Alternative suture tightening technique for achieving adequate suture tension during B‐Lynch compression suture

Author(s):  
Fathi Ramly ◽  
Norhana Mohd Kasim
1998 ◽  
Vol 107 (6) ◽  
pp. 454-461 ◽  
Author(s):  
J. Pieter Noordzij ◽  
Donald F. Perrault ◽  
Peak Woo

The biomechanics of arytenoid adduction surgery are not well understood. An excised canine larynx model was used to study the effects of variable suture tension on glottal configuration and on vocal fold tension (at the midfold and the vocal process). Arytenoid adduction both medializes the vocal fold and closes a posterior glottal chink. Vocal fold tension at the midfold did not vary significantly with suture tension. As suture tension increased to approximately 100 g, vocal fold tension at the vocal process also increased. Beyond 100 g of suture tension, vocal fold tension at the vocal process did not increase. We conclude that the effects of suture tension on the resistance to lateral movement are different at the midfold compared to the vocal process. Procedures for surgical rehabilitation of vocal fold paralysis should address the biomechanical subunits of the larynx individually in order to achieve optimum results.


2018 ◽  
Vol 32 (18) ◽  
pp. 3034-3038 ◽  
Author(s):  
Berna Aslan Çetin ◽  
Begum Aydogan Mathyk ◽  
Alev Atis Aydin ◽  
Nadiye Koroglu ◽  
Pinar Yalcin Bahat ◽  
...  

Placenta ◽  
2019 ◽  
Vol 87 ◽  
pp. 73
Author(s):  
Takeya Hara ◽  
Shinya Matsuzaki ◽  
Nakagawa Satoshi ◽  
Erika Nakatsuka ◽  
Tatsuya Miyake ◽  
...  

2018 ◽  
Vol 30 (1) ◽  
pp. 66-69
Author(s):  
Shahela Jesmin ◽  
Nishat Anam Borna ◽  
Mosammat Nargis Shamima ◽  
Iftekhar Md Kudrate E Khuda ◽  
Shahin Mahmuda

Aim: To assess effectiveness of Hayman suture to control postpartum haemorrhage due to placenta praevia during caesarean sectionMethods: It is a cross sectional observational study performed in Rajshahi Medical College Hospital, tertiary level hospital, from January 2016 to December 2016. It included 32 patients with PPH following placenta praevia during elective& emergency caesarean section (C/S). All 32 patients underwent horizontal compression suture (bilateral anteroposterior compression) of lower uterine segment. Vicryl 0 tapercut needle was used. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.Results Hayman suture was applied in 32 cases. In 27 cases Hayman suture was the only intervention. Hayman with uterine artery ligation required in 2 cases. In 1 patient along with Hayman B-lynch compression suture was given and 2 patients required total hysterectomy.Conclusion: The quick and simple Hayman technique seems to be effective, safe, lifesaving method in stopping hemorrhage due to placenta praevia.TAJ 2017; 30(1): 66-69


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