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Absorbable staples

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https://www.readbyqxmd.com/read/29220858/long-term-successful-closure-of-a-percutaneous-intragastric-trocar-tract-with-crossing-full-thickness-sutures-in-a-porcine-model
#1
Andrew C Storm, Hiroyuki Aihara, Matthew J Skinner, Marvin Ryou, Christopher C Thompson
Background and study aims A novel intragastric trocar placed using a percutaneous endoscopic gastrostomy technique enables the use of laparoscopic tools and procedures, including tissue stapling, cutting, suturing, and retraction. The aim of this porcine study was to determine long-term success of crossing full-thickness sutures in closure of the tract upon trocar withdrawal. Methods 10 trocars were placed in 5 animals. Each animal underwent a standardized tissue resection using a 5-mm stapler under gastroscopic guidance, and two full-thickness, absorbable, crossing sutures were used to close the trocar tracts...
December 8, 2017: Endoscopy
https://www.readbyqxmd.com/read/29148019/a-prospective-randomised-comparison-of-2-skin-closure-techniques-in-primary-total-hip-arthroplasty-surgery
#2
Min Rui, Xin Zheng, Shao-Song Sun, Cheng-Yu Li, Xing-Chen Zhang, Kai-Jin Guo, Feng-Chao Zhao, Yong Pang
INTRODUCTION: As an essential step of total hip arthroplasty (THA), an effective and secure skin closure technique after primary THA is important. Metallic staples closure and subcuticular suture are the 2 common techniques for skin closure. However, which closure technique is the optimal skin-closure method remains unclear. The purpose of this prospective randomised clinical study was to compare the clinical outcomes and costs between staples and subcuticular suture techniques. METHODS: In this clinical study, 165 patients who underwent primary unilateral THA through a posterolateral approach from August 2014 to May 2015 were included...
November 13, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29121604/occupational-exposure-to-indoor-air-pollution-among-bakery-workers-in-ethiopia-a-comparison-of-electric-and-biomass-cookstoves
#3
George S Downward, Hugo P van der Zwaag, Leon Simons, Kees Meliefste, Yifokire Tefera, J Rosales Carreon, Roel Vermeulen, Lidwien A M Smit
The indoor air pollution (IAP) produced by the domestic combustion of solid fuels is responsible for up to 4 million deaths annually, especially among low and middle income countries. Occupational exposure within the food preparation industries of these nations remains underexplored. We investigated occupational exposure to the IAP produced during the commercial production of injera, a staple of the Ethiopian diet, from bakeries in Addis Ababa, Ethiopia. Measurements of PM2.5, black carbon (via the proxy measure PM2...
November 6, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/28962024/intradermal-scalp-closure-using-barbed-suture-in-cranial-tumor-surgeries-a-technical-note
#4
Simon S Buttrick, Daniel Eichberg, Sheikh C Ali, Ricardo J Komotar
BACKGROUND AND IMPORTANCE: Traditional scalp closure technique following elective craniotomy involves placement of staples or a continuous running suture. Despite low complication rates, these techniques are often considered to be disfiguring by patients, contribute to the psychosocial trauma of brain surgery, and are associated with discomfort during postoperative staple or suture removal. Some authors have described scalp closure using intradermal absorbable suture, but this technique likely does not reach the tensile strength of closure using traditional methods, and requires knots at the apices of the incision, which can act as a nidus for infection...
September 15, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28791586/laparoscopic-linear-stapled-running-enterotomy-closure-in-roux-en-y-gastric-bypass-using-absorbable-unidirectional-barbed-suture-stratafix%C3%A2-2-0
#5
Ben Gys, Tobie Gys, Michael Ruyssers, Thierry Lafullarde
BACKGROUND: Laparoscopic running enterotomy closure for linear stapled Roux-en-Y gastric bypass (RYGB) may be enhanced by using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon) as it eliminates the need for knot tying and assistance from a third hand. OBJECTIVES: The objective of this paper is to present our technique using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon). METHODS: After stapling the gastrojejunostomy, we start the closure of the residual enterotomy unidirectional from left to right (single, full-thickness layer) which is cut without a knot...
October 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28667635/genetically-modified-phytase-crops-role-in-sustainable-plant-and-animal-nutrition-and-ecological-development-a-review
#6
REVIEW
Chinreddy Subramanyam Reddy, Seong-Cheol Kim, Tanushri Kaul
Globally, plant-derivatives especially cereals and legumes are the major staple food sources for animals. The seeds of these crops comprise of phytic acid, the major repository form of the phosphorus, which is not digestible by simple-stomached animals. However, it is the most important factor responsible for impeding the absorption of minerals by plants that eventually results in less use of fertilizers that ultimately cause eutrophication in water bodies. Although abundant phosphorus (P) exists in the soils, plants cannot absorb most of the P due to its conversion to unavailable forms...
July 2017: 3 Biotech
https://www.readbyqxmd.com/read/28523164/a-clinical-study-of-efficacy-of-polyglycolic-acid-sleeve-after-video-assisted-thoracoscopic-bullectomy-for-primary-spontaneous-pneumothorax
#7
Duo Zhang, Jinbai Miao, Xiaoxing Hu, Bin Hu, Hui Li
BACKGROUND: Primary spontaneous pneumothorax (PSP) is a common disease in thoracic surgery, and a prolonged postoperative air leakage is the most frequent and troublesome early complication after video-assisted thoracoscopic (VATS) bullectomy. This study aimed to explore the efficacy of polyglycolic acid (PGA) sleeve in preventing postoperative air leakage after a VATS bullectomy for PSP. METHODS: This study was a prospectively randomised clinical study. The patients who underwent a VATS bullectomy were continuously enrolled from January 2015 to June 2016 in the Beijing Chaoyang Hospital and were randomly assigned to the experimental and control groups...
April 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28489172/laparoscopic-repair-of-lumbar-hernia-grynfelt-technical-description
#8
Christiano Marlo Paggi Claus, Lucas Thá Nassif, Yan Sacha Aguilera, EduardoJose Brommelstroet Ramos, Julio Cesar Uili Coelho
Background: Lumbar hernias are rare. Usually manifest with reducible volume increase in the post-lateral region of the abdomen and may occur in two specific anatomic defects: the triangles of Grynfelt (upper) and Petit (lower). Despite controversies with better repair, laparoscopic approach, following the same principle of the treatment of inguinal hernias, seems to present significant advantages compared to conventional/open surgeries. However, some technical and anatomical details of the region, non usual to general surgeons, are fundamental for proper repair...
January 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/28437221/the-effect-of-reinforcement-methods-with-knotted-and-knotless-sutures-comparison-of-burst-pressures
#9
Alper Yavuz, Hakan Buluş
Sleeve gastrectomy operations have become popular among restrictive obesity surgeons, due to its effectiveness for losing weight and acceptable complication rates. However, leakage is a significant problem in these operations. In this ex vivo study, we tried to understand mechanisms of leakage and to examine the effects of two different types of frequently referred reinforcement techniques using sutures. The resected gastric specimens that were removed during sleeve gastrectomy operations were used in this ex vivo study...
June 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28424260/upregulation-of-zinc-absorption-matches-increases-in-physiologic-requirements-for-zinc-in-women-consuming-high-or-moderate-phytate-diets-during-late-pregnancy-and-early-lactation
#10
RANDOMIZED CONTROLLED TRIAL
K Michael Hambidge, Leland V Miller, Manolo Mazariegos, Jamie Westcott, Noel W Solomons, Victor Raboy, Jennifer F Kemp, Abhik Das, Norman Goco, Ty Hartwell, Linda Wright, Nancy F Krebs
Background: Estimated physiologic requirements (PRs) for zinc increase in late pregnancy and early lactation, but the effect on dietary zinc requirements is uncertain.Objective: The aim of this study was to determine changes in daily fractional absorbed zinc and total absorbed zinc (TAZ) from ad libitum diets of differing phytate contents in relation to physiologic zinc requirements during pregnancy and lactation.Methods: This was a prospective observational study of zinc absorption at 8 (phase 1) and 34 (phase 2) wk of gestation and 2 (phase 3) and 6 (phase 4) mo of lactation...
June 2017: Journal of Nutrition
https://www.readbyqxmd.com/read/28415434/design-and-development-of-a-hybrid-bioartificial-water-induced-shape-memory-polymeric-material-as-an-integral-component-for-the-anastomosis-of-human-hollow-organs
#11
Siriana Paonessa, Niccoletta Barbani, Elisa Cibrario Rocchietti, Claudia Giachino, Caterina Cristallini
A large number of pathologies require the resection of the bowel and anastomoses to rejoin the two remaining stumps to regain lumen patency. Various materials have been used to rejoin one bowel end to the other such as catgut, stainless steel, and absorbable sutures. The present method for anastomosis surgery uses an entero-entero anastomosis (EEA) circular stapler with only a staple line. This method can have some drawbacks, such as intracellular fluid leakage and local inflammations. The aim of this study is to design and develop a novel bioartificial polymer with a ring shape made of polyvinyl alcohol (PVA) and gelatin (80/20 ratio (w/w)) loaded both directly with acetylsalicylic acid and with nanoparticles incorporating the same drug to reduce local inflammation even for a prolonged period of time...
June 1, 2017: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/28414527/advantages-and-limitations-of-in-vitro-and-in-vivo-methods-of-iron-and-zinc-bioavailability-evaluation-in-the-assessment-of-biofortification-program-effectiveness
#12
Desirrê Morais Dias, Neuza Maria Brunoro Costa, Marilia Regini Nutti, Elad Tako, Hércia Stampini Duarte Martino
Biofortification aims to improve the micronutrient concentration of staple food crops through the best practices of breeding and modern biotechnology. However, increased zinc and iron concentrations in food crops may not always translate into proportional increases in absorbed zinc (Zn) and iron (Fe). Therefore, assessing iron and zinc bioavailability in biofortified crops is imperative to evaluate the efficacy of breeding programs. This review aimed to investigate the advantages and limitations of in vitro and in vivo methods of iron and zinc bioavailability evaluation in the assessment of biofortification program effectiveness...
April 17, 2017: Critical Reviews in Food Science and Nutrition
https://www.readbyqxmd.com/read/28378080/cost-analysis-of-leak-after-sleeve-gastrectomy
#13
Marius Nedelcu, Thierry Manos, Michel Gagner, Imane Eddbali, Ahmed Ahmed, Patrick Noel
BACKGROUND: Leaks after laparoscopic sleeve gastrectomy (LSG) are serious complications of this procedure. The objective of the present study was to evaluate the costs of leaks after LSG. SETTING: Private hospital, France. METHODS: A retrospective analysis was conducted on a prospective cohort of 2012 cases of LSG between September 2005 and December 2014. Data were collected on all diagnostic and therapeutic measures necessary to manage leaks, ward, and intensive care unit (ICU) length of stay...
November 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28300773/the-low-fodmap-diet-many-question-marks-for-a-catchy-acronym
#14
REVIEW
Giulia Catassi, Elena Lionetti, Simona Gatti, Carlo Catassi
FODMAP, "Fermentable Oligo-, Di- and Mono-saccharides And Polyols", is a heterogeneous group of highly fermentable but poorly absorbed short-chain carbohydrates and polyols. Dietary FODMAPs might exacerbate intestinal symptoms by increasing small intestinal water volume, colonic gas production, and intestinal motility. In recent years the low-FODMAP diet for treatment of irritable bowel syndrome (IBS) has gained increasing popularity. In the present review we aim to summarize the physiological, clinical, and nutritional issues, suggesting caution in the prolonged use of this dietary treatment on the basis of the existing literature...
March 16, 2017: Nutrients
https://www.readbyqxmd.com/read/28236013/needlescopic-sleeve-gastrectomy-pushing-the-boundaries-of-the-standard-technique
#15
Marcelo Loureiro, Abdulah Sultan, Mohannad Alhaddad, Hatem Mostafa, David Nocca, Marius Nedelcu, Walled Buhaimed
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery performed worldwide. Improvements in LSG have been suggested to achieve better weight loss or to lessen the complications rates. We propose a change in the standard technique to privilege the use of thinner instruments, the needlescopic sleeve gastrectomy (NSG). METHODS: A 40-year-old female, BMI 40, with no previous abdominal surgery was selected for a NSG. She was placed in a semi-sitting position with the surgeon standing between the legs...
October 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28040761/penetration-of-bronchial-wall-by-knot-of-absorbable-monofilament-suture
#16
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...
March 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28013470/a-socio-scientific-analysis-of-the-environmental-and-health-benefits-as-well-as-potential-risks-of-cassava-production-and-consumption
#17
REVIEW
S Mombo, C Dumat, M Shahid, E Schreck
Due to its high adaptability, cassava (Manihot esculenta Crantz) is one of the world's most cultivated and consumed plants after maize and rice. However, there are relatively few scientific studies on this important crop. The objective of this review was therefore to summarize and discuss the available information on cassava cropping in order to promote sustainable practices in terms of production and consumption. Cassava cultivation has been expanding recently at the global scale and is widely consumed in most regions of South America, Africa, and Asia...
February 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/27996083/dressings-for-the-prevention-of-surgical-site-infection
#18
REVIEW
Jo C Dumville, Trish A Gray, Catherine J Walter, Catherine A Sharp, Tamara Page, Rhiannon Macefield, Natalie Blencowe, Thomas Kg Milne, Barnaby C Reeves, Jane Blazeby
BACKGROUND: Surgical wounds (incisions) heal by primary intention when the wound edges are brought together and secured, often with sutures, staples, or clips. Wound dressings applied after wound closure may provide physical support, protection and absorb exudate. There are many different types of wound dressings available and wounds can also be left uncovered (exposed). Surgical site infection (SSI) is a common complication of wounds and this may be associated with using (or not using) dressings, or different types of dressing...
December 20, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27936403/arsenic-accumulation-and-speciation-in-rice-grown-in-arsanilic-acid-elevated-paddy-soil
#19
Anjing Geng, Xu Wang, Lishu Wu, Fuhua Wang, Yan Chen, Hui Yang, Zhan Zhang, Xiaoli Zhao
P-arsanilic acid (AsA) is a emerging but less concerned contaminant used in animal feeding operations, for it can be degraded to more toxic metabolites after being excreted by animals. Rice is the staple food in many parts of the world, and also more efficient in accumulating arsenic (As) compared to other cereals. However, the uptake and transformation of AsA by rice is unclear. This study aimed to evaluate the potential risk of using AsA as a feed additive and using the AsA contaminated animal manure as a fertilizer...
March 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/27933645/aflatoxin-biomarkers-in-hair-may-facilitate-long-term-exposure-studies
#20
Innocent Mupunga, Christo D Izaaks, Leshweni J Shai, David R Katerere
Aflatoxins are highly toxic fungal metabolites produced by some members of the Aspergillus species. They are low molecular weight lipophilic compounds that are easily absorbed from the gastrointestinal tract. They contaminate most staple foods, including maize, peanuts, peanut butter and sorghum mainly in the tropics where hot and humid conditions promote fungal growth. Absorbed aflatoxins are metabolized by the cytochrome P450 enzyme system in the liver into toxic metabolites. Aflatoxin B (AFB)1 is the most toxic, carcinogenic and mutagenic naturally occurring toxin...
April 2017: Journal of Applied Toxicology: JAT
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