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Absorbable staples

Tabitha L Schrufer-Poland, Maria P Ruiz, Samuel Kassar, Christopher Tomassian, Stacey D Algren, John D Yeast
OBJECTIVE: To determine if there is a significant difference in composite wound complications among traditional closure techniques versus absorbable subcuticular staple closure. STUDY DESIGN: This study is a retrospective cohort study of cesarean sections performed from January through September of 2014. Composite wound complications included surgical site infection, separation, and fluid collection. Medical records were reviewed and data including the patient demographics, comorbidities, closure type and wound complications were recorded...
August 3, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Dian-Bo Yao, Shuo-Dong Wu
The liver is a vascular-rich solid organ. Safe and effective dissection of the vessels and liver parenchyma, and control of intraoperative bleeding are the main concerns when performing liver resection. Several studies have confirmed that intraoperative blood loss and postoperative transfusion are predictors of postoperative morbidity and mortality in liver surgery. Various methods and instruments have been developed during hepatectomy. Stapling devices are crucial for safe and rapid anastomosis. They are used to divide hepatic veins and portal branches, and to transect liver parenchyma in open liver resection...
August 21, 2016: World Journal of Gastroenterology: WJG
Alessandro Cecconello, Jason S Kahn, Chun-Hua Lu, Larousse Khosravi Khorashad, Alexander O Govorov, Itamar Willner
Within the broad interest of assembling chiral left- and right-handed helices of plasmonic nanoparticles (NPs), we introduce the DNA-guided organization of left- or right-handed plasmonic Au NPs on DNA scaffolds. The method involves the self-assembly of stacked 12 DNA quasi-rings interlinked by 30 staple-strands. By the functionalization of one group of staple units with programmed tether-nucleic acid strands and additional staple elements with long nucleic acid chains, acting as promoter strands, the promoter-guided assembly of barrels modified with 12 left- or right-handed tethers is achieved...
August 10, 2016: Journal of the American Chemical Society
Lennie K Y Cheung, Haruo Tomita, Toshikazu Takemori
The docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) contents of Pacific saury (Cololabis saira), a fatty fish and staple of the Japanese diet, have been reported to decrease after cooking. This study compared the DHA and EPA contents remaining in saury after grilling, pan-frying or deep-frying to center temperatures of 75, 85, or 95 °C, and examined physical loss, lipid oxidation, and thermal degradation as mechanisms of DHA and EPA loss. Temperature changes inside the saury were monitored using thermocouples, while DHA and EPA contents, oxygen radical absorbance capacity, and measurements of lipid oxidation (that is, carbonyl value and thiobarbituric acid value) were determined chemically...
August 2016: Journal of Food Science
Lichen Yang, Yuhui Zhang, Jun Wang, Zhengwu Huang, Lingyan Gou, Zhilin Wang, Tongxiang Ren, Jianhua Piao, Xiaoguang Yang
BACKGROUND: This study was to observe the non-heme iron absorption and biological utilization from typical whole Chinese diets in young Chinese healthy urban men, and to observe if the iron absorption and utilization could be affected by the staple food patterns of Southern and Northern China. MATERIALS AND METHODS: Twenty-two young urban men aged 18-24 years were recruited and randomly assigned to two groups in which the staple food was rice and steamed buns, respectively...
2016: PloS One
Riken Kawachi, Rie Matsuwaki, Keisei Tachibana, Shin Karita, Yoko Nakazato, Ryota Tanaka, Yasushi Nagashima, Hidefumi Takei, Haruhiko Kondo
OBJECTIVES: We developed a modified pleural tent (m-tent) procedure and used it in our hospital in almost 30 consecutive patients with spontaneous pneumothorax. The objective of this study was to clarify the feasibility and effectiveness of a thoracoscopic m-tent for the treatment of spontaneous pneumothorax. METHODS: From July 2013 to November 2014, 107 patients with spontaneous pneumothorax were treated in our institution. Eighty-nine of these patients were analysed retrospectively...
August 2016: Interactive Cardiovascular and Thoracic Surgery
Hyun Ho Han, Seong Yeon Kim, Yoon Jae Lee, Suk Ho Moon, Deuk Young Oh
BACKGROUND: Surgeons tend to pay less attention to the donor site during breast reconstruction using deep inferior epigastric artery perforator flaps because attention is focused on microanastomosis and breast shaping. Therefore, donor site closure is typically performed by a secondary operator. We present consistently reduced operative times and improved scar quality using an absorbable dermal staple. METHODS: Retrospective review was performed on 25 patients who were either standard suture controls (group I, n = 15) or received absorbable staples (group II, n = 10)...
2016: SpringerPlus
Hyun Woo Jeon, Young-Du Kim, Yeo Kon Kye, Kyung Soo Kim
BACKGROUND: Primary spontaneous pneumothorax (PSP) is a relatively common disorder in young patients. Although various surgical techniques have been introduced, recurrence after video-assisted thoracoscopic surgery (VATS) remains high. The aim of study was to identify the risk factors for postoperative recurrence after thoracoscopic bullectomy in the spontaneous pneumothorax. METHODS: From January 2011 through March 2013, two hundreds and thirty two patients underwent surgery because of pneumothorax...
January 2016: Journal of Thoracic Disease
Gabriela Rodríguez, Arturo Martínez, Marco Viramontes-So, Leopoldo Sanmiguel, Jose Alfredo Jiménez, Jose Limon, Lucia Chávez, Leonel Gradillo, Ariel Ortiz Lagardere
A new restrictive procedure has emerged over the last decade known as the total vertical gastric plication or greater curvature plication (GCP). After our initial experience, the original technique was modified and a new standardized procedure was registered as the Stomach Sparing Gastric Sleeve™ (SSGS). The SSGS reduces the capacity of the stomach by in-folding the greater curvature with containment sutures, creating a sleeve-like stomach. Between March 2012 and August 2015 patients that met the National Institutes of Health (NIH) criteria for gastric banding underwent treatment with the SSGS...
November 2015: Surgical Technology International
Francesco Frattini, Francesco Amico, Stefano Rausei, Luigi Boni, Francesca Rovera, Gianlorenzo Dionigi
Stapling devices are used in gastrointestinal, gynecologic, thoracic, and many other surgeries to resect organs, transect tissues, and anastomose different structures. These devices became widely accepted standard practice in many gastrointestinal operations, especially since the successful advent of minimally invasive surgery. Despite the relevant advantages related to the use of a surgical stapler, we must also consider that these instruments may be at risk of failure. When any component fails, the patient is at risk of operative morbidity...
November 2015: Surgical Technology International
X Gayrel, M Loureiro, E M Skalli, C Dutot, G Mercier, D Nocca
BACKGROUND: Gastric leaks and bleeding are the most important complications after laparoscopic sleeve gastrectomy (LSG). The use of absorbable membranes as staple line reinforcement may decrease this risk. On the other hand, these materials bring additional costs and their economic impact is not well known. The purpose of this study was to assess the clinical and economic performance of one of the commercially available buttressing absorbable materials when treating a high-risk population...
August 2016: Obesity Surgery
Nancy F Krebs
The period of complementary feeding represents a major portion of the 1000 day critical window and thus impacts a period of substantial and dynamic infant development. This review highlights and synthesizes findings of several recent studies conducted to evaluate food based strategies on outcomes related to micronutrient status, growth and neurocognitive development. Particular emphasis is placed on interventions using meat or fortified products to impact iron and zinc intakes, due to the dependence of breastfed infants on complementary food choices to meet requirements for these two critical micronutrients...
November 2014: Nutrition Today
Thierry Bron, Gilbert Zakine
BACKGROUND: The duration to close an incision is an important consideration in plastic surgery. The placement of Insorb absorbable subcuticular staples (Insorb, Incisive Surgical, Plymouth, MN) may allow for a decreased closure time compared with other modalities. OBJECTIVES: The authors evaluated the utility of Insorb staples for the closure of mammaplasty and abdominoplasty incisions. METHODS: Sixty patients who underwent anterior abdominal dermatolipectomy, total circular abdominal dermatolipectomy, bilateral breast reduction, or bilateral mastopexy were evaluated in a prospective study...
April 2016: Aesthetic Surgery Journal
S Carandina, M Tabbara, M Bossi, A Valenti, C Polliand, L Genser, Christophe Barrat
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is associated with serious complications, such as staple line (SL) leaks and bleeding. In order to prevent the occurrence of these complications, surgeons have advocated the need to strengthen the staple line. The aim of this randomized controlled study was to compare the efficacy of three different ways of strengthening of the SL in LSG in preventing surgical post-operative complications. METHODS: Between April 2012 and December 2014, 600 patients (pts) scheduled for LSG were prospectively randomized into groups without SL reinforcement (group A) or with SL reinforcement including fibrin glue coverage (group B), or oversewn SL with imbricating absorbable (Monocryl™; group C) or barbed (V lock®) running suture (group D)...
February 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Francesco Frattini, Francesco Amico, Stefano Rausei, Luigi Boni, Francesca Rovera, Gianlorenzo Dionigi
Stapling devices are used in gastrointestinal, gynecologic, thoracic, and many other surgeries to resect organs, transect tissues, and anastomose different structures. These devices became widely accepted standard practice in many gastrointestinal operations, especially since the successful advent of minimally invasive surgery. Despite the relevant advantages related to the use of a surgical stapler, we must also consider that these instruments may be at risk of failure. When any component fails, the patient is at risk of operative morbidity...
September 10, 2015: Surgical Technology International
Diane M DellaValle, Raymond P Glahn, Jon E Shaff, Kimberly O O'Brien
BACKGROUND: Low iron absorption from important staple foods may contribute to iron deficiency in developing countries. To date, few studies have examined the iron bioavailability of pulse crops as commonly prepared and consumed by humans. OBJECTIVE: The objectives were to characterize the iron absorption from a test meal of intrinsically labeled (57)Fe lentils prepared as dal, to compare the bioavailability of iron from (57)Fe in dal with that observed for a reference dose of (58)Fe as ferrous sulfate, and to assess associations between iron absorption and iron status indicators...
October 2015: Journal of Nutrition
M Timucin Aydin, Orhan Aras, Bora Karip, Kemal Memisoglu
BACKGROUND AND OBJECTIVES: Laparoscopic sleeve gastrectomy is a technically simple and popular bariatric operation with acceptable results. However, leaks can occur in long staple lines, for which various reinforcement methods are used. We compared nonreinforced stapling in laparoscopic sleeve gastrectomy with 3 staple line reinforcement methods: suturing, absorbable buttressing material, and fibrin glue. METHODS: From March 1 until September 30, 2014, 118 patients with body mass index >40 kg/m(2) underwent sleeve gastrectomy and were enrolled in 4 groups, depending on the type of reinforcement used...
July 2015: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Martin A Buttaro, Mauricio Quinteros, Gabriel Martorell, Gerardo Zanotti, Fernando Comba, Francisco Piccaluga
Intradermal wound closure is controversial in primary total hip arthroplasty. Randomised, controlled trials in wound closure following a total hip arthroplasty (THA) are scarce. Our hypothesis was that skin staples closure would be related to a similar complication rate and operative time as intradermal closure with polypropylene. From September 2011 to May 2012, 231 THAs in 219 patients with an average age of 62 years old (range: 21-91) were performed. No differences were observed in both groups according to sex, age, BMI and comorbidities (p = 0,82)...
November 2015: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Konstantinos Albanopoulos, Dimitrios Tsamis, Aggeliki Arapaki, Eleftheria Kleidi, Georgios Zografos, Emmanouil Leandros
BACKGROUND: Reinforcement of the staple line in laparoscopic sleeve gastrectomy (LSG) is a practice that leads to less morbidity, but equivocal results have been reported in the literature. MATERIALS AND METHODS: This is a prospective randomized study comparing two groups of patients who underwent LSG. In one group LSG was performed with a running absorbable suture placement at the staple line. In the other group the running suture was not placed. General data of the patients, as well as intraoperative and postoperative data, were gathered and statistically analyzed...
July 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Zhou-Gui Ling, Yan-bin Wu, Mo-yu Ming, Shuang-qi Cai, Yi-Qiang Chen
BACKGROUND: Pleural abrasion has been widely used to control the recurrence of primary spontaneous pneumothorax (PSP). However, controversy still exists regarding the advantages and disadvantages of pleural abrasion compared with other interventions in preventing the recurrence of PSP. METHODS: The PubMed, Embase, and Cochrane Central Register of Controlled Trials databases were searched up to December 15, 2014 to identify randomized controlled trials (RCTs) that compared the effects of pleural abrasion with those of other interventions in the treatment of PSP...
2015: PloS One
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