PubMed Health⌕ Search

Biomedical subjects

T E Ustüner

Publications and source records attributed to T E Ustüner.

5 recordsLinked to original sources

Comparison of nylon and polypropylene sutures in a microvenous thrombosis model.

Thrombosis rates of femoral end-to-end microvenous anastomoses with nylon and polypropylene sutures (9-0 suture, 70 mu needle) were compared in a microvenous thrombosis model. The vessel injuries were produced during anastomosis by using a suture with a knot 1 cm from the needle. Anastomotic thrombosis rates were assessed by visual inspection and strip test at 24 hr postoperatively. Low thrombosis rates (0% and 20%, respectively) of anastomoses with both unknotted nylon and unknotted polypropylene sutures were obtained. Anastomoses with knotted nylon and polypropylene sutures resulted in 65% and 45% thrombosis rates, respectively. Statistical analyses showed that there were no significant differences between thrombosis rates, both in anastomosis performance with unknotted nylon and polypropylene sutures (P > 0.05) and with knotted nylon and polypropylene sutures (P > 0.05), while there were significant differences between the thrombosis rate using unknotted sutures and knotted sutures (P < 0.01). It was concluded that vascular injury, not suture material, is the main factor leading to thrombosis in this model.

Anastomosis, Surgical↗

Anteromedial thigh: a source for phallic reconstruction.

The anteromedial thigh region is a fruitful site to create different types of fasciocutaneous flaps and compound flaps because of its versatile fasciocutaneous vascularization. On the other hand, phallic reconstruction is still a challenge. We used a proximally based, fasciosubcutaneous pedicle anteromedial thigh fasciocutaneous flap to reconstruct a penis for an electrical burn patient, including the gracilis muscle into the flap for additional bulk. This flap has the potential for sensory reinnervation, its application is easy with regard to a microvascular operation and it presents a remarkable option in phallic reconstruction.

Adult↗

Primary tuberculosis of the parotid gland.

A very unusual presentation of Mycobacterium tuberculosis in the parotid gland substance is described to suggest reexamination of the place of tuberculosis in the differential diagnosis of a parotid mass. In this patient, diagnosis was made postoperatively only by histologic examination of the excised specimen. When M. tuberculosis etiology is suspected, either clinically or at operation, culture confirmation should be tried, and a Mantoux test should be performed to complete the investigation.

Child↗

Use of a sartorius myofasciocutaneous flap for reconstruction of a large, full-thickness abdominal wall defect.

Many methods for the repair of abdominal wall defects have been described in the literature. In this report we present an alternative to the widely used thigh flaps for repair of large full-thickness abdominal wall defects not amenable to direct closure or repair with local flaps. We report one case of this type of abdominal wall defect closed in one stage using a proximally based sartorius myofasciocutaneous flap. Although an excellent result was obtained in this case, the general applicability of the sartorius proximally based flap in plastic surgery of the abdominal wall requires further investigation.

Abdominal Muscles↗