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At least 199 records · Page 11Linked to original sources
PubMed1998

'External' Mustarde suture technique in otoplasty.

Although preferences may vary in otoplasty surgery the antihelical fold is frequently created using Mustarde sutures. Technically it is important to insert the needle through the cartilage at right angles and to take a good 'bite' of cartilage. These technical objectives are easily achieved by bringing the needle out through the skin and then placing it in a redirected course through exactly the same needle hole from which it exited the skin. The technique is simple and easily learnt.

Dermatologic Surgical Procedures↗
PubMed1983

[Results of cryosurgical treatment of conization wounds in comparison with electrocoagulation and Sturmdorff suture].

There is reported about results of curing and complications of cryosurgery on conisation-wounds in 102 patients using spray-freezing as well as contact method.--The results were compared with those of wound-care by electrocoagulation and Sturmdorff-suture technics. The evaluation was performed according to absolutely clinical criterions. Physical parameters like freezing depth and diffusion of temperature have not been measured.--Cryotherapy showed less complication and produces good cosmetic results. Cryotherapy with a sure aim means an enrichment of our therapeutic possibilities in treating conisation-wounds.

Biopsy↗
PubMed1998

[Management of the anterior cruciate ligament rupture: indications, choice of procedure, timing, concomitant and after-care].

The indication for operative or conservative treatment of the anterior cruciate ligament remains still difficult. Many years of intensive basic and clinical research and a better knowledge of biology, biomechanics and pathology have not been achieved standards of therapy. Therefore varying treatment options exist. In this paper we give an overview on the main indications and common treatments. Untreated ruptures of the ACL result in severe functional impairment. Therefore we find a wide indication for an operative reconstruction. Patient orientated factors (age, activity level, morphotype) and the range of instability are important for the decision-making between operative and conservative treatment. The time of intervention is determined by the chosen treatment. Multidirectional instabilities, ruptures of meniscus or damage of cartilage need an early, isolated injuries of the ACL an early or later (until 4 weeks) surgical therapy. An anatomical ligament reconstruction (so called "suture") is possible only for selected ruptures near the femoral insertion. Operative treatment needs a special suture technic and autologous or allogenous augmentation. In 15 until 25% of all ACL ruptures good results can be obtained in this way. In all other types of ruptures only a reconstruction using autologous material (lig. patellae, semitendinosous tendon) is recommended. Rehabilitation after ACL ruptures depends on the method of treatment (conservative procedure, reconstruction material, fixation technique, associated lesions) and has to be adapted to the biological healing process. Normally an immobilisation (cast, orthesis) has no benefit for ligament healing.

Anterior Cruciate Ligament↗
PubMed1978

Vascular trauma secondary to diagnostic and therapeutic procedures: laparoscopy.

Diagnostic and therapeutic laparoscopy are safe procedures that only rarely cause significant morbidity. However, major abdominal arterial and venous injury may occur, requiring prompt recognition and laparotomy. Direct compression will control major hemorrhage until resuscitation is complete. Vascular repair utilizing principles of proximal and distal control, good exposure, appropriate anticoagulation, and lateral suture technic should result in restoration of normal blood flow without significant sequelae.

Adult↗
PubMed1995

Isolated cleft mitral valve: valve reconstruction techniques.

Reports concerning an isolated cleft of the anterior mitral valve are rare. This congenital anomaly of the mitral valve is usually repaired by suturing the edges of the cleft. We report 4 cases of isolated anterior mitral cleft. The patients ranged in age from 13 to 41 years. The clinical symptoms were those typical of mitral insufficiency. In all 4 patients, preoperative echocardiography was able to establish the exact anatomic diagnosis. In 1 patient, the cleft was directly sutured, whereas, in the other 3 patients, a fibrous reaction of the edges of the cleft with a subsequent lack of valvular tissue made direct suture technically impossible. Instead, the fibrous edges of the cleft were resected and the anterior leaflet of the mitral valve was reconstructed using an autologous pericardial patch pretreated with buffered glutaraldehyde. All 4 patients underwent annuloplasty together with placement of a Carpentier mitral ring. Postoperative echocardiograms have confirmed good results of the repair; 1 patient has a trivial insufficiency and 3 have a completely competent mitral valve.

Adolescent↗
PubMed1985

Evaluation of a new povidone-iodine-impregnated polyethylene oxide gel occlusive dressing.

Forty-five surgical wounds were closed by suture technic and then treated with either a polyethylene oxide gel (POG) dressing or a povidone-iodine-impregnated polyethylene oxide gel (PVPI-POG) dressing. In the control group with the POG dressing alone, three wound infections, representing 25% of those patients, were encountered. In the PVPI-POG dressing group no wound infections were encountered. Wound healing, in terms of reduced inflammation and faster epidermal approximation, appeared better in the PVPI-POG dressing group.

Gels↗
PubMed1984

Controlled postoperative mobilization of sutured extension tendons of the long fingers.

The authors describe a technique of controlled postoperative mobilization of extensor apparatus. They make use of Levame splint in all injuries of extensor-tendons of the last four fingers except for "mallet finger" and "buttonhole". This technique is issued of the so called Kleinert primary suture technic for flexor-tendons and its effectiveness was controlled by electromyography. The Levame splint is used for thirty days and the active flexion is immediately authorized. From 1976 to 1981, 80 cases were treated with this technique and no rupture had happened, and the good results amount to 86%.

Finger Injuries↗
PubMed2003

[Influential factors in anastomosis healing].

Anastomotic leakage after visceral surgery is one of the most important and feared complication. According to the literature the rate of clinically apparent anastomotic leakage ranges from 3.4% to as high as 12% and at least one third of the mortality after colorectal surgery is attributed to leaks at the anastomotic site. Within this context, knowledge of factors influencing anastomotic healing appears even more important. Beside surgical-technical (suture technique, suture material) and surgical-tactical factors (primary anastomosis vs. discontinuity resection or formation of protective diverting stomas) knowledge of the various endogenous (diabetes, sepsis, infection, malnutrition) and exogenous factors (steroids, radiation, preoperative bowel preparation) influencing anastomotic healing is essential. Recently, it has been demonstrated that Mycophenolate mofetil, an immunosuppressive drug that is currently used in transplantation and in chronic inflammatory diseases significantly impairs mechanical stability of the healing anastomosis. In contrary, local application of keratinocyte growth factor (KGF) as well as insulin-like growth factor-I (IGF-I) have been shown to accelerate and improve anastomotic healing and mechanical stability in an animal model. Studies that will identify further factors and drugs influencing anastomotic healing are of great importance since the use of such drugs could have enormous clinical implications. The traditional use of temporary diverting stomas following operations such as coloanal anastomosis or ileopouch anastomosis as well as Hartmann's discontinuity resection could be eliminated even in immunocompromised or other high risk patients.

Anastomosis, Surgical↗
PubMed1982

Stapling in intestinal surgery.

Although stapling technology was introduced to surgical procedures early in this century, its accelerated use has taken place since 1968. Several methods of restoring interrupted continuity of the large and small bowel are available to the surgeon. The method used is influenced by the level involved, especially as it relates to the availability of the two ends to be joined. The degree of cleansing of the bowel lumen also affects the method chosen, especially in colorectal anastomosis. The surgeon should avail himself of the appropriate training in the operation and use of stapling instruments because the principles of stapling technology differ from those of conventional suturing technics.

Colon↗