Controversies: Is FUE a repair technique or small case technique rather than a first option for MPB?

2011 ◽  
Vol 21 (6) ◽  
pp. 192-192
Author(s):  
Russell Knudsen
Keyword(s):  
Repair Technique

Geometric Analysis of the Bilobed Flap for Nasal Reconstruction Surgery

FACE ◽  
2021 ◽  
pp. 273250162199390
Author(s):  
Daniel Henick ◽  
Kelvin K. Ampem-Darko ◽  
Farah Sayegh ◽  
Paymon Sanati-Mezrahi ◽  
Mehul Bhatt ◽  
...  
Keyword(s):  
Geometric Analysis ◽  
Nasal Reconstruction ◽  
Anatomical Features ◽  
Reconstruction Surgery ◽  
Repair Technique ◽  
Bilobed Flap ◽  
Calculated Ratio ◽  
Flap Design ◽  
Objectively Measured ◽  
Angle Of Rotation

Background: Reconstruction of the nose can be difficult due to its complex anatomical features. In 1989, Zitelli described a modified version of the bilobed flap design technique using 45° and 90° angles to improve nasal reconstructions. While the bilobed flap is still frequently referenced in scholarly literature, there seems to be inconsistency in preoperative flap design; these deviations can lead to suboptimal outcomes. The authors aim to illustrate the variability in bilobed flap execution and provide guidelines in preoperative design to improve consistency. Methods: A geometrically-based approach was used to characterize the inconsistency of bilobed repair technique. The pre-operative design images from fifteen scholarly articles were analyzed via a series of measurements and computations to quantify the angle of rotation and dimensions for the primary and secondary lobes. The “Error Quotient” was a calculated ratio that objectively measured the extent to which a bilobed design deviated from Zitelli’s specifications. Results: There was a noticeable variability in the design of both the primary and secondary lobes. Bilobed designs with smaller angles of rotation, particularly of the first lobe, were associated with higher Error Quotients and greater amounts of deviation from Zitelli’s design. Designs with the smallest Error Quotients had a primary lobe rotation that approached 45°. Conclusion: Consistency of application of the bilobed flap should be established to allow for optimal results, particularly with emphasis on design of the primary lobe. This can be accomplished by including a disposable protractor and marker in their sterile kit to measure a 45° rotation.

scholarly journals A technique for repairing rotator cuff transtendinous tears with a remnant attached to the footprint

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Hyung-Suk Choi ◽  
Byung-Ill Lee ◽  
Jae-Hyung Kim ◽  
Hyung-Ki Cho ◽  
Gi-Won Seo
Keyword(s):  
Rotator Cuff ◽  
Surgical Technique ◽  
Subchondral Bone ◽  
Suture Anchor ◽  
Surgical Repair ◽  
Tendon Healing ◽  
Repair Technique

Abstract Background Some unusual rotator cuff (RC) tears are located in more proximal tendinous portions, with substantial remnant tissue attached to the footprint. The two options for surgical repair are sacrificing or preserving the remnant tissue. We introduce a surgical repair technique that preserves as much of the remnant footprint as possible. Surgical technique A double-loaded suture anchor is inserted into the subchondral bone at the medial portion of the RC footprint; the lateral remnant tissue is preserved. Each strand is shuttled and repassed through the medial portion of the tendon in a mattress fashion using a suture hook device. Then, multiple no. 1 PDS sutures are passed through the medial and lateral stumps and left untied. Strands from the suture anchor are first tied in a double mattress fashion. Then, the repair is completed by tying the remaining no. 1 PDS sutures. Conclusions We propose a remnant-preserving RC repair technique for transtendinous RC tears with sufficient tissue remaining within the RC footprint. This technique appears advantageous in terms of re-establishing an environment that promotes tendon healing after repair.

Residual Stresses in Overlapping Friction Taper Stud Welds

2010 ◽  
Vol 652 ◽  
pp. 111-115 ◽  
Author(s):  
D.G. Hattingh ◽  
Axel Steuwer ◽  
M. Neil James ◽  
I.N. Wedderburn
Keyword(s):  
Solid State ◽  
Neutron Diffraction ◽  
Residual Stresses ◽  
Creep Damage ◽  
Local Damage ◽  
Planar Defects ◽  
Repair Technique ◽  
Damage Repair ◽  
Stud Welding ◽  
Residual Strains

This paper presents microstructural, hardness and residual strain information for solid-state welds in creep-resistant Cr-Mo steel, made using the new local damage repair technique offered by friction taper stud welding (FTSW). The technique is suitable for making single welds to repair, for example, localised creep damage but can also be extended to deal with planar defects through the use of overlapping welds. Neutron diffraction was used to measure residual strains at a number of positions along a series of 5 overlapping FTS welds.

scholarly journals Identification of optimal device combinations for the chimney endovascular aneurysm repair technique within the PERICLES registry

2018 ◽  
Vol 68 (1) ◽  
pp. 24-35 ◽  
Author(s):  
Salvatore T. Scali ◽  
Adam W. Beck ◽  
Giovanni Torsello ◽  
Mario Lachat ◽  
Paul Kubilis ◽  
...  
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Repair Technique ◽  
Aneurysm Repair

Laser solder repair technique for nerve anastomosis: temperatures required for optimal tensile strength

1998 ◽  
Author(s):  
Karen M. McNally-Heintzelman ◽  
Judith M. Dawes ◽  
Antonio Lauto ◽  
Anthony E. Parker ◽  
Earl R. Owen ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Repair Technique ◽  
Nerve Anastomosis

Florida sleeve root repair technique in a 57-year-old male with 5.3 cm aortic root and moderate aortic insufficiency

ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 306-306
Author(s):  
Kirsten A. Freeman ◽  
Thomas M. Beaver ◽  
Eric I. Jeng ◽  
Tomas D. Martin ◽  
George J. Arnaoutakis
Keyword(s):  
Aortic Root ◽  
Aortic Insufficiency ◽  
Repair Technique ◽  
Root Repair

scholarly journals Umbilical hernia: Factors indicative of recurrence

Medicina ◽  
2008 ◽  
Vol 44 (11) ◽  
pp. 855 ◽  
Author(s):  
Linas Venclauskas ◽  
Jolita Šilanskaitė ◽  
Mindaugas Kiudelis
Keyword(s):  
Risk Factors ◽  
Recurrence Rate ◽  
Umbilical Hernia ◽  
Hernia Recurrence ◽  
Suture Repair ◽  
Repair Technique ◽  
Umbilical Hernia Repair ◽  
Open Mesh Repair ◽  
Onlay Technique ◽  
Hernia Size

Umbilical hernia has gained little attention from surgeons in comparison with other types of abdominal wall hernias (inguinal, postoperative); however, the primary suture for umbilical hernia is associated with a recurrence rate of 19–54%. The aim of this study was to analyze the results of the umbilical hernia repair and to assess the independent risk factors influencing umbilical hernia recurrence. Materials and methods. A retrospective analysis of patients who underwent surgery for umbilical hernia in the Hospital of Kaunas University of Medicine in 2001–2006 was performed. Age, sex, hospital stay, hernia size, patient’s body mass index, and postoperative complications were analyzed. Postoperative evaluation included pain and discomfort in the abdomen and hernia recurrence rate. The questionnaire, which involved all these previously mentioned topics, was sent to all patients by mail. Hernia recurrence was diagnosed during the patients’ visit to a surgeon. Two surgical methods were used to repair umbilical hernia: open suture repair technique (keel technique) and open mesh repair technique (onlay technique). Every operation was chosen individually by a surgeon. Results. Ninety-seven patients (31 males and 66 females) with umbilical hernia were examined. The mean age of the patients was 57.1±15.4 years, hernia anamnesis – 7.6±8.6 years, hospital stay – 5.38±3.8 days. Ninety-two patients (94.8%) were operated on using open suture repair technique and 5 (5.2%) patients – open mesh repair technique. Only 7% of patients whose BMI was >30 kg/m2 and hernia size >2 cm and 4.3% of patients whose BMI was <30 kg/m2 and hernia size <2 cm were operated on using onlay technique (P>0.05). The rate of postoperative complications was 5.2%. Sixty-seven patients (69%) answered the questionnaire. The complete patient’s recovery time after surgery was 2.4±3.4 months. Fourteen patients (20.9%) complained of pain or discomfort in the abdomen, and 7 patients (10.4%) had ligature fistula after the surgery. Forty-five patients (67.2%) did not have any complaints after surgery. The recurrence rate after umbilical hernia repair was 8.9%. The recurrence rate was higher when hernia size was >2 cm (9% for <2 cm vs 10.5% for >2 cm) and patient’s BMI was >30 kg/m2 (8.6% for < 30 vs 10.7% for >30). There were 5 recurrence cases after open suture repair and one case after onlay technique. Fifty-six patients (83.6%) assessed their general condition after surgery as good, 9 patients (13.4%) as satisfactory, and only 2 patients (3%) as poor. Conclusions. We did not find any significant independent risk factors for umbilical hernia recurrence. However, based on reviewed literature, higher patient’s body mass index and hernia size of >2 cm could be the risk factors for umbilical hernia recurrence.

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