scholarly journals Preference of Suture Specifications in a Selected Periodontal and Implant Surgeries in Turkey

2019 ◽  
Vol 13 (01) ◽  
pp. 108-113
Author(s):  
Cenker Zeki Koyuncuoglu ◽  
Duygu Yaman ◽  
Gokhan Kasnak ◽  
Korkud Demirel

Abstract Objective Various suture materials and needles are now available for use in the dental surgery. The aim of this study was to determine the preference of suture materials among Turkish dentists by a dental survey. Materials and Methods The survey was prepared and sent electronically to Turkish dentists through e-mail and/or Facebook. Dentists were asked to report their graduation year from dental school and their specialty if they have one. In addition, the type periodontal/implant operations and the frequency of those operations applied by them were questioned. The participants were to indicate their suture preferences for these procedures in a multiple-choice questionnaire. Results Fifty-seven regular dentists, 49 periodontists, 22 oral surgeons, and 8 other specialists completed a self-administered survey. The majority of clinicians worked in private practice (77.9%). Nonabsorbable sutures were the most preferred for all procedures except periodontal plastic surgery. In regenerative surgeries, monofilament, 5–0 diameter suture material on a reverse cutting, 3/8 circle needle was preferred. In addition, for mucogingival surgery, 5–0 diameter suture material on a reverse cutting and 3/8 circle needle was favored. For dental implants, 4–0 diameter suture material on a reverse cutting and 3/8 circle needle was preferred. Monofilament and braided sutures were selected almost equally for implant operations. Conclusions In periodontal and implant surgeries, dentists highly preferred the use of nonabsorbable sutures. In addition, the shape and diameter of needle had an important role in the selection of suture material. The present study's results may serve as a guide for the future studies.

2002 ◽  
Vol 13 (2) ◽  
pp. 86-91 ◽  
Author(s):  
Hugo Nary Filho ◽  
Mariza Akemi Matsumoto ◽  
Aline Carvalho Batista ◽  
Luís César Lopes ◽  
Fernanda Costa Grizzo de Sampaio Góes ◽  
...  

The authors evaluated the biocompatibility of three suture materials, polyglecaprone 25, polyglactin 910 and polytetrafluorethylene, implanted into subcutaneous tissue in the dorsal region of 20 Wistar albinus rats. After periods of 2, 7, 14 and 21 days, the rats were sacrificed and the specimens were processed for routine histotechnical analysis and stained with hematoxylin and eosin. The rate of fibrosis, angioblastic and fibroblastic proliferation, and also the intensity of inflammation were observed with the optic microscope. The results showed that polyglecaprone 25 suture material induced a mild inflammatory reaction, followed by polyglactin 910 and polytetrafluorethylene, respectively. Such biological behavior must be considered during the selection of the suture material to be used in oral surgery.


VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 451-457 ◽  
Author(s):  
Vincenzo Gasbarro ◽  
Luca Traina ◽  
Francesco Mascoli ◽  
Vincenzo Coscia ◽  
Gianluca Buffone ◽  
...  

Abstract. Background: Absorbable sutures are not generally accepted by most vascular surgeons for the fear of breakage of the suture line and the risk of aneurysmal formation, except in cases of paediatric surgery or in case of infections. Aim of this study is to provide evidence of safety and efficacy of the use of absorbable suture materials in carotid surgery. Patients and methods: In an 11 year period, 1126 patients (659 male [58.5 %], 467 female [41.5 %], median age 72) underwent carotid endarterectomy for carotid stenosis by either conventional with primary closure (cCEA) or eversion (eCEA) techniques. Patients were randomised into two groups according to the type of suture material used. In Group A, absorbable suture material (polyglycolic acid) was used and in Group B non-absorbable suture material (polypropylene) was used. Primary end-point was to compare severe restenosis and aneurysmal formation rates between the two groups of patients. For statistical analysis only cases with a minimum period of follow-up of 12 months were considered. Results: A total of 868 surgical procedures were considered for data analysis. Median follow-up was 6 years (range 1-10 years). The rate of postoperative complications was better for group A for both cCEA and eCEA procedures: 3.5 % and 2.0 % for group A, respectively, and 11.8 % and 12.9 % for group B, respectively. Conclusions: In carotid surgery, the use of absorbable suture material seems to be safe and effective and with a general lower complications rate compared to the use of non-absorbable materials.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Hikaru Watanabe ◽  
Kohei Abe ◽  
Naoki Kanauchi

Abstract Background It is uncommon for a bronchial stump-related complication to develop during the remote postoperative period in a case of obstructive pneumonia owing to migration of the suture material. Here, we describe a case of bronchial obstructive pneumonia that developed owing to migration of the suture material in the airway 8 years after pulmonary resection. Case presentation A 34-year-old woman underwent left lower lobectomy for a pulmonary carcinoid tumor (pT1bN0M0-stage IA) in 2010. She experienced obstructive pneumonia, and chest computed tomography revealed a mass protruding from the bronchial stump to the bronchial lumen in 2018. After treatment for pneumonia, flexible bronchoscopy showed the presence of a fibrous suture material (Teflon pledget) completely obstructing the left second carina. A week later, the Teflon pledget obstructing the bronchial lumen was removed using a flexible bronchoscope with the patient under general anesthesia. The procedure was completed without removing the small amount of granulation tissue because the bronchial lumen opened after removing the Teflon pledget. She has remained asymptomatic for 1 year after removal. Conclusions In this case, the complication of obstructive pneumonia developed owing to migration of the non-absorbable suture materials used to suture the bronchial stump. Bronchoscopic management of this rare complication comprised endobronchial removal with the patient under general anesthesia. Given our experience with this case, we believe that such conservative management should allow for excellent results in most instances and avoid the need for reoperation.


2020 ◽  
Vol 18 (6) ◽  
pp. 30-33
Author(s):  
O. V. YAKOVLEVA ◽  
◽  
A. G. YASHCHUK ◽  
A. V. MASLENNIKOV ◽  
A. A. TYURINA ◽  
...  

The purpose — to compare the effectiveness of cerclage to reduce the frequency of preterm birth when using non-absorbable suture material in the form of a braided silk thread (4 mm) and a braided tape (5 mm), as well as to identify the frequency of complications when using them. Material and methods. A retrospective analysis of cases and childbirth was conducted, as well as the analysis of own experience of applying cerclage with various suture materials in patients with isthmic-cervical insufficiency. A total of 157 patients were examined. Pregnancy outcomes, neonatal outcomes, and post-suture complications were evaluated. Results. 157 women were given cerclage at gestation periods of 14 to 23 weeks. There was no significant difference in the choice of suture material relative to the duration of pregnancy. Cerclage with thread was performed in 92 patients (58,6%) — group 1 and 65 patients were sutured with tape (41,4%) — group 2. Preterm birth occurred in 28 patients of the 2nd comparison group (18%) and 45 patients of the 1st group (29%). The duration of pregnancy in preterm birth was comparable in both groups. Conclusions. The study found that preterm birth after cerclage using a braided tape occurred less frequently than with the use of a braided silk thread. There were no significant differences in neonatal outcomes in the comparison groups. Complications after cerclage, such as suture and cervical rupture, were found only in the group of women who underwent surgery using a woven silk thread.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
E.M.A.C. Ekanayake ◽  
Geoffrey Qiping Shen ◽  
Mohan Kumaraswamy ◽  
Emmanuel Kingsford Owusu

PurposeIndustrialized construction (IC) has been recognized as a game-changing approach in Hong Kong (HK). However, the increasing risks of disruptions in IC supply chains (SCs) raise SC vulnerability levels, prompting attention to developing supply chain resilience (SCR). Since SCR is only attainable through overcoming critical supply chain vulnerabilities (CSCV) with enhanced SC capabilities, this study first aimed to determine the most CSCV of ICSCs by addressing this current research gap and practical need.Design/methodology/approachDrawing on SCV factors identified from a precursor literature review, an empirical study of IC in HK was conducted using a questionnaire survey and interviews with industry experts. Focussed significance analysis of the data collected through questionnaire survey enabled the selection of 26 CSCV as appropriate to IC. Next, factor analysis was conducted, enabling the grouping of these CSCV under five components. The results were verified and reinforced by interview findings.FindingsThe results revealed 26 CSCV pertinent to resilient ICSCs in HK with five underlying components: economic, technological, procedural, organizational and production-based vulnerabilities. Loss of skilled labour is the most critical vulnerability, whereas organizational SCV is the most critical component identified.Originality/valueFindings of this study would motivate IC project professionals to appreciate and address the CSCV in the context of five components and thereby develop adequate specific capabilities to successfully withstand these CSCV. This should trigger future studies to map CSCV with appropriate capabilities in developing an envisaged powerful assessment model for evaluating the SCR in IC in HK.


Author(s):  
Shigeya Nagayama ◽  
Manabu Kume ◽  
Munehiro Oota ◽  
Koichiro Mizushima ◽  
Seiichi Mori

The coypu (Myocastor coypus) is a semi-aquatic herbivorous rodent that has been suspected to prey on freshwater unionid mussels in Japan. Fecal DNA metabarcoding that targeted bivalves and terrestrial plants was performed to examine the diet of exotic coypu in the Kiso River, central Japan. Thirty-two fecal samples from four floodplain waterbodies were collected seasonally. In one of the waterbodies, live and dead mussels were investigated to examine the possible effects of coypu predation on mussel population structures. Common coypu predation on unionid mussels was confirmed in two waterbodies. Midden surveys showed that medium- to large-sized mussels tended to be consumed by coypu; possibly resulting in population structures with few large-sized individuals. Seasonal diet selection of terrestrial plants was also detected: two perennial plants were consumed throughout the year, whereas some perennial plants were consumed seasonally. The number of terrestrial plant species/taxa as primary food was higher in summer than in winter, which was attributed to the high consumption of annual plants in the summer. Future studies need to examine the exhaustive diet of coypu including other animals and plants, as well as its effects on freshwater ecosystems in invaded regions.


Zootaxa ◽  
2011 ◽  
Vol 2906 (1) ◽  
pp. 52
Author(s):  
XIAOQIANG LI ◽  
BINGZHONG REN ◽  
YUTING ZOU ◽  
JIAN ZHANG ◽  
YINLIANG WANG

The present study compares the proventricular morphology, analyzed under optic microscope and scanning electron microscopy (SEM), among ten Grylloidea species. The result showed that the size of proventriculus was of critical value. Internally, the main differences were the number of sclerotized appendix (sa), middle denticles (md) and lateral denticles (ld), and the structure of lateral teeth (lt). In addition, we analyzed the crickets’ feeding habits and note that the the proventriculus possesses highly sclerotized projections which act in the selection of victuals. The morphology of proventriculus is closely related to feeding habits. A clustering analysis of seven features of the proventriculus was constructed. It revealed that the proventriculus had significance for taxonomy and species relationships. Observations on morphological characterization of proventricular morphology will be useful in future studies of the feeding habits and phylogeny of crickets.


2019 ◽  
Vol 57 (12) ◽  
pp. 3346-3363 ◽  
Author(s):  
Ricardo Gouveia Rodrigues ◽  
João J.M. Ferreira ◽  
Teresa Felgueira

Purpose The need for dynamic and innovative skills and the importance of resources and individuals in pursuit of new opportunities prove to be extremely vital for the higher education institutions (HEI). The purpose of this paper is to develop a taxonomy of academics from HEI, based on their individual entrepreneurial orientation (EO). Design/methodology/approach The population in study was composed of teachers and researchers from worldwide HEI. The data collection was conducted through a questionnaire sent by an e-mail and the authors used the I-ENTRE-U scale to identify entrepreneurial-oriented teachers and researchers from HEI. A Latent Profile Analysis (LPA) was conducted to identify profiles of researchers with similar values in four EO dimensions. Findings The study allowed the authors to identify five profiles of researchers: downers, achievers, followers, defenders and rebels. Research limitations/implications The results can be an important starting point for other researchers and practitioners hoping to evaluate academics’ EO in a higher education sector. The taxonomy also allows wider predictions about the behaviour of the profile members of profiles and relates it with other variables such as performance. Further contributions may be added by extending the data gathering from different geographical areas and/or different academic contexts, such that future studies could apply other LPA techniques and compare the results. Originality/value Only few studies have focussed on individual EO of scientists/academics, considering different national and regional contexts. To the best of the authors’ knowledge, this is the first empirical study that develops a taxonomy of academics from HEI, based on their individual EO.


2009 ◽  
Vol 91 (1) ◽  
pp. 77-80 ◽  
Author(s):  
AG Edwards ◽  
S Baynham ◽  
T Lees ◽  
DC Mitchell

INTRODUCTION In 1999, a survey was published detailing the management of varicose veins by members of the then Vascular Surgical Society (VSS). Since then, newer methods for treating varicose veins have been developed and far more explicit rationing has been introduced in the NHS. SUBJECTS AND METHODS In order to examine whether there had been a significant change in established practice in the UK, a questionnaire was sent to all Vascular Society of Great Britain and Ireland (VSGBI) members in the 2004 yearbook by E-mail or post. RESULTS Of the 426 questionnaires distributed, a 69% response rate was achieved. Of respondents, 97% treated varicose veins in their NHS practice, whilst 88% did so in private practice. Some 73% used hand-held Doppler assessment in the clinic and 96% used duplex ultrasound assessment selectively. Despite UK National Institute for Health and Clinical Excellence (NICE) guidelines, only 68% said that their primary care trusts funded treatment of symptomatic varicose veins, while 93% did so for complications. In either NHS or private practice, respectively, 83% or 72% of responders offered surgery as preferred treatment for primary varicose veins, while 14% or 20% preferred endovascular treatments (endovascular laser treatment, radiofrequency ablation and foam sclerotherapy). Of responders, 17% did not follow-up patients after treatment. CONCLUSIONS This survey suggests that there is rationing of access to care for symptomatic varicose veins. Despite publicity for endovenous techniques, surgery remains the preferred treatment for varicose veins in the UK.


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