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Journal articles on the topic 'Surgical suction'

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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Gonzalez Edery, Eduardo, Ximena Rios, Gerardo Vargas, Laura Arzuza, and Juan Reatiga Aguilar. "Suction Tip Colonization during Orthopedic Surgery: A Review." Journal of Orthopedics and Orthopedic Surgery 1, no. 3 (October 19, 2020): 1–4. http://dx.doi.org/10.29245/2767-5130/2020/3.1114.

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Surgical site infections are clinically and epidemiologically critical in orthopedic surgery, as they lead to several complications affecting the quality of life of patients. Contamination may occur during the surgery, through instruments directly inserted into the wound acting as reservoirs for microorganisms. This study aimed to review the literature on suction tip colonization during orthopedic surgery, with an aim toward setting guidelines for its management during surgical procedures. Suction tips can be colonized primarily in two ways. The first is through direct contact with a surgical wound or poor handling by surgical staff and the second is through continuous airflow through the tip of the suction. Colonization rate between studies has decreased in the last years reporting in recent papers a 7.3% suction tips colonization rates in clean orthopedic. The most common germs isolated are S. epidermidis, S. aureus and E. cloacae. Suction tip colonization has a direct relationship with the duration of the surgical procedure, with a higher rate of colonization with longer surgeries. Multiple strategies have been proposed to reduce the risk of colonization of the suction tips used during a surgical procedure including systematically changing suction cannula after 1 hour of surgery or strategies to reduce active suction time. It is unclear if suction tip colonization is directly related to surgical site infection rates. Further studies are needed to corelate infection and colonization of the suction canula.

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2

VanCleave, Andrea M., James E. Jones, James D. McGlothlin, Mark A. Saxen, Brian J. Sanders, and LaQuia A. Vinson. "The Effect of Intraoral Suction on Oxygen-Enriched Surgical Environments: A Mechanism for Reducing the Risk of Surgical Fires." Anesthesia Progress 61, no. 4 (December 1, 2014): 155–61. http://dx.doi.org/10.2344/0003-3006-61.4.155.

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Abstract In this study, a mechanical model was applied in order to replicate potential surgical fire conditions in an oxygen-enriched environment with and without high-volume suction typical for dental surgical applications. During 41 trials, 3 combustion events were measured: an audible pop, a visible flash of light, and full ignition. In at least 11 of 21 trials without suction, all 3 conditions were observed, sometimes with an extent of fire that required early termination of the experimental trial. By contrast, in 18 of 20 with-suction trials, ignition did not occur at all, and in the 2 cases where ignition did occur, the fire was qualitatively a much smaller, candle-like flame. Statistically comparing these 3 combustion events in the no-suction versus with-suction trials, ignition (P = .0005), audible pop (P = .0211), and flash (P = .0092) were all significantly more likely in the no-suction condition. These results suggest a possible significant and new element to be added to existing surgical fire safety protocols toward making surgical fires the “never-events” they should be.

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3

Owens, David, Mario Jaramillo, and Michael Saunders. "Suction diathermy adenoid ablation." Journal of Laryngology & Otology 119, no. 1 (January 2005): 34–35. http://dx.doi.org/10.1258/0022215053222743.

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Adenoidectomy Is A Surgical Procedure Frequently Carried Out In Otolaryngological Practice, Traditionally Undertaken Blindly With Curettage Using An Adenotome Following Palpation Of The Adenoid Bed. While A Number Of Alternative Methods Have Been Described For Surgical Removal Of The Adenoid Pad (Power-Assisted/Microdebrider, Transnasal Adenoid Ablation, Suction Coagulation And Liquefaction/Aspiration) None Has Become The Definitive Procedure. Suction Diathermy Adenoidectomy Has Been Known And Used For Some Time; It Has Gained In Popularity Over Recent Years And Is Established As An Alternative To Conventional Curettage, Particularly In Children.We Describe Several Techniques Which Improve The View Of The Surgical Field While Performing Suction Diathermy Adenoid Ablation.

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4

Eulufi, Alex, Guillermo Israel, Hector Vergara, Wilfredo Calderon, and Sebastian Eulufi. "Hand Surgical Assistance: Light and Suction." Annals of Plastic Surgery 55, no. 5 (November 2005): 555–56. http://dx.doi.org/10.1097/01.sap.0000184559.04464.03.

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5

Sakatani, Kaoru, and Huancong Zuo. "Continuous suction surgical cottonoid for microneurosurgery." Neurological Research 20, no. 6 (September 1998): 564–66. http://dx.doi.org/10.1080/01616412.1998.11740565.

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6

Ousterhout, Douglas K. "Combined Suction-assisted Lipectomy, Surgical Lipectomy, and Surgical Abdominoplasty." Annals of Plastic Surgery 23, no. 4 (October 1989): 376. http://dx.doi.org/10.1097/00000637-198910000-00023.

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7

Ousterhout, Douglas K. "Combined Suction-assisted Lipectomy, Surgical Lipectomy, and Surgical Abdominoplasty." Annals of Plastic Surgery 24, no. 2 (February 1990): 126–33. http://dx.doi.org/10.1097/00000637-199002000-00004.

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8

Praneeth, Kokkula, Ashish Aggarwal, Sunil Kumar Gupta, and Navneet Singla. "Necessity is the mother of invention: Technical note on the use of self-designed low-cost continuous sump suction for use in microvascular anastomosis." Surgical Neurology International 10 (November 8, 2019): 216. http://dx.doi.org/10.25259/sni_170_2019.

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Background: Technical advances in microneurosurgery facilitated the continuous evolution of surgery. In many developing countries surgeons face difficulties rendering high quality services due to resource constraints. The continuous dry surgical field is essential for performing microvascular anastomosis. Commercially available sump suctions are costly and beyond the reach of most surgeons in resource-constrained countries. Methods: We designed a suction system which functions on the principles of capillary action and sump effect. Results: The improvised sump suction was used successfully in our patients for micro vascular surgery, giving us a continuous dry field and removing the chance of error by an assistant. Conclusion: The suction system was made with the use of easily available low-cost components, and worked well to the satisfaction of the surgeon.

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9

&NA;. "Suction lipoplasty." Plastic Surgical Nursing 9, no. 3 (1989): 138. http://dx.doi.org/10.1097/00006527-198900930-00017.

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10

Stiehl, M.D., James. "Mechanical Performance of a Self-Unplugging Surgical Suction Instrument: A Randomized Controlled Trial." Reconstructive Review 4, no. 1 (March 31, 2014): 18–22. http://dx.doi.org/10.15438/rr.v4i1.54.

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Introduction: Obstruction of the surgical suction instrument is a common problem in orthopaedic surgery. Previous attempts have tried to address this problem. The ‘Super Sucker’ has a screen compartment that can be unclogged upon disassembly. The Yankauer sucker has small holes in its tip that strain larger bits of debris. The aim of this study is to clinically evaluate a new gas-actuated suction instrument in which a special screen at its tip is cleared, as needed, by a rapid burst of pressurized carbon dioxide gas.Methods: This IRB-approved, prospective, randomized study compared a gas-actuated suction instrument with the Super Sucker and Yankauer in 70 consecutive primary total joint arthroplasty cases. Outcome measures included: incidence of complete suction loss due to suction instrument obstruction; time lost while unplugging the suction instrument; number of additional suction instruments needed; and a subjective surgeon-assessed performance score (1 to 5, with 5 being most favorable) for type of suction instrument. Results: There were no cases in which the gas-actuated suction instrument could not be rapidly cleared of debris. The Super Sucker completely plugged in 71% of cases, requiring 67 minutes total to unplug (3.9 minutes per case, range 0 to 12 minutes). In four cases, replacement Super Suckers were required to finish the case. The Yankauer completely plugged in 47% of cases, requiring 52 minutes total to unplug (2.8 minutes per case, range 0 to 10 minutes). In three cases, replacement Yankauers were required to finish the case. The average performance score was 2.7 for the Super Sucker, 3.6 for the Yankauer, and 5 for the gas-actuated suction instrument on a scale of 1 to 5, with 5 being most favorable.Discussion: This study evaluated a suction instrument in which a screen tip prevents obstruction, and a burst of pressurized carbon dioxide gas clears debris from the tip. The new suction instrument was successful in 100% of cases, with considerably less time lost compared to the other suction instruments. The gas-actuated suction tool actively and rapidly cleared obstructive debris with minimal disruption to the surgical flow. Recent clinical experience has shown the gas-actuated suction tool to be particularly enabling in the settings of tourniquet-free total knee replacement, small incision total hip replacement, bipolar hemiarthroplasty, and revision total hip replacement.Keywords: suction, total joint arthroplasty, tourniquet-less, carbon dioxide gas

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11

Zhang, Xugang, Lei Yang, Jianrui Wang, and Bo Wei. "Innovative Solution for Grasping Forceps Support Suction to Facilitate Uniportal Video-Assisted Thoracoscopic Surgery." Thoracic and Cardiovascular Surgeon 67, no. 02 (July 18, 2018): 151–54. http://dx.doi.org/10.1055/s-0038-1667143.

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AbstractUniportal video-assisted thoracoscopic surgery has been limited to the use of very few instruments, which but at least include energy device, grasping forceps, and suction. The last two instruments must be temporarily replaced by each other in response to situation. This step prolongs operative duration and potentially impairs the surgical efficiency. We describe a novel instrument design of grasping forceps support suction. Its continuous suction can clear the smoke and blood simultaneously to keep the operative field dry and clean, minimize the requirement to exchange surgical devices, and allow for optimized surgical workflow.

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12

Insler, Michael S., H. Douglas Cooper, and Delmar R. Caldwell. "Final Surgical Results With a Suction Trephine." Ophthalmic Surgery, Lasers and Imaging Retina 18, no. 1 (January 1987): 23–27. http://dx.doi.org/10.3928/1542-8877-19870101-08.

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13

Mukhtar, Muhammed, Sanjay Singh, Vijay Kumar Shukla, and Shyam Sunder Pandey. "Surgical Pearl: Suction syringe for epidermal grafting." Journal of the American Academy of Dermatology 37, no. 4 (October 1997): 638–39. http://dx.doi.org/10.1016/s0190-9622(97)70184-1.

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14

NAGUIB, M. "SURGICAL EMPHYSEMA FROM WOUND DRAINAGE SUCTION UNIT." Lancet 325, no. 8441 (June 1985): 1330. http://dx.doi.org/10.1016/s0140-6736(85)92817-x.

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15

Wysocki, George P., Albert W. Gusenbauer, Thomas D. Daley, and J. Philip Sapp. "Surgical suction damage: A common tissue artifact." Oral Surgery, Oral Medicine, Oral Pathology 63, no. 5 (May 1987): 573–75. http://dx.doi.org/10.1016/0030-4220(87)90230-1.

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16

Carruthers, Katherine H., Bradley S. Eisemann, Susan Lamp, and Ergun Kocak. "Optimizing the Closed Suction Surgical Drainage System." Plastic Surgical Nursing 33, no. 1 (2013): 38–42. http://dx.doi.org/10.1097/psn.0b013e31828425db.

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17

&NA;. "Optimizing the Closed Suction Surgical Drainage System." Plastic Surgical Nursing 33, no. 1 (2013): 43–44. http://dx.doi.org/10.1097/psn.0b013e31828a090d.

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18

Gao, Yong Bo, Dong Xiao Lin, Li Xuan Chen, and Hong Chen Sun. "The Application of the Suction Tube Special for the Piezoelectric Surgery in Impacted Lower Third Molars Removal." Advanced Materials Research 482-484 (February 2012): 1134–37. http://dx.doi.org/10.4028/www.scientific.net/amr.482-484.1134.

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Objective The present study aimed to introduce the manufracture process of the suction tube special for the Piezoelectric surgery and explore its effect in the surgical extraction of impacted lower third molars. Methods The sample consisted of 114 patients undergoing surgical third molar removal. The special suction tube was periodically used during the whole process of Piezoelectric surgery. Results The suction tube can quickly clear the mouth, essentially vacuuming up the excess liquid, splatter particles and aerosol away from the area of concern, offering a clear surgical field for the dentists. Meanwhile, the tube can be used as a retractor to raise the mucoperiosteum flap, to expose the operation field more clearly. Conclusion The suction tube special for the Piezoelectric surgery can be a simple and practical tool for the Piezoelectric surgery.

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19

Henderson, Virginia A. "SUCTION LIPECTOMY DRESSINGS." Plastic Surgical Nursing 8, no. 3 (1988): 109. http://dx.doi.org/10.1097/00006527-198808030-00008.

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20

Friedrich, M. G., T. Tirilomis, J. M. Kollmeier, Y. Wang, and G. G. Hanekop. "Modifications of Surgical Suction Tip Geometry for Flow Optimisation: Influence on Suction-Induced Noise Pollution." Surgery Research and Practice 2018 (November 21, 2018): 1–8. http://dx.doi.org/10.1155/2018/3074819.

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Introduction. Suction devices for clearing the surgical field are among the most commonly used tools of every surgeon because a better view of the surgical field is essential. Forced suction may produce disturbingly loud noise, which acts as a nonnegligible stressor. Especially, in emergency situations with heavy bleeding, this loud noise has been described as an impeding factor in the medical decision-making process. In addition, there are reports of inner ear damage in patients due to suction noises during operations in the head area. These problems have not been solved yet. The purpose of this study was to analyse flow-dependent suction noise effects of different surgical suction tips. Furthermore, we developed design improvements to these devices.Methods. We compared five different geometries of suction tips using an in vitro standardised setup. Two commercially available standard suction tips were compared to three adapted new devices regarding their flow-dependent (10–2000 mL/min) noise emission (dB, weighting filter (A), distance 10 cm) and acoustic quality of resulting noises (Hamilton fast Fourier analysis) during active suction at the liquid-air boundary. Noise maps at different flow rates were created for all five suction devices, and the proportion of extracted air was measured. The geometries of the three custom-made suction tips (new models 1, 2, and 3) were designed considering the insights after determining the key characteristics of the two standard suction models.Results. The geometry of a suction device tip has significant impact on its noise emission. For the standard models, the frequency spectrum at higher flow rates significantly changes to high-frequency noise patterns (>3 kHz). A number of small side holes designed to prevent tissue adhesion lead to increased levels of high-frequency noise. Due to modifications of the tip geometry in our new models, we are able to achieve a highly significant reduction of noise level at low flow rates (new model 2 vs. standard modelsp<0.001) and also the acoustic quality improved. Additionally, we attain a highly significant reduction of secondary air intake (new model 2 vs. the other modelsp<0.001).Conclusion. Improving flow-relevant features of the geometry of suction heads is a suitable way to reduce noise emissions. Optimized suction tips are significantly quieter. This may help us to reduce noise-induced hearing damage in patients as well as stress of medical staff during surgery and should lead to quieter operation theatres overall. Furthermore, the turbulence reduction and reduced secondary air intake during the suction process are expected to result in protective effects on the collected blood and thus could improve the quality of autologous blood retransfusions. We are on the way to evaluate potential benefits.

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21

Adamyuk, V. "Surgical treatment of vitreous opacities." Kazan medical journal 22, no. 2 (December 24, 2020): 244–45. http://dx.doi.org/10.17816/kazmj52928.

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Bliedung (Dent. Med. Woch., 1925, No. 27) recommends instead of the proposed Zur Nedden suction of the vitreous body and its replacement, according to Elschnig, NaCl for a simple posterior sclerotomy.

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22

Bell, Michael Sg, and Gaby Doumit. "The Suction-Assisted Curettage Procedure." Canadian Journal of Plastic Surgery 13, no. 1 (February 2005): 51–52. http://dx.doi.org/10.1177/229255030501300114.

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Surgical soft tissue debridement of an inflamed or necrotic wound can be a challenging, time-consuming exercise, often with disproportionate blood loss. Suction-assisted curettage is a safe, simple and effective technique for these common, frustrating problems.

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23

Busch, André, Monika Herten, Marcel Haversath, Christel Kaiser, Sven Brandau, and Marcus Jäger. "Ceramic Scaffolds in a Vacuum Suction Handle for Intraoperative Stromal Cell Enrichment." International Journal of Molecular Sciences 21, no. 17 (September 2, 2020): 6393. http://dx.doi.org/10.3390/ijms21176393.

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During total joint replacement, high concentrations of mesenchymal stromal cells (MSCs) are released at the implantation site. They can be found in cell–tissue composites (CTC) that are regularly removed by surgical suction. A surgical vacuum suction handle was filled with bone substitute granules, acting as a filter allowing us to harvest CTC. The purpose of this study was to investigate the osteopromotive potential of CTC trapped in the bone substitute filter material during surgical suction. In the course of 10 elective total hip and knee replacement surgeries, β-tricalcium-phosphate (TCP) and cancellous allograft (Allo) were enriched with CTC by vacuum suction. Mononuclear cells (MNC) were isolated from the CTC and investigated towards cell proliferation and colony forming unit (CFU) formation. Furthermore, MSC surface markers, trilineage differentiation potential and the presence of defined cytokines were examined. Comparable amounts of MNC and CFUs were detected in both CTCs and characterized as MSC‰ of MNC with 9.8 ± 10.7‰ for the TCP and 12.8 ± 10.2‰ for the Allo (p = 0.550). CTCs in both filter materials contain cytokines for stimulation of cell proliferation and differentiation (EGF, PDGF-AA, angiogenin, osteopontin). CTC trapped in synthetic (TCP) and natural (Allo) bone substitute filters during surgical suction in the course of a joint replacement procedure include relevant numbers of MSCs and cytokines qualified for bone regeneration.

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24

SUGAWARA, T. "Development of A New Surgical Irigation-Suction Divice." JAPANES JOURNAL OF MEDICAL INSTRUMENTATION 61, no. 9 (September 1, 1991): 423–24. http://dx.doi.org/10.4286/ikakikaigaku.61.9_423.

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25

Dolsky, Richard L., Saul Asken, and Abram Nguyen. "Surgical Removal of Lipoma by Lipo-Suction Surgery." American Journal of Cosmetic Surgery 3, no. 3 (September 1986): 27–34. http://dx.doi.org/10.1177/074880688600300308.

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This report describes a new method of removing medium-to large-sized lipomas through a 0.5-cm incision using the techniques of lipo-suction surgery which was introduced in the United States in 1982 by French surgeons. Our series of six cases in which large-sized lipomas had been extracted showed satisfactory results with minimal incisional scars or evidence of recurrence during the follow-up period ranging from 6 to 14 months.

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26

Ion, Lucian, and Sherine S. Raveendran. "Applications of suction diathermy in plastic surgical practice." Journal of Plastic, Reconstructive & Aesthetic Surgery 65, no. 6 (June 2012): e159-e160. http://dx.doi.org/10.1016/j.bjps.2011.12.022.

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27

O'Ryan, Felice, Stephen Schendel, and David Poor. "Submental-submandibular suction lipectomy: Indications and surgical technique." Oral Surgery, Oral Medicine, Oral Pathology 67, no. 2 (February 1989): 117–25. http://dx.doi.org/10.1016/0030-4220(89)90314-9.

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28

Gupta, Somesh, C. Ajith, Amrinder J. Kanwar, and Bhushan Kumar. "Surgical Pearl: Standardized suction syringe for epidermal grafting." Journal of the American Academy of Dermatology 52, no. 2 (February 2005): 348–50. http://dx.doi.org/10.1016/j.jaad.2004.06.041.

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29

Lee, Tae Gyeong, Soomin Nam, Hyung Soon Lee, Jin Ho Lee, Young Ki Hong, and Jung Gu Kang. "Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis." Annals of Coloproctology 36, no. 1 (February 29, 2020): 30–34. http://dx.doi.org/10.3393/ac.2019.06.25.

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Purpose: To compare the surgical outcomes of peritoneal irrigation versus suction alone during laparoscopic appendectomy and to identify the risk factors of surgical site infection in patients with uncomplicated acute appendicitis.Methods: Data from patients with uncomplicated acute appendicitis between January 2014 and March 2016 were reviewed. We compared the irrigation and suction alone groups with regard to the following parameters: postoperative complication incidence rate, length of hospital stay, operation time, time to flatus, time to diet commencement, and duration of postoperative antibiotic.Results: A total of 578 patients underwent laparoscopic appendectomy for uncomplicated acute appendicitis. Twenty-five patients were excluded from the analysis because of need for drain insertion, loss to follow-up, simultaneous surgery for another indication, presence of an appendix tumor, or pregnancy. A total of 207 patients (37.4%) had undergone irrigation, and 346 patients (62.6%) received suction alone during laparoscopic appendectomy. The preoperative fever rate was significantly higher in the irrigation group than in the suction alone group. Operative time was also significantly longer in the irrigation group than in the suction alone group (53.8 ± 18.5 minutes vs. 57.8 ± 21.4 minutes, P = 0.027). The postoperative complication rate was higher in the irrigation group than in the suction alone group (4.5% vs. 12.6%, P = 0.001). Multiple logistic regression analysis showed that irrigation and preoperative fever were risk factors for surgical site infection after laparoscopic appendectomy for uncomplicated acute appendicitis.Conclusion: There is no advantage to irrigating the peritoneal cavity over suction alone during laparoscopic appendectomy for uncomplicated acute appendicitis. Irrigation may actually prolong the operative time and therefore be detrimental.

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30

Koyama, Toshio, Takanobu Iwai, Yutaka Hayashi, Mitsutoshi Nakada, Hiroyuki Kagawa, Takeshi Yoneyama, and Tetsuyou Watanabe. "Performance evaluation of the silicone retractor with force sensing function for surgical suction devices." Abstracts of the international conference on advanced mechatronics : toward evolutionary fusion of IT and mechatronics : ICAM 2015.6 (2015): 321–22. http://dx.doi.org/10.1299/jsmeicam.2015.6.321.

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31

Grossman, John A. "Body Contouring: Suction-Assisted Lipolysis and Ft Transplantation Techniques." AORN Journal 48, no. 4 (October 1988): 713–25. http://dx.doi.org/10.1016/s0001-2092(07)69126-1.

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32

Jeter, Katherine. "Closed Suction Wound Drainage System." Journal of Wound, Ostomy and Continence Nursing 31, no. 2 (March 2004): 51. http://dx.doi.org/10.1097/00152192-200403000-00001.

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33

Pfulg, Michael E. "Surgical Repair of Posttraumatic Deformities with Selective Suction Lipectomy." Annals of Plastic Surgery 16, no. 5 (May 1986): 410–14. http://dx.doi.org/10.1097/00000637-198605000-00008.

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34

Orr, James W., James F. Barter, Larry C. Kilgore, Seng Jaw Soong, Hugh M. Shingleton, and Kenneth D. Hatch. "Closed suction pelvic drainage after radical pelvic surgical procedures." American Journal of Obstetrics and Gynecology 155, no. 4 (October 1986): 867–71. http://dx.doi.org/10.1016/s0002-9378(86)80041-2.

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35

Chung, Carmen Diana, and Vincent Y. T. Cheung. "Suction Avulsion of the Fallopian Tube During Surgical Abortion." Journal of Obstetrics and Gynaecology Canada 37, no. 1 (January 2015): 7. http://dx.doi.org/10.1016/s1701-2163(15)30352-2.

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36

Efthymiou, Christopher Andrew, and William Ian Weir. "Surgical Marker Pen Occlusion Relieved by Sterile Wall Suction." Journal of the American College of Surgeons 210, no. 6 (June 2010): e1. http://dx.doi.org/10.1016/j.jamcollsurg.2010.03.009.

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37

Dolsky, Richard L., and John R. Fetzek. "Gynecomastia: Treatment by Lipo-Suction." American Journal of Cosmetic Surgery 4, no. 1 (March 1987): 27–34. http://dx.doi.org/10.1177/074880688700400105.

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The standard surgical techniques for the treatment of gynecomastia are deficient due to a high rate of complications, unsightly scars, and inadequate or overzealous excision of breast tissue. With the advent of lipo-suction as a reliable and safe technique, gynecomastia can be treated leaving a superior contour with a lower incidence of complications. Lipo-suction for gynecomastia should become the standard therapy for this common disorder. In a series of 34 patients treated by this method with 2 to 42 months follow-up, there have been no complications.

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38

Ramanathan, Rajesh, Luke G. Wolfe, and Therese M. Duane. "Initial Suction Evacuation of Traumatic Hemothoraces: A Novel Approach to Decreasing Chest Tube Duration and Complications." American Surgeon 78, no. 8 (August 2012): 883–87. http://dx.doi.org/10.1177/000313481207800824.

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Between 2 and 4.4 per cent of all patients with trauma chest tubes develop retained hemothoraces. Retained hemothoraces prolong chest tube duration and hospital length of stay, and increase infectious complications like empyema. Early surgical drainage of retained hemothoraces has been shown to decrease complications and reduce hospital length of stay. However, the high resource and expertise requirement may limit the widespread applicability of surgical drainage. We present the results of a relatively simple and novel intervention for traumatic hemothoraces undertaken by our faculty to shorten chest tube duration and prevent empyema formation. At our Level I trauma center, 10 trauma patients underwent initial suction evacuation of their traumatic hemothoraces using a sterile suction catheter before chest tube placement. Compared with propensity matched controls, patients that underwent initial suction evacuation experienced significantly shorter chest tube duration (4.2 ± 1.9 vs 5.8 ± 2.3 days, P = 0.04). Also, in this population, there was an 8.2 per cent decrease in the number of patients that developed empyema or required additional drainage. Our study suggests that initial suction evacuation of traumatic hemothoraces is an effective and relatively easy intervention that reduces the duration of chest tube therapy, empyema formation, and the need for additional surgical intervention.

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39

Pettis, Daryl K., and Peter A. Vogt. "Complications of Suction-Assisted Lipoplasty." Plastic Surgical Nursing 12, no. 4 (1992): 148–51. http://dx.doi.org/10.1097/00006527-199201240-00004.

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40

O’Brien, Daniel C., Eun Gyung Lee, Jhy-Charm Soo, Sherri Friend, Sarah Callaham, and Michele M. Carr. "Surgical Team Exposure to Cautery Smoke and Its Mitigation during Tonsillectomy." Otolaryngology–Head and Neck Surgery 163, no. 3 (May 26, 2020): 508–16. http://dx.doi.org/10.1177/0194599820917394.

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Objectives To assess the exposure of surgical personnel to known carcinogens during pediatric tonsillectomy and adenoidectomy (T&A) and compare the efficacy of surgical smoke evacuation systems during T&A. Study Design Prospective, case series. Setting Tertiary children’s hospital. Subjects and Methods The present study assessed operating room workers’ exposure to chemical compounds and aerosolized particulates generated during T&A. We also investigated the effect of 3 different smoke-controlling methods: smoke-evacuator pencil cautery (SE), cautery with suction held by an assistant (SA), and cautery without suction (NS). Results Thirty cases were included: 12 in the SE group, 9 in SA, and 9 in NS. The chemical exposure levels were lower than or similar to baseline background concentrations, with the exception of methylene chloride and acetaldehyde. Within the surgical plume, none of the chemical compounds exceeded the corresponding occupational exposure limit (OEL). The mean particulate number concentration in the breathing zone during tonsillectomy was 508 particles/cm3 for SE compared to 1661 particles/cm3 for SA and 8208 particles/cm3 for NS cases. NS was significantly different compared to the other two methods ( P = .0009). Conclusions Although the exposure levels to chemicals were considerably lower than the OELs, continuous exposures to these chemicals could cause adverse health effects to surgical personnel. These findings suggest that the use of a smoke-evacuator pencil cautery or an attentive assistant with handheld suction would reduce exposure levels to the aerosolized particles during routine T&A, compared to the use of cautery without suction.

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Bae, Jung Min, and Hyun Jeong Ju. "Surgical interventions for vitiligo." Journal of the Korean Medical Association 63, no. 12 (December 10, 2020): 748–55. http://dx.doi.org/10.5124/jkma.2020.63.12.748.

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Since nonsurgical treatment of vitiligo is not always successful, surgical interventions are viable options for patients with refractory vitiligo. Surgical treatment is a method in which melanocytes of normal skin are transplanted into vitiligo lesions and provided as a repigmentation source. Such treatments are primarily divided into tissue grafting and cellular grafting, depending on the nature of the graft. Tissue grafting includes split-thickness skin grafting, suction blister grafting, punch grafting, hair follicle transplantation, and smashed-skin grafting. Cellular grafting includes non-cultured epidermal cell suspension transplantation, non-cultured follicular cell suspension transplantation, and cultured epidermal cell suspension transplantation. Among these, suction blister grafting and micro-punch grafting have been widely performed for localized refractory vitiligo, and non-cultured epidermal cell suspension transplantation is adopted as the standard treatment for extensive vitiligo. Research on cultured cellular grafting to treat larger vitiligo areas is also ongoing. Selecting patients with stable vitiligo that has not spread for over 12 months is the most critical factor in the surgical outcome. It is also important to choose an appropriate surgical modality for each patient, and a combination of various procedures often improves the overall outcome. In conclusion, surgical intervention can be an effective and safe option for patients with vitiligo refractory to conventional treatments. Non-cultured epidermal cell suspension transplantation, which was denied by New Health Technology Assessment in Korea, should be approved to benefit patients with refractory vitiligo.

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Narotam, Pradeep K., Fan Qiao, and Narendra Nathoo. "Collagen matrix duraplasty for posterior fossa surgery: evaluation of surgical technique in 52 adult patients." Journal of Neurosurgery 111, no. 2 (August 2009): 380–86. http://dx.doi.org/10.3171/2008.10.jns08993.

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Object Complete dural closure is not always possible following posterior fossa surgery, often requiring a graft to secure complete closure. The authors report their experience of using a collagen matrix as an onlay dural graft for repair of a posterior fossa dural defect. Methods A retrospective analysis was performed in 52 adult patients who had undergone collagen matrix duraplasty for the posterior fossa. Complications directly related to the dural graft, the presence or absence of hydrocephalus, and the role of closed suction wound drainage in relation to postsurgical pseudomeningoceles were analyzed. Results The indication for posterior fossa surgery was tumors in 32 patients, vascular abnormalities in 9 patients, and spontaneous cerebellar hemorrhage in 11 patients. Closed suction wound drainage was used in 23 patients (44.2%). Forty-eight (92.3%) of 52 patients had a dural defect > 2 cm. Nine (81.8%) of 11 patients with hydrocephalus required ventriculoperitoneal shunts. Complications of the surgery included pseudomeningoceles in 2 patients (3.8%; no closed suction wound drainage); superficial wound infections in 1 patient (1.9%; with closed suction wound drainage); and unexplained eosinophilia in 1 patient. Conclusions Duraplasty using a collagen matrix is safe and effective in the posterior fossa, and is easy to use and time efficient. Meticulous layered wound closure, the detection and effective control of hydrocephalus, and the use of closed suction wound drainage reduces complications related to collagen matrix duraplasty for the posterior fossa.

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Mittelstein, David, Jiahan Deng, Rachel Kohan, Mojdeh Sadeghi, Jean-Michel Maarek, and Gabriel Zada. "Novel technique of a multifunctional electrosurgical system for minimally invasive surgery." Journal of Neurosurgery 126, no. 3 (March 2017): 997–1002. http://dx.doi.org/10.3171/2016.2.jns15763.

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Bipolar electrosurgery in the minimally invasive endoscopic surgery theater has been traditionally limited to the use of standard bipolar forceps, which are minimally versatile, have a limited range of motion, and are associated with visualization and handling constraints. The authors designed a novel surgical device system in which commonly used surgical instruments (suction, microscissors, micrograspers, and dissectors) co-function as individually insulated and modular electrodes for bipolar electrosurgery. In this feasibility study, the successful use of these prototypes in endonasal endoscopic transsphenoidal surgery was demonstrated on 2 human cadavers, and in an in vivo arterial coagulation model on 2 live rats. This prototype system provided improved bipolar instrument mobility, minimized the requirement to exchange surgical instruments when performing electrosurgery, and allowed for new maneuvers that optimized surgical workflow, such as the ability to suction blood and smoke while cauterizing. This multifunctional bipolar cautery system may improve surgical efficiency and workflow and facilitate surgical microdissection and electrocautery during minimally invasive, endoscopic, robotic or traditional open surgery.

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Kamath, J. B., R. K. Kamath, and H. Bansal. "An improvised two in one syringe suction drain for surgeries of extremities." Indian Journal of Plastic Surgery 38, no. 02 (July 2005): 173–74. http://dx.doi.org/10.1055/s-0039-1699100.

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AbstractUse of an improvised two in one syringe suction drain is being presented for a case with two adjacent non-communicating surgical wounds following release of Duputryn′s contracture primarily involving the longitudinal band of the palmar fascia of the hand, in line with the middle and ring finger. Instead of using two separate closed suction drainage system we modified our method by using a 3 way cannula which could accept 2 draining tubes to be connected to one 50cc syringe with negative suction pressure.

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Feng, Guodong, Zhiqiang Gao, Xu Tian, Yuan Zhuang, and Wei Lv. "Modified Two-Handed Transnasal Endoscopic Surgery: Innovative Instrument Design and an Experimental Canine Study." Ear, Nose & Throat Journal 96, no. 8 (August 2017): E24—E27. http://dx.doi.org/10.1177/014556131709600807.

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This study was conducted to design new instruments to solve the current issues of one-hand control and the obscuring of the endoscope by blood during transnasal endoscopic surgery. An endoscope holder and an electronically controlled irrigation-suction system were designed and manufactured. The feasibility and effectiveness of the designed instruments and operation models were verified in a model transnasal endoscopic surgery procedure performed on a mongrel dog. During the operation, one hand was used to perform the operation and move the endoscope, and the other hand was used for irrigation and suction to keep the surgical field and the endoscope clear. The combined use of an endoscope holder and an electronically controlled irrigation-suction system facilitates single-surgeon bimanual transnasal endoscopic surgery in a model surgical procedure. The clinical value of this technique warrants further research.

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Chang, John S. M., Antony K. P. Law, Jack C. M. Ng, and May S. Y. Cheng. "Femtosecond Laser in situ Keratomileusis Flap Creation in Narrow Palpebral Fissure Eyes without Suction." Case Reports in Ophthalmology 8, no. 2 (June 6, 2017): 341–48. http://dx.doi.org/10.1159/000477201.

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Purpose: To evaluate a surgical technique used in eyes with narrow palpebral fissure undergoing femtosecond laser flap creation without suction during laser in situ keratomileusis (LASIK). Methods: All data of 2 patient groups were collected through chart review. Group 1 consisted of 6 eyes with narrow palpebral fissure in which the suction ring was manually fixated and femtosecond laser was applied accordingly. Thirty comparison cases were randomly drawn from among eyes that underwent a standard LASIK procedure matched for age and preoperative refraction (group 2). Only 1 eye of each patient was selected to compare the refractive and visual outcomes between groups. Results: In all group 1 eyes, the flaps were created successfully with manual fixation of the suction ring without suction. No eyes lost 2 or more lines of vision. No significant difference was found in the safety and refractive outcomes between groups. Conclusion: Manual fixation of the suction ring in eyes with narrow palpebral fissure without suction was feasible for flap creation during LASIK.

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Naik, Arun K., Arya S. V., and Ashok K. Sharma. "Role of subcutaneous suction drain in reducing surgical site infection in emergency laparotomy." International Surgery Journal 9, no. 3 (February 28, 2022): 616. http://dx.doi.org/10.18203/2349-2902.isj20220631.

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Background: Surgical site infection (SSI) is a major postoperative wound complications associated with open abdominal surgery and is related to increased morbidity, mortality and healthcare costs. A subcutaneous suction drain reduces the dead space in the subcutaneous tissue plane and thereby prevents accumulation of fluid and seroma formation. In this study we observed the role of subcutaneous drain in reducing SSI in emergency laparotomies.Methods: Prospective randomized comparative study comprising of 108 patients on the basis of inclusion and exclusion criteria. 54 patients were called cases in whom subcutaneous suction drain was placed and 54 patients were called controls in whom no drain was placed. Antibiotic prophylaxis was given to all patients. Surgical site infection (SSI) was diagnosed and graded using Southampton wound grading system.Results: 24% of cases and 46% of controls developed SSI, 9% of cases and 33% of controls developed wound dehiscence and mean duration of hospital stay was 6days in cases and 10days in controls. All above parameters were statistically significant with p<0.05.Conclusions: Subcutaneous suction drain is effective in reducing surgical site infection (SSI), wound dehiscence and mean duration hospital stay in emergency laparotomies.

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Ahmed, Saghir, Fida Ahmed Baloch, Irshad Ahmed, Irfan Ahmed, Bilal Elahi, and Shakeel Akbar. "Compare the Frequency of Surgical Site Infections in Patients Undergoing Hip Surgery with Closed Suction Drain Placed At Surgical Site and Without Drain." Pakistan Journal of Medical and Health Sciences 15, no. 9 (September 30, 2021): 2844–47. http://dx.doi.org/10.53350/pjmhs211592844.

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Introduction: Hip trauma is a debilitating event that leads to a major limitation in patient’s functional ability. The incidence of hip fractures increases with advancing age and are more common in old age individuals. Closed-suction drainage has been routinely used in total hip arthroplasty to prevent hematoma formation and surgical site infections (SSI). Objective: To compare the frequency of surgical site infections in patients undergoing hip surgery with closed suction drain placed at surgical site and without drain. Study Design: Randomized controlled trial. Place and Duration: The study was completed at department of Orthopedic Surgery Unit III, Bolan Medical College Hospital Quetta, Pakistan. The duration of study was from 1-April-2016 to 31-October-2017. Subjects and Methods: A total number of 176 patients who underwent hip arthroplasty were included in this study. Group A (n=88) patients underwent hip surgery with placement of drain and Group B patients underwent hip surgery without the placement of drains. Data analysis was carried out using SPSS v20.0. Chi-square test was applied to compare surgical site infections in drain group and without drain group. Effect modifiers were controlled by stratification. Post stratification Chi-square test was applied taking P-value <0.05 as significant. Results: The mean age of patients in this study was 42.26 (SD 9.86) years. There were 135 males (76.7%) patients in this study and 41 (23.3%) female patients. The mean duration of fracture was 39.41 (SD 7.74) days. There were 63 (35.8%) patients who presented with greater/lesser trochanteric fractures, 64 (36.4%) presented with sub-trochanteric fractures and 49 (27.8%) were presented with inter-trochanteric fractures. SSIs occurred in 7 patients in whom drain was inserted after surgery and in only 2 patients in whom drain was not inserted (p-value 0.08). There was no effect of confounder variables on the occurrence of SSIs. Conclusion: The risk of surgical site infections is same in patients undergoing hip surgery with closed suction drain placed at surgical site and without drain. Keywords: Hip fractures, Hip arthroplasty, Closed suction drains, Surgical site infections.

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K. M., Harish, Shwetha N., and Dipankar Debnath. "Comparative analysis of hysteroscopy versus suction evacuation in the management of retained product of conception." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 6 (May 26, 2018): 2155. http://dx.doi.org/10.18203/2320-1770.ijrcog20182009.

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Background: RPOC can occur due to spontaneous or induced abortion followed by incomplete or partial expulsion of product of conception. Suction evacuation is currently the standard surgical treatment, but operative hysteroscopy has the advantage over Suction evacuation allowing the direct visualization of the retained conception product, facilitating its elective removal while limiting surgical complications.Methods: Comparative retrospective study of 80 patients who presented with RPOC during the period of 6 months. Hysteroscopy was done in 40 patients and Suction evacuation in remaining 40 patients. Data regarding anaesthesia required, mean time taken for procedure and post procedure hospital stay, complication due to the procedure and post-operative outcome were collected to compared,Results: In hysteroscopy group none of patients required anaesthesia and even though mean time taken for the procedure is 2 minutes more in hysteroscopy group without statistical significant difference (P 0.672), the post procedure hospital stay is less compared to suction evacuation group. Complication due to procedure was seen in 5 (12.5%) patients in hysteroscopy group which is less compared to 13 (32.5%) patients in suction evacuation group. Mean number of days of pain requiring analgesia and Sick leave applied was also less in hysteroscopy group (1 day and 2 days respectively) group compared to suction evacuation group (9 days and 7 days respectively)Conclusions: Lesser rates of intra and post-operative complications with hysteroscopy makes the procedure ‘safe’ to the patients and ‘effective’ as it ensures complete evacuation of the uterine cavity under direct vision and reduce the need for repeat procedure.

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Gupta, Poonam, and Rajesh Kumar. "Role of subcutaneous suction drain in reducing surgical site infections after emergency laparotomy." International Surgery Journal 4, no. 8 (July 24, 2017): 2717. http://dx.doi.org/10.18203/2349-2902.isj20173141.

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Background: One of important morbidity postoperatively is surgical site infection and the important cause is collection of blood and serous fluids which can get infected and this factor is even more important in emergency laparotomies. our prospective randomised study compares the incidence of surgical site infection in post emergency abdominal surgical wounds with subcutaneous suction drains versus those in whom drain was not placed.Methods: A prospective interventional study of 100 subjects done in department of surgery at rural tertiary centre. on the basis of exclusion and inclusion criteria patient were randomly selected for cases (with post-operative suction drain) and controls. subcutaneous drain in emergency setting play significant role in reducing the incidence of surgical site infection which is significant statistically.Results: 24% of patients in drain group develop surgical site infections. 50% of patients in non-drain group develop infection. Incidence of infection in drain group was lower than the no drain group (p value 0.05) and was statistically significant.Conclusions: Subcutaneous drain in emergency laparotomy play significant role in reducing the incidence of surgical site infection

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