The Full-Thickness Palatal Graft Technique: Description of an Original Surgical Technique and 15 Case Reports

2019 ◽  
Vol 39 (2) ◽  
pp. 267-277
Author(s):  
Michele Paolantonio ◽  
Paolo De Ninis ◽  
Lorenzo Secondi ◽  
Beatrice Femminella
Keyword(s):  
Surgical Technique ◽  
Case Reports ◽  
Full Thickness

Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture: Surgical Technique and Case Report

2017 ◽  
Vol 10 (5) ◽  
pp. 465-469 ◽  
Author(s):  
Rishin Kadakia ◽  
Jeff Konopka ◽  
Tristan Rodik ◽  
Samra Ahmed ◽  
Sameh A Labib
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Case Reports ◽  
Wound Complications ◽  
Open Approach ◽  
Arthroscopic Reduction ◽  
Body Fracture ◽  
Anatomic Reduction ◽  
Talar Body Fracture

The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections. In this article, the authors describe a surgical technique of an arthroscopic reduction and internal fixation of a comminuted posterior talar body fracture. Compared with an open posterior approach with or without osteotomies, an arthroscopic technique improved visualization and allowed precise reduction and fixation. Levels of Evidence: Level V: Case report

Comparison of a new hydro-surgical technique to traditional methods for the preparation of full-thickness skin grafts from canine cadaveric skin and report of a single clinical case

2012 ◽  
Vol 25 (01) ◽  
pp. 42-48 ◽  
Author(s):  
S. C. Ralphs ◽  
G Coronado ◽  
D. C. Sweet ◽  
J. Ward ◽  
C. P. Bloch ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Skin Graft ◽  
Clinical Case ◽  
Subcutaneous Tissue ◽  
Skin Grafts ◽  
Full Thickness ◽  
Preparation Methods ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Significant Difference

SummaryObjective: To compare the hydro-surgical technique to traditional techniques for removal of subcutaneous tissue in the preparation of full-thickness skin grafts.Study design: Ex vivo experimental study and a single clinical case report.Sample population: Four canine cadavers and a single clinical case.Methods: Four sections of skin were harvested from the lateral flank of recently euthanatized dogs. Traditional preparation methods used included both a blade or scissors technique, each of which were compared to the hydro-surgical technique individually. Preparation methods were compared based on length of time for removal of the subcutaneous tissue from the graft, histologic grading, and measurable thickness as compared to an untreated sample.Results: The hydro-surgical technique had the shortest skin graft preparation time as compared to traditional techniques (p = 0.002). There was no significant difference in the histological grading or measurable subcutaneous thickness between skin specimens.Clinical significance: The hydro-surgical technique provides a rapid, effective debridement of subcutaneous tissue in the preparation of full-thickness skin grafts. There were not any significant changes in histological grade and subcutaneous tissue remaining among all treatment types. Additionally the hydro-surgical technique was successfully used to prepare a full-thickness meshed free skin graft in the reconstruction of a traumatic medial tarsal wound in a dog.Presented at the ACVS symposium during the resident seminar, Seattle, Washington,USA on October 22, 2010.

scholarly journals Characteristics and Risk Factors for Spontaneous Closure of Idiopathic Full-Thickness Macular Hole

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Xida Liang ◽  
Wu Liu
Keyword(s):  
Risk Factors ◽  
Macular Hole ◽  
Case Reports ◽  
Primary Treatment ◽  
Small Sample ◽  
Spontaneous Closure ◽  
Full Thickness ◽  
Macular Holes ◽  
Pubmed Database ◽  
Full Thickness Macular Hole

Idiopathic full-thickness macular hole is a severe visual impairment disease. Pars plana vitrectomy remains the primary treatment option for idiopathic full-thickness macular holes, and over 90% idiopathic full-thickness macular holes are closed by vitrectomy surgery. However, the full-thickness macular hole may close spontaneously, with a good visual acuity progress. Since recent studies are small-sample studies and case reports, the characteristics for spontaneous closure of idiopathic full-thickness macular holes are not fully understood. Here, we review the articles in PubMed database from 1999 to 2018 and discuss the characteristic and the risk factors, especially OCT structure features, for spontaneous closure of idiopathic full-thickness macular holes.

A Novel Approach to Managing a Strangulated De Garengeot’s Hernia

2020 ◽  
pp. 000313482094355
Author(s):  
Francis J. Simpson ◽  
Katherine Fay ◽  
Vivian Wang ◽  
David Elwood
Keyword(s):  
Surgical Technique ◽  
Significant Variation ◽  
Case Reports ◽  
Relevant Literature ◽  
Vermiform Appendix ◽  
Open Approach ◽  
Hernia Defect ◽  
Elderly Female ◽  
Novel Approach ◽  
De Garengeot’S Hernia

De Garengeot’s hernia, the presence of an incarcerated vermiform appendix within a femoral hernia, is a rare general surgery emergency that predominantly affects elderly female patients. Due to its rarity, there is significant variation in surgical technique; however, most case reports favor an open approach. Here we present a case of a De Garengeot’s hernia with a unique hybrid open and laparoscopic repair, utilizing the hernia defect as a port site. We will also review the relevant literature.

scholarly journals Penetrating keratoplasty for treatment of corneal abscesses in horses – case report

2013 ◽  
Vol 82 (3) ◽  
pp. 303-307
Author(s):  
Zita Makra ◽  
Imre Biksi ◽  
Gábor Bodó
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Medical Therapy ◽  
Penetrating Keratoplasty ◽  
Corneal Stroma ◽  
Surgical Removal ◽  
Full Thickness ◽  
Effective Technique ◽  
Corneal Incision ◽  
Donor Graft

This case report describes the surgical technique and outcome of allograft transplantation to treat full thickness corneal abscesses in three horses. In all three cases penetrating keratoplasty was performed. Each affected eye had an abscess within the corneal stroma. An initial full thickness circular corneal incision was made around the lesion. After excision of the stromal abscess the created defect was replaced with a larger diameter full thickness donor graft and the initial corneal incision was repaired. All of the horses that underwent penetrating keratoplasty procedure healed with a scar at the graft site and remained visual. Penetrating keratoplasty is an effective technique for surgical removal of medically nonresponsive full thickness stromal abscess in horses and results in a visual and cosmetically acceptable globe. The advantages of this technique compared to medical therapy are that there is less scarring, shorter healing times and less damage of the globe because of the concurrent uveitis. To the authors’ knowledge, clinical experience with penetrating keratoplasty in horses has not been reported in Europe so far.

scholarly journals Proximal tibial reconstruction with auto transplantation of the fibular growth plate: two case reports, describing the surgical technique

SpringerPlus ◽  
2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Pedro Péricles Ribeiro Baptista ◽  
Cassiano Leão Bannwart ◽  
Felipe Augusto Ribeiro Batista ◽  
Davi Gabriel Bellan
Keyword(s):  
Surgical Technique ◽  
Growth Plate ◽  
Case Reports

Limbal choristomas - analysis of surgical technique and postoperative results (3 case reports)

2009 ◽  
Vol 87 ◽  
pp. 0-0
Author(s):  
R ASOKLIS ◽  
L BUTKIENE ◽  
G JUODKAITE ◽  
A MAKSELIS ◽  
D PETROSKA ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Case Reports ◽  
Postoperative Results

scholarly journals Fracture of the Posteromedial Tubercle of the Talus: Case Series of Fifteen Patients Along with Cadaveric Dissection and Anatomic Considerations for Surgical Approach

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0045
Author(s):  
Andrew M. Steffensmeier ◽  
Robert Matar ◽  
David Chung ◽  
Ruixian A. Yue ◽  
Tonya L. Dixon ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Medical Center ◽  
Case Reports ◽  
Case Series ◽  
Cadaveric Dissection ◽  
Subtalar Dislocation ◽  
Posterior Process ◽  
Subtalar Arthritis ◽  
Operative Fixation

Category: Ankle; Hindfoot; Trauma Introduction/Purpose: Fractures of the talus are among the most commonly fractured bone of the foot, with 10 to 21% involving the posterior process. These fractures have not been well characterized or reported in the literature and is limited to case reports and case series. The primary objective of this study is to characterize posterior process fractures, describe a surgical approach for open reduction internal fixation (ORIF) with the use of cadaveric dissection pictures of surgical technique and describe 15 cases. Methods: A search query of the institutional database was performed for all adult patients that sustained talar fractures at the University of Cincinnati Medical Center from 1/1/2010 to 12/31/2018. Patients sustaining posterior process talus fractures who underwent operative fixation and nonoperative treatment were identified. All radiographs and CT images were then reviewed by three orthopedic surgeons and the electronic medical record was reviewed for injury characteristics, method of operative fixation, and postoperative complications. Results: 15 cases of posterior process fractures were identified. Overall, 4 patients had fixation placed in the posterior process fracture while 11 did not. None of the patients who underwent ORIF of the posterior process developed subtalar arthritis at their latest follow-up, while 3 of the 11 (27.3%) that did not receive fixation suffered from subtalar arthritis and 1 (9.1%) required surgery for removal of retained loose bodies. 13 patients (86.67%) initially had plain radiographs that missed the diagnosis. Cadaveric specimens were used to illustrate surgical approach for ORIF of these talus fractures. Anatomic pictures of the surgical dissection were taken to show the extent of exposure to the posterior process fracture using traditional techniques, as well as methods of distraction to enhance visualization are demonstrated. Conclusion: Providers must have high suspicion for posterior process talus fractures as many are missed on the initial radiographs. CT scans are recommended for all patients with subtalar dislocations. Those with subtalar dislocation tend to have comminuted fragments. Significant morbidity is associated with this injury regardless of whether it is treated operatively or nonoperatively. We describe a surgical technique using distractors to adequately visualize the posteromedial process fracture of the talus.

scholarly journals Surgical pearl on reconstructing surgical defects of the nasal tip

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Artur César ◽  
Ana Barros ◽  
Paulo Santos ◽  
Filomena Azevedo
Keyword(s):  
Surgical Technique ◽  
Nasal Dorsum ◽  
Full Thickness ◽  
Nasal Tip ◽  
Skin Defects ◽  
Full Thickness Skin ◽  
One Stage ◽  
Thickness Skin ◽  
Cutaneous Flap

Repairing surgical defects of the nasal tip is challenging, mainly because of the lack of freely mobile skin available peripherally. The Peng flap is a one-stage cutaneous flap that circumvents this difficulty by recruiting skin from the nasal dorsum and sidewall regions. The design produces a tridimensional shape perfectly adapted to the configuration of the nasal tip and allows for an inconspicuous closure of the defect. We present three examples of full-thickness skin defects involving the nasal tip, reconstructed using a modified version of the Peng flap, and present the experience at our department with this surgical technique.

scholarly journals No Mortality or Pancreatic Fistula After Full-Thickness Suture Pancreaticogastrostomy in 39 Patients Who Underwent Pancreaticoduodenectomy

2015 ◽  
Vol 100 (2) ◽  
pp. 275-280 ◽  
Author(s):  
Ozdemir Fatih ◽  
Baskiran Adil ◽  
Ara Cengiz ◽  
Ates Mustafa ◽  
Kahraman Ayşegul Sagir ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Pancreatic Fistula ◽  
Pancreatic Surgery ◽  
Morbidity And Mortality ◽  
Full Thickness ◽  
Safe Method ◽  
Standard Operation ◽  
Duct Diameter ◽  
Periampullary Tumors ◽  
Pancreatic Texture

Pancreaticoduodenectomy is considered the standard operation for periampullary tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous surgical technique and proper reconstruction of the pancreas are essential to prevent pancreatic fistula. Pancreaticogastrostomy is a safe method for reconstruction of the pancreas after pancreaticoduodenectomy. Regardless of pancreatic texture or duct diameter, the reconstruction is performed by passing full-thickness sutures through both the anterior and posterior sides of the pancreas. In this study, we report 39 cases of reconstruction with pancreaticogastrostomy after pancreaticoduodenectomy without mortality or pancreatic fistula.

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