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Horizontal Mattress Suture

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61. 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

63. Efficacy of Methods to Treat Multiple Gingival Recession Defects

margins and facilitate coronal repositioning. Additionally, the subperiosteal tunnel is extended interproximally under each papilla as far as the embrasure space permits, without making any surface incisions through the papilla. The mucogingival complex is then advanced coronally and stabilized in the new position with the coronally anchored suturing technique, which entails placing a horizontal mattress suture apical to the gingival margin of each tooth. The suture is tied to position the knot (...) technique, which entails placing a horizontal mattress suture apical to the gingival margin of each tooth. The suture is tied to position the knot at the midcoronal point of the facial aspect of each tooth, which is secured with help of composite resin to prevent apical relapse of the gingival margin during initial stages of healing. Device: Leukocyte-Platelet Rich Fibrin (L-PRF) Immediately prior to surgery, 72 mL of blood should be drawn from each patient by venipuncture of the antecubital vein

2017 Clinical Trials

64. Soft Tissue Volume Gain and Stability Comparing Palate and Tuberosity

in both areas to obtain the same thickness. Palate (CG) The double incision was made approximately 2 to 3 mm apical to the gingival margins of premolars. The donor tissue was removed and cross-mattress sutures were used to approximate the wound on the palate. In both groups the epithelial collar removed. Graft required dimensions for both groups:10mm height, 12mm length and 1,5mm thick. Other Name: subepithelial connective tissue graft Device: Intraoral optical scan Intraoral optical scan (...) to a randomization table. Donor site A double-bladed scalpel handle 1,5mm was used in both areas to obtain the same thickness. Tuberosity (TG) The double incision was made from the distal of the terminal tooth. A second incision was made perpendicular to the linear incision at a distal point, which joined the two linear incisions. The graft was removed and a crossed horizontal suspension suture was used. Epithelial collar removed. Graft required dimensions for both groups:10mm height, 12mm length and 1,5mm thick

2017 Clinical Trials

65. Small Aortic Annulus

above the right coronary artery. The aortic annulus was thoroughly débrided of calcium. Valve sizing was performed with standard manufacturers' sizers, with selection of the size that would comfortably fit within the aortic annulus. A noneverting suture technique was used in all patients with interrupted horizontal mattress 2-0 braided sutures placed around the aortic annulus, with the pledgets on the ventricular aspect. Procedure: aortic valve replacement Standart AVR using stented stented (...) sizing instrument. Glutaraldehyde-treated autologous pericardium is trimmed with a self-developed template corresponding to the measured value. The annular margin of the pericardial leaflet is then running-sutured to each annulus with 3-0 monofilament sutures. Commissural coaptation is secured with additional 4-0 monofilament sutures. The coaptation of the 3 cusps is then checked with negative pressure on the left ventricular vent. Procedure: aortic valve replacement Standart AVR using stented

2017 Clinical Trials

66. Effect of L-PRF and A-PRF in Ridge Preservation

with at least 2 L-PRF membranes. A modified horizontal mattress will be place as suture to keep the L-PRF in place. Other: L-PRF Platelet concentrates are produced from a small peripheral blood sample, which is immediately centrifuged without any anticoagulant. Coagulation starts during the centrifugation, and three layers are obtained: red blood corpuscles (RBCs) at the bottom of the tube, platelet-poor plasma (PPP) on the top and an intermediate layer called "buffy coat" where most platelets (...) : it creates a bioactive construct that stimulates the local environment for differentiation and proliferation of stem and progenitor cells and it acts as an immune regulation node with inflammation control abilities, such as slow continuous release of growth factors over a period of 7-14 days. No Intervention: Control The socket will be filled with a natural blood clot. A modified horizontal mattress will be place as suture. Outcome Measures Go to Primary Outcome Measures : Changes horizontal width

2017 Clinical Trials

67. Buccal Plate Expansion Technique Versus Guided Bone Regeneration Technique in Socket Preservation in the Aesthetic Zone.

will be performed.The periosteum of buccal flap will be incised; this would permit coronal advancement of facial flap and a tension‑free primary closure. Extraction sockets will be grafted with natural bovine bone mineral (cerabone). Collagen membrane will be trimmed and placed on the grafted socket and alveolar bone.. Buccal and lingual/palatal flaps will be approximated utilizing interrupted simple loop and vertical mattress sutures (4/0) Outcome Measures Go to Primary Outcome Measures : measuring horizontal (...) membrane plug will be stabilized on the top of the socket with a cross suture (silk 4/0). Procedure: Buccal plate expansion technique for dental socket preservation An internal osteotomy of the socket buccal plate will be performed with a piezotome (SurgyStar). Two vertical osteotomies and one horizontal osteotomy will be made to push the buccal plate outward from the socket. Two small cervical releasing incisions will be made in the mesiobuccal and distobuccal aspects of the socket to permit

2017 Clinical Trials

68. Developing Cognitive Task Analysis-based Educational Videos for Basic Surgical Skills in Plastic Surgery. (Abstract)

Health Sciences Centre, Toronto, Ontario, Canada, an urban tertiary care teaching center.Canadian junior plastic surgery residents (n = 78) were sent a needs assessment survey. Four plastic surgeons and 1 orthopedic surgeon performed the skills.Twenty-eight residents responded to the survey (36%). Subcuticular suturing, horizontal and vertical mattress suturing, hand splinting, digital nerve block, and excisional biopsy had the most number of residents (>80%) rank the skills as being skills

2017 Journal of Surgical Education

69. 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 available with Trip Pro

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

70. 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

71. The “Purse String” Procedure for Recurrent Anterior Glenohumeral Instability: A Simple Technique to Achieve Bankart Repair, Capsular Shift, and a Good Labral Bumper Full Text available with Trip Pro

in conventional techniques. It has been shown that horizontal mattress suture techniques restore better labral height and anatomy than simple suture techniques in the repair of acute Bankart lesions. Horizontal mattress repairs, like the one achieved with the "purse-string" technique, pushes the labrum toward the humeral side of the joint, thus providing a buttress to the glenohumeral joint. We present the purse-string technique, which involves the use of only 1 suture anchor located at the 4-o'clock position (...) The “Purse String” Procedure for Recurrent Anterior Glenohumeral Instability: A Simple Technique to Achieve Bankart Repair, Capsular Shift, and a Good Labral Bumper Failure of arthroscopic techniques in cases of recurrent anterior glenohumeral instability may result from inadequate treatment of capsular injury. The use of few anchors has been cited as a cause of failure in arthroscopic stabilization techniques. This applies to the use of the suture anchors as spot-welding points

2017 Arthroscopy techniques

72. Augmented repair of radial meniscus tear with biomimetic electrospun scaffold: an in vitro mechanical analysis Full Text available with Trip Pro

in the parallel and perpendicular directions, as was suture retention strength. Complete radial tears of lateral bovine meniscus explants were repaired with a double horizontal mattress suture technique, with or without inclusion of the biomimetic scaffold sheath. Both repair groups, as well as native controls, were cyclically loaded between 5 and 20 N for 500 cycles and then loaded to failure. Clamp-to-clamp distance (i.e., residual elongation) was measured following various cycles. Ultimate load, ultimate (...) Augmented repair of radial meniscus tear with biomimetic electrospun scaffold: an in vitro mechanical analysis Large radial tears that disrupt the circumferential fibers of the meniscus are associated with reduced meniscal function and increased risk of joint degeneration. Electrospun fibrous scaffolds can mimic the topography and mechanics of fibrocartilaginous tissues and simultaneously serve as carriers of cells and growth factors, yet their incorporation into clinically relevant suture

2016 Journal of experimental orthopaedics

73. Arthroscopic Repair of Posterior Bony Bankart Lesion and Subscapularis Remplissage Full Text available with Trip Pro

into the reverse Hill-Sachs lesion. The sutures were passed creating horizontal mattress configurations that were tied at the end of the procedure, effectively externalizing the humeral head defect. Our technique results in satisfactory fragment reduction, as well as appropriate capsular tension, and effectively prevents the reverse Hill-Sachs lesion from engaging. (...) for arthroscopic repair of a posterior bony Bankart lesion and reverse Hill-Sachs lesion. The importance of proper portal placement cannot be overstated. By use of the lateral position and strategically placed portals, the posterior bony Bankart lesion and attached labral complex were appropriately mobilized. We reduced the glenoid bone, with the attached capsulolabral complex, to the glenoid rim and performed fixation using a knotless suture anchor. We then placed 2 double-loaded suture anchors

2017 Arthroscopy techniques

74. Titanium Prepared Platelet Rich Fibrin for Multiple Gingival Recessions

was fixed to the flap on the coronal aspect with horizontal mattress sutures. Compression was applied to the receiver area with serum-impregnated sterile gauze for approximately 5 minutes, and then periodontal paste was placed onto the surgery site. Procedure: Root Coverage Surgery with T-PRF Root surfaces in the multiple gingival recession regions were made smooth using Gracey curettes. To remove the smear layer, 24% EDTA solution was applied to the tooth surfaces for approximately 2 minutes (...) Intervention/treatment Experimental: Root Coverage Surgery with T-PRF Multiple gingival recessions were treated by Titanium prepared PRF (T-PRF) in 16 patients. The T-PRF membrane that was procured was placed in the defect area 1 mm beyond the enamel-cement border.. The T-PRF was fixed in the receiver area by a mattress stitch through the apical aspect using 5-0 monofilament absorbable sutures. The flap was stitched in a manner that completely covered the graft in the coronal aspect. Thereafter, the graft

2017 Clinical Trials

75. Periodontal Regeneration Using Dental Pulp Stem Cells (DPSCs)

onto a collagen sponge scaffold (Condress®, Istituto Gentili, Milano, Italy) to form a bio-complex. In the control group the collagen sponge was only hydrated using physiologic sterile solution. The collagen sponge with or without cells was provided to the masked surgeon who filled the intrabony defect. The flaps were repositioned and tension-free primary flap closure was obtained using horizontal internal mattress and interrupted sutures Active Comparator: coagulum control sites (n=14) Periodontal (...) . The flaps were repositioned and tension-free primary flap closure was obtained using horizontal internal mattress and interrupted sutures Outcome Measures Go to Primary Outcome Measures : Radiographic bone fill [ Time Frame: baseline and 12 months ] Periapical standardized radiographs were taken by a clinician masked to the clinical measurements using the paralleling technique and individually customized bite-blocks (RINN XCP Film Holding Instruments, Dentsply, York, USA) Secondary Outcome Measures

2017 Clinical Trials

76. Viability and Proliferation of Pluripotential Cells Delivered to Tendon Repair Sites Using Bioactive Sutures-An In Vitro Study. (Abstract)

rabbit Achilles tendons and tied (horizontal mattress). The repairs were frozen and sectioned (6 μm). The sections were stained with 4',6-diamidino-2-phenylindole and a live/dead viability/cytotoxicity (calcein/ethidium homodimer) kit and examined with fluorescent microscopy to evaluate cell presence and viability. Alamar Blue was used in parallel to assess metabolic activity.PLL-coated sutures showed a 3-fold increase in fluorescence when compared with the phosphate-buffered saline-coated controls (...) Viability and Proliferation of Pluripotential Cells Delivered to Tendon Repair Sites Using Bioactive Sutures-An In Vitro Study. We evaluated the fate of pluripotential stem cells adherent to a suture carrier after being passed through tendon tissue in vitro.FiberWire suture segments were coated with poly-L-lysine (PLL) and a 2 × 10(6) C3H10T1/2 (a mouse embryo pluripotential cell line) cell suspension. The sutures were incubated for 7 days, passed through two 1-cm segments of acellularized

2010 Journal of Hand Surgery - American

77. A modified technique of anastomosis between dissected aortic stump and a Dacron tube graft: the suture line inclusion technique. (Abstract)

of nonpledgeted 2-0 horizontal mattress sutures were placed from inside to outside. Certain tension on those sutures should be created to keep the intraluminal Teflon felt strip in place. The end of the Dacron tube graft was everted outward, and its double-folded end was anastomosed to the aortic stump with incorporation of the proximal end of the stented graft or the intraluminal Teflon felt strip. The everted Dacron portion was then returned to its original position, and the previously placed horizontal (...) mattress sutures were appropriately passed through the corresponding site, and all sutures were securely tied in place. Our initial application showed that this simple technique provides a more hemostatic anastomosis.Copyright (c) 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

2010 Annals of Thoracic Surgery

78. The Effect of Epitendinous Suture Technique on Gliding Resistance During Cyclic Motion After Flexor Tendon Repair: A Cadaveric Study. Full Text available with Trip Pro

human cadavers were transected and repaired with a 2-strand modified Kessler suture and assigned to 5 groups based on type of epitendinous suture design. The 5 epitendinous designs tested were a simple, running epitendinous suture whose knot was outside the repair (simple running KO); a simple, running epitendinous suture whose knot was inside the repair (simple running KI); a cross-stitch epitendinous suture; an interlocking, horizontal mattress (IHM) epitendinous suture; and a running-locking (...) The Effect of Epitendinous Suture Technique on Gliding Resistance During Cyclic Motion After Flexor Tendon Repair: A Cadaveric Study. To investigate the effects of motion following repair with a modified Kessler core suture and 5 different epitendinous suture designs on the gliding resistance, breaking strength, 2-mm gap force, and stiffness of flexor digitorum profundus tendons in a human in vitro model.The flexor digitorum profundus tendons of the index, middle, ring, and little fingers of 50

2010 Journal of Hand Surgery - American

79. Wound Repair

to identify the bleeding vessel) Clamp the bleeding end and apply ligature ( ) Figure of eight (or horizontal mattress) Indicated for vessel that has retracted within tissue and cannot be clamped Imagine a square box around the bleeding source Each corner of the exposed square represents an entry or exit of the figure of eight Tying the figure of eight compresses the tissue around the bleeding source XVI. Protocol: Wound Repair Specific injury approaches See See See Indicated if repair must be done (...) bid Granulation and Contraction risk without suturing XII. Protocol: Local Anesthesia Prepare skin with antiseptic prior to injection Betadine is not affective until it dries (hence hibiclens is often preferred) Avoid hibiclens near eyes (irritation) and inside ear canal (ototoxic) See for pearls to decrease patient discomfort Consider topical anesthetics, especially in children (e.g. ) is safe in areas previously contraindicated (fingers, toes, ears, nose) caution in Digits (even ): 1:100,000

2018 FP Notebook

80. Corner Stitch

-buried Horizontal Mattress Suture II. Indications: Skin flap closure (no vascular compromise) Y-shaped corners (90 degree angle) X-shaped III. Advantages Does not compromise blood supply to tip of corner IV. Technique: Y-shaped lesion Background Use non- Draw line perpendicular from corner tip (forms Y) Four landmark sites (2 on each side of the wound) Point 1 along left base of Y (6-8 mm from corner) Point 2 at left upper arm of Y (4 mm from corner) Point 3 at right upper arm of Y (4 mm from corner

2018 FP Notebook

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