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Carter Thomason

Marsha Love, Felipe Tendick-Matesanz, Jane Thomason, Davine Carter, Myra Glassman, Joseph Zanoni
The home care workforce, already at 2.7 million caregivers, will become the nation's fastest growing occupation by 2024 as the senior boom generation accelerates the demand for in home services to meet its long-term care needs. The physically challenging work of assisting clients with intimate, essential acts of daily living places home care workers (HCWs) at risk for musculoskeletal disorders (MSDs); yet, HCWs typically receive little formal job training and may lack appropriate assistive devices. In this qualitative pilot study, HCW focus groups described workplace MSD risk factors and identified problem-solving strategies to improve ergonomic conditions...
August 2017: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
Alexander J Shope, Joshua S Winder, Jonathan T Bliggenstorfer, Kristen T Crowell, Randy S Haluck, Eric M Pauli
BACKGROUND: Transfascial suture passers (TSPs) are a commonly used surgical tool available in a wide array of tip configurations. We assessed the insertion force of various TSPs in an ex vivo porcine model. METHODS: Uniform sections of porcine abdominal wall were secured to a 3D-printed platform. Nine TSPs were passed through the abdominal wall both without and with prolene suture under the following scenarios: abdominal wall only and abdominal wall plus underlay ePTFE or composite ePTFE/polypropylene mesh...
June 2017: Surgical Innovation
Aaron E Berhanu, Simon G Talbot
BACKGROUND: An improved method for mesh repair of ventral/incisional hernias after component separation is presented. The use of a Carter-Thomason suture passer (Cooper Surgical, allows for safe passage of preplaced sutures on the mesh from within the abdominal cavity through the anterior rectus sheath. This "inside-out" method makes the underlay of mesh fast and easy by improving visualization and control of sharp instruments as they are passed through the abdominal cavity...
June 2015: Plastic and Reconstructive Surgery. Global Open
Abijit Shetty, Kishore Thekke Adiyat
PURPOSE: To compare between hand closure and Carter-Thomason technique with respect to following parame­ters, time taken for port site closure, wound infection, wound dehiscence, seroma formation, port site herniation, and ascitic fluid leak. MATERIALS AND METHODS: In this study, 200 cases who underwent laparoscopic donor nephrectomy were selected and divided into two groups based on closure technique. First 100 cases underwent port closure by the standard hand closure technique and next 100 cases by Carter-Thomson needle technique...
September 2, 2014: Urology Journal
Michael del Junco, Zhamshid Okhunov, Samuel Juncal, Renai Yoon, Jaime Landman
PURPOSE: The aim of this study was to evaluate and compare a novel trocars-site closure device, the WECK EFx™ Endo Fascial Closure System (EFx) with the Carter-Thomason CloseSure System® (CT) for the closure of laparoscopic trocar site defects created by a 12-mm dilating trocar. METHODS: We created standardized laparoscopic trocars-site abdominal wall defects in cadaver models using a standard 12-mm laparoscopic dilating trocar. Trocar defects were closed in a randomized fashion using one of the two closure systems...
July 2014: Journal of Endourology
H Choi, J H Kim, J Y Park, J S Shim, J H Bae
BACKGROUND AND AIMS: To evaluate the efficacy and safety of a modified laparoscopic ureterolithotomy for the treatment of upper ureteral stones; this method involved the use of a Carter-Thomason fascial closure device, a broken 15th blade. MATERIAL AND METHODS: From February 2009 to December 2012, 38 patients with unilateral upper ureteral stones were examined and classified into 2 groups: one group underwent conventional laparoscopic ureterolithotomy (n = 21) and the other group underwent modified laparoscopic ureterolithotomy (n = 17)...
September 2014: Scandinavian Journal of Surgery: SJS
Ill Young Seo, Joung Sik Rim
PURPOSE: To study the feasibility and safety of the procedure, we present our early experience with laparoendoscopic single-site (LESS) pyelolithotomy performed by use of a Carter-Thomason needle grasper. MATERIALS AND METHODS: Four patients underwent LESS pyelolithotomy for the removal of renal pelvic stones. The patients' mean age was 57.8 years, and their mean body mass index was 23.01. We used a homemade single-port device made with a surgical glove that was inserted into a 2...
March 2013: Korean Journal of Urology
Laura H Rosenberger, Yinin Hu, Zequan Yang, Robert G Sawyer
A gastropexy with T-fasteners can maintain gastric apposition to the abdominal wall before a mature gastrocutaneous fistula. In patients at high risk for inadvertently removing their percutaneous endoscopic gastrostomy tube, or those in whom early, unintentional removal and subsequent laparotomy would be catastrophic, the T-fasteners can act as a safety mechanism. We present a case of an obese patient, for whom a surgical gastrostomy was not practical, and the T-fastener system had inadequate length to traverse the abdominal wall...
October 2012: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ja Hyun Shin, Fred M Howard
STUDY OBJECTIVE: To determine the incidence and clinical significance of iliohypogastric-ilioinguinal neuropathy from lower abdominal lateral port placement and fascial closure during laparoscopic gynecologic surgery. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: University-based referral center specializing in minimally invasive gynecologic surgery and chronic abdominopelvic pain. PATIENTS: Women who underwent a laparoscopic procedure because of benign gynecologic indications during a 3-year study period from 2008 to 2011...
July 2012: Journal of Minimally Invasive Gynecology
Rita Bowen, Susan Carey, Patricia Carter, Angela K Dinh, Julie Dooling, Aviva Halpert, Beth Hjort, Judi Hofman, Tanya Kuehnast, Chrisann Lemery, Debra Mikels, Jennifer Teal, Mary Thomason, Susan Torzewski, Traci Waugh
No abstract text is available yet for this article.
May 2011: Journal of AHIMA
Pauline L Chang, Eric R Sokol
Complications of tension-free vaginal tape (TVT) procedures have become more prevalent as the procedure has become more popular for the treatment of stress urinary incontinence. A common complication of TVT slings is bladder perforation, which is estimated to occur in 0.7-24% of treated patients. While easily treated if identified intraoperatively, unrecognized bladder perforation generally requires further surgery to correct. We propose a novel minimally invasive technique using the suture passer of the Carter-Thomason CloseSure system for suprapubic assistance during cystoscopic removal of TVT mesh from the bladder...
February 2010: International Urogynecology Journal
Z Shaher
BACKGROUND: Laparoscopic trocars do create wounds. This article aims to review and list different techniques used for closure of the fascia incision at trocar sites. METHODS: A literature search was performed for articles dealing with closure techniques. The author searched this subject in English on Medline by combining the words "trocar" and "hernia," as well as "Deschamps" and "Reverdin." All articles reporting techniques with their references were reviewed. RESULTS: The articles described many techniques in addition to classical closure using curved needles, including Grice needle, Maciol needles, Endoclose device, Carter-Thomason device, Tahoe ligature device, Endo-Judge device, eXit puncture closure device, Lowsley retractor, spinal cord needles, dual hemostat, suture carrier, Riverdin and Deschamps needles, and Gore-Tex closure device...
August 2007: Surgical Endoscopy
George M Eid, Paul A Thodiyil, Joy Collins, Gianluca Bonanomi, Samer G Mattar, Steven J Hughes, Philip R Schauer, Mark Wilson
BACKGROUND: This study evaluates the feasibility of laparoscopic transfascial suture repair of umbilical hernias when combined with another laparoscopic procedure that potentially contaminates the peritoneal cavity. METHOD: From August 1997 to November 2001, 32 patients underwent laparoscopic umbilical suture repair in association with another laparoscopic procedure. The repair was performed with the Carter-Thomason suture passer. RESULTS: Of the 32, 26 patients with more than 1-year follow-up were included in the study...
January 2006: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Niels-Erik B Jacobsen, Howard J Evans, Michael G Hobart
INTRODUCTION: Although laparoscopic radical prostatectomy (LRP) has emerged as a legitimate minimally invasive surgical alternative to open radical retropubic prostatectomy, the technical difficulty of this advanced laparoscopic procedure remains an obstacle to its widespread use. We report a novel surgical technique for the purpose of bowel and bladder retraction during transperitoneal LRP that improves visualization and negates the need for additional working ports or steep Trendelenburg positioning...
March 2006: Urology
Patrick S Lowry, Timothy D Moon, Anthony D'Alessandro, Stephen Y Nakada
We describe what appears to be the first case of a port-site hernia at the site of insertion of a 10-mm non-bladed trocar, which was discovered 4 days after laparoscopic live-donor nephrectomy. We now close all 10-mm port sites in adults and all 5-mm port sites in children; this can be done easily using the Carter-Thomason device.
September 2003: Journal of Endourology
Marcy Lee, James F Donovan
BACKGROUND AND PURPOSE: Maintaining long-term peritoneal catheter function for peritoneal dialysis is commonly threatened by problems with catheter obstruction. Multiple methods have been used to salvage nonfunctioning catheters, including omentopexy, catheter repositioning, and omentectomy. We report on our experience with a laparoscopic method of omentectomy and catheter fixation for salvage of nonfunctioning peritoneal dialysis catheters. PATIENTS AND METHODS: Thirteen patients with nonfunctioning peritoneal dialysis catheters underwent 16 laparoscopic procedures with the intent to restore function...
May 2002: Journal of Endourology
J E Carter
OBJECTIVE: To describe a technique and results of uterine suspension and positioning by extraperitoneal ligament investment, fixation and truncation (UPLIFT). STUDY DESIGN: Seventy-five women aged 19-48 years in a private referral center with chronic pelvic pain, dyspareunia and dysmenorrhea seeking treatment were evaluated and treated over a two-year period. Laparoscopic uterine suspension was performed using the Carter-Thomason 2-mm needle point suture passer...
May 1999: Journal of Reproductive Medicine
Inguinal and incisional hernias are frequently discovered during gynecologic laparoscopy. Current laparoscopic techniques to repair hernias are time consuming and require expensive procedure-specific instrumentation. The Pelosi simplified method of hernia repair, which uses an operative laparoscope, Carter-Thomason needle carriers, and standard suturing material, was performed successfully in eight women to repair inguinal hernias at the time of gynecologic laparoscopy. No intraoperative or postoperative complications occurred...
August 1996: Journal of the American Association of Gynecologic Laparoscopists
Postoperative omental and bowel entrapment secondary to incisional hernias and life-threatening hemorrhage secondary to anterior abdominal wall bleeding may occur during cannula placement. The Carter-Thomason needle suture passer was used to correct 20 fascial and peritoneal cannula defects and 7 severe anterior abdominal wall bleeders. The procedure was performed quickly and successfully in all instances. The instrument provides a safe, rapid, easy, and cost-effective way to correct complications secondary to the creation of surgical ports during laparoscopic surgery...
August 1996: Journal of the American Association of Gynecologic Laparoscopists
P Thevissen, A Pier
An operative technique is described for fasciorrhaphy of large laparoscopic incisions, umbilical hernias or small abdominal wall hernias with laparoscopic monitoring within the scope of minimal invasive surgery. Over a period of 8 months the Carter-Thomason technique was used in 105 operative laparoscopies for occlusion of large laparoscopic incisions and in 6 pre-existing umbilical hernias. In the postoperative period no hernias occurred and no complications were observed.
July 1996: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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