scholarly journals Are absorbable sutures inadequate to close the sternum?

2006 ◽  
Vol 132 (6) ◽  
pp. 1503 ◽  
Author(s):  
Xue Ning Yang ◽  
Ugo Pastorino
Keyword(s):  
Absorbable Sutures

Absorbable suture material in carotid surgery

VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 451-457 ◽  
Author(s):  
Vincenzo Gasbarro ◽  
Luca Traina ◽  
Francesco Mascoli ◽  
Vincenzo Coscia ◽  
Gianluca Buffone ◽  
...  
Keyword(s):  
Suture Material ◽  
Absorbable Suture ◽  
Paediatric Surgery ◽  
Carotid Surgery ◽  
Suture Materials ◽  
Absorbable Suture Material ◽  
Absorbable Sutures ◽  
Group A ◽  
Group B

Abstract. Background: Absorbable sutures are not generally accepted by most vascular surgeons for the fear of breakage of the suture line and the risk of aneurysmal formation, except in cases of paediatric surgery or in case of infections. Aim of this study is to provide evidence of safety and efficacy of the use of absorbable suture materials in carotid surgery. Patients and methods: In an 11 year period, 1126 patients (659 male [58.5 %], 467 female [41.5 %], median age 72) underwent carotid endarterectomy for carotid stenosis by either conventional with primary closure (cCEA) or eversion (eCEA) techniques. Patients were randomised into two groups according to the type of suture material used. In Group A, absorbable suture material (polyglycolic acid) was used and in Group B non-absorbable suture material (polypropylene) was used. Primary end-point was to compare severe restenosis and aneurysmal formation rates between the two groups of patients. For statistical analysis only cases with a minimum period of follow-up of 12 months were considered. Results: A total of 868 surgical procedures were considered for data analysis. Median follow-up was 6 years (range 1-10 years). The rate of postoperative complications was better for group A for both cCEA and eCEA procedures: 3.5 % and 2.0 % for group A, respectively, and 11.8 % and 12.9 % for group B, respectively. Conclusions: In carotid surgery, the use of absorbable suture material seems to be safe and effective and with a general lower complications rate compared to the use of non-absorbable materials.

Comminuted patella fracture in a patient of advanced age, with xeroderma, treated with a low-invasive, originally modified method using non-absorbable sutures

2019 ◽  
Vol 84 (2) ◽  
pp. 51-55
Author(s):  
Jan Poszepczyński ◽  
◽  
Andrzej Kaźmierczyk ◽  
Krzysztof Andrzejewski ◽  
Michał Krzymiński ◽  
...  
Keyword(s):  
Advanced Age ◽  
Patella Fracture ◽  
Modified Method ◽  
Absorbable Sutures

P100 Removing the orbital bar in fronto-orbital advancement and reconstruction

2019 ◽  
Vol 90 (3) ◽  
pp. e48.3-e49
Author(s):  
A Sheikh ◽  
M Schramm ◽  
P Carter ◽  
J Russell ◽  
M Liddington ◽  
...  
Keyword(s):  
Bone Graft ◽  
Retrospective Analysis ◽  
Frontal Bone ◽  
Cosmetic Results ◽  
Absorbable Sutures ◽  
Radiological Images ◽  
Coronal Synostosis ◽  
Excellent Source

ObjectivesTo describe our technique of using reverse frontal bone graft for FOAR for patients with metopic or coronal synostosis.DesignRetrospective analysis of digital records for operation notes and radiological images.SubjectsSince April 2014, 16 patients underwent FOAR without using orbital bar.MethodsWe plan a frontal bone graft using Marchac template and increase the angles on side by 1 cm. This graft is then reversed and supra orbital margins are drilled out. The orbital bar is then removed and drilled down to make bone dust which is then used to fill gaps on exposed dura. The reversed frontal graft is then placed in front and secured via absorbable sutures, plate and screws.ResultsAll 16 patients who underwent this technique have shown excellent cosmetic results with no complications or non healing. Removing orbital bar does not cause any cosmetic defect since orbital rims are drilled out in reverse frontal bone graft. The removed orbital bar provides an excellent source of bone dust to cover gaps on exposed dura.ConclusionsWe present our technique of FOAR without using orbital bar, which is drilled down to bone dust to fill gaps. This has shown excellent cosmetic results so far with no complications. This addresses the issue of temporal thinning.

scholarly journals Sulcus-Deepening Trochleoplasty for Trochlear Dysplasia

2021 ◽  
Vol 1 (3) ◽  
pp. 263502542110111
Author(s):  
Anthony J. Ignozzi ◽  
Zane Hyde ◽  
Scott E. Dart ◽  
David R. Diduch
Keyword(s):  
Patient Satisfaction ◽  
Trochlear Dysplasia ◽  
Recurrent Dislocation ◽  
Trochlear Groove ◽  
Thick Shell ◽  
Absorbable Sutures ◽  
Postoperative Dislocation ◽  
A Prospective Study ◽  
Patellar Stability

Background: Patients who are refractory to initial management of trochlear dysplasia, which consists of bracing and physical therapy, may be candidates for trochleoplasty. Indications: Indications for trochleoplasty include Dejour classification type B or D trochlear dysplasia, supratrochlear spur height ≥7 mm, and a positive J sign on examination. Technique Description: The thick shell sulcus-deepening trochleoplasty technique involves removing the supratrochlear spur by creating a 5-mm–thick osteochondral shell with underlying cavity, dividing the thick shell into medial and lateral leaflets, and securing the leaflets with absorbable sutures. This establishes a new trochlear groove that is flush with the anterior cortex of the femur. Results: A review of 21 studies with length of follow-up from 8.8 months to 15 years found postoperative dislocation was present in 0% to 15% of patients and the patient satisfaction ranged from 81.0% to 94.4%. A prospective study with a minimum 2-year follow-up found no cases of recurrent dislocation, no progression of radiographic arthritis, 84.8% of patients returned to sport, and the patient satisfaction was a 9.1/10. Discussion/Conclusion: Sulcus-deepening trochleoplasty for trochlear dysplasia provides patellar stability and excellent patient satisfaction.

scholarly journals The Outlook of the Development of Innovative Products from Biocompatible Natural Spider Silk in the Beauty Thread-Lifting Industry

2021 ◽  
Author(s):  
Chen Qing ◽  
Qi-yan Li ◽  
Nan-nan Xue ◽  
Shi-meng Yuan ◽  
Chuan-jun Liu ◽  
...  
Keyword(s):  
Spider Silk ◽  
New Technology ◽  
Quick Recovery ◽  
Facial Beauty ◽  
Absorbable Sutures ◽  
Short Period ◽  
Innovative Products ◽  
Thread Lift ◽  
Novel Material ◽  
Lifting Techniques

Abstract Embedding thread lift rhytidectomy, also known as “thread lifting” in China, with the natures of simple operation, less trauma and quick recovery, is progressively used in clinical practice as a new technology of face lifting. Herewith, a brief introduction of the previous advances of thread lifting techniques and materials in the facial beauty industry, combined with the discussion on various types of sutures, common complications, and the site of actions were provided. The main limitations of present thread lifting material include: (1) the use of non-absorbable sutures is liable to cause allergies and a series of complications; (2) the absorbable sutures are easily degradation, and people need to reshape in a relatively short period. Therefore, the high biocompatible spider silk was proposed as a novel material of thread lifting suture and related devices, the advantages and preliminary achievements on spider silk were also addressed. Graphic Abstract

The addition of a conjunctival flap to a posterior lamella auricular cartilage graft: A technique to avoid corneal complications

2021 ◽  
pp. 112067212199891
Author(s):  
Constanza Barrancos ◽  
Ignacio García-Cruz ◽  
Beatriz Ventas-Ayala ◽  
Marco Sales-Sanz
Keyword(s):  
Donor Site ◽  
Lower Eyelid ◽  
Cartilage Graft ◽  
Auricular Cartilage ◽  
Inferior Margin ◽  
Conjunctival Flap ◽  
Absorbable Sutures ◽  
Inferior Border ◽  
Superior Portion ◽  
Superior Border

Purpose: To present the benefits of the addition of a conjunctival flap when correcting lower eyelid retraction using an auricular cartilage graft. Methods: An auricular cartilage graft was obtained either from the concha o the scaphoid fossa. When preparing the receiving bed, the conjunctival incision was made 2 mm below the inferior margin of the lower eyelid tarsus, therefore, a conjunctival flap arising from the inferior border of the tarsus was obtained. The cartilage graft was placed in the lower eyelid. The inferior border of the graft was sutured to the retractors and conjunctiva using absorbable sutures. The superior border was sutured to the inferior tarsus, so that de conjunctival flap covered the superior portion of the graft. Results: Fourteen patients underwent the surgical technique. No corneal complications were observed in the early or late postoperative period. Donor site complications were not encountered. Conclusions: The confection of a conjunctival flap that lines the superior portion of an auricular cartilage graft in the lower eyelid provides protection against corneal postoperative complications until the graft is epithelized.

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