Статті в журналах з теми "Surgical suture"
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V., Shashikala, Abhilash S. B., Abhishek G., and Prajwal S. Fernandes. "A comparative study between continuous and x-interrupted sutures in emergency midline laparotomies." International Surgery Journal 5, no. 5 (April 21, 2018): 1753. http://dx.doi.org/10.18203/2349-2902.isj20181437.
Повний текст джерелаАнотація:
Background: Midline laparotomy is the most common technique of abdominal incisions in both emergency and elective settings. Wound dehiscence is related to several factors pertaining to patient besides suture material and method of closure. This study tries to compare continuous sutures with x-interrupted sutures in mass closure of midline laparotomy wound in patients undergoing emergency midline laparotomy for acute peritonitis.Methods: A total of 60 patients undergoing emergency midline laparotomy for secondary peritonitis were considered for the study, 30 of whom underwent closure of abdominal wall with continuous sutures (Group A) and the other 30 with x-interrupted sutures (Group B) using non-absorbable, monofilament, polypropylene suture. Necessary preoperative data, the time required for rectus closure, length of the suture material required, post-operative complications like surgical site infection, wound dehiscence were analyzed.Results: The groups were comparable in means of age and sex distribution. Group A was found to have lesser time for closure of rectus, lesser suture length and lesser suture to wound length ratio when compared with Group B. Surgical site infections were similar in both groups. Patients with rectus sheath sutured in x-interrupted sutures (n=2) had significantly less wound dehiscence as compared with continuous sutures (n=8) (p<0.05).Conclusions: Interrupted -X suture method of suturing reduces post-operative wound dehiscence, although requires more suture and consumes more time than the continuous method of suturing.
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Singh, Sonal, Abhishek Verma, Prabhat Kumar Singh, Neha Kumari, and Amrit Kumar. "Surgical seaming in dentistry." Journal of Dental Panacea 4, no. 1 (April 15, 2022): 21–24. http://dx.doi.org/10.18231/j.jdp.2022.005.
Повний текст джерелаАнотація:
Sutures provide a temporary means of approximating defect edges to promote wound healing. The ideal suture technique should approximate and evert wound edges, provide prolonged support, leave no suture marks, and be easy to place. Sutures are used in an attempt to improve the speed of healing and different types of materials can be used to close wound, which range from special glue to wire staples and from animal protein to synthetic materials.
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Singh, Sonal, Abhishek Verma, Prabhat Kumar Singh, Neha Kumari, and Amrit Kumar. "Surgical seaming in dentistry." Journal of Dental Panacea 4, no. 1 (April 15, 2022): 21–24. http://dx.doi.org/10.18231/j.jdp.2022.005.
Повний текст джерелаАнотація:
Sutures provide a temporary means of approximating defect edges to promote wound healing. The ideal suture technique should approximate and evert wound edges, provide prolonged support, leave no suture marks, and be easy to place. Sutures are used in an attempt to improve the speed of healing and different types of materials can be used to close wound, which range from special glue to wire staples and from animal protein to synthetic materials.
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Flanagan, Dennis. "The Bis-Acryl Stent." Journal of Oral Implantology 39, no. 1 (February 1, 2013): 69–72. http://dx.doi.org/10.1563/aaid-joi-d-11-00129.
Повний текст джерелаАнотація:
When placing dental implants, there may be a surgical flap to reposition. The flap can be sutured or held in place with a stent that protects the flap and maintains its position and immobility. Use of a bis-acryl stent may be preferable to sutures or other materials in many cases. Bis-acryl is easily applied from an auto-mixing gun. Stents may be preferable to sutures in that there is no “wicking effect,” where bacteria colonize the suture beneath the healing surgical wound. Additionally, many times there is no submucosa to suture to, and the sides of the wound may not allow appropriate flap positioning and immobility with sutures. In these situations an acryl stent may be placed for easy and proper flap positioning and healing.
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Azhahia Manavalan, R., and A. Mukhopadhyay. "Surgical Sutures: Performance, Development and Use." Journal of Biomimetics, Biomaterials and Tissue Engineering 1 (July 2008): 1–36. http://dx.doi.org/10.4028/www.scientific.net/jbbte.1.1.
Повний текст джерелаАнотація:
The paper reports about different kind of sutures, their suitability and performance. An ideal suture should possess many characteristics such as - easy to handle, bio-compatibility, minimal tissue reaction, resistance to bacterial growth, adequate tensile strength and elasticity, knot security, strength loss versus healing rate of tissues. Selection of suture is often very complex for satisfying host of physical, mechanical and biological properties, and fulfilling contradictory requirements in varied applications. The paper develops an understanding about the selection of suture depending on the varied requirement. Past research work pertaining to the development of suture as reported in this paper, provides insight about the suitability of different surgical sutures and possible direction of future research.
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Ng, Jacqueline, Soroosh Behshad, and Marjan Farid. "Review of Surgical Techniques for Posterior Chamber Intraocular Lens Fixation in the Absence of Capsular Lens Support." US Ophthalmic Review 08, no. 02 (2015): 86. http://dx.doi.org/10.17925/usor.2015.08.02.86.
Повний текст джерелаАнотація:
This is a review of surgical options for posterior chamber intraocular lens (IOL) fixation in the absence of adequate capsular support. The indications, techniques, and outcomes for posterior chamber iris-sutured and scleral-fixated IOLs, including trans-scleral sutured and trans-scleral tunnel glued fixation, are reviewed. Iris-sutured IOL fixation may be appropriate in cases in which small corneal incisions with a foldable IOL are desired, but are only possible in cases of adequate iris tissue, and may be complicated by pupil ovaling and iris trauma, which can lead to prolonged inflammation in some studies. Scleral-sutured IOL fixation does not require robust iris tissue and decreases the risk for iris trauma, but is technically more demanding, may require larger incisions, and poses potentially more posterior segment complications. There are also ongoing concerns for suture exposure, erosion, and late suture breakage and IOL dislocation. Scleral tunnel-glued IOL fixation is a more recent innovation that avoids sutures and concerns for suture-related complications, and can be completed through smaller incisions with a foldable IOL. However, long-term studies are pending.
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Akentyeva, T. N., D. K. Shishkova, A. Yu Burago, and Yu A. Kudryavtseva. "Local inflammatory response to suture material in surgical practice: experimental data." Russian Journal of Transplantology and Artificial Organs 22, no. 2 (July 12, 2020): 151–57. http://dx.doi.org/10.15825/1995-1191-2020-2-151-157.
Повний текст джерелаАнотація:
Objective: to study the effect of various types of suture materials, potentially suitable for cardiovascular surgery, on experimental surgical outcomes. Materials and methods. Polypropylene sutures (Prolene 6/0), titanium nickelide (TiNi) sutures (6/0) and absorbable polydioxanone sutures (Monoplus 6/0) were used in the study. Male Wistar rats were used for in vivo studies. The effect of suture materials on abdominal adhesions was studied. In vivo calcification process was examined, and response of blood components in contact with suture materials was also assessed in vitro. Results. There is a negative inflammatory response to suture materials. The severity of this response depended on the type of material used. Polypropylene sutures demonstrated the most severe inflammatory response provoking massive adhesion formation. In addition, large calcium deposits were found both in the suture area and in the thickness of the biomaterial, stitched with prolene and implanted subcutaneously in the rats. Titanium nickelide sutures showed high hemocompatibility and biocompatibility. The Monoplus sutures caused minimal inflammatory response and provoked calcification of the biomaterial to a lesser degree. Conclusion. The suture material could have significant effects on surgical outcomes and could cause postoperative complications.
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Lipatov, Vyacheslav A., Dmitriy A. Severinov, Artem A. Denisov, Sergey V. Lazarenko, and Nikolay N. Grigor’yev. "Research of physical and mechanical characteristics of suture material in experiment in operations on liver." I.P. Pavlov Russian Medical Biological Herald 28, no. 2 (July 3, 2020): 193–99. http://dx.doi.org/10.23888/pavlovj2020282193-199.
Повний текст джерелаАнотація:
Taking into account the peculiarities of the blood supply to the liver and the structure of its parenchyma, and, as a result, considerable difficulties in providing reliable hemostasis without additional traumatization, a surgeon needs to be careful when performing a surgical manipulation. Despite a large number of modern methods for stopping parenchymal bleeding, many practi-tioners give preference to classic methods of hemostasis, including ligation of bleeding vessels in the bulk of the organ using specialized sutures. One of the most serious complications of the use of suture material is cutting of organ tissue, which leads to enhanced bleeding and expansion of the area of damage. At the moment, the tactics of choosing suture material for surgical procedures is empirical. In this context, the aim of this study was to assess the physico-mechanical properties of suture material regarding its structure, and to develop a criterion for choosing surgical sutures for surgical procedures. For the study, the liver was removed out of corpses of males of 35 to 40 years of age, after which separate sections of 7.574 cm in size were obtained from it. Then a wound 3 cm long and 2 cm deep was made. The wound was sutured with a simple interrupted suture without tightening, but with application of one simple half-node. For suturing, catgut, twisted capron and polyglycolide thread were used. Attention was paid to the maximal force applied at the moment of cutting (Fmax) and the degree of pulling the thread at the moment of cutting (Lu). The analysis of the data was based on comparison of Fmax and Lu parameters. This method permits to refuse from the empirical approach to the choice of suture material for operations on the liver, and to develop a criterion for choosing surgical sutures.
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Balamurugan, R., Masroor Mohamed, Hari Krishna Rao Katikaneni, and KR Ashok Kumar. "Clinical and Histological Comparison of Polyglycolic Acid Suture with Black Silk Suture after Minor Oral Surgical Procedure." Journal of Contemporary Dental Practice 13, no. 4 (2012): 521–27. http://dx.doi.org/10.5005/jp-journals-10024-1179.
Повний текст джерелаАнотація:
ABSTRACT Any suture material, absorbable or nonabsorbable, elicits a kind of inflammatory reaction within the tissue. Nonabsorbable black silk suture and absorbable polyglycolic acid suture were compared clinically and histologically on various parameters. Materials and methods This study consisted of 50 patients requiring minor surgical procedure, who were referred to the Department of Oral and Maxillofacial Surgery. Patients were selected randomly and sutures were placed in the oral cavity 7 days preoperatively. Polyglycolic acid was placed on one side and black silk suture material on the other. Seven days later, prior to surgical procedure the sutures will be assessed. After the surgical procedure the sutures will be placed postoperatively in the same way for 7 days, after which the sutures will be assessed clinically and histologically. Results The results of this study showed that all the sutures were retained in case of polyglycolic acid suture whereas four cases were not retained in case of black silk suture. As far as polyglycolic acid suture is concerned 25 cases were mild, 18 cases moderate and seven cases were severe. Black silk showed 20 mild cases, 21 moderate cases and six severe cases. The histological results showed that 33 cases showed mild, 14 cases moderate and three cases severe in case of polyglycolic acid suture. Whereas in case of black silk suture 41 cases were mild. Seven cases were moderate and two cases were severe. Black silk showed milder response than polyglycolic acid suture histologically. Conclusion The polyglycolic acid suture was more superior because in all 50 patients the suture was retained. It had less tissue reaction, better handling characteristics and knotting capacity. How to cite this article Balamurugan R, Mohamed M, Pandey V, Katikaneni HKR, Kumar KRA. Clinical and Histological Comparison of Polyglycolic Acid Suture with Black Silk Suture after Minor Oral Surgical Procedure. J Contemp Dent Pract 2012;13(4):521-527.
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TZIMTZIMIS (Ε. ΤΖΙΜΤΖΙΜΗΣ), E., та L. PAPAZOGLOU (Λ. ΠΑΠΑΖΟΓΛΟΥ). "Κριτήρια επιλογής ραμμάτων και εναλλακτικοί τρόποι σύγκλεισης τραυμάτων στη χειρουργική των ζώων συντροφιάς". Journal of the Hellenic Veterinary Medical Society 64, № 1 (18 грудня 2017): 47. http://dx.doi.org/10.12681/jhvms.15479.
Повний текст джерелаАнотація:
Selection of appropriate suture material is important for successful healing; it is based principally on the propertiesof suture, the type of the tissue to be sutured and the condition of the wound. The mechanical and biological propertiesof a suture and the suture’s size should correlate well to type and properties of the tissue to be sutured. Strategy of sutureselection for specific tissues is discussed. Presence of sutures in a wound can increase the rate of infection of the wound. Theseverity of the infection is related to the suture’s properties when the wound is clean. Closure of infected wounds should beavoided. Stapling is an alternative method for wound closure and offers a significant reduction in the operative time. Varioustypes of staplers are available, depending on type of the tissue and the surgical procedure. Skin staples are widely usedin the skin and other tissues. The use of vascular clips is an alternative way to ligate blood vessels. Tissue adhesives arematerials that can also be used in closure of specific types of wounds. Surgical mesh is useful for closure of large defects.
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Samra, Shivpreet Singh, Vijay Jagad, Munish Mahajan, M. S. Randhawa, and Chetna Trehan. "Impact of using triclosan-impregnated sutures on incidence of surgical site infection: a real world Indian study." International Surgery Journal 5, no. 2 (January 25, 2018): 647. http://dx.doi.org/10.18203/2349-2902.isj20180369.
Повний текст джерелаАнотація:
Background: Surgical Site Infection is an index of health care system of any hospital. Surgical material is a risk factor for SSI that can be easily changed. One of such measures is the use of antimicrobial suture technology which involves the impregnation of synthetic, absorbable, polymeric sutures with the antiseptic, Triclosan. Triclosan-coated sutures inhibit bacterial colonization of wide-spectrum of pathogens. This study was designed to assess the efficacy of triclosan coated sutures in reducing incidence of surgical site infection in Indian population.Methods: This is a retrospective ‘real-world’ study of 150 patients who underwent surgery and wound closure with triclosan-coated suture from May 2015 to December 2015 at Hospital, Mohali. Incidence of SSI was recorded, and nature of wound was categorized. Data was subject to descriptive analysis.Results: 99.3% of wounds sutured with triclosan coated sutures did not have surgical site infection. The single case of SSI encountered was categorized as superficial-incisional. All the evaluated cases were categorized as ‘clean’ at the time of discharge.Conclusions: Triclosan-coated sutures were responsible for the reported reduction in SSI, particularly in adult patients with clean wounds. This study justifies that in addition to the mandated core measures of surgical care, adjunctive evidence-based interventions such as Triclosan-coated sutures should be considered in the comprehensive effort to decrease risk of surgical site infection and improve outcome at both patient and institutional levels.
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Mahesh, Lanka, Varun Raj Kumar, Anshi Jain, Sagrika Shukla, Juan Manuel Aragoneses, José María Martínez González, Manuel Fernández-Domínguez, and José Luis Calvo-Guirado. "Bacterial Adherence Around Sutures of Different Material at Grafted Site: A Microbiological Analysis." Materials 12, no. 18 (September 4, 2019): 2848. http://dx.doi.org/10.3390/ma12182848.
Повний текст джерелаАнотація:
Closure of the surgical incision has been the primary function of sutures since their introduction. However, whatever the type, they are known to carry bacteria, which can be a source of infection. Five types of surgical sutures, Gut, Silk, Vicryl, PTFE, and Polyamide, were selected and tested on their ability to carry aerobic and anaerobic bacteria and were rated on the basis of forming colony-forming units (CFUs). Aerobic bacteria grown around gut sutures showed minimum CFUs (≈30 × 104/suture). Though very less anaerobic bacteria growth was seen among all tested suture materials, it was maximum around Vicryl and polyamide sutures. Every suture material is capable, albeit not equally, of holding bacterial biofilm formation, which can be a source of surgical site infection.
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Mirkovic, Sinisa, Srecko Selakovic, Ivan Sarcev, and Branislav Bajkin. "Influence of surgical sutures on wound healing." Medical review 63, no. 1-2 (2010): 7–14. http://dx.doi.org/10.2298/mpns1002007m.
Повний текст джерелаАнотація:
Historical data on closing and suturing of surgical wounds describe a wide range of various suture materials. The choice of the surgical catgut, i.e. the type and diameter, depends on the locality, characteristics and condition of the tissue to be treated. From the standpoint of oral-surgical practice the following clinical parameters are of outstanding importance with respect to the selection of suture material: accumulation of soft deposits on the sutures, score of the adjacent soft tissues and dehiscence of the operative wound. Our prospective clinical study included 150 patients distributed into three groups of 50 subjects. The surgical procedure performed on each patient involved resection (apicotomy) of the tooth root end in the intercanine sector of the upper jaw. The following suture materials were applied: Black Silc 5-0, Nylon 5-0 and Vicryl 5-0. The effects of the selected sutures were evaluated according to the wound dehiscence. The effects of the applied sutures were recorded on Days 2, 5 and 7 after the surgery. The comparison of cited parameters of the investigated materials after suturing the oral mucosa revealed that none of the used material was ideal; however, a certain advantage might be given to the synthetic monofilament suture materials.
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Javed, Fawad, Mansour Al-Askar, Khalid Almas, Georgios E. Romanos, and Khalid Al-Hezaimi. "Tissue Reactions to Various Suture Materials Used in Oral Surgical Interventions." ISRN Dentistry 2012 (May 8, 2012): 1–6. http://dx.doi.org/10.5402/2012/762095.
Повний текст джерелаАнотація:
A variety of suture materials are available for primary wound closure following oral surgical procedures. The aim was to review the tissue reactions to the various suture materials used in oral surgical interventions. Databases were searched using the following keywords: cotton, nylon, polyglecaprone 25, polytetrafluoroethylene (ePTFE), Polyglactin 910, polyglycolic acid (PGA), polylactic acid, silk, surgery, suture, and tissue reaction. Articles published only in English language were included. Seventeen studies were included. Two studies reported that polyglecaprone 25 had positive effects on wound-healing as compared to silk. Six studies reported that silk elicits more intense tissue inflammatory response and delayed wound healing as compared to other suture materials (including ePTFE, polyglecaprone-25, PGA, and nylon). Polyglactin 910 sutures were associated with the development of stitch abscess in one clinical study. Eight studies reported that tissue reactions are minimal with nylon sutures. Tissue reactions to suture materials used for oral surgical interventions may vary depending on the surface properties and bacterial adherence properties of the material.
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Mirkovic, Sinisa, Tatjana Djurdjevic-Mirkovic, Branislav Bajkin, and Ivan Sarcev. "Choice of surgical suture material used in oral cavity: Clinical study." Medical review 63, no. 7-8 (2010): 497–501. http://dx.doi.org/10.2298/mpns1008497m.
Повний текст джерелаАнотація:
Introduction. Historical data on closing and suturing of surgical wounds describe a wide range of various suture materials. The choice of the surgical catgut, i.e. type and diameter, depends on the localization, characteristics and condition of the tissue to be treated. From the stand-point of oral-surgical practice the following clinical parameters are of the outstanding importance regarding the choice of suture material: accumulation of soft deposits on the sutures, decubitus of the adjacent soft tissues and dehiscence of the operative wound. Aim. The aim of this research was to determine the correlation between different types of suture materials and accumulation of soft deposits on the sutures, decubitus of the adjacent soft tissues and dehiscence of the operative wound. Material and methods. Our prospective clinical study included 150 patients distributed into three groups of 50 subjects. The surgical procedure performed on each patient involved resection (apicoectomy) of the tooth root end in the intercanine sector of the upper jaw. The following suture materials were applied: BLACK SILK 5-0, NYLON 5-0 and VICRYL 5-0. The effects of the selected sutures were evaluated by using several parameters: accumulation of soft deposits, wound dehiscence and decubitus of the adjacent soft tissues. The effects of the applied sutures were recorded on days 2, 5 and 7 after the surgery. Conclusion. The comparison of cited parameters of the investigated materials after suture of oral cavity mucosa revealed that none of the used material was ideal; however, a certain preference might be given to the synthetic monofilament suture materials.
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Naykodi, Trupti Bhaskar, and Aditya Kiran Shinde. "A Comparative Evaluation of Human Gingival Tissue Response to Silk & M-Polytetrafluoroethylene Sutures – A Clinico-Histological Study." Journal of Evolution of Medical and Dental Sciences 10, no. 17 (April 26, 2021): 1213–18. http://dx.doi.org/10.14260/jemds/2021/259.
Повний текст джерелаАнотація:
BACKGROUND Sutures require specific physical characteristics and properties such as good tensile strength, dimensional stability, lack of memory, knot security and sufficient flexibility to avoid damage to the oral mucosa. The strength and adherence of the sutured tissue increases over time. Tissue reaction characteristics involve varying degree of inflammatory reactions. Therefore, the purpose of this study was to assess clinically and histologically human gingival tissue reaction to silk & m- polytetrafluoroethylene (m-PTFE) sutures in periodontal surgical procedures. METHODS The present study is a prospective clinical randomised split mouth study. A total of 15 patients of both sexes were included in the study. All the patients were provided with thorough scaling and root planing before the commencement of the study. The patients were re-evaluated at 4 weeks and sutures were placed in the surgical area where there was a need for excision of gingival tissue as a part of routine periodontal surgery. After placement of sutures, the change of bite, change of slack, clinical changes in plaque index, modified gingival index & sulcus bleeding index and the histological changes in mean thickness of the peri sutural epithelial sleeve, proportion of inflammatory cells to peri sutural epithelial cells, diameter of the connective tissue inflammatory infiltrate (measured in mm) from the periphery of the epithelialization of the sutures from the insertion day (day 0) to the day of scheduled surgery (day 7) were recorded. RESULTS Silk sutures presented an increase in the change of bite and change of slack of the suture loop than m-PTFE. Diameter of the connective tissue infiltrate was greater around the multifilament suture (SILK) as compared to the monofilament suture (mPTFE) though the difference was not statistically significant. (P-value = 0.321). Monofilament suture (m-PTFE) showed the least amount of inflammatory infiltrate around the suture track. The proportion of inflammatory cells to epithelial cells was statistically not significant between the two suture materials (P-value = 0.82). CONCLUSIONS Though the clinical and histological parameters are statistically non-significant, mpolytetrafluoroethylene has shown better results compared to silk. Silk sutures cause a more extensive inflammatory tissue reaction in an environment characterized by moisture and infectious potential compared to m-PTFE sutures. KEY WORDS PTFE, Inflammatory Response, Sutures, Gingiva
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Sergeev, A. N., A. M. Morozov, E. M. Askerov, N. A. Sergeev, A. R. Armasov, and Yu A. Isaev. "Methods of local antimicrobic prophylaxis of surgical site infection." Kazan medical journal 101, no. 2 (April 13, 2020): 243–48. http://dx.doi.org/10.17816/kmj2020-243.
Повний текст джерелаАнотація:
Recently, to prevent of surgical site infection, new methods of local antimicrobic prophylaxis have been developed and successfully introduced, which allow to creating high concentrations of antimicrobial drugs in operated tissues and preventing the migration of bacterial flora into the wound. The review describes the main methods used for local impact on microflora and aimed at prophylaxis of surgical site infection. The latter include pre-, intra- and postoperative measures. Optimizing of preoperational methods could be achieved by improving the methods of processing of operating field. Reviews considerable attention is paid to intraoperative measures: the use of surgical gloves with antimicrobial properties, reticulated to implants with antimicrobial properties for tension-free hernioplasty, stage-by-stage surgical wound irrigation with antibacterial drugs during suturing as well as the prospects for the use of bacteriophages in abdominal surgery. To increase the biological tightness of the intestinal suture, some authors propose the use of a biodegradable antibiotic-impregnated implant. The review reflects the possibilities of using biologically active (antimicrobial) sutures, the use of which was very effective at all stages of the operation: from the application of intestinal anastomosis to the skin suture. A wide range of antimicrobial surgical sutures containing antibacterial preparations and made by threads with different biodegradation abilities make, allow us to recommend a differentiated approach to the choice of suture material depending on the stage of surgery and regenerative properties of the sutured tissues. The main measures recommended in the early postoperative period are to cover the wound with special wound coatings preventing the possible contamination and to improve irrigation-aspiration drainage techniques of postoperative wounds.
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Zhang, Wei, Bin Yin, Yu Xin, Lei Li, Guanlin Ye, Junxian Wang, Jianfei Shen, Xiao Cui, and Qihui Yang. "Preparation, Mechanical Properties, and Biocompatibility of Graphene Oxide-Reinforced Chitin Monofilament Absorbable Surgical Sutures." Marine Drugs 17, no. 4 (April 4, 2019): 210. http://dx.doi.org/10.3390/md17040210.
Повний текст джерелаАнотація:
Chitin (CT) is a good material to prepare surgical sutures due to its conspicuous biological characteristics. However, the poor mechanical strength of pure CT sutures limits its application. In order to improve its strength, a composite monofilament absorbable suture was prepared in this study using graphene oxide and chitin (GO-CT) using a green method. FT-IR spectra showed that GO-CT contained the characteristic functional groups of GO and CT, indicating that a GO-CT suture was successfully obtained. With the addition of a small amount of GO (1.6wt% solution) in chitin, the breaking tensile strength, knot strength, and knot-pull strength of the GO-CT suture were significantly improved compared to the CT suture. The biocompatibility of the GO-CT suture in vitro was checked by tetrazolium-based colorimetric assays and no cytotoxicity to L929 cells was found. In vivo, the subcutaneous implantation of GO-CT sutures in the dorsal skin of rats found no abnormalities by hematoxylin-eosin staining. Furthermore, there were no significant changes in the gene expression of the inflammatory mediators, interleukin 1β (IL-1β), tumor necrosis factor-α, IL-6, IL-17A, interferon-γ, or IL-10; however, the expression of transforming growth factor β was significantly increased in the first week. In summary, GO-CT sutures may have potential as a suture material in the clinic.
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Kniaziuk, A. S., N. I. Shevchenko, and D. N. Bontsevich. "ANTIBACTERIAL PROPERTIES OF NEW BIOLOGICALLY ACTIVE SURGICAL SUTURES." Health and Ecology Issues, no. 2 (June 28, 2014): 96–100. http://dx.doi.org/10.51523/2708-6011.2014-11-2-20.
Повний текст джерелаАнотація:
Objective: to evaluate the sorption potential of various antibiotics on polylactide and polypropylene surgical threads, whose surface is modified by direct radiation grafting of acrylic acid in the presence of N, N- methylene- bis- acrylamide, and antibacterial properties and capillarity of new surgical suture. Material and methods. The surface of the surgical sutures was modified by direct radiation grafting of acrylic acid. The bond strength of different antibacterial preparations was studied with modified threads. The antibacterial activity of the threads with Levofloxacin was studied against St.aureus, E.coli, Ps.aeruginosa . The capillarity of the modified surgical suture was studied. Results. The new surgical suture has a greater affinity to the fluoroquinolone antibiotics, has a pronounced antibacterial activity against E.coli, St.aureus, Ps.aeruginosa . Conclusion. The new surgical suture material can most effectively be used in surgery for prevention of infectious complications in the postoperative period.
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Wang, Wei, Shigui Yan, Feng Liu, Wei Chai, Jianlin Zuo, Jun Xiao, Schmitz Niels-Derrek, et al. "A symmetric anchor designed barbed suture versus conventional interrupted sutures in total knee arthroplasty: A multicenter, randomized controlled trial." Journal of Orthopaedic Surgery 28, no. 3 (May 1, 2020): 230949902096568. http://dx.doi.org/10.1177/2309499020965681.
Повний текст джерелаАнотація:
Objective: This randomized controlled study was designed to compare the wound closure efficacy and safety of barbed suture in comparison to the conventional interrupted suture for total knee arthroplasty (TKA). Methods: This multicenter, single-blind, randomized controlled trial enrolled 184 patients who underwent elective TKA between June 2017 and April 2018. The subjects were randomized between two groups. Surgical incision closure time was considered as the primary end point. Results: A total of 184 patients participated in this randomized controlled trial; 91 patients had wound closure that involved barbed suture and 93 patients underwent conventional treatment—that is interrupted suturing with nonbarbed sutures. The surgical incision closure time was shorter ( p < 0.0001) in the barbed suture group compared with the control group (15.5 ± 4.88 vs. 20.9 ± 6.30 min). However, both groups were found to be equal in terms of the rate of postoperative complications. Conclusion: Usage of the symmetric anchor designed barbed suture is safe, efficacious, and demonstrates a decrease in surgical incision closure time in patients undergoing TKA compared to interrupted closure using conventional sutures. Future studies are warranted to demonstrate clinical and economic benefits of barbed sutures.
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Martell, John, Thomas Elmer, Nachappa Gopalsami, and Young Soo Park. "Visual Measurement of Suture Strain for Robotic Surgery." Computational and Mathematical Methods in Medicine 2011 (2011): 1–9. http://dx.doi.org/10.1155/2011/879086.
Повний текст джерелаАнотація:
Minimally invasive surgical procedures offer advantages of smaller incisions, decreased hospital length of stay, and rapid postoperative recovery to the patient. Surgical robots improve access and visualization intraoperatively and have expanded the indications for minimally invasive procedures. A limitation of the DaVinci surgical robot is a lack of sensory feedback to the operative surgeon. Experienced robotic surgeons use visual interpretation of tissue and suture deformation as a surrogate for tactile feedback. A difficulty encountered during robotic surgery is maintaining adequate suture tension while tying knots or following a running anastomotic suture. Displaying suture strain in real time has potential to decrease the learning curve and improve the performance and safety of robotic surgical procedures. Conventional strain measurement methods involve installation of complex sensors on the robotic instruments. This paper presents a noninvasive video processing-based method to determine strain in surgical sutures. The method accurately calculates strain in suture by processing video from the existing surgical camera, making implementation uncomplicated. The video analysis method was developed and validated using video of suture strain standards on a servohydraulic testing system. The video-based suture strain algorithm is shown capable of measuring suture strains of 0.2% with subpixel resolution and proven reliability under various conditions.
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Furuhata, Ryogo, Yusaku Kamata, Aki Kono, Taichi Nishimura, Shinya Otani, and Hideo Morioka. "Surgical Repair Using Suture Bridge Technique for Triceps Tendon Avulsion." Case Reports in Orthopedics 2021 (April 20, 2021): 1–4. http://dx.doi.org/10.1155/2021/5572126.
Повний текст джерелаАнотація:
Triceps tendon avulsion is a rarely occurring tendinous injury. Various surgical procedures, such as repair using sutures through the transosseous tunnel or suture anchors, have been reported for treating triceps tendon avulsion. However, standard surgical treatment has not yet been established. Here, we present a case of triceps tendon avulsion treated using the suture bridge technique. A 58-year-old man who fell on his left elbow from standing height presented to our hospital. Plain radiography revealed an avulsion fracture of the left olecranon process, suggesting triceps tendon avulsion. We performed surgical repair of the avulsed bone fragments and ruptured triceps tendon. We inserted suture anchors into the ulna, proximal to the fracture site, and passed the sutures through the full thickness of the triceps. Subsequently, fracture fragments were reduced and fixed by pulling them together with the triceps. We inserted knotless anchors into the ulna distal to the fracture site and fixed the avulsed bone fragments and triceps tendon using the suture bridge technique. The patient recovered well in five months and reported no elbow pain or limited range of motion. This suture bridge technique is advantageous as it prevents iatrogenic fracture and knot irritation, and it would be indicated in cases with poor bone quality or thin skin soft tissue of the olecranon.
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Stoecker, Allison, Collin M. Blattner, Stephanie Howerter, Whitney Fancher, John Young, and William Lear. "Effect of Simple Interrupted Suture Spacing on Aesthetic and Functional Outcomes of Skin Closures." Journal of Cutaneous Medicine and Surgery 23, no. 6 (July 4, 2019): 580–85. http://dx.doi.org/10.1177/1203475419861077.
Повний текст джерелаАнотація:
Background Dermatologic surgeons are trained in fundamental wound closure techniques that minimize wound tension and tissue ischemia to optimize healing and create discrete scars. These include orienting excisions along resting skin tension lines, handling tissue edges with care, and avoiding strangulation while tying suture. Another variable that may affect wound healing and cosmetic outcomes is the spacing between sutures. Objective This prospective, single-centre, randomized, split-scar comparison trial was designed to explore how suture spacing distance affects wound complication rate and scar cosmesis. Methods Elliptical surgical wounds of the trunk and extremities were repaired with simple interrupted sutures with varying suture spacing. One half of each wound was repaired with high-density suture spacing (approximately 5 mm apart) and the other with low-density suture spacing (approximately 10 mm apart). Wounds were evaluated at 2-week suture removal for complications, and then reevaluated at 3 and 6 months for cosmesis using the Patient and Observer Scar Assessment Scale score. Results Results revealed no significant difference in minor wound complications during the early healing process between high- and low-density suture spacing. At 3 months postoperatively, physicians and patients alike preferred the aesthetics of the low-density suture placement. By 6 months postoperatively, this preference disappeared. Conclusions These results suggest that suture spacing may affect early scar formation. Additionally, placing sutures farther apart results in fewer total puncture wounds, decreases tissue trauma, and saves surgical time while conserving suture material. Therefore, dermatologic surgeons should consider placing fewer percutaneous sutures during wound repair.
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Shivangi Gaur, Subhashini R, Madhulaxmi M, and Abdul Wahab P U. "Chlorhexidine Coated Polyglactin Sutures In Prevention Of Surgical Site Infection." International Journal of Research in Pharmaceutical Sciences 11, SPL4 (December 21, 2020): 2254–58. http://dx.doi.org/10.26452/ijrps.v11ispl4.4450.
Повний текст джерелаАнотація:
Surgical Site Infections (SSIs) are one of the most common complications of any intervention in the maxillofacial region. Most of the times sutures used for wound approximation act as a nidus of bacterial accumulation and subsequent infection due to the presence of scores of microbes in and around the oral cavity. This has been attributed to the wicking action associated with braided sutures. Various methods to prevent surgical site infections are reported in literature, the most recent being use of antibacterial coated sutures. Sutures are either coated with triclosan or chlorhexidine or a combination of anti-microbial agents and fatty acids. These sutures are known to have a significant role in the prevention of SSIs elsewhere in the body, but the role in oral cavity remains questionable. This study aims to establish the role of chlorhexidine coated sutures in the prevention of surgical site infections if any. Chlorhexidine-coated and uncoated suture materials were used in 17 patients undergoing third molar extractions. Seven days post-operatively the sutures were removed, and bacteria were isolated. Following which colony-forming units (CFU/ml) were counted. Concerning the total number of oral pathogens, that adhered to suture material, no reduction was demonstrated for Chlorhexidine coated sutures. The use of chlorhexidine-coated suture material offers no advantage in intraoral surgery.
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Shah, Faaiz Ali, Mian Amjad Ali, and Umar Zia Khan. "SURGICAL SITE WOUND COMPLICATION." Professional Medical Journal 25, no. 10 (October 10, 2018): 1487–91. http://dx.doi.org/10.29309/tpmj/18.4603.
Повний текст джерелаАнотація:
Objectives: To compare the frequency of surgical site wound complicationrate between the skin closure with staples and polypropylene suture after elective hip surgery.Study Design: Prospective Randomized trial. Place and Duration of the Study: Orthopaedic& Traumatology Department Lady Reading Hospital from 13/03/2016 to 25/12/2017. Materialand Methods: All patients of either gender or age with intertrochanteric fractures fulfilling theinclusion criteria and fixed with dynamic hip screw (DHS) were randomly divided into two groups.Group A surgical site skin wounds were closed with metallic skin staples while Group B woundswere closed with polypropylene sutures. Wounds were examined for inflammation, necrosis,dehiscence, discharge and abscess on 3rd day, 2nd week, 4th, and 8th weeks in both groups andcompared. P value was considered significant if < 0.05. Results: Surgical site skin closure of100 patients were done with staples (group A, 50 patients) and interrupted polypropylene suture(group B, 50 patients). Baseline parameters of both groups had no significant differences. Meanage of group A and B patients were 61.6±SD 17.1 and 61.02±SD 19.2 respectively. Surgicalsite wound complications were reported in 9(18%) patients with staples closure and 8(16%)patients with suture closure (p > 0.05). Conclusion: We found no significance difference insurgical site complication rates of staples and suture closure in elective hip surgery patients.The operating surgeon can use closure material of his own choice.
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Debbabi, Faten, and Saber B. Abdessalem. "New approach for appreciating the surgeon's satisfaction of braided sutures." Journal of Industrial Textiles 46, no. 6 (July 28, 2016): 1319–41. http://dx.doi.org/10.1177/1528083715622426.
Повний текст джерелаАнотація:
Braided suture made with different materials and sizes is commonly used in many surgical interventions. Their key properties include tensile strength during tightening, knot security, surface morphology, knot slippage, and behavior during healing period. We have developed different testing procedures to measure these properties, but selection of suture should be brought under simultaneous considerations of all preferred properties related to surgical interventions and surgeon requirement. In this study, we propose a new approach for appreciation of surgeon satisfaction by using global quality index corresponding to simultaneous satisfaction of several suture properties such as organoleptic and mechanical properties. A global quality index was developed by using desirability functions. A statistical survey based on the evaluation of suture qualities by Tunisian surgeons allowed the determination of surgeon's requirement, weights, and objectives of individual desirability functions corresponding to each suture property. Braided sutures have been submitted to different developed tests for the evaluation of suture properties during healing and tying. The obtained results are converted to individual desirability index in order to evaluate satisfaction degree of each suture property. Finally, geometric and arithmetic mean aggregation are used to determine the global quality by attributing relative weight to each individual satisfaction degree. Global quality index of polyamide-braided sutures fabricated under different braiding conditions was determined. Obtained results allow the identification of optimal suture for specific surgical interventions.
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Byrne, Miriam, and Al Aly. "The Surgical Suture." Aesthetic Surgery Journal 39, Supplement_2 (March 14, 2019): S67—S72. http://dx.doi.org/10.1093/asj/sjz036.
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Guglielmi, G., A. Benati, and S. Perini. "Endovascular Embolization with Radiopaque Silk Threads: A Feasibility Study in Swine." Interventional Neuroradiology 12, no. 2 (June 2006): 109–12. http://dx.doi.org/10.1177/159101990601200204.
Повний текст джерелаАнотація:
Surgical suture endovascular embolization of brain arteriovenous malformations (AVMs) is an accepted method of preoperative treatment. A major drawback of AVM embolization with surgical sutures is that the sutures are not visible under fluoroscopy. An experimental study using swine is presented where surgical sutures were rendered radiopaque using platinum markers.
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Tubbs, R. Shane, Marios Loukas, Mohammadali M. Shoja, Nihal Apaydin, Mohammad R. Ardalan, and W. Jerry Oakes. "Lateral lakes of Trolard: anatomy, quantitation, and surgical landmarks." Journal of Neurosurgery 108, no. 5 (May 2008): 1005–9. http://dx.doi.org/10.3171/jns/2008/108/5/1005.
Повний текст джерелаАнотація:
Object There is scant and conflicting information in the literature regarding the lateral lacunae, or lateral lakes of Trolard. As these venous structures can be encountered surgically, this study aimed at further elucidating their anatomy, identifying surgical landmarks, and associated quantitation. Methods Thirty-five adult cadavers were dissected of lateral lacunae. Following quantitation of the lacunae, these structures were measured, as were the distances from them to the coronal and sagittal sutures. Results A mean of 1.9 lacunae were identified on the right sides and 1.4 lacunae on the left sides. Although there tended to be slightly more lacunae on the right sides, this difference did not reach statistical significance (p > 0.05). The average lengths of the lacunae were 3.2 and 2.0 cm for the right and left sides, respectively. The mean widths of these venous lakes were 1.5 cm for the right sides and 0.8 cm for the left sides. Lacunae were variably positioned but tended to cluster near the vertex of the skull. None were identified posterior to the lambdoid sutures, and only 5 were found to lie anterior to the coronal suture, with 4 of these located on right sides (p < 0.05). When lacunae were identified anterior to the coronal suture, they were generally 5–6 cm from this structure. The majority of lacunae could be identified between the coronal and lambdoid sutures and within 3 cm of the midline. Conclusions Although the situation varies, lateral lacunae are concentrated posterior to the coronal suture and anterior to the lambdoid sutures. They are most often found within 3 cm of the sagittal suture. These previously unreported data could be useful to the neurosurgeon in planning surgical procedures that traverse the calvaria.
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Guambo, María Paula Romero, Lilian Spencer, Nelson Santiago Vispo, Karla Vizuete, Alexis Debut, Daniel C. Whitehead, Ralph Santos-Oliveira, and Frank Alexis. "Natural Cellulose Fibers for Surgical Suture Applications." Polymers 12, no. 12 (December 18, 2020): 3042. http://dx.doi.org/10.3390/polym12123042.
Повний текст джерелаАнотація:
Suture biomaterials are critical in wound repair by providing support to the healing of different tissues including vascular surgery, hemostasis, and plastic surgery. Important properties of a suture material include physical properties, handling characteristics, and biological response for successful performance. However, bacteria can bind to sutures and become a source of infection. For this reason, there is a need for new biomaterials for suture with antifouling properties. Here we report two types of cellulose fibers from coconut (Cocos nucifera) and sisal (Agave sisalana), which were purified with a chemical method, characterized, and tested in vitro and in vivo. According to SEM images, the cellulose fiber from coconut has a porous surface, and sisal has a uniform structure without internal spaces. It was found that the cellulose fiber from sisal has mechanical properties closer to silk fiber biomaterial using Ultimate Tensile Strength. When evaluating the cellulose fibers biodegradability, the cellulose from coconut showed a rapid weight loss compared to sisal. The antifouling test was negative, which demonstrated that neither possesses intrinsic microbicidal activity. Yet, a weak biofilm was formed on sisal cellulose fibers suggesting it possesses antifouling properties compared to cellulose from coconut. In vivo experiments using healthy mice demonstrated that the scarring and mechanical connection was like silk for both cellulose fibers. Overall, our results showed the potential use of cellulose fibers from vegetal for surgical sutures due to excellent mechanical properties, rapid degradation, and no bacterial adhesion.
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Costa Neto, João Moreira Da, Gabriel Menezes Rodrigues, Pollyana Linhares Sala, Rafael Da Cruz Morais, Alysson Ramalhais, Talita Bianchin Borges, and Ana Maria Quessada. "Organic bench model applied to surgical suture training." Research, Society and Development 9, no. 10 (October 1, 2020): e3939108614. http://dx.doi.org/10.33448/rsd-v9i10.8614.
Повний текст джерелаАнотація:
Veterinary and human medicine students should be trained in skills necessary to perform surgical procedures. Regarding the practice of surgical sutures, the methods used include the use of various materials such as fabric device, sponge, pieces of the animals and pieces of ethylene vinyl acetate. This article proposes to use banana and eggplant to train surgical suture techniques. The work was carried out by monitors from the veterinary surgical technical discipline. These monitors performed sutures in the vegetables (green banana and eggplant) and completed a questionnaire on the method. All monitors agreed that vegetables are easy to handle. Most stated that it was a pleasant experience for not using live animals. An advantage of using vegetables is handling, including storage and disposal. Besides, they do not transmit diseases. Animal materials such as bovine tongue, and swine parts that are widely used in suture teaching, present the risk of zoonosis transmission. The proposed organic bench model (banana and eggplant) may be indicated as a complementary alternative to advanced surgical sutures training. In addition, the model in question avoids the use of animals, while respecting ethical and legal issues.
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Mooney, Mark P., Annie M. Burrows, Timothy D. Smith, H. Wolfgang Losken, Lynne A. Opperman, Jason Dechant, Amy M. Kreithen, et al. "Correction of Coronal Suture Synostosis Using Suture and Dura Mater Allografts in Rabbits with Familial Craniosynostosis." Cleft Palate-Craniofacial Journal 38, no. 3 (May 2001): 206–25. http://dx.doi.org/10.1597/1545-1569_2001_038_0206_cocssu_2.0.co_2.
Повний текст джерелаАнотація:
Objective: Resynostosis following surgical correction of craniosynostosis is a common clinical correlate. Recent studies suggest that the dura mater is necessary to maintain suture patency. It has also been hypothesized that dura mater from synostotic individuals may provide aberrant biochemical signals to the osteogenic fronts of the calvaria, which result in premature suture fusion and subsequent resynostosis following surgery. This study was designed to test this hypothesis by surgically manipulating the coronal suture and dura mater in rabbits with familial craniosynostosis to prevent postsurgical resynostosis. Design: Craniofacial growth and histomorphometric data were collected from 129 rabbits: 72 normal controls and 57 rabbits with bilateral coronal suture synostosis (15 unoperated on controls; 13 surgical controls; 9 dura mater transplant only; 10 suture transplant only; and 10 suture and dura mater transplant). At 10 days of age, all rabbits had radiopaque amalgam markers placed on either side of the coronal, frontonasal, and anterior lambdoidal sutures. At 25 days of age, 42 synostosed rabbits had a 3 to 5-mm wide coronal suturectomy. Coronal sutures and/or underlying dura mater allografts were harvested from same-aged, wild-type, isohistogenic control rabbits and transplanted onto the dura mater of synostosed host rabbits. Serial radiographs were taken at 10, 25, 42, and 84 days of age, and the suturectomy sites were harvested at 84 days of age in 44 rabbits and serially sectioned for histomorphometric examination. Results: Results revealed that cranial vault growth was significantly (p < .05) improved following surgical release of the fused coronal suture compared with synostosed rabbits who were not operated on but was still significantly different (p < .05) from that of normal control rabbits. By 84 days of age, significant (p < .05) differences were noted in calvarial suture marker separation, cranial vault shape indices, and cranial base angles between rabbits with and without dura mater allografts, probably as a result of resynostosis of the suturectomy site or suture-only allografts. Qualitative histological examination revealed that at 84 days of age rabbits with suture and dura allografts had patent coronal sutures, suture-only allografts had fused coronal sutures with extensive endosteal hyperostosis, dura mater–only allografts had some new bone in the suturectomy site that resembled rudimentary osteogenic fronts, and suturectomy controls had extensive endosteal bone formation and resynostosis of the suturectomy site. Significantly (p < .05) more bone was found in the suturectomy sites of rabbits without dura mater allografts compared with rabbits with dura mater allografts. Conclusions: Results support the initial hypothesis that normal dura mater allografts will maintain suture or suturectomy site patency and allow unrestricted craniofacial growth. However, it is still unclear whether the dura mater from normal rabbits was providing biochemical signals to the transplanted sutures or suturectomy sites or simply acting as a barrier to prevent abnormal biochemical signals from the dura mater of synostosed rabbits from reaching the calvaria. The clinical and therapeutic implications of these procedures are discussed.
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Tremblay, Sonia, A. El Maliki, Michel Fiset, and D. Mantovani. "Laparoscopic Surgical Manipulations Affect the Mechanical Properties and the Microstructure of Polymeric Sutures." Materials Science Forum 539-543 (March 2007): 161–66. http://dx.doi.org/10.4028/www.scientific.net/msf.539-543.161.
Повний текст джерелаАнотація:
In the last years a new clinical method to carry out surgical operations has been introduced. It consists in minimally invasive vascular surgery (also called laparoscopy). In one hand, during laparoscopy procedures, sutures cannot be handled with fingers, and the use of stainless-steel needle holders is required. In the other hand, companies that fabricate sutures clearly mention that metal-made devices should be avoided when manipulating the monofilaments. Therefore, the manipulation of the suture monofilaments (made of polymers) by laparoscopic needle holders (made of metals) is controversial. Literature in this field is limited and incomplete. Therefore, the aim of this study was to investigate the mechanical and microstructural effects of the manipulations with laparoscopic needle holder on polymeric suture monofilament. Surgipro© (polypropylene), Teflene© (polyvinylidene fluoride) and Gore-Tex© (polytetrafluoroethylene) monofilament suture were pinched with a standard clinical protocol by a surgeon. Scanning electron microscopy, micro-mechanical testing, differential scanning calorimetry, x-ray diffraction, small angle x-ray scattering and Fourier transform infrared spectroscopy were then performed. Results showed that the ultimate tensile strength of Teflene and Gore-Tex sutures does not change after pinching whereas it decreases significantly for Surgipro sutures. This is attributed to stress concentration and to the compressive strength applied on the monofilament, which are closely related to the permanent deformation of the suture after pinching. Teflene and Gore-Tex monofilament sutures showed to be not affected even after severe pinching with laparoscopic needle holders. Therefore, our results clearly showed that the use of Surgipro II sutures in laparoscopic interventions should be avoided.
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Tôrres, Juliana Lima, Irami Araújo-Filho, Maria De Lourdes M. de F. N. Araújo, Amália Cínthia Meneses Rêgo, Marília De vasconcelos Sá, Vítor Brasil Medeiros, Suzana Lima Tôrres, Ítalo Medeiros de Azevedo, and Aldo Cunha Medeiros. "Triclosan-coated polyglactin-910 for closure of infected abdominal wall of rats with peritonitis." JOURNAL OF SURGICAL AND CLINICAL RESEARCH 3, no. 1 (December 12, 2012): 9. http://dx.doi.org/10.20398/jscr.v3i1.3142.
Повний текст джерелаАнотація:
Purpose: Antibacterial-coated sutures have been reported to reduce the incidence of surgical site infections both in experimental and clinical studies. The aim of the present study was to evaluate the performance of coated polyglactin 910 suture with triclosan (Vicryl Plus) and traditional polyglactin suture (Vicryl) with regard to surgical abdominal wound infections following abdominal sepsis by cecal ligation and puncture. Methods: Twelve Wistar rats weighing 285±15g were randomly distributed on Vicryl plus group (n=6) and Vicryl group (n=6). The variables to be evaluated were: (1) tensile strength of the tissues at the site of the suture (2) the histopathological aspects with counts of inflammatory cells; (3) bacteriology - growth of Gram-positive and Gram-negative bacteria. Results: On the fifth postoperative day bacterial cultures of the secretions collected from abdominal wounds revealed growth of Staphylococcus aureus and Klebsiella sp. A significant difference was observed in the mean colony forming units of Gram-positive and Gram-negative bacteria in wounds sutured with noncoated (Vicryl) versus triclosan-coated sutures (Vicryl Plus). In the Vicryl group, the average tensil strength was 533.8±75.8 gf/mm2, significantly lower than in Vicryl Plus group (854.0±51.7 gf/mm2). Statistical analysis revealed a significant difference (p<0.0001). The density of the inflammatory reaction was significantly higher (p=0.003) in the Vicryl group rats (1033.26±153.97) than the in Vicryl Plus group (723.29±96.5). Conclusion: This study demonstrated the in vivo efficacy of Coated Vicryl Plus suture, that prevented bacterial colonization and reduced the inflammatory response, allowing tissue healing even in infected wounds.
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Madhumati Singh, Dr, Dr Kishore Felix, and Dr Anjan Kumar Shah. "Crouzon’s syndrome: a new surgical approach." International Journal of Dental Research 7, no. 2 (September 5, 2019): 18. http://dx.doi.org/10.14419/ijdr.v7i2.9331.
Повний текст джерелаАнотація:
Crouzon’s syndrome is a rare genetic disorder characterized by distinctive malformations of the skull and facial region, premature cranial suture closure is the most common skull abnormality, optic disc edema and proptosis are among the most common ocular findings. It is a genetic disorder of gene FGFR-2 (Fibroblast Growth Factor Receptor-2) in 95% of cases, and in 5% of cases, FGFR-3 (Fibroblast Growth Factor Receptor-3) mutation occurs.Once a suture becomes fused, growth perpendicular to that suture becomes restricted and the fused bones act as a single body structure. Compensatory growth occurs at the remaining open sutures to allow continued brain growth, resulting in abnormal bone growth and producing facial deformities.In the new born child, some potential problems that may need to be addressed include respiratory difficulties, feeding problems, neurologic complications such as hydrocephalus and the potential risk of developmental delay.We represent a literature review and a rare case of Crouzon’s Syndrome, who wanted facial correction to be done at the age of 24years. We planned two stage surgical procedure, for correction of facial deformity.
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Inatomi, Yusuke, Hideki Kadota, Kenichi Kamizono, Masuo Hanada, and Sei Yoshida. "Securing split-thickness skin grafts using negative-pressure wound therapy without suture fixation." Journal of Wound Care 28, Sup8 (August 2019): S16—S21. http://dx.doi.org/10.12968/jowc.2019.28.sup8.s16.
Повний текст джерелаАнотація:
Objective: Negative-pressure wound therapy (NPWT) is generally applied as a bolster for split-thickness skin grafts (STSG) after the graft has been secured with sutures or skin staples. In this study, NPWT was applied to secure STSGs without any sutures or staples. Surgical outcomes of using NPWT without sutures was compared with a control group. Methods: Patients with STSGs were divided into two groups: a ‘no suture’ group using only NPWT, and a control group using conventional fixings. In the no suture group, the grafts were covered with meshed wound dressing and ointment. The NPWT foam was placed over the STSG and negative pressure applied. In the control group, grafts were fixed in place using tie-over bolster, securing with fibrin glue, or NPWT after sutures. Results: A total of 30 patients with 35 graft sites participated in the study. The mean rate of graft take in the no suture group was 95.1%, compared with 93.3% in the control group, with no significant difference between them. No graft shearing occurred in the no suture group. Although the difference did not reach statistical significance, mean surgical time in the no suture group (31.5 minutes) tended to be shorter than that in the control group (55.7 minutes). Conclusion: By eliminating sutures, the operation time tended to be shorter, suturing was avoided and suture removal was not required meaning that patients could avoid the pain associated with this procedure. Furthermore, the potential for staple retention and its associated complications was avoided, making this method potentially beneficial for both medical staff and patients.
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Aida, Hiroshi F., Brendan Y. Shi, Eric G. Huish, Edward G. McFarland, and Uma Srikumaran. "Are Implant Choice and Surgical Approach Associated With Biceps Tenodesis Construct Strength? A Systematic Review and Meta-regression." American Journal of Sports Medicine 48, no. 5 (October 4, 2019): 1273–80. http://dx.doi.org/10.1177/0363546519876107.
Повний текст джерелаАнотація:
Background: Despite the increasing use of biceps tenodesis, there is a lack of consensus regarding optimal implant choice (suture anchor vs interference screw) and implant placement (suprapectoral vs subpectoral). Purpose/Hypothesis: The purpose was to determine the associations of procedural parameters with the biomechanical performance of biceps tenodesis constructs. The authors hypothesized that ultimate failure load (UFL) would not differ between sub- and suprapectoral repairs or between interference screw and suture anchor constructs and that the number of implants and number of sutures would be positively associated with construct strength. Study Design: Meta-analysis. Methods: The authors conducted a systematic literature search for studies that measured the biomechanical performance of biceps tenodesis repairs in human cadaveric specimens. Two independent reviewers extracted data from studies that met the inclusion criteria. Meta-regression was then performed on the pooled data set. Outcome variables were UFL and mode of failure. Procedural parameters (fixation type, fixation site, implant diameter, and numbers of implants and sutures used) were included as covariates. Twenty-five biomechanical studies, representing 494 cadaveric specimens, met the inclusion criteria. Results: The use of interference screws (vs suture anchors) was associated with a mean 86 N–greater UFL (95% CI, 34-138 N; P = .002). Each additional suture used to attach the tendon to the implant was associated with a mean 53 N–greater UFL (95% CI, 24-81 N; P = .001). Multivariate analysis found no significant association between fixation site and UFL. Finally, the use of suture anchors and fewer number of sutures were both independently associated with lower odds of native tissue failure as opposed to implant pullout. Conclusion: These findings suggest that fixation with interference screws, rather than suture anchors, and the use of more sutures are associated with greater biceps tenodesis strength, as well as higher odds of native tissue failure versus implant pullout. Although constructs with suture anchors show inferior UFL compared with those with interference screws, incorporation of additional sutures may increase the strength of suture anchor constructs. Supra- and subpectoral repairs provide equivalent biomechanical strength when controlling for potential confounders.
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Laas, Enora, Cécile Poilroux, Corinne Bézu, Charles Coutant, Serge Uzan, Roman Rouzier, and Elisabeth Chéreau. "Antibacterial-Coated Suture in Reducing Surgical Site Infection in Breast Surgery: A Prospective Study." International Journal of Breast Cancer 2012 (2012): 1–8. http://dx.doi.org/10.1155/2012/819578.
Повний текст джерелаАнотація:
Background. To reduce the incidence of microbial colonization of suture material, Triclosan- (TC-)coated suture materials have been developed. The aim of this study was to assess the incidence of suture-related complications (SRC) in breast surgery with and without the use of TC-coated sutures.Methods. We performed a study on two consecutive periods: 92 patients underwent breast surgery with conventional sutures (Group 1) and 98 with TC-coated sutures (Group 2). We performed subgroups analyses and developed a model to predict SRC in Group 1 and tested its clinical efficacy in Group 2 using a nomogram-based approach.Results. The SRC rates were 13% in Group 1 and 8% in Group 2. We found that some subgroups may benefit from TC-coated sutures. The discrimination obtained from a logistic regression model developed in Group 1 and based on multifocality, age and axillary lymphadenectomy was 0.88 (95% CI 0.77–0.95) (). There was a significant difference in Group 2 between predicted probabilities and observed percentages (). The predicted and observed proportions of complications in the high-risk group were 38% and 13%, respectively.Conclusion. This study used individual predictions of SRC and showed that using TC-coated suture may prevent SRC. This was particularly significant in high-risk patients.
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Umranikar, Salil A., Sarvpreet S. Ubee, Masilamani Selvan, and Peter Cooke. "Barbed suture tissue closure device in urological surgery – a comprehensive review." Journal of Clinical Urology 10, no. 5 (April 7, 2017): 476–84. http://dx.doi.org/10.1177/2051415817702315.
Повний текст джерелаАнотація:
The development and implementation of barbed sutures has transformed the technique of tissue closure with increasing application across multiple surgical disciplines. Changes in design and handling such as the introduction of absorbable and non-absorbable bidirectional barbed sutures reflect an increasing applicability in tissues of varying qualities. We undertook a comprehensive review of available literature to provide an evidence-based rationale for the clinical use of barbed suture tissue closure devices. We summarise uses along with advantages and disadvantages reported across a number of surgical specialties such as urology, orthopaedics, gynaecology and plastic surgery. Tangible benefits noted were faster closure speed, maintenance of suture integrity, improved efficiency in closure, avoidance of knots and possibly a cost-benefit effect. In terms of complications, the barbed sutures compared equally with standard sutures with no significant differences. In conclusion, barbed sutures have demonstrated versatility and safety across surgical specialties and compares favourably with standard sutures. There appears to be an increasing popularity in the use of barbed sutures with clear advantages to both surgeon and patient.
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Rangel-Castilla, Leonardo, Steven W. Hwang, Andrew Jea, William E. Whitehead, Daniel J. Curry, Thomas G. Luerssen, and Robert C. Dauser. "Development of secondary unilateral coronal suture synostosis with a sagittal suture synostosis in a nonsyndromic patient." Journal of Neurosurgery: Pediatrics 9, no. 2 (February 2012): 116–18. http://dx.doi.org/10.3171/2011.11.peds11320.
Повний текст джерелаАнотація:
Multiple-suture synostosis is typically associated with syndromic craniosynostosis but has been occasionally reported in large series of nonsyndromic children. The diagnosis of multiple fused sutures usually occurs at the same time, but rarely has the chronological development of a secondary suture synostosis been noted. The development of secondary bicoronal suture synostosis requiring surgical intervention has only been reported, to date, after surgical intervention and is hypothesized to arise from a disruption of inhibitory factors from the dura. The disinhibition of these factors permits the sutures to then fuse at an early stage. The authors report on a patient who developed secondary unilateral coronal synostosis after the diagnosis of an isolated sagittal synostosis. The secondary synostosis was identified at the time of the initial surgical intervention and ultimately required a second procedure of a frontoorbital advancement. The clinical appearance of this phenomenon may be subtle, and surgeons should monitor for the presence of secondary synostosis during surgery as it may require intervention. Failure to identify the secondary synostosis may necessitate another surgery or result in a poor cosmetic outcome. The authors recommend close clinical follow-up for the short term in patients with isolated sagittal synostosis.
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Gomes, Otoni Moreira, André Silva Campos do Amaral, Ariel José Villar Gonçalves, Auro Sérgio Perdigão de Brito, and Ernesto Lentz de Carvalho Monteiro. "New suture techniques for best esthetic skin healing." Acta Cirurgica Brasileira 27, no. 7 (July 2012): 505–8. http://dx.doi.org/10.1590/s0102-86502012000700013.
Повний текст джерелаАнотація:
PURPOSE: To report two new suture techniques for best esthetic skin healing. METHODS: Using the pig skin slices routinely employed for surgical technique training two new types of skin sutures were performed. One defined as inverted or hidden X point suture and other as totally hidden intradermal running suture. The first were performed using 4-0 polypropilene stitch and the intradermal with 4-0 poliglicolic stitch. RESULTS: It was confirmed good skin layers union and contention with best esthetic result than observed with the traditional X and intradermal suture techniques. CONCLUSION: Macroscopic examination of the hidden X point and totally hidden intra-dermal sutures and centrifuge skin traction confirmed good skin layers union and contention with best esthetic result than observed with the traditional X and intradermal sutures techniques.
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Oliveira, Emannuella Araújo de, and Lenilda Austrilino. "Método inovador de ensino para a prática de suturas de pele." Revista Pesquisa Qualitativa 7, no. 14 (July 31, 2019): 282. http://dx.doi.org/10.33361/rpq.2019.v.7.n.14.261.
Повний текст джерелаАнотація:
Resumo: Este trabalho tem como objetivo mostrar potencialidades de um método inovador de ensino, para prática de sutura de pele, usando materiais orgânicos e sintéticos. Trata-se de um estudo de caso com discentes de medicina, participantes de oficina realizada aplicando técnicas básicas de sutura de pele, com treinamento simulado em três consistências de tecidos. Os dados coletados com questionários e observações avaliando desempenho discente e efetividade do método. As suturas realizadas em EVA, berinjela e língua de boi utilizando ponto simples, simples invertido, Donatti, U horizontal, sutura contínua e intradérmica, compuseram seis estações de avaliação. Após a prática na bancada, os discentes vivenciaram situação real em ambiente ambulatorial. Os discentes foram avaliados com conceitos bom e regular, inclusive na prática ambulatorial, mostra que o método de sutura em consistências diferentes favorece a aprendizagem. A estratégia utilizando material com diversas texturas mostrou-se efetivo para desenvolver habilidades e aquisição de competências para prática de sutura de pele. A oficina despertou interesse para especialidade cirúrgica.Palavras-chave: Educação Médica; Materiais de Ensino; Modelos Educacionais; Cirurgia Técnicas de Sutura; Procedimentos Cirúrgicos Ambulatoriais. Innovative teaching model for the practice of skin suturingAbstract: The objective shows the potentialities of a bench model using organic and synthetic materials, designed to development and skill acquisition in skin suturing. Method: Case study with students of the medical school. A workshop was held to practice skin sutures, providing basic suture techniques with simulated training in three tissue consistencies. Data were collected from the application of questionnaires and observation. After practicing in this bench model, the students had the opportunity to experience real situation in an outpatient setting. Results: On the workbench the sutures were made in the following materials EVA, eggplant and ox tongue, using simple point, simple inverted, Donatti, U horizontal, continuous and intradermal suture. The results show that practice in different consistencies favors learning. Conclusion: The teaching strategy proved effective for the development of skills and acquisition of skills necessary for the practice of skin suture. The workshop aroused interest for the surgical specialty.Keywords: Medical Education; Surgery; Suturing Techniques; Outpatient Surgical; Educational Model.
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Rocha, A. G., R. C. Costa, G. O. Morato, D. G. Chung, J. G. Padilha-Filho, B. W. Minto, and L. G. G. G. Dias. "Iliofemoral technique modification using an anchor screw as treatment of canine traumatic hip luxation - case report." Arquivo Brasileiro de Medicina Veterinária e Zootecnia 72, no. 6 (December 2020): 2252–58. http://dx.doi.org/10.1590/1678-4162-12037.
Повний текст джерелаАнотація:
ABSTRACT Twelve dogs with traumatic hip luxation were selected for surgical intervention with a modified iliofemoral suture technique using an anchor screw to substitute the passage of suture material through a perforated tunnel in the ilium. Six procedures were performed with non-absorbable suture and other six with absorbable suture materials. These cases were evaluated at 15, 30, 60, and 90 days after surgery by performing an ambulation analysis and palpation of the joint. In all cases, there was a return of partial and total limb support in an average of 3 and 19 postoperative, respectively. The fixation strategy of the suture material in the ilium using an anchor screw proved to be efficient with a smaller surgical approach and lesser surgical difficulty, maintaining joint congruence in acute as chronic luxation cases. The use of absorbable and non-absorbable sutures had excellent clinical results, but there was a subjective superiority of the first ones, once 4 dogs of the non-absorbable group presented some discomfort during the postoperative palpation of the joint, 90 days after surgery.
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GRIŠKEVIČIUS, JULIUS, ANDŽELA ŠEŠOK, DEIVIDAS MIZERAS, POVILAS MASIONIS, and SIGITAS RYLIŠKIS. "BIOMECHANICAL COMPARISON OF THE CORACOCLAVICULAR SPACE FIXATION USING THREE DIFFERENT SUTURE TECHNIQUES." Journal of Mechanics in Medicine and Biology 16, no. 04 (June 2016): 1650042. http://dx.doi.org/10.1142/s0219519416500421.
Повний текст джерелаАнотація:
Coracoclavicular space fixation with suture loops is a well-known surgical technique for the treatment of dislocations. However, out of 100 different surgical treatments no single one has been established as a gold standard. The following research aims to improve the technique and focuses on a development of new fixation technique using composite sutures, which would withstand forces during ligament healing process. Three different fixation techniques (one loop and two separate suture loops and W-system) were tested on a custom built mechanical testing device. Applied load was continuously increased at a loading rate of 30[Formula: see text]N/min until the failure of the sutures. Ultimate tensile strength and suture elongation at failure were measured. The W-system had statistically significant higher load to failure and higher stiffness compared to one loop and two separate loops techniques. Biomechanical properties of a suture fixation technique can be improved by connecting them into one system to create particular arrangement of the sutures. The measurements can be easily repeated and this testing protocol can serve as a good starting point to standardize procedures of evaluation of different joint fixation techniques and to develop new ones.
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Liu, Shuqiang, Juanjuan Yu, Huimin Li, Kaiwen Wang, Gaihong Wu, Bowen Wang, Mingfang Liu, et al. "Controllable Drug Release Behavior of Polylactic Acid (PLA) Surgical Suture Coating with Ciprofloxacin (CPFX)—Polycaprolactone (PCL)/Polyglycolide (PGA)." Polymers 12, no. 2 (February 1, 2020): 288. http://dx.doi.org/10.3390/polym12020288.
Повний текст джерелаАнотація:
Polylactic acid (PLA) surgical suture can be absorbed by human body. In order to avoid surgical site infections (SSIs), the drug is usually loaded on the PLA suture, and then the drug can release directly to the wound. Because the different types of wounds heal at different times, it is needed to control the drug release rate of PLA suture to consistent to the wound healing time. Two biopolymers, polyglycolide (PGA) and polycaprolactone (PCL), were selected as the carrier of ciprofloxacin (CPFX) drug, and then the CPFX-PCL/PGA was coated on the PLA suture. The degradation rate of drug-carrier can be controlled by adjusting the proportion of PCL/PGA, which can regulate the rate of CPFX drug release from PLA suture. The results show that the surface of PLA suture, coating with PCL/PGA, was very rough, which led to increased stitching resistance when we were suturing the wound. These materials, such as the PLA suture, the PCL/PGA carriers and the CPFX drug, were just physically mixed rather than chemically reacted, which was very useful for ensuring the original efficacy of CPFX drug. With the increasing of PCL in the carriers, both the breaking strength and elongation of these un-degraded sutures increased. During degradation, the breaking strength of all sutures gradually decreased, and the more PCL in the coating materials, the longer effective strength-time for the suture. With the increasing of PCL in the drug-carrier, the rate of drug releasing became lower. The drug release mechanism of CPFX-PCL/PGA was a synergistic effect of drug diffusion and PCL/PGA carrier dissolution.
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Alsarhan, Mohammed, Hourya Alnofaie, Rawan Ateeq, and Ahmed Almahdy. "The Effect of Chlorhexidine and Listerine® Mouthwashes on the Tensile Strength of Selected Absorbable Sutures: An In Vitro Study." BioMed Research International 2018 (November 13, 2018): 1–8. http://dx.doi.org/10.1155/2018/8531706.
Повний текст джерелаАнотація:
Background. Suturing plays a critical role in the healing of surgical wounds. The tensile strength of suture materials indicates the ability of the material to withstand stress during knotting and protect the wound during an extended period of healing. Objective. An in vitro study was conducted to determine the effect of two commercially available mouthwashes on the tensile strength and breakage mode of two absorbable intraoral sutures. Materials and Methods. Two common absorbable sutures, Vicryl® and Monocryl®, both with 4-0 and 5-0 gauges were used. A total of 400 specimens were sutured around rubber rods and immersed in three thermostatically controlled experimental conditions: artificial saliva, 0.2% chlorhexidine gluconate (Parodontax® extra), and essential oils-based rinse (Listerine® Zero™), and these were compared to a nonimmersed dry condition. All specimens were stored in an incubator at 37°C. Tensile strengths were assessed after days 1, 3, 7, 10, and 14 of immersion using a universal Instron® testing machine. The maximum load for suture breakage and the location of the point of breakage were assessed. Results. Unlike Monocryl® 4-0, the tensile strength of both gauges of Vicryl® sutures significantly increased in chlorhexidine and Listerine®. There was a significant decrease in the strength for all suture types after day 10, regardless of the immersion solution. Listerine® significantly reduced the tensile strength of Monocryl® 5-0. Conclusion. Oral surgeons and periodontists should be cautious when prescribing commercial mouthwashes for patients relative to their selection of suture materials. However, further studies are needed to understand the molecular changes in sutures when exposed to chemical solutions found in mouthwashes.
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Liawrungrueang, Wongthawat, and Sunton Wongsiri. "Biomechanics Study of the Holding Power between Tendon and Suture Using Different Techniques." Journal of Hand Surgery (Asian-Pacific Volume) 25, no. 03 (July 28, 2020): 301–6. http://dx.doi.org/10.1142/s2424835520500320.
Повний текст джерелаАнотація:
Background: The holding power of a repaired flexor tendon injury is related to surface sutures, suture material and different techniques. Nowadays, a barbed suture material offers the possibility of knotless flexor tendon repair but many hospitals use non-barbed suture materials. The purpose of this study was to compare a barbed suture material and a non-barbed suture material for primary stability under static loading and increased knots in the non-barbed suture material (knot technique) for increased holding power of tendons in animal testing. Methods: Forty-five fresh porcine tendons were randomized into three groups: Group 1 (grasping technique group) used a four-strand core suture grasping a four-strand modified Kessler suture by non-barbed suture material [Non-absorbable monofilament polybutester 3–0] was used to repair the tendon with a surgical knot; in Group 2 (knot technique group) a four-strand core suture used the knot technique by non-barbed suture material [Non-absorbable monofilament polybutester 3–0] to repair the tendon with a continuous suture adding surgical knots in the same place as the surgical knot at the repair sites; and Group 3 (knotless technique group) used a four-strand core suture with the knotless technique in modified Kessler suture with barbed suture material [Non-absorbable monofilament polybutester 3–0] to repair the tendon without a knot. Our objective was to compare the ultimate tensile strength between the groups. Results: The mean tensile strength was 30.38 ± 5.04 N for group 1, 41.71 ± 2.62 for group 2 and 47.53 ± 4.89 for the group 3. The ANOVA test revealed a significant difference among the various techniques (p < 0.05). The highest tensile strength was found in the knotless technique using barbed suture material group. Conclusions: The knotless technique using barbed suture material demonstrated the highest tensile strength in suture repairs. The maximum tensile strength was significantly higher in this group.
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Wasay, Hafiz Ali, Muhammad Aamir Jameel, Muhammad Imran Anwar, HaroonJavaid Majid, and Sameen Tahir. "Comparative effects of suture and non-suture surgical techniques on platysma after Thyroid surgery." Pakistan Journal of Medical and Health Sciences 15, no. 7 (July 26, 2021): 1661–64. http://dx.doi.org/10.53350/pjmhs211571661.
Повний текст джерелаАнотація:
Background: Thyroidectomy is a routine general surgical procedure and pain after thyroidectomy is responsible for prolongation of hospital stay and increased risk of respiratory complications. Platysma is routinely sutured at the end of thyroidectomy before wound closure. This randomized controlled trial was conducted to compare the outcome of suturing platysma muscle versus not suturing in thyroid surgery patients. Aim: To compare the outcome of suturing platysma muscle versus not suturing in thyroid surgery patients. Place and duration of study: Dept. of Surgery at Sh. Zayed Hospital, Lahore from 26-12-2019 to 25-06-2020. Methodology: It is a randomized controlled trial study which consists of 92 patients, between 18 to 70 years of age in both gender and planned for thyroidectomy for nodular thyroid enlargement. Patients were randomly allocated into two treatment groups. After excision of thyroid, platysma was sutured as per conventional practice in one group while in the other group platysma was not sutured. For pain assessment Visual Analogue Scale (VAS) was used to 24 hours after surgery. Results: The mean age was 36.4±13.4 years. The mean VAS score for post-operative pain measured 24 hours after the surgery was significantly lower in patients undergoing thyroidectomy without platysmal suture as compared to those with conventional suturing of platysma during thyroidectomy (2.37±0.97 vs. 3.67±1.28; p <0.001). Similar significant difference was also noted between groups and subgroups which based on patient’s age, gender, BMI and educational status. Conclusion: Avoiding the suturing of platysma significantly reduced the post-operative pain which advocates a change in current practice and encourages non-suturing of platysma to decrease the morbidity of patients in post-operative period. Keywords: Thyroidectomy, Platysma, Suture, No Suture, Pain
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Thaunat, Mathieu, Constant Foissey, Pramod Ingale, Ibrahim Haidar, Paul Henri Bauwens, Alexandre Penet, Samih Kacem, and Jean-Marie Fayard. "Survival and Risk Factor Analysis of Arthroscopic Ramp Lesion Repair During Anterior Cruciate Ligament Reconstruction." American Journal of Sports Medicine 50, no. 3 (January 31, 2022): 637–44. http://dx.doi.org/10.1177/03635465211068524.
Повний текст джерелаАнотація:
Background: There is a lack of research on the management of ramp lesions associated with anterior cruciate ligament (ACL) injuries. Furthermore, there has been no report of the risk factors for failure of ramp lesion sutures, linked to either the technique used (all-inside suture implant vs suture hook through a posteromedial portal) or the type of lesion (location in the red zone or meniscocapsular junction, longitudinal extension, partial- or full-thickness tear). Purpose: To evaluate the results of arthroscopic repair of ramp lesions and determine the risk factors associated with ramp lesion repair failure, with special focus on their subtype and the suture technique. Study Design: Case-control study; Level of evidence, 3. Methods: All patients who underwent arthroscopic ramp lesion repair in association with ACL reconstruction between November 2015 and January 2018 were evaluated retrospectively. The following parameters were studied: demographics; clinical history; clinical findings including International Knee Documentation Committee score, complications, time from injury to surgery, side-to-side laxity, and pivot shift; and surgical findings including subtype, surgical management, and type and number of sutures. Failure of the ramp lesion repair was defined at secondary arthroscopy. Results: Among the 248 lesions analyzed, 18 (7.3%) failures were documented. The failures occurred in 21.1% of repairs managed with the all-inside device versus 4.3% of sutures managed with the suture hook ( P = .003). Among the 6 factors included in the Cox model, the only one identified as a risk factor for failure was the type of repair ( P = .003), with a risk for the all-inside device that was >5-fold higher than that for the suture hook repair (corresponding hazard ratio, 5.1 [95% CI, 1.8-14.5]). No other complications involving the surgical technique or device were registered. Conclusion: An arthroscopic all-inside technique of meniscal repair of ramp lesions appeared to be safe and effective. It provided excellent healing of the repaired meniscus, with an overall failure rate of 7.3%. The type of suture was associated with failure of the ramp lesion repair, with a significantly higher risk with the all-inside device than with suture hook repair sutures.
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Vnuk, D., D. Maticic, M. Kreszinger, B. Radisic, J. Kos, M. Lipar, and T. Babic. "A modified salvage technique in surgical repair of perineal hernia in dogs using polypropylene mesh." Veterinární Medicína 51, No. 3 (March 19, 2012): 111–17. http://dx.doi.org/10.17221/5528-vetmed.
Повний текст джерелаАнотація:
In 16 male dogs who suffered from perineal hernia, polypropylene mesh was used to close a defect in the pelvic diaphragm. Pelvic bone was drilled on the pelvic floor and mesh was sutured through holes by polypropylene suture. Strong pelvic diaphragm, good long-term results and time-sparing by this technique was achieved. Suture sinuses were developed in two dogs one month postoperatively. Objectives of this study were to describe a new alternative technique of perineal herniorraphy and postoperative possible complications. Weakness of internal obturator muscle flap is complication which can be observed during transposition of internal obturator muscle flap. This technique can be used when internal obturator muscle flap is weak like the operation of the first choice.