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219 results for

Horizontal Mattress Suture

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201. Astigmatism after small incision cataract surgery. A prospective, randomized, multicenter comparison of 4- and 6.5-mm incisions. (Abstract)

). Subgroup analysis of the suturing technique for the 6.5-mm incision showed that the technique of wound closure, as well as the wound size, influenced the induced astigmatism. For all four surgeons using three methods of suturing the 6.5-mm wound, however, the variability in the amount of induced cylinder was least with the 4.0-mm wound closed with a horizontal mattress suture. Complications in the two groups were comparable.

1991 Ophthalmology Controlled trial quality: uncertain

202. Bleeding Aortic Cannulation Site: Technique for Repair Full Text available with Trip Pro

Bleeding Aortic Cannulation Site: Technique for Repair A simple technique of controlling a bleeding aortic cannulation site employing autogenous tissue is described in which 3-0 Prolene suture is placed through the lateral pericardial tissue on both sides of the aortotomy closure in a horizontal mattress fashion. This technique is advantageous because of the availability of autogenous tissue, the ease in which the technique can be employed, the better conformance of the tissue to the suture

1986 Texas Heart Institute Journal

203. A method of augmenting the cheek area through SMAS, subSMAS, and subcutaneous tissue recruitment during facelift surgery. (Abstract)

horizontal mattress sutures and two interrupted sutures. Upon closure of this defect, SMAS, subSMAS, and subcutaneous tissue overlying the SMAS are recruited into the submalar defect by the simple phenomenon of dog-ear formation. Additionally, there is a component of frank elevation of the tissues inferior to the medial aspect of the fusiform and submalar space.The aforementioned technique has been performed on 123 patients over 7 years and has resulted in consistently good improvement in the submalar (...) implants, or a risky composite technique.An oval is scribed over the depressed submalar areas preoperatively. During facelift surgery, a fusiform area is scribed over the SMAS. This fusiform is scribed so that the medial end is directed at the center of the submalar depression, and the lateral end is toward the posterior earlobe. A defect is created within the lateral aspect of the fusiform, but not the medial portion. The fusiform is subsequently closed with a 2-0 Ethibond suture using three

2003 Dermatologic Surgery

204. A modified bronchial anastomosis technique for lung transplantation. (Abstract)

A modified bronchial anastomosis technique for lung transplantation. Low rates of major complications have been reported for the intussuscepting bronchial anastomotic technique but stenosis, malacia, and granulation tissue at the anastomosis may cause clinically important morbidity. We hypothesized that a modification of the telescoping technique that improves bronchial wall apposition might be associated with improved bronchial healing and clinical outcomes.The telescoping horizontal mattress (...) "U-stitch" suture technique was modified to incorporate figure-of-eight sutures placed in the cartilaginous wall between each of three intussuscepting U stitches. Serial videotape records of 152 individual anastomoses (99 modified, 53 telescoped) in 118 consecutive operative survivors were retrospectively reviewed by examiners blinded with respect to technique used. Stenosis, airway instability, mucosa quality, and devascularized luminal tissue were graded at 4 to 14 days (initial), 4 to 12 weeks

2003 Annals of Thoracic Surgery

205. The effect of suture pattern and tension on cutaneous blood flow as assessed by laser Doppler flowmetry in a pig model. (Abstract)

The effect of suture pattern and tension on cutaneous blood flow as assessed by laser Doppler flowmetry in a pig model. To determine the effects of various suture patterns on cutaneous blood flow (CBF) at the wound edge as increasing tension is applied through the suture.Four different suture patterns commonly used for wound closure (simple, vertical mattress, horizontal mattress, and Allgower-Donati) were placed individually after a full-thickness incision was made in an anesthetized pig (...) ). There were no significant differences between vertical mattress, horizontal mattress, and simple suture patterns.The Allgower-Donati suture pattern had the least effect on CBF with increasing tension in this model. Further study is warranted on the benefits of this suture pattern because it may decrease wound complications in traumatized tissues.

2008 Journal of Orthopaedic Trauma

206. Suture repair of pectus excavatum at the time of cardiac surgery on an infant. (Abstract)

Suture repair of pectus excavatum at the time of cardiac surgery on an infant. An 11-month-old girl was diagnosed with pulmonary atresia with intact ventricular septum and symmetrical pectus excavatum that had developed after prior palliative operation. We performed a transannular patch repair and atrial septal defect closure. Simultaneously, to prevent postoperative right ventricular outflow tract compression, the sternum was elevated by two 1-0 braided polyester horizontal mattress sutures

2008 Annals of Thoracic Surgery

207. Arthroscopic rotator cuff repair using a triple-loaded suture anchor and a modified Mason-Allen technique (Alex stitch). (Abstract)

of a combination of a horizontal mattress and 2 vertical simple sutures that are positioned medial to the mattress suture. The suture anchor used is the 5-mm self-tapping ThRevo (Linvatec). This anchor is loaded with 3 sutures: 2 No. 2 nonabsorbable braided polyester sutures of different colors and a central high-strength No. 2 polyethylene suture. The shape of the anchor eyelet permits all 3 sutures to glide freely. A modified Mason-Allen technique (Alex stitch) that combines a horizontal side-to-side suture (...) the center of the anchor; 1 is placed anterior and the other posterior. The sutures are tied through the lateral portal. The mattress horizontal central stitch is always tied first, followed by the 2 vertical sutures. The horizontal mattress suture serves as a "rip stop stitch" and theoretically reduces the possibility of cutting out of the simple sutures.

2007 Arthroscopy

208. Triple-loaded single-anchor stitch configurations: an analysis of cyclically loaded suture-tendon interface security. (Abstract)

central horizontal mattress suture passed deeper into the tendon, creating a larger footprint (bigfoot-print anchor); 2 peripheral simple stitches with 1 central horizontal mattress stitch passed through the same holes as the simple sutures (stitch-of-Burns); and 2 simple stitches (TwoVo anchor; Linvatec). The constructs were cyclically loaded between 10 N and 180 N for 3,500 cycles and then destructively tested. The number of cycles required to create a 5-mm gap and a 10-mm gap and the ultimate load (...) provide superior suture-tendon security than combinations of one mattress and two simple stitches subjected to cyclic loading. A central mattress stitch placed more medially than two peripheral simple stitches (bigfoot-print anchor) configured to enlarge the tendon-suture footprint was not as resistant to cyclic loading or destructive testing as three simple stitches (ThreeVo anchor).Placing a central mattress stitch more medially than 2 peripheral simple stitches to enlarge the tendon-suture

2006 Arthroscopy

209. Avoiding Early Revision Rhytidectomy: A Biomechanical Comparison of Tissue Plication Suture Techniques. (Abstract)

during rhytidectomy: a double-layered running locking (DRL) stitch and multiple horizontal mattress stitches.Fourteen horizontal mattress plications, in rows of six sutures, and comparable lengths of 16 DRL stitch plications of pig skin samples, were stressed using a tensometer with grip displacement increasing at a constant rate of 0.5 cm/Min. The required force to cause plication failure was recorded for each sample at three suture break points.There was no significant difference between the two (...) groups in the force required to cause the initial suture failure. Unlike the horizontal mattress plication, an initial break seemed to cause minimal to no distortion of the DRL tissue plication. When results were normalized by the initial break forces to account for small variations in tissue properties, the force ratio required to cause a second suture break was significantly larger in the DRL group than in the horizontal mattress technique. This is evidenced by the average second to first break

2008 Laryngoscope

210. Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations Full Text available with Trip Pro

guidance. The tube was kept clamped until the end of the procedure. Decreasing intraabdominal pneumoperitoneum pressure made suturing easier with less tension on the edges of the diaphragmatic incision. Nonabsorbable interrupted horizontal mattress sutures were placed to close the diaphragmatic defect.The repair was uneventful; no intraoperative complications occurred. Extubation was done at the end of the procedure in the operating room. The chest tube was removed on postoperative day 2 (...) Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations The use of laparoscopy in urology is increasing. Tumor of the kidney or adrenal gland and, in some cases, metastatic disease can involve the diaphragm. We describe the application of laparoscopic suturing techniques in the case of diaphragmatic involvement with a renal tumor.After resection of the tumor and a small area of the diaphragm, a chest tube was placed under laparoscopic

2001 JSLS : Journal of the Society of Laparoendoscopic Surgeons

211. Elongation and structural properties of meniscal repair using suture techniques in distraction and shear force scenarios: biomechanical evaluation using a cyclic loading protocol. (Abstract)

was found (P > .05).The results of the present study do not support the authors' hypothesis. In the shear force test, horizontal sutures were superior to vertical suture techniques.Meniscal repair with horizontal suture techniques can withstand elongation due to shear forces more effectively than can vertical mattress sutures. (...) will result in significantly less elongation when subjected to a cyclic loading protocol than that resulting from a horizontal suture technique.Controlled laboratory study.In fresh-frozen porcine menisci (n = 10 in each group), horizontal and vertical 2.0 Ethibond suturing techniques were tested in distraction and shear force scenarios. Elongation after 1000 cycles between 5 and 20 N and the structural properties such as stiffness, yield load, maximum load to failure, and failure mode were evaluated using

2006 American Journal of Sports Medicine

212. Biomechanical comparison of traditional and locked suture configurations for arthroscopic repairs of the rotator cuff. (Abstract)

Biomechanical comparison of traditional and locked suture configurations for arthroscopic repairs of the rotator cuff. The optimal suture configuration for arthroscopic rotator cuff repairs is controversial. "Locked" suture configurations, which use a combination of simple and transverse suture loops, have demonstrated better fixation strength than have traditional simple and horizontal mattress techniques.To compare traditional arthroscopic suture configurations to locked arthroscopic (...) configurations in ability to resist gap formation under cyclic loading.Controlled laboratory study.Crescent-shaped defects were created at the infraspinatus tendon insertion in 32 bovine shoulders. Four arthroscopic suture configurations were tested (8 specimens in each group): simple (group 1), horizontal mattress (group 2), locked mattress (group 3), and locked inverted mattress (group 4). A metal corkscrew suture anchor doubly loaded with No. 2 Fiberwire suture was used for the repairs. A cyclic loading

2006 American Journal of Sports Medicine

213. Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. (Abstract)

, the supraspinatus tendon from 1 shoulder was repaired with a double-row suture anchor technique: 2 medial anchors with horizontal mattress sutures and 2 lateral anchors with simple sutures. The tendon from the contralateral shoulder was repaired using a single lateral row of 2 anchors with simple sutures. Each specimen underwent cyclic loading from 10 to 180 N for 200 cycles, followed by tensile testing to failure. Gap formation and strain over the footprint area were measured using a video digitizing system (...) Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. Reestablishment of the native footprint during rotator cuff repair has been suggested as an important criterion for optimizing healing potential and fixation strength.A double-row rotator cuff footprint repair will demonstrate superior biomechanical properties compared with a single-row repair.Controlled laboratory study.In 9 matched pairs of fresh-frozen cadaveric shoulders

2006 American Journal of Sports Medicine

214. Biomechanical characteristics of single-row repair in comparison to double-row repair with consideration of the suture configuration and suture material Full Text available with Trip Pro

coupled with (1) braided, nonabsorbable polyester suture sized USP No. 2 (SRAE) or (2) braided polyblend polyethylene suture sized No. 2 (SRAH). The double-row repair was coupled with (3) USP No. 2 (DRAE) or (4) braided polyblend polyethylene suture No. 2 (DRAH). Arthroscopic Mason-Allen stitches were used (single-row) and combined with medial horizontal mattress stitches (double-row). Shoulders were cyclically loaded from 10 to 180 N. Displacement to gap formation of 5- and 10-mm at the repair site (...) different suture material (P > 0.05). Double-row suture anchor repair with arthroscopic Mason-Allen/medial mattress stitches provides initial strength superior to single-row repair with arthroscopic Mason-Allen stitches under isometric cyclic loading as well as under ultimate loading conditions. Our results support the concept of double-row fixation with arthroscopic Mason-Allen/medial mattress stitches in rotator cuff tears with improvement of initial fixation strength and ultimate tensile load. Use

2008 Knee Surgery, Sports Traumatology, Arthroscopy

215. Horizontal mattress with a knotless anchor to better recreate the normal superior labrum anatomy. (Abstract)

Horizontal mattress with a knotless anchor to better recreate the normal superior labrum anatomy. Arthroscopic repair of type II superior labral tears using suture anchors has resulted in a good to excellent outcome in most cases. In throwing athletes, however, the results have not been as consistent. Although it has not been reported in the literature, it is also possible that, in a very small number of throwers, the limited space in the glenohumeral joint combined with the bulky knots used (...) to secure the labrum to the anchor may be a cause of discomfort. In addition, the superior labrum is meniscoid in appearance, which traditional SLAP repair techniques do not recreate. We describe here a novel technique using a knotless anchor to repair the superior labrum, thereby eliminating the potential for knot-related complications. More importantly, this horizontal mattress-knotless anchor technique better recreates the normal meniscoid appearance of the superior labrum.

2008 Arthroscopy

216. Enhanced cosmetic outcome with running horizontal mattress sutures. (Abstract)

Enhanced cosmetic outcome with running horizontal mattress sutures. Cutaneous sutures should provide good wound eversion, firm closure, and cosmetically elegant results. Simple running sutures are commonly employed in cutaneous surgery but may not always be effective in achieving wound eversion.We compared the cosmetic results of simple running nonabsorbable sutures with running horizontal mattress sutures in primary closures of facial defects.Fifty-five patients with facial Mohs surgery (...) defects appropriate for primary multilayer repair were randomized into one of two arms. Either the superior or the inferior half of the wound was closed with a running horizontal mattress suture. The other half of the wound was closed with a traditional simple running suture. At 1 week, 6 weeks, and 6 months, the cosmetically superior half of the wound, if any, was blindly determined by the investigators.The running horizontal mattress suture was significantly more cosmetically pleasing than

2005 Dermatologic Surgery Controlled trial quality: uncertain

217. Use of continuous horizontal mattress suture techniques in microsurgery: an experimental study in rats. (Abstract)

Use of continuous horizontal mattress suture techniques in microsurgery: an experimental study in rats. The purpose of this study was to determine whether the continuous horizontal mattress suture technique can replace the continuous simple suture technique and to compare the results with other microvascular suture procedures.Sixty-four femoral arteries of 32 Sprague-Dawley rats were used in this study. The animals were divided equally into 4 groups with 16 anastomoses in each group (...) . The arteries (0.8-1.0 mm diameter) were anastomosed by using the continuous horizontal mattress suture technique in group I, interrupted horizontal mattress suture technique in group II, simple interrupted suture technique in group III, and simple continuous suture technique in group IV. At the end of the anastomosis time, leakage, and patency were assessed and graded in all groups. On the 14th day after surgery the rats were killed and 5 patent specimens from each group were examined under light

2005 Journal of Hand Surgery - American

218. Locking horizontal mattress suture. (Abstract)

Locking horizontal mattress suture. The horizontal mattress suture is useful in wounds in which there is a need for wound edge compression to provide hemostasis, closure is under moderate tension, or edge eversion is important. Its primary disadvantage is difficult suture removal and precise wound edge apposition. We describe a locking horizontal mattress technique that facilitates suture removal and provides more control over wound edge placement while providing hemostasis, tensile strength

2005 Dermatologic Surgery

219. An in vivo comparison of the modified Mason-Allen suture technique versus an inclined horizontal mattress suture technique with regard to tendon-to-bone healing: a biomechanical and histologic study in sheep. (Abstract)

An in vivo comparison of the modified Mason-Allen suture technique versus an inclined horizontal mattress suture technique with regard to tendon-to-bone healing: a biomechanical and histologic study in sheep. The purpose of this study is to examine long-term tendon-to-bone healing, by use of a sheep animal model, after rotator cuff repairs performed with 2 different suture techniques: an inclined horizontal mattress suture pattern placed with special arthroscopic instrumentation (HMS (...) . In the remaining 6 sheep, histologic evaluation demonstrated that, regardless of treatment, the tendon appeared completely healed in the bony trough. Because the long-term biomechanical and histologic properties of healed tendons repaired with an HMA technique are equal to those obtained with an MMA technique, the inclined horizontal mattress suture may be appropriate for arthroscopic rotator cuff repair. Short-term studies are necessary to determine whether these findings are true early after tendon repair

2007 Journal of Shoulder and Elbow Surgery

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