was conducted to investigate the usefulness of this method. METHOD: The study was conducted with 90 volunteers among the doctors in the university hospital. Preliminary training (using video) on the two fixation methods was given to the participants prior to the experiment. After applying the central vein of the pig skin, a suture up to the butterfly seal was prepared, and the participant was allowed to fix the suture using the classic method and the new method...
January 28, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28181699/endoscopic-closure-after-intraluminal-surgery
#3
REVIEW
Teppei Akimoto, Osamu Goto, Toshihiro Nishizawa, Naohisa Yahagi
Endoscopic submucosal dissection is established as a curative endoscopic method for gastrointestinal epithelial neoplasms with a high possibility of complete en bloc resection; however, postoperative adverse events of bleeding and delayed perforation remain. To prevent or minimize them, several techniques for endoscopic mucosal closure have been introduced, such as using endoscopic clips, combined use of hemoclips and supplement devices, and specially designed endoscopic suturing devices. Furthermore, endoscopic full-thickness suturing technique for gastrointestinal wall defect has been developed based on the concept in natural orifice transluminal endoscopic surgery and endoscopic full-thickness resection...
February 9, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28149250/the-modified-use-of-surfasoft%C3%A2-in-skin-grafts-case-series
#4
A Salibi, M Chasapi, A Farroha
Surfasoft® is a monofilament woven polyamide thread. Its use over skin grafts has always been combined with other occlusive dressings. Its rapid application and transparent property makes it an ideal primary dressing in the absence of any occlusive layers after the first two days following skin graft application. We describe this modified use in our case series. We modified the use of Surfasoft® in four different burns patients and one skin cancer case. Surfasoft® was predominantly used on difficult sites and secured with either staples or sutures...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149190/prefered-surgical-technique-used-by-orthopedists-in-acute-acromioclavicular-dislocation
#5
Alexandre Yukio Nishimi, Demetrio Simão Arbex, Diogo Lucas Campos Martins, Carlos Vinicius Buarque DE Gusmão, Roberto Rangel Bongiovanni, Luciano Pascarelli
OBJECTIVE: To determine whether training on shoulder and elbow surgery influences the orthopedist surgeons' preferred technique to address acute acromioclavicular joint dislocation (ACD). METHODS: A survey was conducted with shoulder and elbow specialists and general orthopedists on their preferred technique to address acute ACD. RESULTS: Thirty specialists and forty-five general orthopedists joined the study. Most specialists preferred the endobutton technique, while most general orthopedists preferred the modified Phemister procedure for coracoclavicular ligament repair using anchors...
September 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28127650/primary-surgical-repair-of-acute-achilles-tendon-rupture-comparative-results-of-three-surgical-techniques
#6
Dragan Lonzarić, Aleksandar Kruščić, Dejan Dinevski, Petra Povalej Bržan, Breda Jesenšek Papež
PURPOSE: To determine which of the three surgical techniques for acute unilateral complete rupture of Achilles tendons in use at the University Clinical Centre Maribor gives the best short-term functional results. METHODS: In the retrospective analysis of the results of 3 surgical techniques, 262 patients of which 244 (93.1%) were men (mean age 41.6 ± 10.0 years, range 21.5-83.0 years) operated on during the period from 2000 to 2008 were included. Group A (open technique with fascial augmentation) included 42 (16%) patients, group B (original modification of percutaneous suturing according to Čretnik and Kosanović) included 159 (60...
January 26, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/28040761/penetration-of-bronchial-wall-by-knot-of-absorbable-monofilament-suture
#7
Tomoyuki Nakano, Shunsuke Endo, Hideki Negishi, Shinichi Yamamoto
A 75-year-old man underwent thoracoscopic left upper lobectomy for primary lung cancer. Additional ligature plication to the left superior pulmonary vein with absorbable monofilament suture was performed after stapling with an endostapler. Postoperative bronchoscopy revealed penetration of the monofilament thread edge eviscerating across the wall of the left main bronchus. The edge was spontaneously absorbed with no adverse events. Penetration of a thick monofilament thread edge into mediastinal organs should be considered when the thread is located in the mediastinum...
December 31, 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28033643/suspension-threads
#8
Elen C D J De Masi, Flávia D J De Masi, Roberta D J De Masi
Suture threads are a minimally invasive surgical technique for facial rejuvenation. Its use was initiated by Sulamanidze et al with propylene after Serdev introduced suture with polycaproamide; however, these types of suture increased inflammatory reaction. For correction of the aging face, surgeons are devising more procedures with fewer incisions and shorter postoperative recovery periods. Many of these procedures use absorbable and nonabsorbable sutures in the dermis and subcutis to lift lax skin. The polydioxanone suture is currently a great option for antiaging treatment, because besides the ease of applicability and good results, it also has a low incidence of adverse reactions...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27933278/a-simple-method-for-closure-of-urethrocutaneous-fistula-after-tubularized-incised-plate-repair-preliminary-results
#9
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/27883161/-is-it-necessary-to-prescribe-antibiotics-in-impacted-third-molar-surgical-removal-comparative-study-between-prescribing-patterns
#10
I Izuzquiza, K A Jamtøy, N P Fossland, I Martínez-Padilla, F Falahat, L Alou, J Prieto, M L Gómez-Lus
OBJECTIVE: To assess whether there is a significant difference in infection rate after surgery tooth extraction in two different hospitals from Norway and Spain where different surgical antimicrobial prophylaxis protocols are applied. METHODS: An analytical observational study was conducted, retrospective cohorts type, analyzing healthy patients with no risk factors, who were third molar tooth operated in maxillofacial services of two different hospitals: St. Olav in Trondheim (Norway) and Clínico San Carlos in Madrid (Spain)...
February 2017: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
https://www.readbyqxmd.com/read/27822722/completely-thoracoscopic-diaphragmatic-plication
#11
Gregor J Kocher, Adrian Zehnder, Ralph A Schmid
BACKGROUND: Thoracoscopic diaphragmatic plication for diaphragmatic paralysis with consecutive eventration and respiratory compromise is a desirable alternative to standard thoracotomy. Since minimally invasive techniques usually involve suturing of the diaphragm, most surgeons use a video-assisted approach with a minithoracotomy. Herein we describe our completely thoracoscopic technique for diaphragmatic plication including outcome. METHODS: We present our technique and experience for completely thoracoscopic diaphragmatic plication for the treatment of symptomatic diaphragmatic paralysis in six consecutive patients...
November 7, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27816991/frontalis-suspension-surgery-to-treat-patients-with-blepharospasm-and-eyelid-opening-apraxia-long-term-results
#12
Dirk Dressler, Chrisanthi Karapantzou, Saskia Rohrbach, Simon Schneider, Rainer Laskawi
Blepharospasm may be accompanied by eyelid opening apraxia (EOA) reducing the efficacy of botulinum toxin (BT) therapy. The frontalis suspension operation (FSO) is then the only effective treatment option available. We want to report the first long-term results with FSO. We studied 15 patients with blepharospasm and EAO unresponsive to BT therapy (9 females, 6 males, age 61.9 ± 11.5 years). FSO was performed by applying 2 polytetrafluoroethylene threads (PTFE, Gore-Tex(®)) per eye connecting the frontalis muscle to the upper eye lid...
February 2017: Journal of Neural Transmission
https://www.readbyqxmd.com/read/27808413/a-new-solution-for-neonatal-bilateral-vocal-cord-paralysis-endoscopic-arytenoid-abduction-lateropexy
#13
Shahram Madani, Ádám Bach, Vera Matievics, Eszter Erdélyi, Balázs Sztanó, Ilona Szegesdi, Paul F Castellanos, László Rovó
OBJECTIVES/HYPOTHESIS: Bilateral vocal cord paralysis in early childhood is a life-threatening condition, which often requires immediate intervention. One of the treatment options is a quick, reversible simple suture vocal cord lateralizing technique, whereby the arytenoid cartilage is directly lateralized to the normal abducted position. Considering pediatric laryngeal anatomy, a small endolaryngeal thread guide instrument was designed for precise suture insertion. STUDY DESIGN: New instrument validation...
November 3, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27752748/peek-s-harpoon-a-new-device-for-the-treatment-of-laparoscopic-sacropexy-preliminary-study-in-unembalmed-cadavers
#14
Marta Girvent Vilarmau, Felipe Ojeda Pérez, Maria José Canto Rivera, Marian Lorente Gascón
INTRODUCTION AND HYPOTHESIS: The aim of the study is to facilitate the suture on the sacral promontory for laparoscopic sacrocolpopexy. We hypothesised that a new method of sacral anchorage using a biosynthetic material, the polyether ether ketone (PEEK) harpoon, might be adequate because of its tensile strength, might reduce complications owing to its well-known biocompatibility, and might shorten the duration of surgery. METHODS: We verified the feasibility of insertion and quantified the stress resistance of the harpoons placed in the promontory in nine fresh cadavers, using four stress tests in each case...
October 17, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27735843/low-tech-pilot-scale-purification-of-a-recombinant-spider-silk-protein-analog-from-tobacco-leaves
#15
René Heppner, Nicola Weichert, Angelika Schierhorn, Udo Conrad, Markus Pietzsch
Spider dragline is used by many members of the Araneae family not only as a proteinogenic safety thread but also for web construction. Spider dragline has been shown to possess high tensile strength in combination with elastic behavior. This high tensile strength can be attributed to the presence of antiparallel β-sheets within the thread; these antiparallel β-sheets are why the protein is classified as a silk. Due to the properties of spider silk and its technical and medical uses, including its use as a suture material and as a scaffold for tissue regeneration, spider dragline is a focus of the biotechnology industry...
October 9, 2016: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/27725330/-antirreflux-ureteral-catheters
#16
REVIEW
F Soria, J E de la Cruz, E Morcillo, J Rioja, F M Sánchez-Margallo
Double-J ureteral stents disposal is associated with the appearance of side effects in up to 90% of the patients. The main causes of these symptoms are related to stent's design and the materials they are manufactured from. Vesicoureteral reflux and bladder trigone irritation are the etiopathogenic causes of ureteral stents associated morbidity. Due to this, and in order to improve patients' quality of life, stents that avoid reflux have been developed. Among anti-reflux designs, the first was a double-J stent the bladder tip of which is provided with a polymeric membrane that prevents retrograde flow of urine through its internal drainage channel...
October 2016: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/27699517/modified-overlap-method-using-knotless-barbed-sutures-mobs-for-intracorporeal-esophagojejunostomy-after-totally-laparoscopic-gastrectomy
#17
Sang-Yong Son, Long-Hai Cui, Ho-Jung Shin, Cheulsu Byun, Hoon Hur, Sang-Uk Han, Yong Kwan Cho
BACKGROUND: Compared to end-to-side anastomosis with a circular stapler, the overlap method is favored for intracorporeal esophagojejunostomy because it facilitates handling of the stapler, even in narrow spaces, and wider anastomosis. However, it associates with technical difficulties during anastomosis, including difficult traction on the esophageal stump that necessitates stay sutures. Here, we introduce a new modified overlap method that employs knotless barbed sutures (MOBS) and report the outcomes of our case series...
October 3, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27680331/a-modified-technique-with-a-new-device-of-laparoscopic-percutaneous-extraperitoneal-closure-for-pediatric-inguinal-hernia
#18
Takaki Emura, Hiroshi Ohta, Noboru Oyachi, Takeyuki Suzuki
INTRODUCTION: Laparoscopic percutaneous extraperitoneal closure (LPEC) in boys is more complex than in girls, because the vas deferens and testicular vessels must be separated from the peritoneum. We therefore developed a needle-shaped surgical instrument that enables blunt separation. Here, we report the effectiveness of this new device. SURGICAL TECHNIQUE: The new device is a ligature carrier consisting of (1) an inner tube (19-G blunt needle) through which slides a rod with a loop wire at its tip that can catch and release suture materials and (2) an outer tube (17-G needle) with a cutting edge...
December 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27622107/treatment-of-suture-related-complications-of-buried-suture-double-eyelid-blepharoplasty-in-asians
#19
Tsutomu Mizuno
BACKGROUND: Double-eyelid blepharoplasty is a popular aesthetic surgery in Asians. However, the buried suture technique is associated with complications related to implantation of the suture thread. The present study was performed to identify optimal surgical suture removal techniques in Japanese patients with suture-related complications after buried suture double-eyelid blepharoplasty. METHODS: This retrospective study included 210 upper eyelids of 116 consecutive Japanese patients who had undergone buried suture double-eyelid blepharoplasty at other clinics...
August 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27616428/a-novel-magnetic-driven-tissue-retraction-device-for-minimally-invasive-surgery
#20
Margherita Brancadoro, Selene Tognarelli, Gastone Ciuti, Arianna Menciassi
INTRODUCTION: The purpose of this work is to design and validate an innovative magnetic-based device for tissue retraction for minimally invasive surgery. MATERIAL AND METHODS: An intra-abdominal magnetic module is coupled with an extracorporeal system for establishing a stable attraction, and consequently a reliable tissue retraction. Once the retractor has been inserted into the abdomen, tissue retraction is not constrained by a fixed access port, thus guaranteeing a more flexible, safer and less invasive operation...
February 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
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