Suturing Methods | ScienceGate

Wound care is a common complaint in the pediatric emergency department, and depending on the type of wound, there are a myriad of options for treatment. Various options exist for analgesia and anxiolysis, including child-friendly techniques and topical, oral, intranasal, and injectable medications. Options for wound repair include nonsuture techniques, which may be favorable in children when appropriate (e.g., hair apposition technique and tissue adhesives). This chapter discusses types of wounds, analgesia, cleaning, repair of wounds (including topical adhesives, sutures, and staples), and tetanus prophylaxis. Suturing methods and various types of sutures with their respective indications are reviewed. It also discusses common complications and indications for antibiotic treatment, imaging, consultations, and disposition.

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Comparison of Surgical Outcomes according to Suturing Methods in Single Port Access Laparoscopic Myomectomy

Journal of Menopausal Medicine ◽

10.6118/jmm.2015.21.1.47 ◽

2015 ◽

Vol 21 (1) ◽

pp. 47 ◽

Cited By ~ 1

Author(s):

Jae-Heok Jeong ◽

Yu-Ri Kim ◽

Eun-Jeong Kim ◽

Soo-Hyeon Moon ◽

Mi-Hwa Park ◽

...

Keyword(s):

Surgical Outcomes ◽

Single Port ◽

Laparoscopic Myomectomy ◽

Single Port Access ◽

Port Access ◽

Suturing Methods

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Clinical results and health-related quality of life in otoplasty patients using cartilage resection and suturing methods

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-013-2799-z ◽

2013 ◽

Vol 271 (12) ◽

pp. 3147-3153 ◽

Cited By ~ 9

Author(s):

Yuksel Toplu ◽

Emrah Sapmaz ◽

Cemal Firat ◽

Sibel Altunisik Toplu

Keyword(s):

Quality Of Life ◽

Clinical Results ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Suturing Methods

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Comparison of Subcuticular and Interrupted Suturing Methods for Skin Closure After Appendectomy: A Randomized Controlled Trial

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.14469 ◽

2018 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Seyed Mohammad Reza Javadi ◽

Amir Kasraianfard ◽

Pezhman Ghaderzadeh ◽

Hamid Reza Khorshidi ◽

Ali Moein ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Skin Closure ◽

Randomized Controlled ◽

Suturing Methods

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Novel Suturing Methods for the Management of Traumatic Choroidal Avulsion in Globe Injuries

Frontiers in Medicine ◽

10.3389/fmed.2021.801068 ◽

2022 ◽

Vol 8 ◽

Author(s):

Huijin Chen ◽

Jiarui Yang ◽

Changguan Wang ◽

Xuefeng Feng ◽

Kang Feng ◽

...

Keyword(s):

Retinal Detachment ◽

Silicone Oil ◽

Open Globe Injury ◽

Oil Migration ◽

Corrected Visual Acuity ◽

Open Globe ◽

Baseline Information ◽

Suturing Methods

PurposeTo explore the long-term efficacy of novel choroidal suturing methods including trans-scleral mattress suturing (TSS) and intraocular suturing (IOS) in the treatment of choroidal avulsion.DesignProspective cohort, hospital-based study.MethodsA total of 24 patients who were diagnosed with choroidal avulsion were enrolled in this study. The demographic characteristics, baseline information of trauma, best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were collected before surgery, and the anatomic abnormities of the globe were recorded before or during surgery. All patients were diagnosed with choroidal avulsion and underwent choroid suturing treatment during vitrectomy, postoperative functional variables including BCVA and IOP, anatomic variables including retinal and choroidal reattachment rate, and silicone oil migration rate, which were recorded at the regular follow-ups at least 1 year after surgery.ResultsAll patients with open globe injury involved zone III, 70.8% of the patients presented with two quadrants of the avulsed choroid, and 29.2% with one quadrant involved; moreover, all patients had complications with retinal detachment (RD), of which 58.3% of patients had closed funnel retinal detachment. TSS was applied in nineteen patients and IOS in five patients. Postoperatively, a significant improvement on LogMAR BCVA was observed at each follow-up from 3.57 ± 0.69 before surgery to 2.82 ± 0.98 at the last follow-up (p < 0.05), and the proportion of no light perception (NLP) was also reduced from 69.6 to 37.5%. IOP was markedly elevated from 6.4 ± 4.1 mmHg preoperatively to 11.3 ± 4.3 mmHg at the last follow-up (p < 0.05). Choroidal reattachment was achieved in 91.7% of patients; two patients were observed with silicone oil migration at 3 months after surgery and underwent drainage of suprachoroidal silicone oil and sclera buckling. Meanwhile, retinal attachment was observed in 95.8% of patients, only one patient developed partial RD due to postoperative proliferative vitreoretinopathy, and secondary vitrectomy was performed; all patients were observed with complete retinal and choroidal attachment at the last follow-up. Eventually, four patients were silicone oil-free, and 20 patients were silicone oil-dependent.ConclusionsChoroidal suturing proved to be an effective method to fix the avulsed choroid, which greatly improved the BCVA and maintained the IOP, and efficiently increased the choroidal and retinal reattachment rate and preservation of the eyeball.

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Suturing methods in prolapse surgery: a biomechanical analysis

International Urogynecology Journal ◽

10.1007/s00192-020-04609-6 ◽

2020 ◽

Author(s):

J. Hachenberg ◽

A. Sauerwald ◽

H. Brunke ◽

S. Ludwig ◽

M. Scaal ◽

...

Keyword(s):

Ultimate Load ◽

Pelvic Organ ◽

Biomechanical Analysis ◽

Anterior Longitudinal Ligament ◽

Continuous Suture ◽

Anatomical Point ◽

Ligament Suture ◽

Single Suture ◽

Suturing Methods

Abstract Introduction Pelvic organ prolapse is a common problem in urogynecological surgery. Abdominal and laparoscopic sacrocolpopexy is currently considered to be the gold standard of treatment. The main problem remains the anatomical point of fixation as well as how sutures are placed. We evaluated the biomechanical difference between an in-line ligament suture versus an orthogonal ligament suture and a single suture versus a continuous suture at the anterior longitudinal ligament in an in-vitro, sacrocolpopexy model. Methods Biomechanical in-vitro testing was performed on human, non-embalmed, female cadaver pelvises. An Instron test frame (tensinometer) was used for load/ displacement analysis. The average patient age was 75 years. Ligament preparation yielded 15 ligaments available for testing. Recorded parameters were the ultimate load, failure displacement, and stiffness. Results This in-vitro analysis of different suturing methods showed the difference between an orthogonal and an in-line approach to be the ultimate load. Orthogonal sutures displayed an ultimate load of 80 N while in-line suturing yielded only 57 N (p < 0.05). For the anterior longitudinal ligament, this study demonstrated that continuous suture is significantly superior to a single suture regarding failure displacement (p < 0.05). Conclusion We established baseline biomechanical parameters for the sacrospinous ligament and anterior longitudinal ligament. An orthogonal suture is superior to an in-line suture in an in-vitro model. A continuous suture is superior to a single suture at the anterior longitudinal ligament. Clinical trials might be able to evaluate whether any clinical significance can be established from these findings.

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An Automatic Suturing Machine for Intestinal Anastomosis: Advantages Compared With Hand-Suturing Technique

Surgical Innovation ◽

10.1177/1553350618808007 ◽

2018 ◽

Vol 26 (2) ◽

pp. 209-218 ◽

Cited By ~ 2

Author(s):

Sanaz Mosafer Khoorjestan ◽

Gholamreza Rouhi

Keyword(s):

Mechanical Strength ◽

Intestinal Anastomosis ◽

Tensile Tests ◽

Point Of View ◽

In Vitro Tests ◽

System A ◽

Expert Surgeon ◽

Suturing Methods ◽

Made In

One of the main procedures in intestinal surgery is anastomosis, which is mostly performed by stapling or hand suturing. Due to limitations of these methods, a novel automatic suturing machine was designed and fabricated in this study, equipped with a needle-driving system; a thread control mechanism, and a linear mechanism, which is applicable in intestinal anastomosis by making continuous sutures. The main advantages of the fabricated machine are employing biocompatible suture, from the tissue’s adaptation point of view, and making a uniform suturing pattern, independent of surgeon’s skill, and thus offering a greater strength than the hand-sutured specimen. In order to evaluate the capability of the fabricated machine and investigate the validity of the hypothesis made in this study, that is, a more uniform suture will result in a greater mechanical strength of the sutured tissue, in vitro tests were performed on human intestine specimens, which were manually sutured by an expert surgeon and by the automatic suturing machine. The tensile tests with an elongation rate of 5 mm/min were done for 90 specimens, in 9 groups with various suturing configurations. The optimum pattern, from the mechanical strength point of view, was found to be the same in both manual and automatic suturing methods, that is, h7 d6 ( h = distance of suture from the edge of the tissue = 7 mm, and d = distance between stitches = 6 mm). It was also shown that the maximum breaking strength, for the best suturing pattern, h7 d6, is significantly greater when the automatic suturing machine was employed, compared with the hand-sutured tissue ( P < .001).

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DIODE LASER-ASSISTED CAROTID BYPASS SURGERY

Neurosurgery ◽

10.1227/01.neu.0000249217.27214.ec ◽

2006 ◽

Vol 59 (6) ◽

pp. 1286-1295 ◽

Cited By ~ 17

Author(s):

Alfredo Puca ◽

Alessio Albanese ◽

Giuseppe Esposito ◽

Giulio Maira ◽

Barbora Tirpakova ◽

...

Keyword(s):

Carotid Artery ◽

Laser Welding ◽

Diode Laser ◽

Common Carotid Artery ◽

Surgical Techniques ◽

Vascular Wall ◽

Dystrophic Calcification ◽

The Common ◽

Welding Technique ◽

Suturing Methods

Abstract OBJECTIVE Conventional suturing methods of microvascular anastomosis are associated with various degrees of vascular wall damage that can lead to thrombosis and bypass occlusion. An experimental model of double end-to-side venous graft anastomosis on the common carotid artery was set up to compare conventional suturing methods with a low-power diode laser vascular welding technique. METHODS The experiments were performed on 40 rabbits that underwent implantation of a 15-mm segment of jugular vein on the common carotid artery. The proximal end-to-side suture was performed by eight interrupted stitches; the distal suture, which was done using a laser welding technique, was supported by four stay sutures. The animals were evaluated after 2 days (n = 15), 9 days (n = 15), and 30 days (n = 10). The vascular segments were excised and subjected to histological, immunohistochemical, and ultrastructural evaluation. RESULTS The average clamping time to perform both anastomoses was 35 minutes. At the end of the follow-up period, one case of complete occlusion was observed after 9 days and one case was observed after 30 days. Surgical observations and pathological evaluation indicated that adoption of the laser welding technique reduced operative time and bleeding. Histologically, a reduction of thrombosis, inflammation, myointimal hyperplasia, and dystrophic calcification was observed in laser-assisted anastomoses. A better preservation of the endothelium was also evident in laser-treated anastomoses. The observed differences were deemed statistically significant (P< 0.05). CONCLUSION Our study demonstrated the efficacy of diode laser welding in improving surgical techniques of high-flow bypass and in reducing the vascular wall damage observed with conventional methods.

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