scholarly journals A comparison of the mechanical strength of three different suture techniques for intercostal thoracotomy closure - ex vivo study

2020 ◽  
Vol 90 (6) ◽  
pp. 637-642
Author(s):  
Petar Kostešić ◽  
◽  
Mirta Vučković ◽  
Janoš Kodvanj ◽  
Martin Šurjak ◽  
...  
Keyword(s):  
Mechanical Strength ◽  
Ex Vivo ◽  
Biomechanical Properties ◽  
Rib Fracture ◽  
Suture Techniques ◽  
Closure Technique ◽  
The Third ◽  
Suture Patterns ◽  
Ex Vivo Study ◽  
Made In

The transcostal closure technique of intercostal thoracotomy closure appears to be associated with less pain in the first 24 hours and could be an alternative to the standard circumcostal technique. The goal of this study was to compare the ex vivo biomechanical properties of three suture techniques for intercostal thoracotomy closure. Samples of porcine ribs were used for the research. A 10 cm incision was made in the intercostal space in each sample. The techniques compared were: simple circumcostal interrupted suturing, continuous circumcostal suturing, and interrupted transcostal suturing. During the testing in the machine, suture rupture or rib cracking occurred. If rib cracking occurred first, the testing was continued until the suture broke as well. In the first group, rib fracture occurrence was 60% and suture rupture was 40%. In the second group, rib fracture occurrence was 55%, while 45% of the samples failed by suture rupture. In the third group, rib fracture occurrence was 70%, while suture rupture was 30%. These data did not differ significantly between groups (P>0.05). Continuous circumcostal suturing took the least amount of time, and the most time-consuming technique was interrupted transcostal suturing. Simple circumcostal suturing used most material, and the least amount of material was used with continuous circumcostal suturing. The conclusion of this paper is that the continuous pattern suture has the same mechanical strength as the other two suture patterns, but it consumes the least time and material. Therefore, from a mechanical standpoint, we advise the use of continuous circumcostal suture for intercostal thoracotomy closure.

Effects of intra-articular hyaluronic acid on ex vivo responses by third carpal bone cartilage from horses with experimentally induced synovitis

2004 ◽  
Vol 1 (2) ◽  
pp. 119-129 ◽  
Author(s):  
Jan L Palmer ◽  
Joseph Mansour ◽  
Charles J Malemud ◽  
Alicia L Bertone
Keyword(s):  
Hyaluronic Acid ◽  
De Novo ◽  
Ex Vivo ◽  
Rebound Effect ◽  
Gel Filtration ◽  
Biomechanical Properties ◽  
Carpal Bone ◽  
The Third ◽  
Group 2 ◽  
Experimentally Induced

AbstractWe studied the extent to which intra-articular hyaluronic acid (HA) administered to horses with experimentally induced synovitis in the third middle carpal joint altered cartilage proteoglycans (PGs) and the biomechanical properties of the third carpal bone. Intra-articular HA (Hylartin-V®) was administered to the middle carpal joints of healthy horses before and after the induction of synovitis by Escherichia coli lipopolysaccharide (LPS). Two groups of horses received intra-articular HA only, with evaluation 2 and 6 weeks later (group 2 and group 4). Two other groups (group 1 and group 3) received LPS followed by intra-articular HA and evaluation 2 and 6 weeks later. Ex vivo third carpal bone cartilage PG synthesis was measured by 35SO4 incorporation and third carpal bone cartilage PG content was determined by an assay for glucuronic acid. Biomechanical properties were measured by indentation testing. At the 2-week evaluation, HA did not ablate the quantitative reduction in PG synthesis and PG content in animals with experimental synovitis. However, by 6 weeks, there was a significant rebound effect in that PG synthesis and PG content were elevated in horses with experimental synovitis that had received intra-articular HA, compared with horses that had received HA only for that period of time. There were also alterations in the gel filtration profiles of newly synthesized PGs on Sepharose CL-2B among the groups. However, there were no de novo PG species associated with any of the treatments. Furthermore, we found that the biomechanical properties of third carpal bone cartilage were not altered in any of the groups. These studies showed that intra-articular HA administered to horses with experimentally induced synovitis did not provide short-term (i.e. 2-week) benefit to third carpal bone cartilage PG synthesis. However, a long-term benefit of intra-articular HA may occur after the acute effects of synovitis on PG synthesis and PG content subside.

Direct Visualization of A2, A3, and A4 Finger Flexor Pulley Injuries at 3-T and 7-T MRI: An Ex Vivo Study

2020 ◽  
Author(s):  
Rafael Heiss ◽  
Frank W. Roemer ◽  
Christoph Lutter ◽  
Rolf Janka ◽  
Volker Schöffl ◽  
...  
Keyword(s):  
Ex Vivo ◽  
Direct Visualization ◽  
Ex Vivo Study

Impact of metal artefacts in QCT of the hip caused by a contralateral Gamma type nail: an ex vivo study

2014 ◽  
Author(s):  
Klaus Engelke ◽  
Nicolas Bouler ◽  
Oleg Museyko Fuerst ◽  
Sebastien Parratte ◽  
Thomas Fuerst ◽  
...  
Keyword(s):  
Ex Vivo ◽  
Metal Artefacts ◽  
Ex Vivo Study

KERCH STRAIT IN KAMYSH-BURUN SPIT AREA: HIGH-RESOLUTION SEISMOACOUSTIC APPROACH

2018 ◽  
Author(s):  
В. Зинько ◽  
V. Zin'ko ◽  
А. Зверев ◽  
A. Zverev ◽  
М. Федин ◽  
...  
Keyword(s):  
High Resolution ◽  
Fracture Zone ◽  
Sedimentary Cover ◽  
Sedimentary Rocks ◽  
The West ◽  
Early Generation ◽  
The Third ◽  
Azov Sea ◽  
Kerch Strait ◽  
Made In

The seismoacoustical investigations was made in the western part of the Kerch strait (Azov sea) near Kamysh-Burun spit. The fracture zone with dislocated sedimentary rocks layers and buried erosional surface was revealed to the west of spit. Three seismofacial units was revealed to the east of spit. The first unit was modern sedimentary cover. The second ones has cross-bedding features and was, probably, the part of early generation of Kamysh-Burun spit, which lied to the east of its modern position. The lower border of the second unit is the erosional surface supposed of phanagorian age. The third unit is screened by acoustic shedows in large part.

Interactions between programmable shunt valves and magnetically controlled growing rods for scoliosis

2020 ◽  
Vol 26 (6) ◽  
pp. 667-670
Author(s):  
Thomas Larrew ◽  
Mohammed Alshareef ◽  
Robert F. Murphy ◽  
Ramin Eskandari ◽  
Libby Kosnik Infinger
Keyword(s):  
Remote Control ◽  
Ex Vivo ◽  
Shunt Valve ◽  
Growing Rods ◽  
Growing Rod ◽  
Before And After ◽  
Magnetically Controlled Growing Rods ◽  
Ex Vivo Study

OBJECTIVEAlthough the advent of magnetic growing rod technology for scoliosis has provided a means to bypass multiple hardware lengthening operations, it is important to be aware that many of these same patients have a codiagnosis of hydrocephalus with magnet-sensitive programmable ventricular shunts. As the magnetic distraction of scoliosis rods has not previously been described to affect the shunt valve setting, the authors conducted an investigation to characterize the interaction between the two devices.METHODSIn this ex vivo study, the authors carried out 360 encounters between four different shunt valve types at varying distances from the magnetic external remote control (ERC) used to distract the growing rods. Valve settings were examined before and after every interaction with the remote control to determine if there was a change in the setting.RESULTSThe Medtronic Strata and Codman Hakim valves were found to have setting changes at distances of 3 and 6 inches but not at 12 inches. The Aesculap proGAV and Codman Certas valves, typically described as MRI-resistant, did not have any setting changes due to the magnetic ERC regardless of distance.CONCLUSIONSAlthough it is not necessary to check a shunt valve after every magnetic distraction of scoliosis growing rods, if there is concern that the magnetic ERC may have been within 12 inches (30 cm) of a programmable ventricular shunt valve, the valve should be checked at the bedside with a programmer or with a skull radiograph along with postdistraction scoliosis radiographs.

Aryl Maleimides as Apoptosis Inducers on L5178-Y Murine Leukemia Cells (in silico, in vitro and ex vivo Study)

2016 ◽  
Vol 16 (12) ◽  
pp. 1615-1621 ◽  
Author(s):  
Erik Andrade-Jorge ◽  
Marycarmen Godínez-Victoria ◽  
Luvia Enid Sánchez-Torres ◽  
Luis Humberto Fabila-Castillo ◽  
José G. Trujillo-Ferrara
Keyword(s):  
In Silico ◽  
Ex Vivo ◽  
Leukemia Cells ◽  
Ex Vivo Study ◽  
Murine Leukemia

Aerosol generation through pars plana vitrectomy

2020 ◽  
pp. bjophthalmol-2020-317214
Author(s):  
Hasan Naveed ◽  
Fong May Chew ◽  
Hanbin Lee ◽  
Edward Hughes ◽  
Mayank A Nanavaty
Keyword(s):  
Pars Plana Vitrectomy ◽  
Ex Vivo ◽  
Dynamic Changes ◽  
Aerosol Generation ◽  
Significant Difference ◽  
Optical Particle Counter ◽  
Pars Plana ◽  
23 Gauge ◽  
Set Up ◽  
Ex Vivo Study

PurposeTo assess whether pars plana vitrectomy (PPV) is an aerosol-generating procedure (AGP) in an ex vivo experimental model.MethodsIn this ex vivo study on 10 porcine eyes, optical particle counter was used to measure particles ≤10 μm using cumulative mode in the six in-built channels: 0.3 μm, 0.5 μm, 1 μm, 2.5 μm, 5 μm and 10 μm aerosols during PPV. Two parts of the study were as follows: (1) to assess the pre-experimental baseline aerosol count in the theatre environment where there are dynamic changes in temperature and humidity and (2) to measure aerosol generation with 23-gauge and 25-gauge set-up. For each porcine eye, five measurements were taken for each consecutive step in the experiment including pre-PPV, during PPV, fluid–air exchange (FAX) and venting using a flute with 23-gauge set-up and a chimney with 25-gauge set-up. Therefore, a total of 200 measurements were recorded.ResultsWith 23-gauge and 25-gauge PPV, there was no significant difference in aerosol generation in all six channels comparing pre-PPV versus PPV or pre-PPV versus FAX. Venting using flute with 23-gauge PPV showed significant reduction of aerosol ≤1 μm. Air venting using chimney with 25-gauge set-up showed no significant difference in aerosol of ≤1 μm. For cumulative aerosol counts of all particles measuring ≤5 μm, compared with pre-PPV, PPV or FAX, flute venting in 23-gauge set-up showed significant reduction unlike the same comparison for chimney venting in 25-gauge set-up.ConclusionPPV and its associate steps do not generate aerosols ≤10 μm with 23-gauge and 25-gauge set-ups.

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