scholarly journals An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

2018 ◽  
Author(s):  
Federico Coccolini ◽  
Stefano Raimondo ◽  
Giulia Montori ◽  
Fausto Catena ◽  
Massimo Sartelli ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Failure Rate ◽  
Surgical Repair ◽  
Complete Healing ◽  
Duodenal Perforation ◽  
High Failure Rate ◽  
Repair Technique ◽  
Patients At Risk ◽  
Duodenal Perforations ◽  
New Surgical Technique

The treatment of duodenal perforations has scarce options and it is very difficult with an high failure rate. The aim of this work is to describe a new surgical technique that was used to treat ten patients suffering from duodenal perforation. The procedure based on the concept to enforce the duodenal suture with remodeling material allowing to the inflamed and oedematous tissues to heal without to be cut by the repairing stitches themselves, is performed with biological prosthesis patches. 90% of patients treated with this innovative technique experienced a complete healing of the duodenal perforation. This unique surgical technique not only proved to be safe, but it also solved the 90% of duodenal perforations in patients at risk to die.

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.

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

2021 ◽  
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.

Surgical Repair of Acute Gracilis Muscle Rupture in the Racing Greyhound

1992 ◽  
Vol 05 (01) ◽  
pp. 18-21 ◽  
Author(s):  
R. Eaton-Wells
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Surgical Repair ◽  
Gracilis Muscle ◽  
Back Muscle ◽  
Suture Materials ◽  
Muscle Rupture

A retrospective study of the surgical repair of 27 cases of acute gracilis muscle rupture ("dropped back muscle") in 23 racing greyhounds was conducted.All of the dogs suffered the injury while racing or training. Suture materials and surgical technique are described. The dogs ability to resume racing was assessed.

scholarly journals Management of scope-induced type I duodenal perforations: Over-the-scope clip versus surgery

2021 ◽  
Author(s):  
Amol S. Dahale ◽  
Siddharth Srivastava ◽  
Sundeep Singh Saluja ◽  
Sanjeev Sachdeva ◽  
Ashok Dalal ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Delayed Diagnosis ◽  
Oral Intake ◽  
Standard Of Care ◽  
Duodenal Perforation ◽  
Type I ◽  
Over The Scope Clip ◽  
Group 2 ◽  
Duodenal Perforations ◽  
Surgical Group

Abstract Background Scope-induced duodenal perforation is a life-threatening complication and surgery remains the standard of care. With the advent of over-the-scope clip (OTSC), scope-induced perforations are increasingly managed conservatively, though there is no study comparing this form of non-surgical treatment with surgery. We aimed to compare OTSC and surgery in the management of scope-induced perforation of the duodenum. Methods We retrospectively collected data of scope-induced duodenal perforation patients. Perforations identified and treated within 24 h of procedure were analyzed. Factors analyzed were spectrum, etiology, baseline parameters, perforation size, outcome, comorbidities, and duration of hospital stay. Results A total of 25 patients had type I duodenal perforations, out of whom five were excluded due to delayed diagnosis and treatment. Of the twenty, eight were treated with OTSC placement while the rest underwent surgery. Age was comparable and the majority were females. Baseline parameters and comorbidities were similar in both the groups. The median size of perforation was 1.5 cm in both the OTSC group and the surgical group. All patients were treated with standard of care according to institutional protocols. Patients in the OTSC group were started orally after 48 h of OTSC placement, while in the surgery group median time to oral intake was 7 days. Two patients in the surgical group died while there was no mortality in the OTSC group (p = 0.48). Median hospital stay was shorter in the OTSC group (2 days vs. 22 days, p = 0.003). Conclusions OTSC is a feasible and better option in type I duodenal perforations with a shorter hospital stay.

The orbitozygomatic infratemporal approach: A new surgical technique

1986 ◽  
Vol 26 (3) ◽  
pp. 271-276 ◽  
Author(s):  
Akira Hakuba ◽  
Shu-shan Liu ◽  
Nishimura Shuro
Keyword(s):  
Surgical Technique ◽  
Infratemporal Approach ◽  
New Surgical Technique
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