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https://www.readbyqxmd.com/read/27778058/-closure-of-pancreas-stump-after-distal-and-segmental-resection-suture-stapler-coverage-or-anastomosis
#1
C W Michalski, P Tramelli, M W Büchler, T Hackert
Postoperative pancreatic fistulas represent the most frequent complication after distal and segmental pancreatectomy and occur with a frequency of up to 50 %. There are many technical variations of pancreatic stump treatment for reduction of fistula rates after distal resection. Most of these techniques have only been analyzed in retrospective studies and the evidence for or against a specific technique is low. Several retrospective trials have been conducted with good results to compare suturing with stapled closure of the remnant and to assess the effect of a vascularized falciform ligament patch in reducing postoperative pancreatic fistula; however, in a recently published randomized trial, which analyzed closure of the remnant with a pancreaticojejunostomy compared to standard closure, these results could not be confirmed...
October 24, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27755203/novel-hemi-staple-for-the-fusionless-correction-of-pediatric-scoliosis-influence-on-intervertebral-disks-and-growth-plates-in-a-porcine-model
#2
Mark Driscoll, Carl-Éric Aubin, Alain Moreau, Yaroslav Wakula, Samira Amini, Stefan Parent
STUDY DESIGN: In vivo porcine model utilized to evaluate the influence of an intravertebral fusionless growth modulating device (hemi-staple) on intervertebral disks and growth plates. OBJECTIVE: To evaluate the radiographic and histologic changes in disks and growth plates with the purpose of measuring influence of the explored hemi-staple. SUMMARY OF BACKGROUND DATA: Fusionless growth modulation for the early treatment of scoliosis should insure the long-term viability of the intervertebral disk and successfully reduce or arrest local growth...
November 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27583852/optimal-stapler-cartridge-selection-according-to-the-thickness-of-the-pancreas-in-distal-pancreatectomy
#3
Hongbeom Kim, Jin-Young Jang, Donghee Son, Seungyeoun Lee, Youngmin Han, Yong Chan Shin, Jae Ri Kim, Wooil Kwon, Sun-Whe Kim
Stapling is a popular method for stump closure in distal pancreatectomy (DP). However, research on which cartridges are suitable for different pancreatic thickness is lacking. To identify the optimal stapler cartridge choice in DP according to pancreatic thickness.From November 2011 to April 2015, data were prospectively collected from 217 consecutive patients who underwent DP with 3-layer endoscopic staple closure in Seoul National University Hospital, Korea. Postoperative pancreatic fistula (POPF) was graded according to International Study Group on Pancreatic Fistula definitions...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27578288/biomechanical-evaluation-of-shape-memory-alloy-staples-for-internal-fixation-an-in-vitro-study
#4
QiCai Jason Hoon, Matthew H Pelletier, Chris Christou, Kenneth A Johnson, William R Walsh
BACKGROUND: The field of orthopaedics is a constantly evolving discipline. Despite the historical success of plates, pins and screws in fracture reduction and stabilisation, there is a continuing search for more efficient and improved methods of fracture fixation. The aim of this study was to evaluate shape-memory staples and to compare them to a currently used implant for internal fracture fixation. Multi-plane bending stability and interfragmentary compression were assessed across a simulated osteotomy using single and double-staple fixation and compared to a bridging plate...
December 2016: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/27554096/compression-versus-hand-sewn-and-stapled-anastomosis-in-colorectal-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#5
REVIEW
A A P Slesser, G Pellino, O Shariq, D Cocker, C Kontovounisios, S Rasheed, P P Tekkis
Anastomotic leaks are a feared complication of colorectal resections and novel techniques that have the potential to decrease them are still sought. This study aimed to compare the anastomotic leak rates in patients undergoing compression anastomoses versus hand-sewn or stapled anastomoses. Randomized controlled trials (RCTs) comparing outcomes of compression versus conventional (hand-sewn and stapled) colorectal anastomosis were collected from MEDLINE, Embase and the Cochrane Library. The quality of the RCTs and the potential risk of bias were assessed...
October 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27545471/-efficacy-of-laparoscopic-tunnel-like-peri-anterior-superior-iliac-spine-suspension-or-combined-with-stapled-transanal-rectal-resection-in-the-treatment-of-pelvic-organ-prolapse-with-outlet-obstruction-constipation
#6
Jinbo Liu, Quanbo Zhou, Guobin Li, Zhiyong Zhang, Guixian Wang, Weitang Yuan
OBJECTIVE: To explore the efficacy and safety of laparoscopic tunnel-like peri-anterior superior iliac spine suspension(L-TASISS) or combined with stapled transanal rectal resection (STARR) in the treatment of pelvic organ prolapse (POP) with outlet obstructive constipation (OOC). METHODS: A total of 119 POP patients complicated with OOC( II( to IIII( stage evaluated by POP-Q) received L-TASISS or combined with STARR in the First Affiliated Hospital of Zhengzhou University from August 2010 to January 2015...
August 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27466868/thickness-of-cadaveric-human-lung-tissue
#7
Edward G Chekan, John F Cummings, Isaac Mabe, Shawn Hunter, Jeffrey W Clymer
BACKGROUND: Choosing the correct surgical staple height is dependent on knowledge of specific tissue thickness and compressibility. The purpose of this study was to measure the thickness of cadaveric human lung tissue. MATERIALS AND METHODS: Between December 2012 and February 2013, whole lungs were procured from 12 donors. Inclusion criteria included negative serology, no prior thoracic surgery, and completion of measurements within 72 hours of death. Tissue thickness was measured in the anterior-to-posterior direction using a tissue measuring device (TMD) at 41 lung locations...
July 29, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27332793/anterior-cervical-discectomy-and-fusion-with-a-compressive-staple-of-c-jaws
#8
Lei Xia, Ming-Xing Liu, Jun Zhong, Jin Zhu, Ning-Ning Dou, Massimiliano Visocchi
OBJECTIVE: To evaluate the clinical value of C-JAWS in anterior cervical discectomy and fusion (ACDF) surgery. METHODS: Between January 2012 and December 2013, nine consecutive patients with cervical spondylopathy underwent ACDF process using a polyetheretherketone cervical spacer prefilled with bone substitute and secured by a cervical compressive staple in our department. The Neck Disability Index (NDI) score and visual analogy scale (VAS) of neck or arm pain as well as radiographic examination were adopted to assess the postoperative outcome and fusion...
June 22, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27276395/efficacy-and-safety-of-a-niti-car-27-compression-ring-for-end-to-end-anastomosis-compared-with-conventional-staplers-a-real-world-analysis-in-chinese-colorectal-cancer-patients
#9
Zhenhai Lu, Jianhong Peng, Cong Li, Fulong Wang, Wu Jiang, Wenhua Fan, Junzhong Lin, Xiaojun Wu, Desen Wan, Zhizhong Pan
OBJECTIVES: This study aimed to evaluate the safety and efficacy of a new nickel-titanium shape memory alloy compression anastomosis ring, NiTi CAR 27, in constructing an anastomosis for colorectal cancer resection compared with conventional staples. METHODS: In total, 234 consecutive patients diagnosed with colorectal cancer receiving sigmoidectomy and anterior resection for end-to-end anastomosis from May 2010 to June 2012 were retrospectively analyzed. The postoperative clinical parameters, postoperative complications and 3-year overall survival in 77 patients using a NiTi CAR 27 compression ring (CAR group) and 157 patients with conventional circular staplers (STA group) were compared...
May 2016: Clinics
https://www.readbyqxmd.com/read/27137157/novel-hemi-staple-for-the-fusionless-correction-of-pediatric-scoliosis-influence-on-intervertebral-discs-and-growth-plates-in-a-porcine-model
#10
Mark Driscoll, Carl-Eric Aubin, Alain Moreau, Yaroslav Wakula, Samira Amini, Stefan Parent
STUDY DESIGN: In vivo porcine model utilized to evaluate the influence of an intravertebral fusionless growth modulating device (hemi-staple) on intervertebral discs and growth plates. OBJECTIVE: Evaluate radiographic and histological changes in discs and growth plates with the purpose of measuring influence of the explored hemi-staple. SUMMARY OF BACKGROUND DATA: Fusionless growth modulation for the early treatment of scoliosis should insure the long term viability of the intervertebral disc and successfully reduce or arrest local growth...
May 2, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27036672/-colorectal-anastomosis-using-a-compression-device
#11
Quintín Héctor González-Contreras, Mónica de Jesús-Mosso, Jesús Alberto Bahena-Aponte, Omar Aldana-Martínez, Karen Pineda-Solís, Sari Narsil Mejia-Arcadia
BACKGROUND: The most severe complication following an intestinal anastomosis is the dehiscence with the consequent development of sepsis, fistulas, stenosis, and death. For this reason the compression anastomosis (NiTi) system was developed, with the aim of reducing these complications. MATERIAL AND METHODS: A retrospective study was conducted, from 1 June 2012 to 30 August 2014, on total of 14 patients operated on the Humanitas Hospital Medical Group Coyoacán, the ASMED, and Clínica Médica Sur...
March 29, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27025236/use-of-the-circular-compression-stapler-and-circular-mechanical-stapler-in-the-end-to-side-transanal-colorectal-anastomosis-after-left-colon-and-rectal-resections-a-single-center-experience
#12
Daniele Pironi, Maurizio Vendettuoli, Stefano Pontone, Alessandra Panarese, Stefano Arcieri, Angelo Filippini, Gianmarco Grimaldi
AIM: The aim of our study was to compare the efficacy of the circular compression stapler and the circular mechanical stapler in transanal colorectal anastomosis after left colectomy or anterior rectal resection. MATERIALS AND METHODS: We performed a retrospective analysis of 10 patients with disease of the, sigmoid colon or rectum (carcinoma or diverticular disease) who underwent left colectomy or anterior rectal resection with end-to-side transanal colorectal anastomosis...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/26863259/local-epiphyseal-growth-modulation-for-the-early-treatment-of-progressive-scoliosis-experimental-validation-using-a-porcine-model
#13
Bahe Hachem, Carl-Eric Aubin, Stefan Parent
STUDY DESIGN: Experimental study of a localized device for the control of the vertebral growth using an immature porcine model. OBJECTIVE: The aim of the study was to experimentally evaluate a localized device acting on the epiphyseal growth plates without bridging the intervertebral disc of immature hybrid pigs over 3 months of growth. SUMMARY OF BACKGROUND DATA: Based on current published literature, fusionless devices offer promising scoliosis treatment alternatives to conventional spinal instrumentation and fusion in the growing spine...
September 2016: Spine
https://www.readbyqxmd.com/read/26680415/gastric-wall-thickness-in-sleeve-gastrectomy-patients-thickness-variation-of-the-gastric-wall
#14
Pim W J van Rutte, Bertus J Naagen, Marinus Spek, Jack J Jakimowicz, Simon W Nienhuijs
The sleeve gastrectomy has been accepted as a primary bariatric procedure. One of the most feared complications is staple line leakage. It is important to use the right staple sizes to minimize the risk of leak. Knowledge of gastric thickness is important. The goal of this study was to measure the thickness of the gastric wall after elimination of the gastric folds in the mucosa. An electronic thickness gauge was developed that measured the anterior and posterior wall of the fresh stomach specimen together at 5 points at a pressure based on the finger pressure necessary to flatten the gastric folds...
November 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26680377/systematic-review-of-randomized-controlled-trials-comparing-manual-compression-to-vascular-closure-devices-for-diagnostic-and-therapeutic-arterial-procedures
#15
REVIEW
Tiffany Cox, Laurel Blair, Ciara Huntington, Amy Lincourt, Ronald Sing, B Todd Heniford
PURPOSE: A multitude of vascular closure devices (VCDs) are currently on the market for femoral arteriotomy closure after diagnostic and interventional angiography. Randomized, controlled trials (RCTs) comparing these devices to manual compression (MC) and their effect on time to hemostasis, time to ambulation, time to discharge, and immediate as well as long term complications have been studied. A systematic and through review of these evaluations and outcomes has not previously been performed...
November 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26655080/the-impact-of-nitinol-staples-on-the-compressive-forces-contact-area-and-mechanical-properties-in-comparison-to-a-claw-plate-and-crossed-screws-for-the-first-tarsometatarsal-arthrodesis
#16
Amiethab Aiyer, Nicholas A Russell, Matthew H Pelletier, Mark Myerson, William R Walsh
UNLABELLED: Background The optimal fixation method for the first tarsometatarsal arthrodesis remains controversial. This study aimed to develop a reproducible first tarsometatarsal testing model to evaluate the biomechanical performance of different reconstruction techniques. Methods Crossed screws or a claw plate were compared with a single or double shape memory alloy staple configuration in 20 Sawbones models. Constructs were mechanically tested in 4-point bending to 1, 2, and 3 mm of plantar displacement...
June 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/26594855/inflation-pressures-for-ex-vivo-lung-biopsies-after-application-of-graduated-compression-staples
#17
Darren J Imhoff, Eric Monnet
OBJECTIVE: To compare 2 graduated compression staples (Tri-Staple™, Covidien, Norwalk, CT) and standard staples (Endo GIA™, Covidien) for lung biopsy in dogs. STUDY DESIGN: Ex vivo experimental study, randomized, unblocked. ANIMALS: Lung lobes (n = 18) from 4 canine cadavers. METHODS: Eighteen lung lobes were harvested from 4 dogs immediately after euthanasia and randomized to 1 of 3 staples (n = 6 per stapler type)...
January 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/26526758/voluntary-medical-male-circumcision-in-resource-constrained-settings
#18
REVIEW
Aaron A R Tobian, Tigistu Adamu, Jason B Reed, Valerian Kiggundu, Youseph Yazdi, Emmanuel Njeuhmeli
Throughout East and Southern Africa, the WHO recommends voluntary medical male circumcision (VMMC) to reduce heterosexual HIV acquisition. Evidence has informed policy and the implementation of VMMC programmes in these countries. VMMC has been incorporated into the HIV prevention portfolio and more than 9 million VMMCs have been performed. Conventional surgical procedures consist of forceps-guided, dorsal slit or sleeve resection techniques. Devices are also becoming available that might help to accelerate the scale-up of adult VMMC...
December 2015: Nature Reviews. Urology
https://www.readbyqxmd.com/read/26452680/finite-element-analysis-and-cadaveric-cinematic-analysis-of-fixation-options-for-anteriorly-implanted-trabecular-metal-interbody-cages
#19
Pedro Berjano, Juan Francisco Blanco, Diego Rendon, Jorge Hugo Villafañe, David Pescador, Carlos Manuel Atienza
PURPOSE: To assess, with finite element analysis and an in vitro biomechanical study in cadaver, whether the implementation of an anterior interbody cage made of hedrocel with nitinol shape memory staples in compression increases the stiffness of the stand-alone interbody cage and to compare these constructs' stiffness to other constructs common in clinical practice. METHODS: A biomechanical study with a finite element analysis and cadaveric testing assessed the stiffness of different fixation modes for the L4-L5 functional spinal unit: intact spine, destabilized spine with discectomy, posterior pedicle-screw fixation, anterior stand-alone interbody cage, anterior interbody cage with bilateral pedicle screws and anterior interbody cage with two shape memory staples in compression...
November 2015: European Spine Journal
https://www.readbyqxmd.com/read/26360152/gastric-wall-thickness-in-sleeve-gastrectomy-patients-thickness-variation-of-the-gastric-wall
#20
Pim W J van Rutte, Bertus J Naagen, Marinus Spek, Jack J Jakimowicz, Simon W Nienhuijs
The sleeve gastrectomy has been accepted as a primary bariatric procedure. One of the most feared complications is staple line leakage. It is important to use the right staple sizes to minimize the risk of leak. Knowledge of gastric thickness is important. The goal of this study was to measure the thickness of the gastric wall after elimination of the gastric folds in the mucosa. An electronic thickness gauge was developed that measured the anterior and posterior wall of the fresh stomach specimen together at 5 points at a pressure based on the finger pressure necessary to flatten the gastric folds...
September 10, 2015: Surgical Technology International
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