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Horizontal Mattress Suture

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41. Pledgeted mattress sutures reduce recurrent reflux after laparoscopic Nissen fundoplication. (Abstract)

Pledgeted mattress sutures reduce recurrent reflux after laparoscopic Nissen fundoplication. In response to a perceived increase in the incidence of recurrent reflux after adopting the laparoscopic Nissen fundoplication, we adjusted our technique to include the use of pledgeted, horizontal mattress sutures for crural closure and wrap construction.We assessed the impact of this technical modification in children who underwent laparoscopic fundoplication between 1997 and 2007 at a large (...) children's hospital. The medical history, indications, technical details, and outcomes were reviewed. Differences between groups were assessed with chi(2), logistic regression, and Kaplan-Meier analysis.A total of 384 subjects were identified. Neurologic deficits were present in 77%. The crural closure and wrap were constructed with simple sutures in 226 and with pledgeted, horizontal mattress sutures in 158. The cumulative incidences of recurrent reflux, gagging/retching, wrap failure on imaging studies

2010 Journal of Pediatric Surgery

42. Guidance For: Prone Positioning in Adult Critical Care

or BiVAD support Relative: • Multiple Trauma e.g. Pelvic or Chest fractures, Pelvic fixation device • Severe facial fractures • Head injury/Raised intracranial pressure • Frequent seizures • Raised intraocular pressure • Recent tracheostomy <24hrs • CVS instability despite resuscitation with fluids and inotropes • Previously poor tolerance of prone position • Morbid obesity • Pregnancy 2 nd /3 rd trimester c. Equipment • Low air loss mattress/kinetic therapy bed or local equivalent • Airway trolley (...) circuit suctioning is available and working throughout procedure • Patient should be pre-oxygenated with 100% O2 and ensure appropriate ventilator settings. Note tidal volume and inspiratory pressure • Perform pre-proning arterial blood gas and document results CVS/Lines • Ensure all lines are sutured and secured • Discontinue non-essential infusions and monitoring • Patient should be cardiovascularly stable. Prepare for post-proning instability with preparation of vasopressors/inotropes Neuro

2019 Faculty of Intensive Care Medicine

43. CRACKCast E077 – Pleural Disease

antiseptic solutions Wisecracks 1) What is Catamenial pneumothorax? How is it treated? AKA thoracic endometriosis syndrome. Recurrent ptx associated with menses (typically within 72 hrs) Primary tx as above (IE chest tube) and addition of ovulatory suppression therapy 2) How do you properly Secure a chest tube? Own the Chest tube! Check out: Also: Roberts and Hedges: Stay suture : single interrupted with tails let long to wrap around tube, or Horizontal Mattress: encircle tube (nice for removing to close

2017 CandiEM

44. Newborn Nursing Care Pathway

understanding of newborn physiology and capacity to identify variances that may require further assessments Refer to: • Behavior • Postpartum Nursing Care Pathway: Bonding & Attachment Norm and Normal Variations • Head round, symmetrical • May have moulding, some overlapping of sutures • Anterior & posterior fontanelles flat and soft • Neck short and thick • Full range of motion Parent education / Anticipatory Guidance • Place baby skin-to-skin • Discuss variances and when they should resolve (caput (...) • Carrying infant in arms (vs. in infant seat) assists with prevention of flat head And promotes bonding Refer to: Healthy Families BC Website – www.healthyfamiliesbc.ca/parenting Physiological Health: Head8 Perinatal Services BC Physiological Assessment 0 – 12 hours Period of Stability (POS) >12 – 24 hours >24 – 72 hours >72 hours – 7 days and beyond HeAd (Continued) Variance • Caput succedaneum crosses suture lines (edema caused by sustained pressure of occiput against cervix) 15 • Cephalohematoma

2015 British Columbia Perinatal Health Program

45. Nictitating membrane fixation improves stability of the contact lens on the animal corneal surface. (Full text)

Nictitating membrane fixation improves stability of the contact lens on the animal corneal surface. We evaluated the feasibility and safety of nictitating membrane fixation to address reduced contact lens stability by the nictitating membrane in a rabbit model. Under general anesthesia, twelve animals received a horizontal mattress suture between the nictitating membrane and the upper eyelid of one eye. To assess the effects of this technique and secondary side effects, contact lens stability

2018 PLoS ONE PubMed abstract

46. Repair of Aortic Valve Insufficiency and Ascending Aortic Aneurysm using Geometric Ring Annuloplasty. (Full text)

Repair of Aortic Valve Insufficiency and Ascending Aortic Aneurysm using Geometric Ring Annuloplasty. This video demonstrates aortic valve repair during ascending aneurysm replacement. A 71-year-old male has congestive heart failure, Grade 3 aortic insufficiency (AI), and a 5.4 cm ascending aneurysm. On testing, the non-coronary leaflet is prolapsing, the annulus is 27 mm, and the leaflets size to a 21-mm ring. The ring is sutured beneath the aortic valve annulus with 9 horizontal mattress (...) sutures. The non-coronary leaflet is plicated, correcting the prolapse. A 28 mm Dacron tube graft is sutured to the supra-coronary and distal aorta. After repair, AI is trivial with a 9 mmHg mean systolic gradient. The patient recovered uneventfully.Copyright © 2019. Published by Elsevier Inc.

2019 Annals of Thoracic Surgery PubMed abstract

47. Single-incision laparoscopic repair of a cesarean scar defect. (Full text)

injury that would impair wound healing. Closure was performed using 2/0 Ethibond suture (Ethicon); the first layer was a running full-thickness vertical suture, and the second layer was a horizontal mattress suture to reduce incisional tension. Single-incision intracorporeal knot tying was successfully accomplished by forming a triangle with the straight laparoscopic forceps and the articulated instrument.Successful repair of CSD via single-incision laparoscopic surgery.Operative time was 50 minutes

2019 Fertility and Sterility PubMed abstract

48. Do One Then See One: Sequencing Discovery Learning and Direct Instruction for Simulation-Based Technical Skills Training. (Abstract)

suturing task before formal instruction (Do then See) versus the more typical sequence of formal instruction, followed by practice (See then Do) on skill acquisition, retention, and transfer.In 2015, first-year medical students (N = 36) were randomized into two groups to learn horizontal mattress suturing. The See then Do group had access to instructors before independent practice, whereas the Do then See group explored the task independently before accessing instructors. Participants were assessed (...) at the transition between interventions, and as training ended. Skill retention, and transfer to a novel variation of the suturing task, were assessed after one week. Performance was scored on a five-point global rating scale by a blinded rater.The groups did not differ significantly on immediate posttest or retention test (F[1,30] = 0.96, P < 0.33). The Do then See group (N = 16) outperformed the See then Do group (N = 16) on the transfer test; 2.99 versus 2.52 (F[1,28] = 10.14, P < 0.004, η = 0.27).Sequencing

2018 Academic medicine : journal of the Association of American Medical Colleges Controlled trial quality: uncertain

49. Remplissage Versus Latarjet Coracoid Transfer for Recurrent Shoulder Instability

Remplissage Arthroscopic Bankart repair with a minimum of 3 anchors 1 or 2 anchor Remplissage subsequently performed with percutaneous anchor insertion in the base of the Hill-Sachs defect, and sutures passed in a horizontal mattress configuration 1 cm apart, tied in the subacromial space. Active Comparator: Latarjet Coracoid Transfer Patients randomized to the open Latarjet coracoid transfer will undergo a Latarjet coracoid transfer through a deltopectoral approach and horizontal split (...) Completion Date : June 2020 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Bankart Repair and Remplissage Patients randomized to the all-arthroscopic group (Bankart repair and remplissage) will undergo a standard arthroscopic anterior labral repair with a minimum of 3 suture anchors, followed by remplissage with 1 or 2 anchors, at the discretion of the treating surgeon. Procedure: Bankart Repair plus

2018 Clinical Trials

50. Vertical Ridge Augmentation With Autogenous Onlay Blocks Combined With Guided Bone Regeneration Versus Autogenous Bone Graft With Titanium Mesh in Posterior Mandible

and periosteal releasing incision for the buccal flap to provide tension free closure. The flap will then be copiously irrigated with saline in preparation for closure. The flap will then be closed using horizontal mattress and interrupted 4/0 polypropylene sutures. Outcome Measures Go to Primary Outcome Measures : vertical bone gain [ Time Frame: 6 month ] the amount of vertical bone gain will be measured using cone beam computed tomography Eligibility Criteria Go to Information from the National Library (...) utilizing guided bone regeneration (GBR) has become a major treatment option to provide optimal bone support for osseointegrated dental implants. GBR was initially employed to treat simple defects, including dehiscence and fenestration defects. In addition, GBR has been utilized for horizontal and vertical ridge augmentations and has demonstrated reproducible outcomes, with high implant survival rates and low complication rates. The results of recent clinical and histologic studies of ridge augmentation

2018 Clinical Trials

51. Progressive Devascularization: A Novel Surgical Approach for Placenta Previa (Full text)

, and multiple organ failure. Cases  We detailed the 3 cases of placenta previa that underwent bilateral uterine artery ligation; if hemostasis was not achieved, horizontal mattress sutures were placed in the lower uterine segment. All patients were discharged with minimal morbidity. Conclusion  For patients with placenta previa and low risk for placenta creta, counseling should include the risk for maternal morbidity and criteria for pursuing peripartum hysterectomy. Our devascularization, a stepwise

2018 AJP Reports PubMed abstract

52. Platelet Rich Fibrin and Autologous Fibrin Glue

will be harvested with adequate dimensions based on the recipient site. The graft will be sutured over the recipient site with 5-0 chromic gut sutures using a continuous mattress suturing technique. Other: Group C - CTG with a CAF Group C - CTG with a CAF will be used surgically to cover the exposed roots. Outcome Measures Go to Primary Outcome Measures : Evaluate the level of root coverage using PRF plus AFG with a coronally advanced flap or PRF only with a CAF compared to subepithelial connective tissue graft (...) box and compressed to form a membrane. Other: Group B - PRF only with a CAF Group B - PRF only with a CAF will be used surgically to cover the exposed roots. Active Comparator: Group C - CTG with a CAF Group C - CTG with a CAF: Sup-epithelial connective tissue harvest: The palatal donor site should be at least 3mm in thickness. A horizontal incision will be made on the palate 3mm from the maxillary canine to the first molar using a 15 blade. A sub-epithelial connective tissue graft

2018 Clinical Trials

53. Platelet-rich Fibrin and Autogenous Bone vs Enamel Matrix Derivative and Autogenous Bone in Intrabony Defects

anaesthesia, mucoperiosteal SPPFs will be raised. Autogenous corticocancellous BG material will be collected using bone scrapers , the PRF membrane cut into small pieces and mixed with the ABG will be placed within the IBDs until they will be completely filled. Then the other two PRF membranes in each patient will be adapted over the grafted defect Finally horizontal mattress and interrupted sutures will be carried out. Procedure: Periodontal surgery with Platlet Rich fibrin Patients will be treated (...) root surfaces ; then, ABG will be applied alternatively with EMD into the IBD according to the "sandwich" technique until the IBD will be completely filled. Finally the flap will be repositionated and sutures completed by interrupted sutures. Procedure: Periodontal surgery with Enamel Matrix Derivative Patients will be treated by periodontal surgical flaps with the addition of EMD + bone graft Experimental: PRF treated patients Periodontal surgery with Platelet Rich Fibrin is performed, after local

2018 Clinical Trials

54. Evaluation of Gain In Clinical Attachment And Bone Levels After Treatment of Patients With Intra-bony Defects By Minimally Invasive Surgical Technique Versus Open Flap Debridement.

thickness mucoperiosteal flaps will be reflected to allow access for debridement of the defect. Surgical debridement will be carried out to remove subgingival plaque, calculus and granulation tissue. The surgical sites will be irrigated with sterile saline. Surgical flaps will be sutured to the pre-surgical level with 5-0 vicryl suture utilizing a vertical mattress suturing technique achieving primary closure. For the Minimally Invasive Surgical technique, it will be carried out with 2.5 X optical (...) magnification dental loupes. After local anaesthesia, an envelope flap without vertical releasing incisions will be performed. The defect-associated interdental papilla will be accessed either with the simplified papilla preservation flap (SPPF) in narrow interdental spaces or the modified papilla preservation technique (MPPT) in large interdental spaces. In the SPPF, a diagonal incision traced as close as possible to the buccal side of the papilla col will be performed, whereas in the MPPT a horizontal

2018 Clinical Trials

55. Clinical and Radiographic Evaluation of PPF With or Without NCHA Bone in Treatment of Intrabony Defects

preservation flap techniques will be conducted to gain access to the intrabony defects. In the narrow interproximal spaces (≤2 mm), incision with the preservation of the buccal papilla according to the simplified papilla preservation technique will be applied. Whereas, in the wide interdental spaces (>2 mm), the modified papilla preservation technique will be applied. Vertical or horizontal mattress sutures and additional interrupted single sutures will be performed to obtain primary closure (...) and secured in place using non-resorbable # 6-0-suturing material. Vertical or horizontal mattress sutures and additional interrupted single sutures will be performed to obtain primary closure of the interdental space. Combination Product: PPF+NCHA bone graft substitute nanocrystalline hydroxyapatite bone graft is a a newly developed HA containing about 65% water and 35% nanostructured apatite particles. This gave the nanocrystalline hydroxyapatite bone graft many advantages such as providing a close

2018 Clinical Trials

56. Standard Implants With Bone Regeneration vs Short Implants

the perfect stability (Pro-fix, Cytoplast Osteogenics, US). The graft will be composed half autogenous bone harvested with a scraper (Meta, Firenze, Italy) by the same surgical site or by a second tunnel site in the mandibular ramus and half deproteinized bovine bone (Bio Oss Geislicht Pharma, Switzerland). The mucosal flaps will be sutured in a double layer with horizontal mattress and single gore-tex sutures (Cytoplast PTFE sutures 3.0, Cytoplast Osteogenics, US). 2 or 3 implant from 10 to 13 mm length (...) connected and a vycril suture will be done after soft tissue reflection. After three months an acrylic screw-retained bridge will be delivered. After further three months, a definitive restauration with a metal ceramic bridge will be seated. Experimental: Bone regeneration with longer implants A horizontal and vertical regeneration following GBR technique will be performed using not-resorbable PTFE titanium reinforced membrane (Cytoplast Osteogenics, US) fixed by titanium pins or miniscrews to ensure

2018 Clinical Trials

57. Shoulder abduction diminishes self-reinforcement in transosseous-equivalent rotator cuff repair in both knotted and knotless techniques. (Abstract)

created ex vivo in nine pairs of ovine shoulders. Two different repair techniques were used. One group was repaired using a double row 'suturebridge' construct with tied horizontal medial row mattress sutures (Knotted repair group). The other group was repaired identically except that medial row knots were not tied (Knotless repair group). Footprint compression was measured at varying amounts of abduction and under tendon loads of 0, 10, 20, 30, 40, 50 and 60N. The rate of increase of contact pressure

2018 Knee Surgery, Sports Traumatology, Arthroscopy

59. Knotless double-row SutureBridge rotator cuff repairs have improved self-reinforcement compared with double-row SutureBridge repairs with tied medial knots: a biomechanical study using an ovine model. (Abstract)

Knotless double-row SutureBridge rotator cuff repairs have improved self-reinforcement compared with double-row SutureBridge repairs with tied medial knots: a biomechanical study using an ovine model. In double-row SutureBridge (Arthrex, Naples, FL, USA) rotator cuff repairs, increasing tendon load may generate progressively greater compression forces at the repair footprint (self-reinforcement). SutureBridge rotator cuff repairs using tied horizontal mattress sutures medially may limit (...) this effect compared with a knotless construct.Rotator cuff repairs were performed in 9 pairs of ovine shoulders. One group underwent repair with a double-row SutureBridge construct with tied horizontal medial-row mattress sutures. The other group underwent repair in an identical fashion except that medial-row knots were not tied. Footprint contact pressure was measured at 0° and 20° of abduction under loads of 0 to 60 N. Pull-to-failure tests were then performed.In both repair constructs, each 10-N

2017 Journal of Shoulder and Elbow Surgery

60. Hughes Abdominal Repair Trial (HART)-abdominal wall closure techniques to reduce the incidence of incisional hernias: feasibility trial for a multicentre, pragmatic, randomised controlled trial. (Full text)

Hughes Abdominal Repair Trial (HART)-abdominal wall closure techniques to reduce the incidence of incisional hernias: feasibility trial for a multicentre, pragmatic, randomised controlled trial. Incisional hernias are common complications of midline abdominal closure. The 'Hughes Repair' combines a standard mass closure with a series of horizontal and two vertical mattress sutures within a single suture. There is evidence to suggest this technique is as effective as mesh repair (...) cancer surgery.Patients undergoing midline incisional surgery for resection of colorectal cancer.Comparison of two suture techniques (Hughes repair or standard mass closure) for the closure of the midline abdominal wound following surgery for colorectal cancer.A 30-patient feasibility trial assessed recruitment, randomisation, deliverability and early safety of the surgical techniques used.A total of 30 patients were randomised from 43 patients recruited and consented, over a 5-month period. 14

2017 BMJ open Controlled trial quality: uncertain PubMed abstract

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