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At least 145 records · Page 8Linked to original sources
PubMed1997

[Selective episiotomy. Comparison of two suture technics].

AIMS: The study aimed to highlight any differences between the sequelae of episiorrhaphy performed using the Blair-Donatti and Guilmen-Pontonnier techniques. METHODS: A total of 202 pregnant women were recruited in the Obstetrics Ward of Codogno Civic Hospital in 1994 and 1995. Subjects were randomly divided into two groups matched for socioeconomic status, age and parity (group A: Guilmen-Pontonnier suture, group B: Blair-Donatti suture). The following parameters were evaluated: pain twenty-four hours, sixty-six hours and one, two and three months after labour, pain during sexual relations, the onset of infection, hematoma, dehiscence of the wound, and lastly the cosmetic results. RESULTS: No significant differences were found between the parameters examined in both groups, barring the improved cosmetic result in group A.

Adult↗
PubMed1980

[Suturing technic in penetrating keratoplasty--comparative study].

From the patients who underwent keratoplasty within the last three years we selected 40 out of a total of 121 with the following common features: diameter of the button 7.1 mm, indication for surgery for optical reasons, healing of the button with sufficient clarity, achieving visual acuity of 0.5 or better. In 20 patients we used a running 10/0 nylon suture; in the remaining 20 cases we combined single 8/0 silk sutures with a runing 10/0 prolene suture. No statistically significant difference between the two groups was found when corneal astigmatism was compared to six to eight months postoperatively (at least two months following suture removal). This also applied in respect of the resultant refraction difference. However, in cases of keratoconus the combined suture technique resulted in a lower degree of astigmatism than the running suture technique alone.

Astigmatism↗
PubMed1993

[Suture technic in perforating keratoplasty and postoperative astigmatism].

The authors evaluate postoperative vision, value of astigmatism and keratometry in 25 patients operated in 1992 by perforating keratoplasty, incl. 11 where the disc was fixed by interrupted stitches and 14 by continuous diagonal stitches. After evaluation of the influence of interrupted stitches and continuous diagonal stitches on postoperative astigmatism in perforating keratoplasty the authors recommend the use of diagonal suture. The reason is in the first place the uniform spreading and good adaptation of the transplanted cornea, as well as slighter traumatization and easier removal of stitches. An important role is played also by the larger number of measurable radii of the corneal curvature with regard to possible postoperative correction of astigmatism either by added stitches or differentiated adjustment of the tension of the continuous stitch.

Adult↗
PubMed1982

[Metabolic recovery of rat muscle after reparative microsurgery of peripheral nerves as a function of suture technics].

In the rat, a characteristic response to motor denervation is an increased flow of inorganic phosphate across the muscle cell membranes. This reaction is specific for the neurogenic atrophy and is fully reversible on reinnervation. In the present study, the muscle cell permeability to inorganic phosphate has been used as a criterion in assessing the efficiency of four different techinques. Microsurgery was carried out on peroneal nerve using a Zeiss OMP I operating room microscope. The technique were: I. Bringing together the two nerve segments with two epineural stitches (Ethilon 11/0 thread). II. Tight suture with eight epineural stitches (Ethilon 11/0 thread). III. As in II but with SSC 11/0 thread. IV. As in III but combined with postoperative corticotherapy. 32P radiophosphate incorporation was measured in the extensor digitorum longus and in the tibialis anterior. The best results were obtained with the first and simpler procedure. However, in some respects, equivalent results were observed with the fourth procedure associating a tight suture with postoperative corticotherapy. It follows that in the rat, it is indicated either to minimize the surgical trauma or to counteract the fibrosis attending the surgical trauma.

Animals↗
PubMed1976

[Model for practicing suture technics for reconstructive surgery on coronary vessels].

Surgery on coronary vessels requires high surgical skill. For this reason generally, operations on experimental animals are carried out for exercise. These operative interventions require an extensive display of technique and personnel. A phantom, i.e. an arrested perfused porcine heart, was used to exercise the surgical technique. Material and personnel could be spared by this way, and a great number of exercising operations was performed. The phantom is described and its efficiency discussed.

Animals↗
PubMed1984

[Single or double layer? A controlled prospective study on the comparison of 2 suture technics in gastrointestinal anastomoses].

In a controlled clinical trial in 165 patients single layer anastomoses (n = 103) were compared to two layer anastomoses (n = 62). All anastomoses were controlled radiologically. The rate of dehiscence was 7.7% (n = 8) for the single layer group, 6.5% (n = 4) for the two layer group. Six patients died, 3 of both groups (2.9%:4.8%). There was no significant difference. However, for gastrectomies and anastomoses of small and large bowel single layer anastomoses seem to be preferable, for partial gastric resection two layer anastomoses. Factors predisposing for anastomotic breakdown are: age beyond 50, colo-rectal anastomoses, protein levels beyond 6 mg%, carcinosis peritonei.

Adult↗
PubMed1994

[Anastomosis suture technic and complications of esophagocoloplasty in corrosive lesions].

For the reconstruction of the esophagus due to a corrosive stenosis a colon transplant is usually used. In all esophagocoloplastics three anastomosis are necessary: anastomosis that continues the alimentary tract, anastomosis of the distal part of transplant with the stomach or duodenum, and the most important proximal anastomosis of the esophagus (or pharynx) with the transplant. In the period of 29 years (from January 1, 1964 until December 31, 1993) on the Institute for digestive diseases in Belgrade 250 esophagocoloplastics were performed with 750 anastomosis, in the patients with corrosive stenosis of the esophagus. All the anastomosis are sewn in two layers with the interrupted or continuous stitch, except for the anastomosis with the pharynx where due to a structure of the wall a one layer continuous stitch was only possible. From 750 anastomosis in 30 patients or 4% an anastomotic leakage occurred and in only 4 patients or 0.5% it ended lethaly. Stenosis of the anastomosis occurred in 18 patients or 2.4%.

Anastomosis, Surgical↗
PubMed1985

[A new technic of cutaneous suture. The SAFE technic (Suture, Assisted by adhesive Film, for Esthetic results)].

A new cutaneous suture technique is described. It is designed for tegumental closing of rectilinear incisions in nonseptic surgery. The technique involves intradermal overcasting with monofilament non-resorbable suture covered with a double adhesive film which reduces strain and provides a therapeutic pressure; after ablation of the first film, it is replaced with adhesive films continuously for 2 months. This technique provides the following advantages: rapidity of suture, simplification of postoperative care, improvement in patient comfort, major reduction in duration of the inflammatory cicatricial period, improvement in final aesthetic results, spectacular in the case of zones under high mechanical tension (arms and legs, scapular belt, etc.), reduction in total cost: suture + postoperative dressing. This technique has been studied for 1 1/2 years in more than 400 patients undergoing various procedures, both for immediate suture and for resuture of the trunk and extremities; postoperative cicatrization appears to be optimal from the standpoints of both the surgeon and the patient, and in our experience, there have been only two minor allergic reactions which did not compromise normal cicatrization. This technique is presented in detail, with a summary of indications and results.

Cicatrix↗
PubMed1995

[Technique and quality of laparoscopic hand-sewn intestinal anastomoses in an experimental procedure].

In conventional surgery running suture of all intestine layers is used commonly. Therefore we have tested the following manual running suture technics for laparoscopic surgery using animal experiments. 1. Turnover technic: suture of front and back-wall from outside by using holding sutures. 2. Non-turnover-technic: special holding sutures to fix the back-wall and sewing from the inside followed by the front-wall from outside. 3. Clamp-technic: By using two special parallel closing clamps (Endo-Gauge) with a suture from inside and outside. The ends of the anastomosis are well fixed without additional suture. All animals (n = 15) survived without complications, without leakage of the anastomosis and only one third developed intraabdominal fusions. The main difference was in time performing the anastomosis: 64 min. for the turnover technic, 52 min. for the non-turnover technic and only 25 min for the clamp technic without holding sutures. According to this results, we start to design a new bowel-clamp for sewing laparoscopic anastomosis. Therefore it is possible to perform a laparoscopic manual running suture in a reasonable amount of time. Furthermore the laparoscopic manual suture is a good alternative to the stapler technic because it is much less expensive and leaves no foreign materials.

Anastomosis, Surgical↗
PubMedDate not supplied

Parietal sierosa for protecting colonic suture lines. Technical note.

Suture line leakage is a frequent, serious problem in colon surgery. We propose the use of a flap of the parietal peritoneum from the paracolic gutter, adjacent to the operative site, to protect right and left colon suture lines. The advantage of this method is that it permits complete exclusion of the sutured intestine from the peritoneal cavity and avoids the risks of leakage from an intestinal suture line within the peritoneal cavity.

Colon↗
PubMed1976

Visceral and parietal suture in abdominal surgery.

The effect of various modifications in suture technic on the healing of intestinal and other alimentary anastomoses is reviewed in the light mainly of controlled clinical comparisons by the author and other workers. (a) In small bowel anastomoses and in colonic and colorectal anastomoses in which both participating stumps have a peritoneal coat an inverting technic of suture has been found to be much more secure than an everting technic, but no significant difference has been demonstrated between the classic two-layer inverting technic and a one-layer inverting technic. However, for low anterior resections in which the distal stump is devoid of a peritoneal coat, the one-layer end-on slightly inverting technic has been shown to be followed by significantly fewer anastomotic dehiscences than the two-layer technic. (b) No controlled clinical studies are available regarding anastomoses in the upper gastrointestinal tract, but for anastomoses between the stomach and the intestine, the weight of surgical experience seems to be heavily in favor of a two-layer technic, whereas for esophago-gastric, -jejunal, or -colonic anastomoses there is one body of authoritative opinion in favor of a one-layer inverting technic. (2) The method of determining the relative merits of some of the many different ways of closing parietal abdominal wounds, by means of controlled clinical trails, is discussed. By one such trial, continuous layer suture with chromic catgut has been shown to be significantly inferior to catgut layer suture combined with tension, sutures or to figure-of-eight (Tom Jones) sutures of wire, as judged by the incidence of wound dehiscence or of subsequent incisional herniation. Reference is made to other trials in progress for evaluation of Prolene, Dexon, and other suture materials and comparison of median and paramedian incisions.

Abdomen↗
PubMed1982

[Aorto-iliac microbridge by continuous suture in the rat].

We have performed micro-anastomoses by continuous suture technic: --circular suture of an aorta with 9/0 and with 10/0 Vicryl three (90% permeability); --next we performed an aortic-iliac bypass thanks to a carotid graft (70% permeability). The verification was carried out by injection of the complete arterial system with solidifying agent, and we obtained an arterial fitting after corrosion by the mean of hydrochloric acid.

Animals↗
PubMed1976

A suture-tightening technic for delayed wound closure.

A method is described that allows the tightening of standard suture materials for skin approximation of open wounds. The need for wire sutures in such circumstances is therefore unnecessary. The technic has been applied in delayed primary or secondary wound closure, and in the tightening of loosened ties or retention sutures.

Humans↗